bundle for ATI proctored mental health

A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel? a. Changing the dressing for a client who has stage 3 pressure injury b. Determining a client's response to a diuretic c. Comparing radial pulses for a client who...

1. A client who is unstable and requires frequent vital signs has an electronic blood pressure machine automatically measuring his blood pressure every 15 min. However, the machine is reading the client’s blood pressure at more frequent intervals, and the readings are not similar. The nurse checks...

A nurse is caring for a patient with chronic heart failure who is very ill. The patient has a "no code" order. The patient goes into ventricular fibrillation and the nurse defibrillates the patient. The nurse states she was unaware of the "no code" order. What part of the nursing process did the...

1) A nurse is performing a Romberg's test during the physical assessment of a client. Which of the following techniques should the nurse use? ANS: Have the client stand with her arms at her side and her feet together. 2) A nurse is planning an deduction session for an older adult client who h...

A nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury. Which of the following types of dressing should the nurse use? 1. Alginate 2. Gauze 3. Transparent 4. Hydrocolloid ---CORRECT ANSWER-- Hydrocolloid - dressings promote healing in stage 2 pressure i...

1. A nurse is assessing a client’s personal hygiene. Which of the following findings indicates that the client might have difficulty with routinely bruising their teeth? A. The clients mucosa is moist B. The client gums feel spongy C. The client has a missing tooth D. The Client’s tongue...

A NURis assessing a client who is 12 he postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? A. Heart rate 90/min B. Absent bowel sounds C. Hgb 8.2 g/dl D. Gastric pH of 3.0 - answer-C. Hgb 8.2 g/dl Rationale: Normal Hgb is 13...

1.) A nurse is admitting a client who has a hip fracture to the med-surg care unit. The client states, "I've never been in the hospital before, and I feel like I have a lot of anxiety." Which of the following responses should the nurse offer? a. "You're feeling anxious about being in the hosp...

1. A nurse is caring for a school-aged child who has conduct disorder and is being physically aggressive toward other children in the unit. Which of the following actions should the nurse take first? a. Place the child in seclusion b. Use therapeutic hold technique c. Apply wrist restraints ...

1. A nurse is caring for a client who expresses a desire to lose weight. Which of the following actions should the nurse take first? a. Recommend checking weight once weekly. b. Obtain a 24-hr dietary recall. c. Assist with creating an exercise plan. d. Initiate a plan for diet modification....

10. A child with cerebral palsy is prescribed Baclofen (Lioresol). Which of thefollowing therapeutic effects should the nursemonitor? o Increased urineoutput o Increasedenergy o Decreased anxiety o Decreased spacity 11. Clinical findings of a client who has a prescription for lithium carbona...

• STUDY AND KNOW ANTIBIOTICS!!!! o Isoniazid  Take on an empty stomach to improve absorption of medication  Used to treat TB o Imipenem  Possible for seizures to occur with this medication (notify provider immediately if noticed) o Nitrofurantoin (Macrodantin)...

A nurse is reinforcing teaching about advance directives with a client who has endstage renal disease. Which of the following client statements indicates an understanding of the teaching? a. "I know that i can change my advance directives if I need to in the future." b. "My health care proxy ...

1. A nurse provided discharge teaching to new parents on how to care for their newborn following circumcision. Which of the following statements by the parents indicates the need for further clarification? Select one: a. "The circumcision will heal completely within a couple of weeks." b....

A nurse is monitoring a client who ingested an overdose of phenobarbital sodium. For which of the following adverse effects of toxicity should the nurse assess the client? - answers-Respiratory depression A nurse in a mental health facility is planning to promote the development of a theraputic...

The child with Down syndrome should be evaluated for which condition before participating in some sports? a. Hyperflexibility b. Cutis marmorata c. Atlantoaxial instability d. Speckling of iris (Brushfield spots) ---CORRECT ANSWER-- C. Atlantoaxial instability - Children with Down syndrome are...

1.A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? 1. Heart rate 90/min 2. Absent bowel sounds → normal findings after major bowel surgery; takes several days to return to normal. 3. Hgb...

A nurse is providing dietary teaching to the parent of a child who has cystic fibrosis. Which of the following dietary recommendations should the nurse make? A. Increase the child's protein intake B. Decrease the child's calorie intake C. Increase the child's fiber intake D. Decrease the ...

1. A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of the following strategies should the nurse use? educate children about nutrition and exercise at a daycare center 2. A community health nurse is developing health promotion activities for a communit...

1. A home health nurse is providing teaching to the guardian of a child who has leukemia about methods to prevent complications. Which of the following statements by the guardian indicates an understanding of the teaching? a. I’m sure my child will feel better now that he can ride his bike b. ...

1. During a home health visit a school age child who has muscular dystrophy confidesin the nurse that he was struck by his parents. which of the following actions should the nurse take first? 1. report the incident to local authorities 2. check the child for injuries 3. refer the parent ...