Comprehensive ATI 2019 B

1. a nurse is caring for a client who had an abdominal surgery 24 hours ago. Which of the following actions is the nurse's priority?: Assist with deep breathing and coughing 2. A nurse is conducting group therapy with clients who have breast cancer. The nurse should recognize which of the following statements by a client as an example of altruism?: "I told my doctor that I would like to start a support group for other women who are sick, in my community." 3. A nurse is caring for a client who has immunosuppression and a continu- ous IV infusion. Which of the following actions should the nurse take?: Mon- itor the client's mouth every 8 hours 4. A nurse is caring for a 2 month old infant who has hirschsprung disease. Which of the following areas should the nurse assess for manifestations of HD?: C- the Lower Right hand quadrant 5. A nurse at a mental health clinical is caring for four clients. The nurse should recognize that which of the following clients is using dissociation as a defense mechanism?: a client who was abused as a child describes the abuse as if it happened to someone else 6. A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes mellitus. The nurse should instruct the client to monitor for which of the following findings as a manifestations of hypoglycemia: irritability 7. A nurse in an outpatient mental health clinic is caring for four clients. The nurse should recognize that which of the following clients is effectively using sublimation as a defense mechanism?: A client who channels their energy into a new hobby following the loss of their job 8. A hospice nurse is consulting with a client and her family about receiving home services. Which of the following statements should the nurse identify as an indication that the family understand home hospice care?: we can expect the hospice nurse to provide support for us after our mother's death 9. A nurse is caring for a client who had active pulmonary tuberculosis. Which of the following actions should the nurse take?: Assign the client to a private room with negative air pressure 10. A nurse is providing teaching to a client who is at 24 weeks of gestation and is scheduled for a 3-hr glucose tolerance test. Which of the following instructions should the nurse include in the teaching?: You will need to fast the night before the test