ATI CBC Level 1 Practice A w/ rationales Accurate !!!

Nurse assessing preschooler with UTI, which of the following findings should the nurse expect? -ANSWER Abdominal Pain Rationale: also included constipation, dysuria, foul-smelling urine, and fever Nurse is counseling a client who has a family history of colorectal cancer about nutrition management to help prevent GI cancers. Which image indicates what the nurse should encourage the client to include liberally in diet? -ANSWER Fruit Rationale: limit alcohol to no more than 2 serving/day for male and 1 serving/day per female, consume low fat diet (not fried chicken), consume whole grains (oatmeal and whole wheat), NOT white bread (refined grain products) A nurse is preparing to extinguish a small fire in clients room. Which of the following actions should the nurse take when using the fire extinguisher? -ANSWER Slide the pin on top of the fire extinguisher straight out Rationale: This allows use of the extinguisher, should aim at base of the fire, squeeze the handles, sweep from side to side to expel it evenly (not circular) A nurse is caring for a child with celiac disease. Which should the nurse remove from the child's meal tray? -ANSWER Oatmeal with raisins Rationale: CANT HAVE GLUTEN (in wheat, rye, and barley) can give scrambled eggs, corn (corn flake cereal), and orange juice. This disease can cause diarrhea, weight loss, abd pain, and fatigue when consuming gluten. A nurse at a providers office is counseling a client who reports insomnia. Which of the following statements should the nurse make to include the clients preferences into a sleep promotion plan? -ANSWER "Sleep in the location of your home where you feel you rest best" Rationale: encourage client to sleep where they sleep best (couch, bed, chair), DO NOT consume alcohol in late afternoon or evening (it can inhibit sleep, if needed consume earlier in the day. DO NOT turn on TV, light and noise at bedtime can reduce sleep, also Maintain regular sleep and wake times to improve sleep patterns A nurse is assessing the spiritual well-being and development of a preschooler. The nurse asks the preschooler, "Why is it wrong to kick your baby sister?" Which of the following responses should the nurse expect? -ANSWER "It's wrong because my dad said I can't kick her" Rationale: The nurse should expect the preschooler to be motivated to choose right from wrong because of the rules taught to him by his parents. He will not yet choose right from wrong bc of how his actions affect others (more focused on how will affect himself)