ATI RN Comprehensive Online Practice B { 2020 } | ATI RN Comprehensive Online Practice

ATI RN Comprehensive Online Practice B RN Comprehensive Online Practice B 1. Patient refused a newly open fentanyl patch. Which of the following actions should the nurse take? Ask another nurse to witness the disposa ...

ATI RN Comprehensive Online Practice B RN Comprehensive Online Practice B 1. Patient refused a newly open fentanyl patch. Which of the following actions should the nurse take? Ask another nurse to witness the disposal of the new patch. 2. Client receiving heparin continuous IV infusion and warfarin 5 mg PO daily. Lab values are aPTT 98 seconds and INR 1.8 Withhold the heparin infusion 3. A nurse at an urgent care clinic is assessing a client who reports impaired vision in one eye . Which indicates the client has a detached retina Floating dark spots 4. infant with hydrocephalus 6 hr post op following ventriculoperitoneal shunt placement . finding to report to provider Irritability when being held. signifies increased ICP 5. Assessing a newborn heart rate follow actions the nurse should take Auscultate the apical pulse and count beats for at least 1 min. 6. Caring for a client who has a fecal impaction actions to be taken when digitally evacuating the stool Insert a lubricated gloved finger and advance along the rectal wall. 7. Dietary teaching for a new prescription of phenelzineBroccoli, Yogurt, Cream Cheese 8. Nurse administers incorrect dose of medication. Which facts related to incident report should the nurse document in the client's medical record? Time the medication was given 9. Nurse on pediatric unit received shift report on 4 children. Which should the nurse assess first? A 10-year old child who is awaiting surgery for an appendectomy and experienced sudden relief of pain. Can indicate peritonitis from a ruptured appendix. 10. Community health nurse providing teaching on home safety for older adults Have grab bars installed around your bathtub and toilet. 11. School age child with scald burns on both hands and wrists suspected abuse Contact child protective services. 12.Client who has acute blood loss following trauma refuses potentially life saving blood transfusion Explore the client's reasons fro refusing the treatment 13.Discussing common prenatal discomfort 20 weeks gestational I will wear a supportive bra overnight 14.Discharge instructions to client to received home oxygen therapy Wear clothing made with cotton fabrics while oxygen is in use. 15.Preparing an educational session about advocacy to a group of nurses Advocacy is a leadership role that helps others to self actualize - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - -- The child exhibits discomfort while sitting. 126. Enters a client's room and sees smoke coming from a small fire in the trash can. Action to take first. Remove the client from the room 127. Rural community health nurse developing a plan to improve health care delivery for migrant farmworkers. Agency for Healthcare Research and quality 128. Assessing a newborn following vaginal birth. Findings to report to provider Nasal flaring 129. Manager in long term care having difficulty with staffing weekend shift is planning to implement changes to the scheduling procedure.Form a committee of staff members to investigate current staffing issues. 130. Assessing a client who has depressive disorder taking amitriptyline. Identify adverse effects. Blurred vision 131. School nurse is notified of an emergency which several children were injured following the collapse of playground equipment. Survey the scene for potential hazards to staff and children. 132. Manager preparing an educational session for staff about how to provide cost effective care Delegate non-nursing tasks to ancillary staff. 133. Creating plan of care for child with acute lymphoid leukemia and an absolute neutrophil count of 400/mm3 Administer granulocyte colony-stimulating factor to the child 134. Providing teaching to a client who speaks a different language than the nurse about an upcoming diagnostic procedure. Use pictures to illustrate the procedure to the client 135. Caring for a client with a prescription for continuous passive motion machine following total knee arthroplasty Turn off the CPM machine during mealtime. 136. Caring for a client who is receiving positive end expiratory pressure via mechanical ventilation. Adverse effects of PEEP Tension pneumothorax 137. Performing an abdominal assessment on a client Sequence of actions Inspect, auscultate, percuss then palpate.138. Caring for a client with a new prescription of Clonidine. Adverse side effects Dry mouth 139. Reviewing lab results of a toddler with hemophilia A. Which aPTT values should the nurse expect? 45 seconds 140. Updating the plan of care for a client who is 48 hr post op following laryngectomy and unable to speak. Plan to take first Determine the client's reading skills 141. Caring for a client who asks about taking ginseng to improve her appetite. Identify that ginseng can decrease the effectiveness of which medication. Timolol 142. Preparing client for paracentesis. Action to take Instruct the client to void. 143. Rn observing a LPN and a AP move a client up in bed. When should the nurse intervene The LPN and the AP grasp the client under his arms to life him up in bed. 144. Assessing a client who has had a stroke. For which should the nurse initiate referral for occupational therapy Difficulty performing ADLs 145. Assessing a client taking propranolol. Indication of adverse reaction Coughing at night. 146. Conducting visual acuity testing using the Snellen letter chart for a school age child with eyeglassesYou should keep both eyes open during the testing. 147. Caring for a multiparous client following a vacuum-assisted birth. Assess for which possible complication. Cervical laceration