ATI_RN_Proctored_Comprehensive_Form_A-1
1 A client newly diagnosed with type 2 diabetes mellitus has returned for a 6-week follow-up visit. The nurse should know that which of the following behaviors indicates that the
...
ATI_RN_Proctored_Comprehensive_Form_A-1
1 A client newly diagnosed with type 2 diabetes mellitus has returned for a 6-week follow-up visit. The nurse should know that which of the following behaviors indicates that the client has adapted successfully to a situational role change?
2 After a client views a video on an operative procedure, the best practice for the nurse
is to
3 Which of the following nursing actions best promotes client safety when transcribing providers' orders?
4 A nurse is caring for a client who has a nursing diagnosis of impaired swallowing following a cerebrovascular accident (stroke). Which of the following nursing interventions is appropriate for this client?
Provide nasotracheal suctioning.
Offer clear liquids.
5 A nurse is caring for a client who gave birth 10 hr earlier. The client is in the takingin phase of psychosocial and maternal adaptation. Which of the following is the most appropriate nursing intervention at this time?
Instruct the client about infant and self-care.
Encourage the mother to send her infant to the well-infant nursery so that she can rest.
Listen to the mother's verbalization of her pregnancy and birth experience.
Provide opportunities for the mother to be independent in self-care.
6 A nurse is caring for a client following a thyroidectomy. For which of the following complications should the nurse assess the client?
7 A nurse is assessing a client who has a nasogastric feeding tube in place. Which of the following actions should the nurse take to prevent aspiration?
8 A nurse is teaching a client how to perform Kegel exercises. Which of the following client statements indicates understanding of the teaching?
³ct by stopping and starting my
9 A nurse is caring for a client with a terminal illness. The nurse recognizes that the
IDPLO\¶VSULRULW\Qeed for support will most likely occur when
10 A nurse is developing a discharge plan of care for an older adult client on a rehabilitation unit following a cerebrovascular accident. Which of the following has the highest priority when planning care to facilitate a timely discharge?
Arranging for transportation
Identifying supportive family members
Encouraging participation in physical therapy
Consulting nutritional support services
11 A client with HIV is admitted to the medical-surgical unit with a respiratory LQIHFWLRQ7KHFOLHQW¶VIDPLO\PHPEHUUHTXHVWVWKDWIUHVKIORZHUVEHSODFHGLQWKH room every day. Which of the following is the appropriate nursing action?
Request that the family bring potted plants instead.
Teach the family that fresh plants of any type are prohibited.
, bed.
12 Which of the following is the highest priority for the circulating nurse in maintaining a safe operating room environment?
13 A client with a tracheostomy is being sent home to be cared for by the spouse. The nurse should include which of the following information in discharge teaching?
14 During the first 24 hr following a soft-tissue injury to the right ankle, which of the following nursing interventions will help reduce the client's discomfort?
15 A nurse is caring for a client with a mental health disorder. The client is agitated, and the nurse is concerned that the client may become aggressive. Fearful for his own safety, the nurse escorts the client to a room and locks her inside against her will.
This action could initiate an involuntary commitment for the client.
could result in charges of false imprisonment for the nurse. is appropriate
16 When instructing a client with an L1-2 spinal cord injury regarding self-care adaptations, which of the following is an appropriate recommendation?
Self-catheterization is an option when you feel the sensation of a full bladder.
Arrange for a home health aide to bathe you twice a week.
Adaptive devices are available to help you put on your shoes.
Home delivery of meals is an option you may want to consider.
17 A 1-year-old child is prescribed ibuprofen after having a febrile seizure. The nurse should teach the parents that the best way to administer the medication is
18 Which of the following strategies best ensures that all nurses on staff have certain skills and knowledge?
19 Which of the following manifestations should a nurse expect to find in a client whose blood glucose is 650 mg/dL?
20 A nurse is caring for a client diagnosed with depression who has been prescribed a tricyclic antidepressant. The nurse should recognize that which of the following client statements indicates an adverse effect that should be reported to the primary care provider?
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21 A client is scheduled for laparoscopic surgery at 1400. At 1100, the surgeon visits WKHFOLHQW¶VURRPDQGH[LWVDIWHUPLQZLWKDVLJQHGLQIRUPHGFRQVHQWIRUP7KH FOLHQWUHSRUWVWRWKHQXUVHWKDWKHGLGQRWXQGHUVWDQGWKHVXUJHRQ¶VH[SODQDWLRQ Which of the following actions should the nurse take?
&DOOWKHVXUJHRQDQGUHTXHVWWKDWVKHUHWXUQWRWKHFOLHQW¶VURRPWRSURYLGH clarification.
Tell the client that he will obtain more information before the surgery.
Explain the procedure to the client and complete documentation.
Call the operating room and delay the surgery.
22 Upon admittance to the hospital, a client states she does not have a written advance directive. After completing the admission assessment, the nurse explains that the client should complete an advance directive because it
GHFUHDVHVOLDELOLW\IRUWKHFOLHQW¶VIDPLO\KRVSLWDOHPSOR\HHVDQGWKH hospital.
guides primary care providers in planning care for individuals in accordance
with their wishes.
avoids the uncomfortable discussion of end-of-life care with the family and hospital staff.
23 A nurse is providing care to a client with a head injury and suspected diabetes insipidus. Which of the following laboratory values should the nurse expect with a diagnosis of diabetes insipidus?
24 A nurse is caring for a client who is postoperative for a thyroidectomy. The client is reporting paresthesias and muscle spasms. The nurse should anticipate a prescription for which of the following medications?
25 A nurse is caring for a child who has just been admitted to the acute care medical unit. Which of the following laboratory findings should the nurse recognize as indicative of rheumatic fever?
Decreased Hgb and platelet count
Decreased myoglobin and antinuclear antibody titer
Elevated sedimentation rate and C-reactive protein
Elevated creatine kinase and troponin
26 A nurse who is a first responder to a biological or chemical attack recognizes that decontamination should preferably be done
27 A nurse recognizes which of the following older adult clients as being at the highest risk for a fall injury?
28 A hospital visitor is experiencing a tonic-clonic seizure while visiting a client. To prevent injury to the visitor, the nurse should
29 A client has just been diagnosed with gestational diabetes and is prescribed insulin injections. She tellVWKHQXUVHWKDWVKHGRHVQ¶WZDQWWRJLYHKHUVHOIVKRWVDQGDVNV ZK\VKHFDQ¶WWDNHDSLOOLQVWHDG:KLFKRIWKHIROORZLQJQXUVLQJUHVSRQVHVLV appropriate?
³3LOOVXVHGWRWUHDWGLDEHWHVKDYHEHHQNQRZQWRSRVVLEly cause birth
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