PN ATI COMPLETE FINAL EXIT 2023 UPDATE

PN ATI COMPLETE FINAL EXIT 2023 UPDATE A nurse is discussing the plan of care of a client who is four hours postoperative and has a urostomy with an assistive personnel which of the following statements should the nurse include in the discussion - ANSWERS-We need to check the clients urine output every hour A nurse is evaluating the injection site for a client who had a Mantoux skin test 48 hours ago. The nurse finds 10 mm of induration with slight redness. Which of the following conclusions should the nurse make? - ANSWERS-The client has had an exposure to tuberculosis A nurse is facilitating a group discussion with preschool teachers about child abuse. Which of the following data should the nurse use as a common example of a suggestive finding? - ANSWERS-Arm cast for a spiral fracture of the forearm A nurse is feeding a client who had a stroke resulting in left side of weakness which of the following actions should the nurse take - ANSWERS-Encourage the client to drink a small amount of liquids to clear his mouth of food A nurse is going to medical surgical unit is caring for a client who developed deep, rapid respirations. Arterial blood gas Analysis: pH 7.25, PaCO2 morning 40, HCO3 18. Which of following should a nurse identify and report to the provider? - ANSWERS-Metabolic acidosis A nurse is implementing a bladder training program for a client who had a stroke which of the following intervention should the nurse take - ANSWERS-Check for residual urine after voiding A nurse is monitoring a client who is receiving a transfusion of packed red blood cells. Which of the following actions should the nurse take first when suspecting a transfusion reaction? - ANSWERS-Stop the infusion A nurse is observing a client who has schizophrenia and is in the day room when another client asks him if two items of clothing match. He replies a match. I like matches. They are the givers of light, the light of the world. God will light the world. Let your light shine on. The nurse should identify these statements as which of the following speech alterations? - ANSWERS-Associative looseness A nurse is observing an assistive personnel take a clients and tympanic temperature which of the following actions should the nurse identify as an indication that the AP understands how to perform the procedure - ANSWERS-The AP pulls the pinna up and back A nurse is participating in a performance improvement program which of the following actions should the nurse take to evaluate the effectiveness of the program - ANSWERS-Review the facilitys policy and procedure manual A nurse is performing an abdominal assessment as part of a client's comprehensive physical examination which of the following should the nurse perform? - ANSWERSPalpation A nurse is performing gastric lavage for a client who has upper gastrointestinal bleeding. Which of the following actions should the nurse take? - ANSWERS-Insert a large bore NG TUBE A nurse is planning a community health program about Parkinson's disease. Which of the following is are the tertiary prevention? - ANSWERS-Provide daily exercise classes to improve ambulation for a client who has Parkinson's disease A nurse is planning care for a client who has an L4 spinal cord injury. Which of the following interventions to prevent skin breakdown should the nurse include in the plan of care? - ANSWERS-Ask the client to shift his weight every 20 minutes while sitting in a chair A nurse is planning care for a client who has bipolar disorder and is experiencing Mania. Which of the following interventions should the nurse include in the plan? - ANSWERSEncourage the client to frequent rest periods A nurse is planning care for a client who has cancer and is about to receive low-dose brachytherapy via vaginal implant. Which of the following interventions should the nurse include plan of care? - ANSWERS-Insertion of an indwelling urinary catheter A nurse is planning care for a client who has unilateral paralysis and dysphagia following a right hemisphere stroke. Which of the following interventions should the nurse include in the plan? - ANSWERS-place the client left arm on a pillow while she is sitting A nurse is planning care for a client who is receiving hemodialysis. Which of the following actions should the nurse include in the plan of care? - ANSWERS-Check the vascular access site for bleeding after dialysis A nurse is planning care for a client who is six hours postoperative following a right knee arthroplasty which of the following interventions should the nurse include in the clients plan of care? - ANSWERS-Use the continuous passive motion machine intermittently