ANSWERS
1. A nurse is assisting a client Ask the client to think of a food that pro-
who has dysphagia with eating duces salivation
meals. Which of the following
actions should the nurse take? To prevent dryness in the mouth during
meals, which can be a risk factor for chok-
Add water to soup for a thinner ing, the nurse should ask the client to think
consistency of a food that promotes salivation
Encourage using water to clear - Lemon slices
the client's mouth - Dill pickles
Ask the client to think of a food
that produces salivation A) Thick liquids are easier for clients who
Remind the client to rest after have dysphagia to manage when swallow-
meals ing
B) Clients who have dysphagia should
only drink fluids after clearing the mouth
of food. They should use coughing and dry
swallowing to remove food particles from
the mouth
D) Clients who have dysphagia should rest
BEFORE meals to avoid fatigue when fo-
cusing on swallowing safely
2. Using high-quality monitoring C) Determine which actions can be insti-
tools, a facility committee iden- tuted to address this problem
tifies that clients who have con-
gestive HF have an average Further analysis of data will identify factors
length of stay of 5 days instead that contribute to longer lengths of stay.
of the established standard of 3 Identifying actions to shorten the clients'
days. lengths of stay is the next step in the
process
A) Educate staff members on
shortening the length of stay for Collect data
these clients First analyze the data
B) Collect data regarding the Extensive research
length of stay for these clients Standards of care are established
C) Determine which actions can
be instituted to address this
problem
D) Research the accuracy of the
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, LEARNING SYSTEM 3.0 NCLEX RN ATI EXAM WITH VERIFIED
ANSWERS
standard of care that has been
accepted
3. A nurse is explaining lacta- I should wear a support bra for a few days
tion suppression to a client
whose newborn will be bot- Nurse should instruct the client to wear
tle-fed. Which of the following a support bra that fits securely. Wearing
client statements indicates an this bra continuously for the first 3 days
understanding of the teaching? postpartum helps promote suppression of
lactation
I should lightly massage my
breasts when I feel discomfort A) Avoid stimulation of breasts
I should express a small amount B) Avoid expressing breast milk
of milk if my breasts feel tight C) Avoid running warm water on the
I should take a warm shower breasts. The warm water promotes, rather
twice a day than suppresses, lactation.
I should wear a support bra for
a few days
4. A nurse is reviewing a new pre- The prescription says to take standard
scription for fexofenadine for a tablets.
7-year-old client who has sea-
sonal allergies. Which of the The nurse should identify that this
following findings should the 7-year-old client has been prescribed a
nurse clarify with the provider? standard tablet, which is appropriate for
The prescription says to avoid clients 12 years of age and older. There-
taking the medicine with orange fore, the nurse should clarify this aspect of
juice. the prescription with the provider because
The prescription says to take a client who is 7 years old should be ad-
standard tablets. ministered orally disintegrating tablets or a
The prescription says to take 30 suspension
mg twice daily
The prescription says to admin- A) Therapeutic effect of fexofenadine is
ister the medicine orally decreased when taken with OJ
C) The nurse can administer fexofenadine
30 mg twice daily, which is appropriate
dosage for a 7-year-old.child
d) Route is PO
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