FREEMANSHARP

ATI MEDSURG COMPILATION BUNDLE

A nurse is admitting a client who reports nausea, vomiting, and weakness. The client has dry oral mucous membranes. Which of the following findings should the nurse identify as manifestations of fluid volume deficit? Decreased skin turgor Concentrated urine Low-grade fever Tachypnea A nurse is admitting an older adult client who is experiencing dyspnea, weakness, weight gain of 2lb, and 1+ bilateral edema of the lower extremities. The client has temp 99F, pulse 96/min, rep 26/min, o2 ...

A nurse is administering packed red blood cells to a client. What should the nurse do if a transfusion reaction is suspected? Stop the infusion. A nurse is caring for a client with skeletal traction following a fracture. How and when should skeletal pin care be provided? One cotton swab with chlorhexidine is designated for each pin for pin care to be done once a shift. A nurse is providing dietary teaching to a client newly diagnosed with constipation-predominant irritable bowel ...

A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and reports difficulty following the diet and remembering to take the prescribed medication. Which of the following actions should the nurse take to promote client compliance? Select all that apply. A. Ask the dietitian to assist with meal planning B. Contact the client's support system C. Assess for age-related cognitive awareness D. Encourage the use of a daily medication dispenser E. Provide educational m...

A nurse is caring for a client who has blood glucose of 52 mg/dL. The client is lethargic but arousable. Which of the following actions should the nurse perform first? A. Recheck blood glucose in 15 min. B. Provide a carbohydrate and protein food. C. Provide 4 oz grape juice. D. Report findings to the provider C. Provide 4 oz grape juice. A nurse is preparing to administer a morning dose of aspart insulin (NovoLog) to a client who has type 1 diabetes mellitus. Which of the follow...

A nurse in a clinic is caring for a client who has suspected anemia. The nurse should anticipate a prescription from the provider for which of the following tests? a. INR b. Platelet count c. WBC count d. Hgb d. An Hgb test is prescribed to confirm a diagnosis of anemia A nurse is caring for a client who has hemophilia. The nurse should anticipate a prescription from the provider for which of the following tests? a. RBC b. TIBC c. aPTT d. MCH c. An aPTT checks the clotting facto...

A nurse is caring for a client who has chronic venous insufficiency and a prescription for thigh high compression stockings. Which action should the nurse take? a. elevate legs for 10 min, 2-3 times a day while wearing stockings b. apply the stockings in the morning upon awakening and before getting out of bed c. roll the stockings down to the knees to relieve discomfort on the legs d. remove the stockings while out of bed for 1 hour, 4 times a day, to allow the legs to rest B. Applying the...

A nurse is planning care for a client who is receiving mechanical ventilation. Which of the following actions should the nurse include in the plan A. Provide the client with a means of communication B. Maintain the head of the client's bed in a flat position C. Suction the client's endotracheal tube every 4 hr D. Perform oral hygiene for the client every 8 hr A Use electronic tablet computer, programmable speech generating device, alphabet board, pencil and paper, etc -- B, keep ...

A nurse is admitting a client who reports nausea, vomiting, and weakness. Upon assessment, the client has dry oral mucous membranes, temperature 38.5° C (101.3° F), pulse 92/min, respirations 24/min, skin cool with tenting present, and blood pressure 102/64 mm Hg. His urine is concentrated with a high specific gravity. Which of the following are clinical manifestations of fluid volume deficit? (Select all that apply.) A. Decreased skin turgor B. Concentrated urine C. Bradycardia D. Low-...

A nurse is providing teaching to a client who has AIDS. Which of the following statements by the client indicates an understanding of the teaching? "I should clean my toothbrush in the dishwasher once a month." "I should eat more fresh fruit and vegetables." "I will avoid drinking a glass of cold liquid that has been standing for 30 minutes." "I will take my temperature once a day." I will take my temperature once a day. A nurse is providing teaching to a client who has asthm...

Diabetic Ketoacidosis - assessment: dehydration, ketosis, metabolic acidosis, hyperglycemia - admin fast acting insulin that can be effective within 10 min, admin IV - kussmaul resp Beta blockers (Propanolol) - monitor: sore throat, vision changes, blurred vision, dry eyes, dry mouth, abd cramping, colitis, acute pancreatitis - notify provider: night cough Factors that affect wound healing - dehydration (UO) - infection - BMI <18.5 or >25 - malnutrition (low protein,...

What is the cause of a 'non-mechanical' bowel obstruction? A. A tumor or twisting of the bowel. B. Constipation. C. General anesthesia, narcotics, and handling of the bowel during surgery. D. Adhesions C What should the nurse advise a pt. who has diverticulosis to eat? A. High fiber foods. B. Low fiber foods. C. Low carb foods. D. High carb foods A What should the nurse advise a pt. who has diverticulitis to eat? A. High fiber foods. B. Low fiber foods. C .Low carb f...

A nurse is caring for a client who experienced a traumatic head injury and has an intraventricular catheter (Ventriculostomy) for ICP monitoring. The nurse should monitor the client for which of the following complications related to the ventriculostomy?: a. Headache b. Infection c. Aphasia d. Hypertension b. Infection Monitor for infection and use strict asepsis to avoid life-threatening meningitis. A nurse is providing education to a client who is to undergo an EEG the next day....

ATI FUNDAMENTALS EXAM PACK 2023/24

A nurse is discussing with a client who has a sudden onset of severe back pain from unknown origin. What question should the nurse ask to encourage discussion with the client? "What do you think caused the onset of your pain?" A nurse is caring for a client who has a history of dysrhythmias. Upon entering the room, the nurse discovers that the patient is unresponsive to verbal or painful stimuli, has no respirations, and is pulseless. What action should the nurse take first? start che...

A nurse is reinforcing information with a client who wishes to complete their advance directives. Which of the following statements should the nurse make? You can decline to have certain medical procedures performed in your living will. A nurse is reinforcing teaching with a client who is premenopausal. Which of the following statements by the client indicates in understanding of the teaching? "I might have headaches due to a decline in my estrogen levels. A nurse in a provide...

A nurse is completing a nutritional assessment on a client and measures body mass index (BMI). Which of the following readings correlates with a BMI of an overweight client? A. 18.5 B. 24.9 C. 25 D. 32 C. 25 Rationale: Healthy weight is indicates by a BMI of 18.5-24.9. Overweight is defined as an increased body weight in relation to height. It is indicated by a BMI of 25-29.9. Obesity is an excess amount of body fat. It is indicated by a BMI greater than or equal to 30. Underweight- less ...

1-1. A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply.) A. Home health care B. Rehabilitation facilities C. Diagnostic centers D. Skilled nursing facilities E. Oncology centers A. Home health care B. Rehabilitation facilities D. Skilled nursing facilities Restorative health cares 2. A nurse is explaining the various types of health care coverage clients mig...

A nurse is reviewing documentation of vital signs by a newly licensed nurse. Which of the following pieces of documentation is correct? A. Pulse 52/min B. Respiratory rate 24 C. SaO2 97% right index finger, room air D. Blood pressure 132/86 mm Hg C. SaO2 97% right index finger, room air The nurse should identify that this documentation is thorough and complete and does not require any additional information. The information provided includes the measurement, the site used, and that the c...

Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia? Yes. A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the following client's needs may the nurse assign to an assistive personnel (AP)? A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia B. Reinforcing teaching w/a client who is learning to walk using a quad cane C. Reapplying a condom catheter for a client who has urinary ...