assessment 2019 B
NSG 4060 Comprehensive ATI PRACTICE
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? - ANSWER--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? - ANSWER--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?
- ANSWER--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? -
ANSWER--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? - ANSWER--Moving
the leg away from the midline of the body (off to the side, not to the
front)
, RN ATI capstone proctored comprehensive
assessment 2019 B
NSG 4060 Comprehensive ATI PRACTICE
a nurse is caring for a client who has hyperthyroidism. which of the
following findings should the nurse expect? - ANSWER--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? - ANSWER--
nuchal rigidity
also weight loss
a nurse is assessing a newborn's heart rate. which of the following
actions should the nurse take? - ANSWER--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? - ANSWER--instruct the client to avoid coughing during the
procedure
, RN ATI capstone proctored comprehensive
assessment 2019 B
NSG 4060 Comprehensive ATI PRACTICE
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? - ANSWER--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? -
ANSWER--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? - ANSWER--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? - ANSWER--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
, RN ATI capstone proctored comprehensive
assessment 2019 B
NSG 4060 Comprehensive ATI PRACTICE
variables as a risk factor for osteoporosis? - ANSWER--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? -
ANSWER--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? - ANSWER--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? - ANSWER--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? -
ANSWER--sodium 148 mEq/L