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ATI comprehensive practice B 2022 Graded A+
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ATI comprehensive practice B 2022 Graded A+
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ATI comprehensive practice B 2022Graded A+
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?
CORRECT ANS- hemoglobin 14.9 g/dL
a nurse working in an emergency department is triaging four clients. which of the
following clients should the nurse recommend for treatment first? CORRECT ANS- a
middle adult client who has unstable vital signs
a nurse is caring for a client who has fluid volume overload. which of the following tasks
should the nurse delegate to an assistive personnel? CORRECT ANS- measure the
client's daily weight
a nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose
to a client who has severe oliguria. The client weighs 198 lb. what is the amount in
grams the nurse should administer? CORRECT ANS- 18 g
a nurse is conducting a physical examination for an adolescent and is assessing the
rang of motion of the legs, which of the following images indicates the adolescent is
abducting the hip joint? CORRECT ANS- Moving the leg away from the midline of the
body (off to the side, not to the front)
a nurse is caring for a client who has hyperthyroidism. which of the following findings
should the nurse expect? CORRECT ANS- tremors
tachycardia, diaphoresis, weight loss, insomnia, exopthalmia
hypothyroidism has dry corase hair, bradycardia, and periorbital edema
a nurse is assessing a school age child who has bacterial meningitis. which of the
following findings should the nurse expect? CORRECT ANS- nuchal rigidity
also weight loss
a nurse is assessing a newborn's heart rate. which of the following actions should the
nurse take? CORRECT ANS- auscultate the apical pulse at least 1 min
,a nurse is preparing to assist with a thoracentesis for a client who has pleurisy. the
nurse should plan to perform which of the following actions? CORRECT ANS- instruct
the client to avoid coughing during the procedure
a nurse is the emergency department 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? CORRECT ANS- the child exhibits discomfort while
walking
a nurse is preparing to teach about dietary management to a client who has crohn's
disease and an enteroenteric fistula. which of the following nutrients should the nurse
instruct the client to decrease in their diet? CORRECT ANS- fiber - reduce diarrhea and
inflammation
a nurse is caring for a client 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? CORRECT ANS- Turn off the CPM machine during mealtime
promote client comfort and dietary intake
a nurse is preparing to initiate IV access for an older adult client. Which of the following
sites should the nurse select when initiating the IV for this client? CORRECT ANS-
radial vein of the inner arm
a nurse is developing a client education program about osteoporosis for older adult
clients. the nurse should include which of the following variables as a risk factor for
osteoporosis? CORRECT ANS- sedentary lifestyle
also, small framed body with a thin build, estrogen deficiency
a nurse in an emergency department is caring for a child who has a fever and fluid filled
vesicles on the trunk and extremities. which of the following interventions should the
nurse identify as the priority? CORRECT ANS- initiate transmission based precautions
a nurse is caring for a client who has a clogged percutaneous gastrostomy feeding tube.
which of the following actions should the nurse take first? CORRECT ANS- change the
position of the client
a home health care nurse is developing a teaching plan for a client who has a new
ileostomy. which of the following instructions should the nurse include? CORRECT
ANS- empty the appliance when it is one third to one half full
a nurse is reviewing the laboratory report of a client who has end stage kidney disease
and received hemodialysis 24 hr ago. Which of the following laboratory values should
the nurse report to the provider? CORRECT ANS- sodium 148 mEq/L
, a nurse is caring for four clients. which of the following tasks should the nurse delegate
to an assistive personnel? CORRECT ANS- Arrange the lunch tray for a client who has
a hip fracture
a nurse is preparing a client for a paracentesis. which of the following actions should the
nurse take? CORRECT ANS- instruct the client to void
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? CORRECT ANS- a client who is receiving an MAOI and is requesting a
cheeseburger for dinner
a nurse is planning care for a client who has rheumatoid arthritis and has moderate to
severe pain in multiple joints. which of the following actions should the nurse plan to
take? CORRECT ANS- allow for frequent rest periods throughout the day
a nurse is caring for a client who is receiving continuous bladder irrigation following a
transurethral resection of the prostate. the client reports bladder spasms, and the nurse
observes a decreased urinary output. which of the following actions should the nurse
take? CORRECT ANS- irrigate the catheter with 0.9% sodium chloride irrigation
a nurse is assessing a client who has COPD. which of the following findings should the
nurse expect? CORRECT ANS- pH 7.31
a nurse in a community center is providing an educational session to a group of client
about ovarian cancer. which of the following manifestations of ovarian cancer should the
nurse include in the teaching? CORRECT ANS- abdominal bloating
increase in abdominal girth, pelvic or abdominal pain, early satiety, urinary frequency of
urgency
a nurse is caring for a client who has active tuberculosis TB. which of the following
actions should the nurse plan to take to prevent the transmission of the disease?
CORRECT ANS- Have the client wear a surgical mask while being transported outside
the room
a nurse is caring for a group of clients. which of the following clients should the nurse
attend to first? CORRECT ANS- an older adult client who is anxious and attempting to
pull out an IV line
an RN is observing a licensed practical nurse LPN and an assistive personnel AP move
a client up in bed. for which of the following situations should the nurse intervene?
CORRECT ANS- The LPN and the AP grasp the client under his arms to lift him up in
bed
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