Galen College of Nursing-Louisville NUR 265 ATI Proctored 283 ||
All Accurately Answered.
Who should the nurse assess first? correct answers Client receiving a blood transfusion reporting
low back pain
Naegle's Rule correct answers -3 months, +7days
Treatment of magnesium sulfate toxicity correct answers Calcium gluconate IV
Non-English speaking client in ED what action should the nurse take? correct answers
Determine what language the client speaks and get an interpreter
A client had a new diagnosis of dysphagia what food should be included when initiating feeding?
correct answers Oatmeal
A client with Type 1 diabetes would experience what sign or symptom with hypoglycemia?
correct answers Diaphoresis
A client is receiving TPN what assessment finding requires immediate intervention? correct
answers Weight increase of two kg/day
The nurse administers metoclopramide to a client prior to chemo, what med should be
administered next correct answers Diphenhydramine
Who should the nurse asses first at shift change? correct answers A client with a hip arthroplasty
reporting pain and erythema to calf
Client is 16 weeks gestation and has a new prescription for ferrous sulfate, what education is
important? correct answers Take iron with fluids, avoid caffeine like coffee and tea
, Client with esophageal cancer is receiving radiation therapy, what instructions are important?
correct answers Wear clothing over the area of the radiation treatment
7 month old infant with severe dehydration, treatment is effective if correct answers Client has a
flat anterior fontanel
Uterus is boggy and 2cm above umbilicus, what action should the nurse take first? correct
answers Massage the fundus
Adolescent with chronic renal failure what should be included in the plan of care? correct
answers Restrict protein intake
What condition is contraindicated in the use of atorvastatin? correct answers Hepatitis C
Client D/C instructions with furosemide, further teaching is needed if correct answers The client
limits their intake of fish
Risk factor for developing a UTI (female) correct answers Using perfumed toilet paper
2.5 mL of IM med to adult where can the nurse safely inject? correct answers Ventrogluteal
Contraindication for MMR vaccine in child? correct answers Recent blood transfusion
Client wants to leave hospital because no smoking policy, what action should the nurse take?
correct answers Inform the client of the risks involved if they leave
Paracentesis- the specimen was collected what is the nurses next action? correct answers Label
the specimen
All Accurately Answered.
Who should the nurse assess first? correct answers Client receiving a blood transfusion reporting
low back pain
Naegle's Rule correct answers -3 months, +7days
Treatment of magnesium sulfate toxicity correct answers Calcium gluconate IV
Non-English speaking client in ED what action should the nurse take? correct answers
Determine what language the client speaks and get an interpreter
A client had a new diagnosis of dysphagia what food should be included when initiating feeding?
correct answers Oatmeal
A client with Type 1 diabetes would experience what sign or symptom with hypoglycemia?
correct answers Diaphoresis
A client is receiving TPN what assessment finding requires immediate intervention? correct
answers Weight increase of two kg/day
The nurse administers metoclopramide to a client prior to chemo, what med should be
administered next correct answers Diphenhydramine
Who should the nurse asses first at shift change? correct answers A client with a hip arthroplasty
reporting pain and erythema to calf
Client is 16 weeks gestation and has a new prescription for ferrous sulfate, what education is
important? correct answers Take iron with fluids, avoid caffeine like coffee and tea
, Client with esophageal cancer is receiving radiation therapy, what instructions are important?
correct answers Wear clothing over the area of the radiation treatment
7 month old infant with severe dehydration, treatment is effective if correct answers Client has a
flat anterior fontanel
Uterus is boggy and 2cm above umbilicus, what action should the nurse take first? correct
answers Massage the fundus
Adolescent with chronic renal failure what should be included in the plan of care? correct
answers Restrict protein intake
What condition is contraindicated in the use of atorvastatin? correct answers Hepatitis C
Client D/C instructions with furosemide, further teaching is needed if correct answers The client
limits their intake of fish
Risk factor for developing a UTI (female) correct answers Using perfumed toilet paper
2.5 mL of IM med to adult where can the nurse safely inject? correct answers Ventrogluteal
Contraindication for MMR vaccine in child? correct answers Recent blood transfusion
Client wants to leave hospital because no smoking policy, what action should the nurse take?
correct answers Inform the client of the risks involved if they leave
Paracentesis- the specimen was collected what is the nurses next action? correct answers Label
the specimen
