ATI RN Concept Based Assessment Level EXAM Q&A GRADE A+

ATI RN Concept Based Assessment Level EXAM Q&A GRADE A+ clinical manifestations of heart failure - ANSWERS- cool extremities 6 month infant has bacterial pneumonia. clinical manifestations of b. pneumonia - ANSWERS- nasal flaring acute asthma exacerbation what actions should the nurse take first - ANSWERS- apply humidified oxygen with a simple mask diabetes foot care - ANSWERS- ill wash my feet everyday with soap and lukewarm water decreased urinary output. what findings should be identified as a risk factor for the development of pyelonephritis? - ANSWERS- diabetes mellitus acute cholecystitis (select all) - ANSWERS- fever, dyspepsia, and eructation client has appendicitis. what actions should the nurse take - ANSWERS- place the client in semi-fowler's position caring for a client following collection of admission data. what should the nurse identify as a priority? - ANSWERS- client reports coughing and a change of voice whenever he eats client has respiratory acidosis due to opioid oversedation - ANSWERS- ensure the patient airway using a chin-lift maneuver which client is at risk for developing respiratory acidosis? - ANSWERS- client who has abdominal ascites? teaching about newborns and crib use - ANSWERS- dressing your baby in a one-piece sleeper for bedtime will replace the need to use a blanket or sheet findings that indicate a therapeutic response to anti hyperlipidemia medication - ANSWERS- HDL 50 mg/dL teaching to parents about epinephrine auto-injector - ANSWERS- "give a second injection if the first fails to reverse your child's symptoms" client is experiencing a panic attack - ANSWERS- stay with the client until manifestations subside mix NPH insulin and insulin steps - ANSWERS- cloudy, clear, clear, cloudy gastroenteritis with dehydration. which med should the nurse administer? - ANSWERSondansetron adverse effect of acetaminophen - ANSWERS- elevated aspartate aminotransferase levels potassium level of 6 mEq/L would cause ECG to look like what? - ANSWERS- Tall T waves 6 month old infant with mild dehydration - ANSWERS- capillary refill greater than 2 seconds acute pyelonephritis findings - ANSWERS- urinary burning a client has COPD and a resp. rate of 22 and reports SOB. what would the nurse do - ANSWERS- place the client in high-fowlers position a client has metabolic acidosis due to salicylate overdose. what findings should the nurse expect? - ANSWERS- flushed, dry skin hypermagnesemia clinical manifestation - ANSWERS- bradycardia client has external fixator to the right lower arm, what would indicate that the client has compartment syndrome? - ANSWERS- numbness of the fingers on the right arm a client has AIDS, what lab data would determine if the client is at risk for malnutrition - ANSWERS- albumin level client is 1 hour post op from open carpal tunnel release to treat injury - ANSWERSelevate the client's arm above the heart discharge teaching for the parent of a newborn - ANSWERS- "do not bathe your new born immediately after she eats" a client is at 13 weeks gestation with hyperemesis gravidarum - ANSWERS- "drink fluids between, rather than with, meals" client has calcium oxalate renal calculi. what would u teach them - ANSWERS- "limit the amount of spinach in your diet" a school age child has asthma and SOB. what findings would be priority? - ANSWERSinaudible lung sounds an adolescent client has a skin infection caused by MRSA - ANSWERS- "I will soak in a bathtub filled one-fourth full of water and one-half cup of bleach" an adolescent has infectious mononucleosis. what would be a manifestation of this - ANSWERS- onset of abdominal pain a client is experiencing an asthma attack. what would the nurse use to assess the client's respiratory status - ANSWERS- peak expiratory flow meter testing a nurse is teaching a client about foot care with peripheral neuropathy - ANSWERS- "file your toenails straight across to prevent ingrown toenails" clinical manifestations of heat stroke - ANSWERS- oliguria a client has a sodium level of 124 mEq/L, what manifestations should the nurse expect? - ANSWERS- orthostatic hypotension a client's parent recently died. what would place the client at risk for maladaptive grieving? - ANSWERS- the client lost his house in a fire one month ago the parent has a child with pediculosis capitis. what would the nurse tell the parent? - ANSWERS- to comb the child's hair daily with an extra fine tooth comb a parent has a child with scabies. what would the parent say to indicate understanding of teaching? - ANSWERS- "i should wash my child's bed linens and clothing in hot water and detergent