ATI RN Fundamentals online Question and Answers

A home health nurse is completing an admission assessment of an older adult client who has their caregiver present. Which of the following findings should the nurse identify as a potential indication of elder abuse? - Correct Answer The caregiver insists on remaining in the room A middle adult client tells the nurse "I feel so useless now that my children do not need me anymore." Which of the following responses should the nurse make? - Correct Answer "People in middle adulthood often find satisfaction in untiring and guiding young people." A nurse is reviewing practice guidelines with a group of newly licensed nurses. Which of the following interventions should the nurse include that is within the RN scope of practice? - Correct Answer Initiate an enteral feeding through a gastrostomy tube A nurse is preparing a heparin infusion for a client who was admitted to the facility with deep-vein thrombosis. The prescription reads: 25,000 units of heparin in 0.9% sodium chloride 250 mL to infuse at 800 units/hr. At what rate should the nurse set the infusion pump? Round to nearest whole number - Correct Answer 8 ml/hr 800 units/hr x 250ml /25,000 units A nurse is caring for a client who reports pain. When documenting the quality of the clients pain on an initial pain assessment, the nurse should record which of the following client statements? - Correct Answer The pain is like a full ache in my stomach A nurse is caring for a client who requires a 24-hr urine collection. Which of the following statements by the client indicates an understanding of the teaching? - Correct Answer I flushed what I urinated at 7:00 am and have saved all urine since A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? - Correct Answer Rapid heart rate A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the following statements should the nurse identify as an indication that the client understands the teaching? - Correct Answer When descending stairs, I will shift my weight to my right leg. 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? - Correct Answer Current medications