ATI comprehensive practice B with verified answers 2022

1. A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following findings should indicate to the nurse that the therapy has been effective?: hemoglobin 14.9 g/dL 2. a nurse working in an emergency department is triaging four clients. which of the following clients should the nurse recommend for treatment first?: a middle adult client who has unstable vital signs 3. a nurse is caring for a client who has fluid volume overload. which of the following tasks should the nurse delegate to an assistive personnel?: mea- sure the client's daily weight 4. a nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a client who has severe oliguria. The client weighs 198 lb. what is the amount in grams the nurse should administer?: 18 g 5. a nurse is conducting a physical examination for an adolescent and is assessing the rang of motion of the legs, which of the following images indicates the adolescent is abducting the hip joint?: Moving the leg away from the midline of the body (off to the side, not to the front) the 7. a nurse is assessing a school age child who has bacterial meningitis. which of the following findings should the nurse expect?: nuchal rigidity also weight loss 8. a nurse is assessing a newborn's heart rate. which of the following actions should the nurse take?: auscultate the apical pulse at least 1 min 9. a nurse is preparing to assist with a thoracentesis for a client who has pleurisy. the nurse should plan to perform which of the following actions?: - instruct the client to avoid coughing during the procedure 10. a nurse is the emergency department is assessing a preschooler who has a facial laceration. the nurse should identify which of the following findings as a potential indication of child sexual abuse?: the child exhibits discomfort while walking 11. a nurse is preparing to teach about dietary management to a client who has crohn's disease and an enteroenteric fistula. which of the following nutrients should the nurse instruct the client to decrease in their diet?: fiber - reduce diarrhea and inflammation 12. a nurse is caring for a client who has a prescription for a continuous passive motion CPM machine following a total knee arthroplasty. which of the following actions should the nurse take?: Turn off the CPM machine during mealtime promote client comfort and dietary intake 13. a nurse is preparing to initiate IV access for an older adult client. Which of the following sites should the nurse select when initiating the IV for this client?: radial vein of the inner arm 14. a nurse is developing a client education program about osteoporosis for older adult clients. the nurse should include which of the following variables as a risk factor for osteoporosis?: sedentary lifestyle also, small framed body with a thin build, estrogen deficiency 15. a nurse in an emergency department is caring for a child who has a fever and fluid filled vesicles on the trunk and extremities. which of the following interventions should the nurse identify as the priority?: initiate transmission based precautions 16. a nurse is caring for a client who has a clogged percutaneous gastros- tomy feeding tube. which of the following actions should the nurse take first?: change the position of the client 17. a home health care nurse is developing a teaching plan for a client who has a new ileostomy. which of the following instructions should the nurse include?: empty the appliance when it is one third to one half full 18. a nurse is reviewing the laboratory report of a client who has end stage kidney disease and received hemodialysis 24 hr ago. Which of the following laboratory values should the nurse report to the provider?: sodium 148 mEq/L 19. a nurse is caring for four clients. which of the following tasks should the nurse delegate to an assistive personnel?: Arrange the lunch tray for a client who has a hip fracture 20. a nurse is preparing a client for a paracentesis. which of the following actions should the nurse take?: instruct the client to void 21. a nurse has received change of shift report on four assigned clients. for which of the following clients should the nurse intervene to prevent a potential food and medication interaction?: a client who is receiving an MAOI and is requesting a cheeseburger for dinner 22. a nurse is planning care for a client who has rheumatoid arthritis and has moderate to severe pain in multiple joints. which of the following actions should the nurse plan to take?: allow for frequent rest periods throughout the day 23. a nurse is caring for a client who is receiving continuous bladder irri- gation following a transurethral resection of the prostate. the client reports bladder spasms, and the nurse observes a decreased urinary output. which of the following actions should the nurse take?: irrigate the catheter with 0.9% sodium chloride irrigation 24. a nurse is assessing a client who has COPD. which of the following findings should the nurse expect?: pH 7.31 25. a nurse in a community center is providing an educational session to a group of client about ovarian cancer. which of the following manifestations of ovarian cancer should the nurse include in the teaching?: abdominal bloating increase in abdominal girth, pelvic or abdominal pain, early satiety, urinary fre- quency of urgency 26. a nurse is caring for a client who has active tuberculosis TB. which of the following actions should the nurse plan to take to prevent the transmission of the disease?: Have the client wear a surgical mask while being transported outside the room 27. a nurse is caring for a group of clients. which of the following clients should the nurse attend to first?: an older adult client who is anxious and attempting to pull out an IV line 28. an RN is observing a licensed practical nurse LPN and an assistive personnel AP move a client up in bed.