Based Assessment Level 4 Online Practice A
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1.A nurse is teaching a client who has been newly diagnosed with syste
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mic lupus erythematosus (SLE). Which statement by the client indicates a
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n under-
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standing of the teaching?: "I should inspect my skin daily for cuts and
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rashes"
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2.A nurse is caring for a client who has Parkinson's disease. Which of the
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fol-
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lowing actions should the nurse take to promote the client's mobility?: In
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struct the client to perform range-of-motion exercises
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- The nurse should instruct the client to perform stretching and range
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-of-
motion exercises to promote mobility. exercising and walking help to
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delay the progression of the disease.
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3.A nurse is caring for a client who has had a myocardial infarction and
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sus-
pects cardiogenic shock. The nurse should monitor for which of the follo
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wing manifestations?: Pulmonary Congestion
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Pulmonary congestion is a result of decreased cardiac output due to da
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mage to the cardiac muscle
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4.A nurse is assessing a client who has a DNR order and has stopped
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wfbreathing. The family asks the nurse to resuscitate the client. Which a
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ction should the nurse take?: Respect the client's preferences.
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5.A nurse manager is teaching a group of nurses about OSHA. What infor
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ma-
wftion should the nurse include?: Sets standards for hazardous exposure
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s in the workplace.
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6.A nurse manager identifies that the number of client medication adminis
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tra- tion errors on the unit has increased. When creating a cause-and-
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effect chart, which of the following information should the nurse manger in
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clude?: Possible reasons for the medication errors. ----------------------------
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wfThe nurse manager should identify and include possible reasons for th
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e occurrence of medica-
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wftion errors when creating a cause and effect chart. This data assists in
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wfthe prevention of future medication errors.
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7.A nurse manager notices that he has exceeded the amount of money a
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, ATI RN Concept -
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Based Assessment Level 4 Online Practice A
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llo-
wfcated for labor costs for the quarter. Which action should the nurse man
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ager take?: involve staff nurses in budge planning.
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this promotes awareness of the costs of staffing a unit and encourages
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cost-effec- tive care. wf wf
8.A nurse is providing teaching to a client who has a halo device applie
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d to prevent further cervical spinal cord injury following a diving accident
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. What info should the nurse include?: "Avoid leaning forward when atte
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mpting to stand." wf wf
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, ATI RN Concept -
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Based Assessment Level 4 Online Practice A
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the weight of the halo device can alter balance. leaning forward could
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ause the client to fall.
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9.A nurse is working on an interprofessional collaboration plan of care
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for a client who has a stage 3 pressure ulcer. Which action should the
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nurse recognize as the. role of the licensed practical nurse (LPN)?: Adm
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inister pain medication wf wf
10.A nurse manager is facilitating conflict resolution between two nurse
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s who disagree about the need to make a referral to a social worker. Wh
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ich conflict management strategies should the nurse manager use?: Offe
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r self to constructively facilitate communication.
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The nurse manager will be the impartial third party in this communica
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on
11.A nurse is having a disagreement with a coworker about a client assi
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gn-
wfment. When following the chain of command, which of the following indi
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vidu-
wfals should the nurse contact to discuss the conflict?: The charge nurse
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- When following the chain of command, the nurse should communica
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te with his immediate supervisor about any questions and concerns he
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has, including a conflict with a coworkers.
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12.A triage nurse is prioritizing clients following a mass casualty disas
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ter. Which of the following clients should the nurse treat first?: A clien
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t who is exhibiting manifestations of shock.
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a client exhibiting manifestations of shock requires immediate interven
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on for survival.
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13.A nurse is caring for a client who has a partial-
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thickness burn and a prescription for a silver sulfadiazine cream. Whic
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h intervention should the nurse take?: Monitor the client's WBC.
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A drop in the WBC count can be an indication of an allergic reaction to
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the silver sulfadiazine cream
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14.A nurse is preparing to administer nitroglycerin topical ointment to a cl
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, ATI RN Concept - wf wf wf
Based Assessment Level 4 Online Practice A
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ient who had a myocardial infarction. Which action should the nurse plan
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to take? wf
(move steps in order): 1) Cleanse the client's skin and allow it to dry
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2) Apply a thin layer of medication ointment to the dosing paper.
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3) Spread the medication over a 6.4 by 8.9 cm area of skin
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4) Cover the medication site with plastic wrap
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5) Remove the medication in 6 hr. wf wf wf wf wf
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