RN Comprehensive ATI 2019 B,100% CORRECT

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1. Mental health clinic caring for clients. Which of the following clients is using dissociation as a defense mechanism? 2. Assessing a 2 wk old newborn with a birth weight of 3.64 kg being breastfed... . Indicators of effective breastfeeding 3. Preparing to administer a blood transfusion to a client . Ensure proper client identification 4. Reviewing client's right with the nurses on the unit. Informed consent promotes which of the following ethical principles 5. Teaching about lithium to client who has bipolar disorder 6. Change of shift report informs of newly admitted client with disoriented and combative during the night. Actions the day shift nurse should take 7. Caring for an 18-month old toddler who has a blood lead level of 3mcb/dL. Which of the following actions should the nurse take 8. Assessing a client who has bipolar. Which of the following alterations in speech is the client using 9. Working in ED triaging 4 clients. Which of the following clients should the nurse recommend for treatment first? 10. Admission assessment on a client who had a recent positive pregnancy test. First day of her last menstrual period was May 8 . Nagel's rule EDB 11. Assessing a client who received 2 units of packed RBCs 48 hr ago. Findings that indicate the therapy is effective? 12. Caring for a client who recently signed informed consent to donate a kidney to her sibling in ERF. States "I don't want my brother to die, but what if I need this kidney one day?" 13. A nurse is preparing to administer an IM injection to a client who is obese 14. Providing education to the parent of school age child with asthma. Indicates understanding? 15. Admitting a client who has pneumonia. Should initiate which type of isolation precautions? 16. Assessing a client who has COPD 17. Providing teaching for teaching for a client who has a fracture of the right fibula with a short leg cast in place. Client is non weight bearing for 6 weeks. 18. Caring for a child who has hypotonic dehydration and is receiving an oral re-hydration solution. Lab results indicates treatment effective 19. Assessing a client who has pulmonary edema. Finding to expect 20. Received change of shift report on 4 clients. Which one should the nurse intervene to prevent food and medication interaction? 21. Assessing a client following vaginal delivery and notes heavy lochia and a boggy fundus. Which med should be administered 22. Caring for a client with a new diagnosis of terminal cancer. Client states he would like to go home to be with family and loved ones. 23. Caring for a client who is taking valproic acid for seizure control. Adverse effect to monitor and report 24. Manager planning to use a democratic leadership style. Which of the actions demonstrates democratic leadership style? 25. Assessing a client with history of seeking counseling for relationship problems. Shows the nurse multiple superficial self-inflicted lacerations on her forearms. This behavior should be identified as a characteristic of which personality disorder 26. Nurse preceptor is evaluating the performance of newly licensed nurse. which action should the preceptor intervene on 27. Providing teaching about advance directives to a middle adult client. Which response indicates understanding? 28. Teaching a group of newly licensed nurses about the need to complete an incident report. Which of the following is an example of reportable incident and an indication for completing a report 29. Caring for a newborn immediately after delivery. Which interventions should be implemented to prevent heat loss by conduction? 30. Caring for a client in stage 4 of labor who is receiving oxytocin via continuous IV. 31. Preparing to transfer a client from ICU to the medical floor. Client was recently weaned from mechanical ventilation follow a pneumonectomy. Information to include in change of shift report 32. Charge nurse notices one of the nurses on the shift frequently violates unit policies by taking an extended amount of time on break. Statement that addresses the conflict 33. Providing discharge teaching about disease management for a client who has a new diagnosis of DM. Priority activities 34. Caring for a client who has gastrointestinal bleeding and an NG tube in place. Action that should be taken while performing gastric lavage. 35. Planning to delegate client care tasks to an assistive personnel. Which task can be delegated? 36. Providing teaching to client with peripheral arterial disease. Indications of understanding 37. Providing discharge teaching for preschool age child with a new prescription for. Shake the medication bottle well before each dose is given. Report diarrhea to the provider 38. Caring for a client with COPD and becomes extremely short of breath. Interventions by the nurse requires completion of an incident report 39. Assessing correct placement of a client's NG feeding tube prior to administering a bolus feeding. 40. Preparing to transfer a client to a rehab facility who had a stroke Family is concerned about the level of care the client will receive? 41. Caring for a client receiving a continuous heparin infusion. Lab test to review prior to adjusting the client's heparin? 42. Preparing to mix haloperidol lactate 5 mg/mL and diphenhydramine 25 mg/1.5 mL to administer IM to an agitated client 43. Talking with a client with stage IV breast cancer. Which statement is a constructive use of a defense mechanism 44. Preparing a sterile field for sterile dressing change. 45. Preparing to teach a group of newly licensed nurses about effective time management. Include as priority 46. Reviewing ABG values of a client. Client has a pH of 7.20, PaCO2 of 60 mmHg, and HCO 3 of 25 mEq/l 47. Client receiving IV fluids of 150 mL/h which indicates fluid overload 48. Caring for 4 clients. Which task should be delegated to assistive personnel 49. Caring for a client who is 2 days postpartum. Which behaviors should indicate the client is bonding with newborn 50. Assessing a preschooler with facial laceration. Identify potential indication of sexual abuse 51. Enters a client's room and sees smoke coming from a small fire in the trash can. Action to take first. 52. Rural community health nurse developing a plan to improve health care delivery for migrant farmworkers. 53. Assessing a newborn following vaginal birth. Findings to report to provider 54. Manager in long term care having difficulty with staffing weekend shift is planning to implement changes to the scheduling procedure. 55. Assessing a client who has depressive disorder taking amitriptyline. Identify adverse effects. 56. School nurse is notified of an emergency which several children were injured following the collapse of playground equipment. 57. Manager preparing an educational session for staff about how to provide cost effective care 58. Creating plan of care for child with acute lymphoid leukemia and an absolute neutrophil count of 400/mm3 59. Providing teaching to a client who speaks a different language than the nurse about an upcoming diagnostic procedure. 60. Caring for a client with a prescription for continuous passive motion machine following total knee arthroplasty 61. Caring for a client who is receiving positive end expiratory pressure via mechanical ventilation. Adverse effects of PEEP 62. Performing an abdominal assessment on a client Sequence of actions 63. Caring for a client with a new prescription of Clonidine. Adverse side effects 64. Reviewing lab results of a toddler with hemophilia A. Which aPTT values should the nurse expect? 65. Updating the plan of care for a client who is 48 hr post op following laryngectomy and unable to speak. Plan to take first 66. Caring for a client who asks about taking ginseng to improve her appetite. Identify that ginseng can decrease the effectiveness of which medication. 67. Preparing client for paracentesis. Action to take 68. Rn observing a LPN and a AP move a client up in bed. When should the nurse intervene 69. Assessing a client who has had a stroke. For which should the nurse initiate referral for occupational therapy 70. Assessing a client taking propranolol. Indication of adverse reaction 71. Conducting visual acuity testing using the Snellen letter chart for a school age child with eyeglasses 72. Caring for a multiparous client following a vacuum-assisted birth. Assess for which possible complication. [Show More]

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