ATI FUNDERMENTALS PROCTOCTOR

ATI FUNDERMENTALS PROCTOCTOR A nurse is teaching an assistive personnel about a upper body mechanics to prevent injury. Which of the following actions by the AP demonstrate an understanding of the teaching? - CORRECT ANSWER-The AP keeps the object he is lifting close to his body . a nurse is assessing a client who is immobile and notices a red area over the client's coccyx. Which of the following actions should the nurse take? - CORRECT ANSWER-Assess the red area for blanching . a nurse is preparing to insert an iv catheter for a client following a right mastectomy. Which of the following veins should the nurse select when initiating an IV therapy? - CORRECT ANSWER-The cephalic vein in the left distal forearm a nurse is preparing to administer a medication into a client by the intradermal route after applying gloves and cleaning the site with an antiseptic swab. In what order should the nurse take the steps to administer the medication? (move steps into box 1- 4 priority) - CORRECT ANSWER- . a nurse is providing teaching to a client about colorectal cancer prevention guidelines. Which of the following recommendations should the nurse include? - CORRECT ANSWER-Reduce intake of red meats a nurse is planning care to prevent skin breakdown for a client who is immobile and is urinary incontinent. Which of the following actions should the nurse include in the plan of care? - CORRECT ANSWER-Request a prescription for an indwelling urinary catheter a nurse is preparing to apply a condom catheter for a client who is uncircumcised which of the following actions should the nurse plan to take? - CORRECT ANSWER-Place adhesive tape directly on the penis a nurse is teaching a client who had an enucleation about care of an artificial eye. Which of the following information should the include in the teaching? (select all that apply) - CORRECT ANSWER--Apply pressure just below artificial eye to break the suction -Retract the upper and lower lids to reinsert the artificial eye 9. a nurse is reviewing client confidentiality with a newly licensed nurse. The nurse should identify which of the following examples as a violation of HIPPA? - CORRECT ANSWER- Discussing the clients transfer to a long-term care facility with a nurse from another unit 10. a nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden severe abdominal pain. Which of the following actions should the nurse take first? - CORRECT ANSWER-Expose the clients abdomen to look for changes in appearance 11. a nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurses priority? - CORRECT ANSWER-For the client explain the techniques of esophageal speech 12. a home care nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (select all that apply) - CORRECT ANSWER--I will use the bars when getting in and out of the bathtub -I need to check my medications for expiration dates -I need to have a fire escape plan with my family 13. a nurse is assessing a client's cranial nerve VII. Which of the following responses should the nurse expect? - CORRECT ANSWER-The client has a symmetrical smile 14. a nurse in an emergency department is assessing a client who reports a right lower quadrant pain, nausea and vomiting for the past 48 hours? Which of the following actions should the nurse take first? - CORRECT ANSWER-Auscultate bowel sounds 15. a nurse is caring for a client who recently received a diagnosis of terminal cancer. Which of the following statements by the clients partner indicates maladaptive coping? - CORRECT ANSWER-I am going to ask my daughter to come and stay for a week 16. a nurse is planning care for a client who has a stage 1 pressure ulcer on the right heel. The nurse should anticipate application of which of the following dressings? - CORRECT ANSWER-Transparent 17. a nurse is caring for a client who has brain cancer and is transferring to hospice care. The client's son tells the nurse "I don't know what to tell my dad if he asks how he is going to die". Which of the following is an appropriate response from the nurse? - CORRECT ANSWER-I think you should discuss this with the hospice nurse 18. a nurse is teaching an older adult client who has type 2 diabetes mellitus about how to care for corns and calluses toes. Which of the following statements by the client indicates understanding of the teaching? - CORRECT ANSWER- 19. a nurse is caring for a client who has wrists restraints after an episode of violent behavior. Which of the following actions should the nurse take? - CORRECT ANSWER-Tie the restraints to the side rale 20. a nurse is admitting a client who has a clostridium difficile infection. Which of the following actions should the nurse take? Select all that apply - CORRECT ANSWER--Wear a gown and gloves when providing client care -Wash hands with soap and water after contact with the client 21. a nurse is planning care for a client who has latex allergy and is scheduled for surgery. Which of the following actions is appropriate to include in the clients plan of care? - CORRECT ANSWER-Remove the stop stocks from iv tubing 22. a nurse is providing discharge teaching to a client who does not speak the same language as the nurse. Which of the following actions should the nurse take? - CORRECT ANSWER-Direct verbal discharge instructions to the interpreter 23. a nurse is teaching a client how to self-administer daily low dose heparin injections. Which of the following factors is most likely to increase the clients motivation to learn? - CORRECT ANSWER-The nurse explaining the need for education to the client 24. a nurse is preparing to t