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ATI - RN Comprehensive C Real Exam Questions (180 Terms) All Answered, Already Graded A+ Update
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ATI - RN Comprehensive C Real Exam Questions (180 Terms) All Answered, Already Graded A+ Update
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A nurse is caring for a client who has bipolar disorder and isexperiencing acute mania. The nurse obtained a verbal prescription for
restraints. Which of the following should the actions the nurse take? -
Exact Answer: Document the client's condition every 15 minutes
A nursing planning care for a school-age child who is 4 hr postoperative
following perforated appendicitis. Which of the following actions should
the nurse include in the plan of care? - Exact Answer: Administer
analgesics on a scheduled basis for the first 24 hr
A nurse is receiving change-of-shift report for a group of clients. Which
of the following clients should the nurse plan to assess first? - Exact
Answer: A client who has a hip fracture and a new onset of tachypnea
A nurse is preparing to apply a transdermal nicotine patch for a client.
Which of the following actions should the nurse take? - Exact Answer:
Wear gloves to apply the patch to the client's skin
,A nurse has just received change-of-shift report for four clients. Which
of the following clients should the nurse assess first? - Exact Answer: A
client who was just given a glass of orange juice for a low blood glucose
level
A nurse is caring for a client who is receiving intermittent enteral tube
feedings. Which of the following places the client at risk for aspiration? -
Exact Answer: A history of gastroesophageal reflux disease
A nurse is reviewing the laboratory results for a client who has
Cushing's disease. The nurse should expect the client to have an
increase in which of the following laboratory values? - Exact Answer:
Serum glucose level- increased
A nurse is caring for a client who has severe preeclampsia and is
receiving magnesium sulfate intravenously. The nurse discontinues the
magnesium sulfate after the client displaces toxicity. Which of the
following actions should the nurse take? - Exact Answer: Administer
calcium gluconate IV
,Rationale: Calcium gluconate is given for magnesium sulfate toxicity.
Always have an injectable form of
calcium gluconate available when administering magnesium sulfate by
IV.
A charge nurse is teaching new staff members about factors that
increase a client's risk to become violent. Which of the following risk
factors should the nurse include as the best predictor of future
violence? - Exact Answer: Previous violent behavior
Risk factors also include: past history of aggression, poor impulse
control, and violence. Comorbidity that leads to acts of violence
(psychotic delusions, command hallucinations, violent angry reactions
with cognitive disorders).
A nurse is preparing to perform a sterile dressing change. Which of the
following actions should the nurse take when setting up the sterile
field? - Exact Answer: Place the cap from the solution sterile side up on
clean surface
A nurse is providing teaching to an older adult client about methods to
promote nighttime
, sleep. Which of the following instructions should the nurse include? -
Exact Answer: Eat a light snack before bedtime
A home health nurse is preparing for an initial visit with an older adult
client who lives
alone. Which of the following actions should the nurse take first? -
Exact Answer: Identify environmental hazards in the home
A nurse is assessing the remote memory of an older adult client who
has mild dementia. Which of the following questions should the nurse
ask the client? - Exact Answer: "What high school did you graduate
from"
A nurse is providing teaching to an adolescent who has type 1 diabetes
mellitus. Which of the following goals should the nurse include in the
teaching? - Exact Answer: HbA1c level less than 7%
A nurse is caring for a client who is receiving phenytoin for management
of grand mal seizures and has a new prescription for isoniazid and
rifampin. Which of the following should the nurse conclude if the client
develops ataxia and incoordination? - Exact Answer: The client is
showing evidence of phenytoin toxicity
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