A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The client threatened suicide to a teacher at school. Which of the following statements should the nurse include in the assessment?
a)Tell me about your siblings?
B)Tell me what kind o...
a nurse in an emergency department completes an as
a nurse is observing bonding to the client her new
a nurse is caring for a client who is taking levot
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ATI COMPREHENSIVE
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ATI COMPREHENSIVE EXIT FINAL
SOLUTIONS GRADEE A+
A nurse in an emergency department completes an assessment on an
adolescent client that has conduct disorder. The client threatened
suicide to a teacher at school. Which of the following statements
should the nurse include in the assessment?
a)Tell me about your siblings?
B)Tell me what kind of music you like?
c) Tell me how often do you drink alcohol?
d) Tell me about your school schedule?
Tell me how often do you drink alcohol
A nurse is observing bonding to the client her newborn. Which of the
following actions by the client requires the nurse to intervene?
A- Holding the new born in an en face position
b- asking the father to change the newborns diaper
c- requesting the nurse to take the newborn nursery so she can rest
d- Viewing the newborns actions to be uncooperative
Viewing the newborns actions to be uncooperative
A nurse is caring for a client who is taking levothyroxine. Which of
the following findings should indicate that the medication is
effective?
A- Weight loss
b- Asking the father to change the newborns diaper
c- absence of seizures
d- Decrease inflammation
Weightloss this drug acts as T4 and will normalize the effects of
hypothyroidism
A nurse is planning discharge teaching for cord care for the parent
of a newborn. Which instructions would you include in the teaching?
A- contact the provider if the cord still turns black
b- clean the base of the cord with hydrogen peroxide daily
c- Keep the cord dry unitl it falls off
d- The cord stump will fall off in five days
Keep the cord dry until it falls off (cord should be kept clean and
dry to prevent infection, it will turn black, clean with neutral ph
cleanser, cord falls off in 10-14 days)
,A nurse is assessing a client in PACU. Which of the following
findings indicates decreased cardiac output?
A- Shivering
b- oliguria
c- Bradypnea
d- Constricted pupils
Oliguria
A nurse is assisting with mass casualty triage, explosion at a local
factory. Which of the following client should the nurse identify as
the priority?
A- A client that has massive head trauma
B- A client has full thickness burns to face and trunk
C- A client with indications of hypovolemic shock
D- A client with open fracture of the lower extremity
A client with indications of hypovolemic shock
A nurse is receiving report on four clients. Which of the following
clients should the nurse asses first?
A- a client who has illegal conduit and mucus in the pouch
b- Client pleasant arteriovenous additional vibration palpated
c- Client whose chronic kidney disease with cloudy diasylate outflow
D- A client was transurethral resection of the prostate with red
tinged urine in the bag
A client whose chronic kidney disease with cloudy diasylate outflow
A nurse is caring for a client just received the first dose of
lisinopril. The following is an appropriate nursing intervention?
a- place's cardiac monitoring
b- monitor the clients oxygen saturation level
c- provide standby assist with the client from bed
d- encourage foods high in potassium
Provide standby assist with the client from bed
A nurse is caring for a client who is in labor and his seat is
recieving electronic fetal monitoring. The nurse is reviewing the
monitor tracing and notes early decelerations. Which of the following
should the nurse expect?
a-Feta hypoxia
b- abrupto placentae
c- post maturity
d- head compressions
head compressions
A nurse is caring for a client who has chronic kidney disease. The
nurse should identify which of the following laboratory values as an
indication for hemodialysis?
,a- Glomerular filtration rate of 14 ml/minute
b- BUN 16 ml/dl
c- serum magnesium 1.8 mg mg/dl
d- serum phosphorus 4.0 m mg/dl
glomerular filtraion rate of 14 ml/minute
A nurse is caring for an infant who has a prescription for continuous
pulse oximetry. The following is an appropriate action for the nurse
to take?
a- placed infant under radiant warmer
b- move the probe site every 3 hrs
c- heat the skin one minute prior to placing the program
d- placed a sensor on the index finger
Heat the skin one minute prior to placing the program.
A nurse in a mental health facility receives a change to shift report
on for clients. Which of the following clients should the nurse plan
to asses first?
a- A client placed in restraints to the aggressive behavior
b- a new limited client pleasures history 4.5 kg weight loss in the
past two months
c- client is receiving prn dose of health heard all two hours ago for
increased anxiety
d- Applied he'll be receiving his first ect treatment today
Cliet placed in restraints to the aggressive behavior
A nurse is working at the clinic is teaching a group of clients who
are pregnant on the use of nonpharmacological pain management. Which
of the following statements by the nurse is an appropriate
description of the use of hypnosis during labor?
a- Hypnosis focuses on biofeedback as a relaxation technique
b- hypnosis promoted increased control of her pain perception during
contractions
c- hypnosis uses therpeutic touch to reduce anxiety during labor
d- hynosis provides instructions to minimize pain
Hypnosis promotes increased control of her pain perception during
contractions.
A nurse is a county jail health clinic is leading group therapy
sessions. A client who has incarcerated for theft is addressing the
group. Which of the following is an example of reaction formation?
(reaction formation is when using opposite feelings, being super nice
to someone you dislike)
a- I steal things because it is the only way i can keep my mind off
, my bad marriage
b- i can't believe i was accused of something i didn't do
c- i don't want to talk about my feelings right now, we will talk
more next time
d- i think that people are just lazy and should earn extra money
I think that your people are just lazy and should earn money honestly
A nurse is obtaining medical history of a client who has a new
prescription for isosorbide mononitrate. Which of the following
should the nurse identify as a contraindication to medication?
a- Glaucoma
b- hypertension
c- polycythemia
d- migraine headaches
Glaucoma
NA
n/a
The nurse is caring for a client recovering from an acute myocardial
infarction. Which of the following intervention should the nurse
include in the point of care?
a- Draw a troponin level every four hours
b- performance EKG every 12 hrs
c- plant oxygen tent fell over minutes via rebreather mask
d- obtain a cardiac rehabilitation consult
Obtain cardiac rehabilitation consult
A nurse is caring for a client who has breast cancer and has been
covering receiving chemotherapy. Which of the following laboratory
values should the nurse report to the provider ?
a- WBC 3,000 /mm3
b- Hemoglobin 12 g/dl
c- Platelet 250,000/mm3
d- aPTT 30 seconds
WBC 3,000/mm3
Home health nurse is carefully planned for alzheimer's disease. To
the following actions should the nurse include in the plan of care?
a- Place a daily calendar in the kitchen
b- replace the button clothing with zippered items
c- replace the carpet with hardwood floors
d- create variation in daily routine
Place a daily calendar in the kitchen
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