100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
ATI Mental Exam Comprehensive Study Guide (Over 900pages of Questions & Solutions) CA$45.24   Add to cart
Quickly navigate to
Preview
  2.  
  3. Centre For Nursing Studies (CNS )
  4.  
  5. Nursing
  6.  
  7. ATI (ATIMENTALEXAM)

Exam (elaborations)

ATI Mental Exam Comprehensive Study Guide (Over 900pages of Questions & Solutions)
 2 views  0 purchase

ATI Mental Exam Comprehensive Study Guide (Over 900pages of Questions & Solutions)

Preview 4 out of 985  pages

Document information

  • June 25, 2021
  • 985
  • 2020/2021
  • Exam (elaborations)
  • Questions & answers

Subjects

  • the pn is preparing to
  • following abdominal surgery
  • a clients abdominal wound edges are separating
  • and the wound is draining a large amount of serous drainage the nurse should place the client

Written for

All documents for this subject (2)

Seller

avatar-seller
Welch1

Reviews received

Content preview

ATI

COMPREHENSIVE 2.0



1. Following abdominal surgery, a client's abdominal wound edges are

separating, and the wound is draining a large amount of serous drainage. The nurse should place
the client:

Incorrect: This position is incorrect because it can increase tension on the suture line, and cause
further wound separation and tearing (dehiscence).Incorrect: This position is incorrect because it
can increase tension on the suture line, and cause further wound separation and tearing
(dehiscence).

Correct: The semi-Fowler's position decreases tension on the wound, and it may prevent
further separation and tearing of the wound(dehiscence). Incorrect: This position is incorrect
because it can increase tension on the suture line, and cause further wound separation and tearing
(dehiscence).



flat on the back with legs straight.

in high-Fowler's position with legs straight.

in semi-Fowler's position with the knees slightly bent.

on the left side with knees bent .




2. The PN is preparing to administer an enteral feeding to a client. To prevent

gastric cramping and discomfort due to the feeding, the nurse should:

Correct: Cold formula can cause gastric discomfort. With enteral feedings, particularly via
gastrostomy tube, the formula reaches the stomach quickly, with little or no opportunity to be
warmed, as oral feedings would as they pass through the mouth and esophagus.Incorrect: Tube
placement is confirmed prior to beginning each feeding. This action does not prevent gastric
discomfort. However, checking tube placement does help prevent the infusion of the formula
into the lungs.

Incorrect: To prevent gastric discomfort, the concentration of the tube feeding formula needs to

,be advanced gradually. Full-strength formula may cause gastric discomfort, especially when the
first few feedings areadministered.Incorrect: The head of the bed should be elevated at least 30°
during the feeding and for at least 30

minutes after feeding. This is done to reduce the risk of aspiration, however, not to prevent
cramping and discomfort.

allow time for the formula to reach room temperature prior to administration.

determine tube placement once every 24 hours.

prepare to administer full-strength rather than diluted formula.

elevate the head of the bed during and after feedings.



3. The nurse is caring for a child with cystic fibrosis (CF). Which intervention willhelp to
prevent respiratory complications?

Incorrect: Clients with CF should not receive cough suppressant syrups. These children need to
cough

frequently to clear lung secretions.

Correct: Nebulization with mist or aerosol therapy followed by chest physiotherapy helps to keep
secretions free-flowing. The pulmonary effects of CF are progressive, and bronchial secretions
must be kept moist.

Incorrect: The child should change positions frequently to promote drainage from the lungs, and
promote

aeration of the lungs.

Incorrect: Children with CF can safely receive the pertussis vaccine. These children need

protection from pertussis because this infection causes severe respiratory complications.

Encourage the use of cough suppressant syrup.

Give frequent nebulization treatments.

Limit changing the child's position to conserve the child's need for oxygen.

Withhold the vaccine for pertussis.

,4. The nurse is caring for a client following insertion of a pacemaker. The client isplaced on
continuous ECG monitoring because it will:

Incorrect: This is incorrect because pacemaker voltage settings are adjusted manually at the time
of insertion.

Incorrect: A chest x-ray is used to check the placement of pacer wires after a pacemaker
insertion.

Correct: The heart rate may change following pacemaker insertion because the pacemaker fails
to maintain the pre-set heartrate. This problem can be detected immediately with continuous
ECG monitoring.

Incorrect: Fluoroscopy is used to determine dislodgement of pacer leads after a pacemaker
insertion. Dislodgement can be prevented with bedrest and minimal arm and shoulder activity.

allow the primary care provider to adjust voltage settings. check placement of the pacer wires.

detect a dramatic change in heart rate.

, determine dislodgement of pacer leads.

5. The nurse is administering eye drops to a client. To prevent injury, the nurse

should:

Incorrect: The nurse should ask the client to "look up" before instilling the eye drops. This action
reduces stimulation of the corneal reflex and injury to the eye, should the client jerk away.

Incorrect: Eye drops should never bedropped directly onto the cornea as this action may injure
the cornea. The nurse should deposit the medication onto the lower conjunctiva.

Correct: As a safety precaution, the nurse administering eye drops should rest his hand on the

client's forehead. In case the client moves, the nurse's hand will move at the same time, lowering
the risk that the dropper will hit the client's eye.

Incorrect: When administering eye drops, it is essential to have an adequate amount of light.
However, the nurse should not shine a bright light directly into the client's eye. ask the client to
"look down" before instilling the eye drops. drop the eye drops directly onto the client's cornea.

rest his hand on the client's forehead. shine a bright light into the client's eye.

6. Which statement is true regarding the behavior of clients who are in pain?

Incorrect: Many clients avoid conversation and social contacts when they are experiencing pain.
Clients with chronic pain may become withdrawn and isolated.

Incorrect: Clients' reactions to pain are often influenced by their cultural and ethnic background.
The nurse needs to consider each client's cultural background when assessing a client's pain.

Incorrect: Clients often place their hands over the painful area as a self-protective or guarding
mechanism to prevent further pain.

Correct: Many clients fail to report or discuss their pain or discomfort with nurses and other
caretakers. Thus, the PN needs to assess clients for pain on a routine basis. Clients experiencing
pain may engage in social activities for distraction. Clients from different cultures react to pain in
the same way. Clients in pain usually avoid touching the painful area. Clients who are in pain
may not report their pain to the nurse or other caretakers.

7. A client is being discharged from same-day surgery following cataract

extraction from the right eye. The nurse will instruct the client to:

Correct: Lifting requires straining, which increases pressure in the eye and may disrupt suture

lines.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Welch1. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$45.24. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

76449 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
CA$45.24
  • (0)
  Add to cart