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B260 FINAL ATI QUESTIONS & ANSWERS SOLVED 100% CORRECT!!
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B260 FINAL ATI QUESTIONS & ANSWERS SOLVED 100% CORRECT!!
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B260 FINAL ATIQUESTIONS &
ANSWERS SOLVED
100% CORRECT!!
ATI B260
Evatee 10/17/24 ATI B260
,B260 FINAL ATI QUESTIONS & ANSWERS
SOLVED 100% CORRECT!!
A charge nurse is teaching a new nurse how to initiate IV access on a client.
Which of the following actions by the new nurse indicates an understanding of
the teaching?
A. shaves the selected insertion site w/ a razor prior to the procedure
B. washes hands w/ soap and water before the procedure
C. applies sterile gloves prior to inserting the IV catheter
D. applies the tourniquet 1 inch above the selected insertion site Answer - B.
rationale: the nurse should perform hand hygiene prior to starting the
procedure
A nurse is caring for a client who is post-op. The nurse should base her pain
management interventions primarily on which of the following methods of
determining the intensity of the client's pain?
A. vital sign management
B. the client's self-report of pain severity
C. visual observation for nonverbal signs of pain
D. the nature and invasiveness of the surgical procedure Answer - B.
rationale: b/c nurses cannot measure pain objectively, it is standard practice to
accept that pain is what the client says it is and to intervene accordingly
, A nurse provides a back massage as a palliative care measure to a client who is
unconscious, grimacing, and restless. Which of the following findings should
the nurse identify as indicating a therapeutic response? (Select all that apply.)
A. the shoulders droop
B. the facial muscles relax
C. the RR increases
D. the pulse is within the expected range
E. the client draws his legs into a fetal position Answer - A, B, D
rationale: a back rub promotes relaxation, relieves muscular tension, and
decreases perception of pain. relaxation or drooping of the shoulders is a
positive response to the back rub
A nurse is observing an assistive personnel performing postmortem care for a
client who is Muslim. Which of the following actions should prompt the nurse
to intervene?
A. leaves dentures in the mouth
B. prepares to cleanse the body
C. disconnects the cardiac monitor
D. removes soiled linens from the room Answer - B.
rationale: following the death of a client who followed the Muslim faith, a
Muslim of the same gender must ritualistically wash and wrap the body
A nurse is providing pre-op teaching for a client who will undergo surgery. The
nurse explains that the client will wear anti-embolism stockings during and
after the procedure. When the client asks what the stockings do, which of the
following responses should the nurse make?
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