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ATI Comprehensive Exam 2022/2023 with 100% correct answers

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Enteral Feeding - NG Tube Keep HOB elevated to 45degrees for 1 hour after feedings. Avoid adding dye to feedings. Flush NG tube with 20 mL of Tap water. Inject 10-30 mL of Air into NG tube B... efore checking residual to clear the tube of any feeding. Food High in Vitamin A 1 Medium Raw Carrot also: spinach, squash, cantaloupe RN delegates to LPN Insertion of NG Tube NOT: Administering RBCs! RN delegates to UAP Collection of Stool Specimen Preparation of a pt's post-op bed TPN - Stopped, waiting for new pump Administer D10W to prevent Hypoglycemia from the stopped TPN infusion A nurse is assessing a pt who has schizophrenia and is taking Chlorpromazine. Which of the following findings is the priority for the nurse to report to the provider? Temp of 103 F !! Neuroleptic Malignant Syndrome, potentially life-threatening AE of Chlorpromazine. Non-urgent: HA Constipation Vomiting Ear drops Administration (School-Age Child) Pull the pinna UPWARD and BACK (children older than 3 years) Warm to room temperature Massage the tragus of the ear gently Lie on the unaffected side for a few minutes after administration. Autonomic Dysreflexia S/S Headache Facial Flushing Nasal Congestion CN II Deficit (Nurse Care) Clear objects from the pt's walking area. Visually impaired. McBurney's point Pain in RLQ with appendicitis Interventions for Thrombocytopenia Avoid Venipunctures when possible. (Prevent the risk for bleeding) A nurse in the delivery room is caring for a newborn immediately after birth. Which of the following actions should the nurse take FIRST? A. Dry the newborn B. Assign the first Apgar score. C. Place ID bracelet on the newborn. D. Obtain the newborn's weight. ANS A: Dry the newborn. Risk is Cold Stress! Normal Temperature - Newborn (Axillary) 97.7 - 100 F Stage 2 Pressure Ulcer Characteristics Partial-Thickness Skin Loss Blister Formation Stage 3 Pressure Ulcer Characteristics Visible SubQ Tissue [Show More]

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