NSG 4060 ATI Comprehensive Practice Test B, Chamberlain, Latest Fall 2020 complete solution.

NSG 4060 Comprehensive ATI Practice B A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following findings should indicate to the nurse that the therapy has been effective? ...

NSG 4060 Comprehensive ATI Practice B A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following findings should indicate to the nurse that the therapy has been effective? A nurse working in a n emergency department is triaging four clients. Which of the following clients should the nurse recommend for treatment first? A nurse is caring for a c lient who has fluid volume overload. Which of the following tasks should the nurse delegate t o the CNA? A nurse is preparing t o administer mannitol 0.2g/kg IV bolus over 5 min as a test dose to a client who has severe oliguria. The client weighs 198lb. What is t he amount in grams the nurse should administer? A nurse is conduction a physical examination for an adolescent and is assessing the range of motion of the legs. Which of the following images indicates the adolescent is abducting the hip joint? A nurse is caring for a client who has hyperthyroidism. Which of the following findings should the nurse expect? A nurse is assessing a school-aged child who has bacterial meningitis. Which of the following findings should the nurse expect? A nurse is assessing a newborn’s heart rate. Which of the following actions should the nurse take? A nurse is preparing t o assist with a thoracentesis for a client who has pleurisy. The nurse should plan to perform which of the following actions? A nurse in the ED is assessing a preschooler who has a facial laceration. The nurse should identify which of the following findings as a potential indication of child sexual abuse? A nurse is preparing t o teach about dietary management to a client who has Crohn’s disease and an enteroenteric f istula. Which of the following nutrients should the nurse instruct the client to decrease in their d iet? A nurse is caring for a c lient who has a prescription for a continuous passive motion (CPM) machine following a total knee arthroplasty. Which of the following actions should the nurse take? A nurse is preparing t o initiate IV access for an older adult client. Which of the following sites should the nurse select when initiating the IV for the client? A nurse is developing a client education program a bout osteoporosis for older adult clients. The nurse should include which of the following variables as a risk factor for osteoporosis? A nurse in an ED is caring for a child who has a fever and fluid-filled vesicles on the trunk and extremities. Which of t he following interventions should the nurse identify as the priority? A nurse is caring for a c lient who has a clogged percutaneous gastrostomy feeding tube. Which of the following actions should the nurse take first? A home health care nurse is developing a teaching plan for a client who has a new ileostomy. Which of the following i nstructions should the nurse include? A nurse is reviewing the laboratory report of a client who has end-stage kidney disease and received hemodialysis 24 yr ago. Which of the following lab values should the nurse report to the provider? A nurse is caring for four clients. Which of the following tasks should the nurse delegate to a CNA? A nurse is preparing a client for a paracentesis. Which of the following actions should the nurse take? A nurse has received change of shift report on four assigned clients. For which of the following clients should the nurse intervene to prevent a potential food and medication interaction? A nurse is planning care for a client who has rheumatoid arthritis and has moderate to severe pain in multiple joints. W hich of the following actions should the nurse plan to take? Allow for frequent rest periods throughout the day. The nurse should encourage the client to balance rest with exercise to maintain muscle strength, joint function, and range of motion. A nurse is caring for a c lient who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports bladder spasms, and the nurse observes a decreased u rinary output. Which of the following action should the nurse take? A nurse is assessing a client who has COPD. Which of the following findings should the nurse expect? A nurse in a community center is providing an educational session to a group of clients about ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse include in the teaching? A nurse is caring for a c lient who has active TB. Which of the following actions should the nurse plan to take to prevent the transmission of the disease? Have the client wear a surgical mask while being transported outside the room. This will prevent the transmission of the disease. A nurse is caring for a g roup of clients. Which of the following clients should the nurse attend to first? An RN is observing an LPN and a CNA move a client up in bed. For which of the following situations should the nurse intervene? A nurse is preparing t o administer insulin to a client via a pen device. Which of the following actions should the nurse take? A nurse is caring for a c lient who has immunosuppression and a continuous IV infusion. Which of the following actions should the nurse take? A nurse is providing t eaching about advance directives to a middle-aged adult client. Which of the following client responses indicates an understanding of the teaching? A nurse is assessing a client following a vaginal delivery and notes heavy lochia and a boggy fundus. Which of t he following medications should the nurse expect to administer? A nurse manager is planning to use a democratic l eadership style with the nurses on the unit. Which of the following a ctions by the nurse manager demonstrates a democratic leadership style? A nurse is assigning t ask roles for a group of clients in a community mental health clinic. Which of the following tasks should the nurse a ssign to the member of the group functioning as the orienteer? A nurse is creating a plan of care for a newly admitted child. Which of the following actions should the nurse include in the plan? See Exhibit button Administer high-dose antibiotic therapy. A nurse is caring for a n ewborn immediately after delivery. Which of the following interventions should the nurse implement to prevent heat l oss by conduction? A nurse is caring for a c lient who had abdominal surgery 24 hr ago. Which of the following actions is the nurse’s priority? A nurse in an outpatient mental health clinic is caring for four clients. The nurse should recognize that which o f the following clients is effectively using sublimation as a defense mechanism? A nurse is assessing f or correct placement of a client’s NG feeding tube prior to administering a bolus feeding. Which o f the following actions should the nurse t ake? An antepartum nurse i s caring for four clients. For which of the following clients should the nurse initiate seizure precautions? A nurse is providing d ischarge teaching to a client who is to receive home oxygen therapy. Which of the following i nstructions should the nurse include in the teaching? A nurse is providing t eaching for a client who has a fracture of the right fibula with a short-leg cast in place and a n ew prescription for c rutches. The client is non-weight bearing for 6 weeks. Which of the following i nstructions should the nurse include in the teaching? A nurse is preparing t o transfer a client from the ICU to the medical floor. The client was recently weaned from mechanical ventilation following a pneumonectomy. Which of the following information should the n urse include in the change-of-shift report? A nurse is assessing a n infant who has hydrocephalus and is 6 hr postop following placement of a ventriculoperitoneal (VP) shunt. Which of the following findings should the nurse report to the provider? A nurse is caring for a c lient who has a prescription for chlorpromazine. Which of the following finding should the n urse identify as an indication that the medication is effective? A nurse is providing t eaching about lithium to a client who has bipolar disorder. Which of the following statements s hould the nurse include in the teaching? “Notify your provider if you experience increased thirst” A nurse caring for a client who has a fecal impaction. Which of the following actions should the nurse take when digitally evacuating the stool? A nurse is planning to delegate client care tasks to a CNA. Which of the following tasks should the nurse plan to delegate to the CNA? A nurse manager is preparing an educational session for nursing staff about how to provide cost-effective care. Which of the following methods should the nurse include in the teaching? A nurse on an inpatient m ental health unit is monitoring a visit between a client who has a history of aggressive b ehavior and the client’s partner. Which of the following should the nurse identify as an indication of potential violence? A nurse is caring for a c lient who has signed an informed consent form to receive electroconvulsive therapy (ECT). The client states to the nurse, “I’m not sure about this now. I’m afraid it’s too risky.” Which of the following responses s hould the nurse make? A rural community health nurse is developing a plan to improve health care delivery for migrant farmworkers. To identify health services d ata for this minority group, the nurse should gather information from which of the following sources? A nurse is assessing a newborn following a vaginal delivery. Which of the following findings should the nurse report to the provider? A charge nurse is speaking with the partner of a client. The partner states that the client is not receiving adequate care. Which of the following actions should the charge nurse take first to resolve the situation? A nurse is providing i nformation to a client immediately before his scheduled Romberg test. Which of the following s tatements should the nurse make? A nurse is teaching a client who is at 20 weeks of gestation about common discomforts associated with pregnancy. Which of the following statements by the client indicates an understanding of the teaching? A nurse is caring for a c lient who is taking valproic acid for seizure control. For which of the following adverse effects should the nurse monitor and report? A nurse is providing d ischarge instructions about newborn care to a client who is postpartum. Which of the following s tatements indicates to the nurse that the client understands the teaching? The client should suction the newborn’s mouth first to remove secretions that the newborn could aspirate when suctioning the nares. A nurse on a mental h ealth unit is conducting a mental status e xamination (MSE) on a newly admitted client. Which o f the following components of the MSE is the priority for the nurse to assess? A nurse is preparing t o administer lactated Ringer’s 1500 mL to infuse at 50 mL/hr. The drop factor of the manual I V tubing is 15 gtt/min. The nurse should set the manual IV infusion to deliver how many g tt/min? 13 gtt/min A nurse is providing t eaching to a client who has a new diagnosis of type 1 diabetes mellitus. The nurse should i nstruct the client to monitor for which of the following findings as a manifestation of hypoglycemia? A nurse is providing t eaching to a client who is scheduled for ECT. The nurse should inform the client that which of the following is an adverse effect of ECT? A charge nurse notices t hat one of the nurses on the shift frequently violates unit policies by taking an extended amount of time for a break. Which of the following statements should the charge nurse make t o address this conflict? A nurse in an emergency department is caring for a client who is at 9 weeks of gestation and reports nausea and v omiting for the past 2 days. Which of the following findings should the nurse expect? A nurse is caring for an o lder adult client who is experiencing chronic anorexia and is receiving enteral tube feedings. Which of the following laboratory values indicates that the client needs additional nutrients a dded to the feeding? A nurse is conducting g roup therapy with clients who have breast cancer. The nurse should recognize which of t he following statements by a client as an example of altruism? A nurse is providing d ietary teaching to a client who has a new prescription for phenelzine. Which of the following f ood recommendations should the nurse make? A nurse is assessing a client for compartment syndrome. Which of the following findings should the nurse expect? A nurse is providing d ischarge teaching about disease management for a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following activities is the nurse’s priority? A nurse at an urgent c are clinic is assessing a client who reports impaired vision in one eye. Which of the following r eports by the client should indicate to the nurse that the client has a detached retina? A nurse on a med-surg u nit is assessing a client who has had a stroke. For which of the following findings should the nurse initiate a referral for occupational therapy? A nurse is assessing a client following a colonoscopy. Which of the following findings should indicate to the nurse t hat the client is hemorrhaging? A nurse is caring for a c lient who recently signed an informed consent form to donate a kidney to her sibling who had end-stage kidney d isease. The donor states to the nurse, “I don’t want my brother to die, but what if I need this kidney one day?” Which of the following responses should the nurse make? A nurse is assessing a client who has pulmonary edema. Which of the following findings should the nurse expect? A nurse administers an incorrect dose of medication to a client. The nurse recognizes the error immediately and completes an incident r eport. Which of the following facts related to the incident should the n urse document in the client’s medical record? A nurse is caring for a c lient who is post-op after receiving moderate (conscious) sedation. The client suddenly becomes restless and reports f eeling lightheaded. Which of the following actions should the nurse take? A nurse in an ED is assessing a school-aged child who was brought in by their p arents and has scald burns to both hands and wrists. The nurse suspects physical abuse. Which of the following actions should the nurse take? A nurse is caring for a 2-month-old infant who has Hirschsprung disease (HD). Which of the following areas should t he nurse assess for manifestations of HD? A nurse is admitting a client to the psychiatric unit after attempting suicide. The client states, “My family does not care whether I live or die.” Which of the following responses should the nurse make? A nurse is providing d ischarge teaching for the parents of a preschool-age child who has a new prescription for amoxicillin/clavulanate suspension. Which of the following instructions should the nurse include in the teaching? A nurse on a med surg unit is caring for a client who has a new diagnosis of terminal cancer. The client tells the nurse that they would like to go home to be with family and loved ones. Which of the following a ctions should the nurse take? A nurse is assessing a client who has a chest tube. Which of the following findings should the nurse expect? A nurse is preparing t o transfer a client who has had a stroke to a rehabilitation facility. The client’s family tells the n urse they are concerned about the level of care the client will receive. Which of the following a ctions should the nurse take? A nurse is assessing a client who has major depressive disorder and is taking amitriptyline. Which of the following s hould the nurse identify as an adverse effect of the medication? A charge nurse is providing an educational session about infection control for a group of staff nurses. Which of the following statements b y one of the staff nurses indicates an understanding of isolation precautions? A nurse is preparing t o administer a blood transfusion to a client. Which of the following procedures should t he nurse follow to ensure proper client identification? A nurse in a mental h ealth clinic is assessing a client who h as a history of seeking counseling for relationship problems. The client shows the nurse multiple superficial self-inflicted lacerations on their f orearms. The nurse should identify these behaviors as characteristics of which of the following personality disorders? A nurse is caring for a c lient who has type 1 diabetes mellitus and reports severe ankle pain after falling off a step stool at home. Which of the following prescriptions should the nurse clarify with the provider? A nurse is teaching a bout adverse effects with a client who is s tarting to take captopril. Which of the following findings should the nurse identify a s an adverse effect of the medication to report to the provider? A nurse is reviewing the ABG values of a client. The client has a pH of 7.2, PaCO2 of 60 mm Hg. and HCO3 of 25 mEq/L. The nurse should identify that the client has which of the following acid-base imbalances? A nurse in a provider’s office is assessing an adolescent who has been taking ibuprofen for 6 months to treat juvenile i diopathic arthritis. Which of the following questions should the nurse ask to assess for an a dverse effect of this med? A nurse in a pediatric unit has received a change-of-shift report for four children. Which of the following children should the nurse assess first? A nurse on an inpatient u nit is caring for a client who has schizophrenia and recently started taking risperidone. Which of the following actions should the nurse take? A nurse is assessing a client who has decreased visual acuity due to cataracts. The nurse should identify which o f the following physiological changes is the cause of the client’s visual loss? A nurse is caring for a c lient following a vacuum-assisted birth. The nurse should monitor the client for which of the following complications related to vacuum-assisted birth? A nurse is updating the plan of care for a client who is 48 hr. post-op following a laryngectomy and is unable to speak. W hich of the following actions should the nurse plan to take first? A nurse is caring for a s chool-aged child who has dehydration and is receiving an oral rehydration solution. Which of the following lab results indicates that the treatment regimen is effective? A school nurse is notified of an emergency in which several children were injured following the collapse of playground e quipment. Upon arrival at the playground, which of the following actions should the nurse take f irst? A nurse in an ED is caring for a client who is unconscious and requires emergency medical procedures. The nurse is unable to locate members of the client’s family to obtain consent. Which of the following a ctions should the nurse take? A nurse is caring for a s chool-aged child who is taking valproic acid. The nurse should expect the provider to order w hich of the following diagnostic tests? A nurse manager is preparing to teach a group of newly licensed nurses about effective time management. Which o f the following steps of the time management process should the nurse manager include as t he priority? A nurse is caring for a c lient who has a pulmonary embolism. The client is receiving heparin via continuous IV infusion at 1200 units/hr and warfarin 5 mg PO daily. The morning lab values for the client are aPTT 98 seconds and INR 1.8. Which of the following actions should the nurse take? A nurse is providing t eaching to a school-age child who has asthma about using an albuterol metered-dose inhaler. W hich of the following instructions should the nurse include? A home health nurse is evaluating a school aged child who has cystic fibrosis. The nurse should initiate a request for a h igh-frequency chest compression vest in response to which of the following parent statements? A nurse is planning care for a patient who is receiving chemotherapy and has neutropenia. Which of the following i nterventions should the nurse include in the plan? A nurse is caring for a c lient who is in the fourth stage of labor and is receiving oxytocin via continuous IV infusion. W hich of the following assessments is the nurse’s priority? A nurse is caring for a c lient who is in the resuscitation phase of burn injury. Which of the following findings should the nurse expect? A nurse is teaching a client who has a new prescription for total parenteral nutrition through a central line. Which of t he following information should the nurse include in the teaching? A nurse is assessing a client who has bipolar disorder. Which of the following alterations in speech is the client u sing? A home health nurse is caring for a group of older adult clients. The nurse should initiate a referral to the Program o f All-Inclusive Care for the Elderly (PACE) for which of the following clients? A nurse at a mental h ealth clinic is caring for four clients. The nurse should recognize that which of the following clients i s using dissociation as a defense mechanism? A nurse is caring for a c lient who has active pulmonary tuberculosis. Which of the following actions should the nurse take? A nurse is providing t eaching to a client who is at 24 weeks of gestation and is scheduled for a 3 hr oral glucose tolerance test. Which of the following instructions should the nurse include in the teaching? A nurse is providing e ducation to the parent of a school-age child who has asthma. Which of the following statements b y the parent indicates an understanding of the teaching? A nurse is caring for a c lient who is receiving a continuous heparin infusion. Which of the following lab tests should the nurse review p rior to adjusting the client’s heparin? A nurse is assessing a client who is taking propranolol. Which of the following findings should indicate to the nurse t hat this client is experiencing an adverse r eaction to propranolol? A client is receiving IV fluids at 150 m L/hr. Which of the following findings i ndicates that the client is experiencing f luid overload? A nurse is assessing a client whose partner recently died. The client states, “I don’t know what to do without my partner. Life is just not worth living.” Which of the following responses should the nurse make? A nurse must recommend clients for discharge in order to make room for several critically injured clients from a local disaster. Which of the following clients should the nurse recommend discharge? A nurse is performing an admission assessment on a client who had a recent positive pregnancy test. The f irst day of her last menstrual period (LMP) was May 8. According to Nagele’s rule, which of the following dates should the nurse document as the client’s estimated date of birth (EDB)? A nurse is providing t eaching about home care to the parents of a child who has autism spectrum disorder. Which of the following instructions should the nurse include? Use a rewards system to modify the child’s behavior. A nurse in a provider’s office is caring for an 18-month-old toddler who has a blood level of 3 mcg/dL. Which of the following actions should the nurse take? A nurse is caring for a c lient who has cancer and is deciding between two treatment plans. The client asks the nurse for assistance in making the decision. Which of the following responses should the nurse make? A nurse is caring for a c lient who has a new prescription for clonidine. The nurse should inform the client that which o f the following findings is an adverse effect of this med? A nurse is creating a plan of care for a client who has left-sided weakness following a stroke. Which of the following i nterventions should the nurse include in the plan? A nurse is caring for a c lient who has acute blood loss following a trauma. The client refuses a blood transfusion that m ight potentially save their life. Which of the following actions should the nurse take first? A nurse is performing an abdominal assessment on a client. Identify the sequence of actions the nurse should take. A nurse is providing t eaching to the guardians of a newborn about measures to prevent sudden infant death syndrome (SIDS). Which of the following guardian statements indicates an understanding of the teaching? A nurse is preparing a sterile field to perform a sterile dressing change. Which of the following interventions should the nurse use to maintain surgical aseptic t echnique? A nurse is caring for a c lient who has a magnesium level of 2.7 mEq/L. Which of the following interventions should the nurse plan to take? A nurse is assessing a client who is at 11 weeks of gestation and reports drinking ginger tea. Which of the following f indings indicates the client’s use of ginger tea is effective? A nurse is caring for a c lient who has a deep vein thrombosis. Which of the following actions should the nurse take? A nurse is preparing t o replace a client’s transdermal fentanyl patch after 72 hours of use. After the nurse opens the packet containing the new patch, the client declines to accept it. Which of the following actions should the nurse take? A nurse is assessing a n older adult client who has pneumonia. Which of the following findings should the nurse expect? A nurse is providing c lient teaching about the basal body temp method of birth control. Which of the following information should the nurse include in the teaching? A nurse manager in a long term facility is having difficulty with staffing for weekend shifts and is planning to implement some changes to the scheduling procedure. Which of the following actions should the nurse manager take first? A nurse is preparing t o administer an IM injection to a client who is obese. Which of the following actions should the nurse plan to take? A hospice nurse is consulting with a client and her family about receiving home services. Which of the following statements should the nurse i dentify as an indication that the family understands home hospice care? A nurse is caring for a c lient who is receiving positive end-expiratory pressure (PEEP) via mechanical ventilation. T he nurse should monitor the client for which of the following adverse effects of PEEP? A nurse manager is reviewing the client’s r ights with the nurses on the unit. The nurse manager should tell the nurses that informed consent promotes which of the following ethical principles? Autonomy A nurse preceptor is evaluating the performance of a newly l icensed nurse. Which of the following actions by the n ewly licensed nurse requires intervention by the preceptor? Starts a task then determine what supplies a re needed. A nurse manager is preparing an educational session about advocacy for a group of nurses. The nurse manager s hould include which of the following i nformation in the teaching? A nurse is admitting a client who has pneumonia. The nurse should initiate which of the following isolation precautions for the client? A nurse has just received change of shift report on four clients. Which of the following clients should the nurse assess first? During a change of shift report, a night shift nurse informs the day shift nurse that a newly admitted client was d isoriented and combative during the night. Which of the following actions should the day shift nurse take? A nurse is reviewing the laboratory results of a toddler who has hemophilia A. Which of the aPTT values should the nurse expect? A nurse is planning care for a client who has rheumatoid arthritis. Which of the following interventions should the nurse include in the plan? A nurse is an outpatient mental health facility i s assessing a child who has autism spectrum disorder. Which of t he following manifestations should the nurse expect? A nurse is caring for a c lient who had a stroke 6 hr ago. Which of the following interventions should the nurse implement to reduce the risk of increased intracranial pressure (ICP)?