Test Bank for RN ATI concept-based assessment, proctored exam 2023

rse is teaching sleep hygiene to a client who has insomnia. Which of the following statements should the nurse make? • Exercise in the morning after arising • Rationale: Daily exercise has many benefits, including enhancing cardiovascul psychological, and musculoskeletal health. The nurse should recommend that the client avoid exercising within 2 hr of bedtime to limit stimulation and enhance sleep 4. A nurse is preparing to leave the room of a client who is on isolation precautions. Which of the following actions should the nurse take when removing a tied surgical mask? • Remove the mask by securely holding the ties and moving it away from the fa • Rationale: The nurse should untie the bottom strings and then the top strings. Finally, while still holding the strings, the nurse should remove the mask from her face. This action prevents the nurse from touching the front of the mask, which is contaminated 5. A nurse is caring for an adolescent client who is in critical condition following a moto vehicle crash in which he was the passenger. The client's parent shouts at the nurse asking why her son is dying instead of the driver. Which of the following actions should the nurse take to provide emotional support to the parent? • Inform the parent that anger is a natural response when dealing with loss• Rationale: The nurse should identify that the parent is in the anger stage of gr The nurse should assist the parent to understand that anger is a natural response to loss and encourage her to talk about her feelings 6. A community health nurse is planning prevention strategies for hypertension among members of her community. The nurse should identify that which of the following• Rationale: Evidence-based practice indicates that individuals of African- American ethnicity have the highest prevalence of hypertension. Therefore, th nurse should identify community members of this ethnicity are at greatest risk of developing hypertension. 7. A community health nurse is planning interventions to promote Healthy Peopl 2020 initiatives in the community. Which of the following actions should the nurse plan to take first? • Determine the level of health equity among groups in the community • Rationale: Health equity among all groups in the community is a Healthy Peop 2020 initiative. Using the nursing process, the first action the nurse should tak is to assess the needs of the community. By identifying disparities in commun health, the nurse can develop interventions targeted at the community's spec needs. 8. A nurse is reviewing a client's new prescriptions that were just documented in the client's medical record by the provider. Which of the following abbreviations should the nurse clarify with the provider? • Enoxaparin 40 mg SQ QD • Rationale: The nurse should clarify this prescription with the provider. The abbreviations "SQ" and "QD" are considered error-prone and should not be used in documentation. The nurse should clarify that the provider intends the prescription to be administered subcutaneously once daily. "Subcutaneous" or "subcut" should be used instead of "SQ" and "daily" should be used instead of "QD." 9. A nurse is talking with a client who has major depressive disorder. The client states, "Nobody cares if I'm around or not." Which of the following responses should the nur take? • It sounds as though you’re feeling hopeless • Rationale: This statement by the nurse is an example of restating, which is a therapeutic response. This technique restates the main idea the client has expressed and allows the client to clarify any misunderstanding. 10. A nurse is preparing to administer a unit of packed RBCs to a client. In adherence with the Joint Commission National Patient Safety Goals regarding blood administration, which of the following actions should the nurse plan to take? • Verify the client and blood component using a two-person process • Rationale: The Joint Commission National Patient Safety Goals regarding blood transfusions includes improving the accuracy of client identification. The nurse should eliminate transfusion errors related to client misidentification by using two-person verification process to identify the client and the blood component. 11. A nurse on a medical-surgical unit is caring for a group of clients. Which of the following client