RN Fundamentals Online Practice 2019 A, RN Fundamentals 2016 A, RN Fundamentals 2016 A, ATI RN Fundamentals Proctored Exam, ATI Fundamentals Practice A, B, & Final all put together

A nurse is caring for a client who is having difficulty sleeping and is pacing the floor. The client's head is down, and he is wringing his hands. Which of the following actions should the nurse take? correct answer: Remain with the client A nurse is discussing indications for urinary catheterization with a newly licensed nurse. Which of the following indications should the nurse include? correct answer: -relief of urinary retention -measurement of residual urine after urination -presence of an open perineal wound A nurse is planning care for a client who has terminal cancer and a prescription for morphine. Which intervention should the nurse include in the plan of care? correct answer: Instruct client to actively cough to prevent buildup of secretions in airway. A nurse is preparing to administer furosemide 40 mg IV. Available is furosemide 10 mg/ 1 mL. How many mL should the nurse administer per dose? correct answer: 40 / 10 = 4 mL A nurse is preparing to move a client who is only partially able to assist up in bed. Which of the following methods should the nurse plan to use? correct answer: Two nurses using a friction-reducing device A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which manifestations of Hypoglycemia correct answer: blurred vision / tachycardia / moist clammy skin A nurse is removing PPE after giving direct care to a client who requires isolation. Which of the following PPE items should the nurse remove first? correct answer: Gloves A nurse is reviewing a clients ABG lab results. Which of the following should the nurse report to the provider? correct answer: Sodium 126 mEq/L A nurse is reviewing the ABG's for a client. The pH is 7.32, PaCO2 48 mm Hg and the HCO3 is 23 mEq/L. The nurse should recognize that these findings indicate which of the following acid base balances? correct answer: Respiratory acidosis A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching? correct answer: The client holds his breath for 10 seconds after inhaling the medication Which of the following clients should the nurse identify as being at risk for the development of pressure ulcers? correct answer: a client who has a protein calorie malnutrition a client who has right-sided heart failure and 4+ edema to lower extremities a client who has post operative delirium