ATI :/ RN Concept-Based Assessment 2023 GRADED A+ TO PASS

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A nurse in a mental health facility is preparing an educational program for a group of staff nurses about the proper use of restraints. Which of the following information should the nurse plan to incl... ude? A) The client should be offered toileting every 2 hours. B) The provider can write restraints on an as-needed basis. C) Children younger than 9 years old can be in mechanical restraints for up to 1 hour. C) Children younger than 9 years old can be in mechanical restraints for up to 1 hour. A nurse is teaching sleep hygiene to a client who has insomnia. Which of the following statements should the nurse make? A) Get out of bed if you cannot fall asleep in 30 minutes B) Alcoholic beverages should only be consumed as late as mid-evening C) Exercise may tire you out and encourage sleep A) Get out of bed if you cannot fall asleep in 30 minutes A nurse is assessing a preschooler who has a urinary tract infection (UTI). Which of the following findings should the nurse expect? A) Increased thirst B) Urticaria C) Headache D) Constipation D) Constipation A nurse is planning to use an interpreter in her interactions with a patient. Which of the following statements are correct in regards to using an interpreter? A) Questions should be translated as needed to convey the meaning of the questions, not necessarily word-for-word. B) Ask the patient's partner to act as an interpreter. C) Direct the interview questions to the interpreter. A) Questions should be translated as needed to convey the meaning of the questions, not necessarily word-for-word. True or False? Recommendations for safe levels of alcohol consumption for a healthy woman include consuming no more than seven drinks in a week. TRUE True or False? Recommendations for safe levels of alcohol consumption for a healthy man under the age of 65 include consuming no more than seven drinks each day. FALSE No more than four drinks each day for healthy man under age 65. Which of the following is an example of a therapeutic communication response to depressive or suicidal comments made by the patient? A) disapproving of the negative comments made by the patient B) changing the subject to something more pleasant C) false reassurances to ease their negative feelings D) restating what the patient says D) restating what the patient says True or False? Sore throat and other flu-like symptoms are expected with chronic fatigue syndrome. TRUE Which of the following should the nurse recognize as nonverbal indicators of pain? (Select all that apply) A) Slow, steady breathing B) Muscle tension C) Dilated pupils D) Increased sleep time B, C A patient with Alzheimer's disease is at risk of developing _____________ incontinence of urine. A) urge B) functional C) reflex D) transient B) functional A client who has a T12 spinal cord injury is at risk of __________________ urinary incontinence. A) urge B) functional C) reflex D) transient C) reflex A client who is receiving IV diuretics is at risk of ________________ urinary incontinence. A) urge B) functional C) reflex D) transient D) transient Which of the following statements would be included in the "situation" portion of the SBAR communication tool? A) "The client was admitted this afternoon and is scheduled for surgery in the morning." B) "The client is in need of a perscription for pain medication at this time." C) "The client is a 75-year-old female who has a hip fracture and is reporting pain." D) "The patient is in audible distress and rates her pain as an 8 out of 10." C) "The client is a 75-year-old female who has a hip fracture and is reporting pain." Diptheria & rubella both require ______________ isolation precautions. A) droplet B) airborne C) contact D) protective equipment A) droplet An N95 respirator mask is provided for health care staff who are caring for clients who require ____________ precautions. A) droplet B) contact C) airborne C) airborne The presence of ___________ in the urine is a manifestation of a UTI. (Select all that apply) A) bilirubin B) nitrates C) ketones D) crystals B, D True or False? Conflict with nursing peers does not require an incident report to be filed. TRUE unless involved in harm or near-harm done to anyone The nurse should use a medicine cup to measure oral medication volumes that are greater than __________ to reduce the risk for calculation error. A) 1-2mL B) 2-4mL C) 5-10mL C) 5-10mL In regards to taking telephone orders from a prescriber, the nurse should have the provider cosign the order within ______ hours to reduce the risk for medication error. A) 48 B) 72 C) 12 D) 24 D) 24 True or False? The fire department should be called before the fire extinguisher is used. TRUE Peripheral edema and jugular vein distention are manifestations of... A) right sided heart failure B) infection C) systemic mycoses D) sepsis A) right sided heart failure The nurse should expect to administer which medication for a client who requires preoperative sedation? A) Oxycodone B) Alprazolam C) Sumatriptan D) Midazolam D) Midazolam A nurse in a provider's office is planning medication teaching for a client who has erectile dysfunction. The nurse should prepare teaching for which of the following medications? A) Sildenafil B) Nitrofurantoin C) Esomeprazole D) Propranolol A) Sildenafil A nurse in a provider's office is planning medication teaching for a client who has GERD. The nurse should prepare teaching for which of the following medications? A) Sildenafil B) Nitrofurantoin C) Esomeprazole D) Propranolol C) Esomeprazole True or False? A client who has received opioid analgesics is legally unable to provide informed consent because of the sedative effects of the medication and the impact this has on the client's ability to reason and make judgments. TRUE A patient with dysphagia should tilt their head ____________ to assist in ease of swallowing. A) to the left side B) to the right side C) backward D) forward D) forward A nurse is planning care to prevent a catheter-related blood stream infection for a client who is receiving IV fluid therapy. Which of the following interventions should the nurse include in the plan? A) Use hydrogen peroxide to cleanse the IV insertion site B) Change bags of IV solution every 24 hrs C) Assess the IV insertion site every 12 hr for redness B) Change bags of IV solution every 24 hrs The nurse should check the IV site every ____hr for manifestations of infection at the insertion site. A) 2 B) 4 C) 8 D) 12 B) 4 [Show More]

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