RN Comprehensive ATI 2019 B,100% CORRECT

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1. Patient refused a newly open fentanyl patch. Which of the following actions should the nurse take? 2. Client receiving heparin continuous IV infusion and warfarin 5 mg PO daily. Lab values are aPT ... T 98 seconds and INR 1.8 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 4. infant with hydrocephalus 6 hr post op following ventriculoperitoneal shunt placement . finding to report to provider 5. Assessing a newborn heart rate follow actions the nurse should take 6. Caring for a client who has a fecal impaction actions to be taken when digitally evacuating the stool 7. Dietary teaching for a new prescription of phenelzine 8. Nurse administers incorrect dose of medication. Which facts related to incident report should the nurse document in the client's medical record? 9. Nurse on pediatric unit received shift report on 4 children. Which should the nurse assess first? 10. Community health nurse providing teaching on home safety for older adults 11. School age child with scald burns on both hands and wrists suspected abuse 12. Client who has acute blood loss following trauma refuses potentially life saving 13. Discussing common prenatal discomfort 20 weeks gestational 14. Discharge instructions to client to received home oxygen therapy 15. Preparing an educational session about advocacy to a group of nurses 16. Continuous bladder irrigation following transurethral resection of prostate. Bladder spasms and decreased urinary output 17. Child with sickle cell anemia and is having a vaso-occlusive crisis 18. Client teaching about the basal body temp method for birth control 19. Caring for a client who is unconscious and requires emergency medical procedures. 20. Client who has fluid volume overload. Which tasks can nurse delegate to UAP 21. Checking for Chvostek's sign 22. Reviewing urinalysis report of client with acute glomerulonephritis expected 23. Newly admitted child. Which of the following actions should the nurse include in the 24. Client with cancer deciding between two treatment plans 25. Caring for a client receiving hemodalysis with AV fistula 26. Oncology unit nurse is administering doxorubicin to breast cancer patient 27. Hospice nurse consulting about receiving home services 28. Client with major depressive disorder has signed informed consetn for ECT. Discharge instructions about newborn care to a client 2 days postpartum 29. Assigning task roles for group of clients in community mental health clinic. Which should be assigned to group functioning the orienter 30. Nurse must recommend clients for discharge in order to make room for several critically injured clients from a local disaster 31. Developing a client education program about osteoporosis for older adult clients 32. Charge is providing educational session about infection control for a group of staff on isolation precautions 33. Preparing to assist with a thoracentesis for a client who has pleurisy 34. Caring for a school age child taking valporic acid. Diagnostic tests 35. Inpatient mental health unit is monitoring a visit between client with aggressive behavior and the client's partner 36. Home health nurse evaluating a school age child with cystic fibrosis initiates a 37. Planning care for a client with left sided weakness following a stroke Support the client's left arm on a pillow while sitting 38. Caring for a child with a fever and fluid filled vesicles on trunk and extremities. Identify priority 39. Assessing client for compartment syndrome expected findings 40. Just received change of shift report on 4 clients. Which should the nurse assess first 41. Assessing a client after administering epinephrine for anaphylactic reactions. Identify adverse effect of this med 42. Provide teaching to client 24 wks gestation scheduled for glucose tolerance test 43. Assessing older adult client with pneumonia 44. Teaching for client about right to confidentiality 45. Caring for a client reporting nausea and vomiting the past 2 days 46. Caring for a client postop after receiving moderate conscious sedation suddenly becomes restless and reports feeling lightheaded 47. Assessing client who is 11 wks gestation and reports drinking ginger tea. signs of it's Teaching a client who newly diagnosed with DM. Instructions on manifestations of hypoglycemia 48. caring for a client with DVT 49. Providing info to a client immediately before Romberg test 50. Providing teaching to parents of child with autism spectrum disorder 51. Teaching a client undergoing ECT about adverse effects 52. Caring for a client with active TB about disease transmission 53. Assess 1 wk old for palmer grasp reflex 54. Conducting a mental status examination on newly admitted client. Priority assesment 55. Caring for a client with a prescription of chlorpromazine indications of effectiveness 56. Assessing a client whose partner recently died. States I don't know what to do without my partner. Life is not worth living 57. Developing discharge plan for school age child with thrombocytopenia. What should the child avoid 58. Reviewing lab report for client in end stage kidney disease who received hemodialysis 24 hr ago. 59. Caring for a client with a magnesium level of 2.5 mEq/l 60. Outpatient mental health clinic clients which of the following clients is effectively using sublimation as a defense mechanism 61. Caring for a group of clients which one should the nurse see first 62. Preparing to teach about dietary management to a client with Crohn's disease with aenteroenteric fistula. Which of the following nutrients should the nurse instruct the client to decrease in his diet 63. Caring for a client who is in resuscitation phase of burn injury 64. Teaching self-administration of insulin to a client with short acting and intermediate acting insulin 65. Teaching a client 26 wks gestation about a glucose tolerance test. 66. Caring for a client who has hyperthyroidism Caring for a newborn with herpes simplex virus which precautions should be initiated 67. Postpartum nurse is caring for 4 clients which one should be on seizure precautions. 68. Assessing an adolescent who has been taking ibuprofen for 6 months to treat juvenile idiopathic arthritis. Assess for adverse effects 69. Caring for older adult who is experiencing chronic anorexia and receiving tube feedings. Lab values that indicate additional nutrients are needed 70. Teaching to school age child with asthma using albuterol dose inhaler instructions 71. Assessing a client with decreased visual acuity due to cataracts. Identify physiological changes 72. Mental health clinic caring for clients. Which of the following clients is using dissociation as a defense mechanism? 73. Assessing a 2 wk old newborn with a birth weight of 3.64 kg being breastfed. 74. Reviewing client's right with the nurses on the unit. Informed consent promotes which of the following ethical principles 75. Teaching about lithium to client who has bipolar disorder [Show More]

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