ATI RN Fundamentals Online Practice B with NGN (Top 2024/2025 EXAM REVIEW DOC )

ATI RN Fundamentals Online Practice B with NGN A nurse in an acute care facility is preparing a discharge summary for a client who is transferring to a long-term care facility. Which of the following documentation should the nurse include? A. Client flow sheet B. Acuity ratings C. Current medications D. Incident reports - C. Current medications The nurse should include the client's medications in the discharge summary to ensure client safety and continuity of care. A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a new tracheostomy. Which of the following actions should the nurse plan to take? A. Use a resuscitation bag with 80% oxygen prior to the procedure. B. Select a suction catheter that is half the size of the lumen. C. Place the end of the suction catheter in water-soluble lubricant. D. Adjust the wall suction apparatus to a pressure of 170 mm Hg. - B. Select a suction catheter that is half the size of the lumen. The nurse should select a suction catheter that is half the size of the lumen to prevent hypoxemia and trauma to the mucosa. A nurse is caring for a client who has decreased mobility. Which of the following actions should the nurse take to decrease the client's risk of developing plantar flexion contractures? A. Place a pillow under the client's knees. B. Position a trochanter roll under each of the client's hips. C. Advise the client to wear rubber-soled slippers. D. Apply an ankle-foot orthotic device to the client's feet. - D. Apply an ankle-foot orthotic device to the client's feet. The nurse should use a device to maintain dorsiflexion, such as an ankle-foot orthotic device or a foot board placed perpendicular to the mattress. A nurse manager is overseeing the care activities on a unit. For which of the following situations should the nurse manager intervene due to a violation of HIPAA guidelines? A. A nurse who is caring for a client reviews the client's medical chart with a nursing student who is working with the nurse. B. A nurse asks a nurse from another unit to assist with documentation for a client. C. A nurse who is caring for a client returns a call to the person appointed in the health care proxy to discuss the client's care. D. A nurse discusses a client's status with the physical therapist who is caring for the client. - B. A nurse asks a nurse from another unit to assist with documentation for a client. Only health care professionals directly caring for a client should have access to the client's medical information; therefore, this is a violation of HIPAA guidelines. A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. Which of the following actions should the nurse take? A. Gently shake the container of medication prior to administration. B. Transfer the medication to a medicine cup. C. Place the client in a semi-Fowler's position prior to medication administration. D. Verify the dosage by measuring the liquid before administering it. - A. Gently shake the container of medication prior to administration. The nurse should gently shake the liquid medication to ensure that the medication is mixed. A nurse on a medical unit is preparing to discharge a client to home. Which of the following actions should the nurse take as part of the medication reconciliation process? A. Seal unused medications from the facility in a plastic ba