ATI RN CBC Level 4 Practice B

ATI RN CBC Level 4 Practice B A nurse is caring for a client who is immunocompromised and has developed DIC. Which of the following treatments should the nurse expect to administer? Platelets A nurse is updating the discharge plan for a client who is ventilator-dependent and will be transferred to a long-term care facility. To facilitate the coordination of the transfer, the nurse should contact which of the following members of the health care team? Case Manager A public health nurse is participating in the recovery phase of emergency response to a hurricane. Which of the following actions should the nurse take first? Determine the needs of the community A nurse manager at a home health facility is preparing an in-service about legal guidelines. Which of the following statements should the nurse plan to include as an example of medical malpractice? A nurse forgets to request physical therapy services for a client who has weakness and falls A charge nurse is discussing sentinel events with a newly licensed nurse. Which of the following examples should the nurse provide as a sentinel event? A client who falls and experiences a subarachnoid hemorrhage A staff nurse who is upset approaches a charge nurse about concerns related to providing care to a group of clients. Which of the following statements should the charge nurse make when using assertive communication? I am willing to discuss this issue privately in my office A nurse is reviewing the medical record of a client who has experienced a T5 spinal cord injury (SCI). Which of the following findings should the nurse report to the provider immediately? Platelet count 50,000/mm3 A community mental health nurse is planning strategies to address increased opioid use in the community. Which of the following strategies should the nurse implement as a method of primary prevention? Organizing a town hall assembly to discuss the adverse effects of opioid use A nurse manager is discussing professional liability during a staff presentation. In which of the following situations can the assigned nurse be held professionally liable if the client is harmed? (SATA) A charge nurse insists a staff nurse reposition a sutured NG tube on a client following bariatric surgery, and the client has to return to surgery A nurse administers warfarin per the provider's prescription to a client who has an INR of 4.3 A client experiences an arrhythmia while the nurse tries for several hours to report a potassium of 3 mEq/L to the provider but does not notify the charge nurse A nurse is delegating client care to an assistive personnel. Which of the following tasks should the nurse assign? Performing chest compressions as a member of the Code Team A nurse is planning care for a client who is being admitted with a major burn injury over 40% of the total body surface area. Which of the following interventions should the nurse include in the plan? Administer continuous IV fluids for 24 hours A nurse is planning care for a client who is experiencing an Addisonian crisis and has hyperkalemia. According to research-based care which of the following interventions should the nurse include in the plan? Initiate cardiac monitoring of the client A nurse manager is teaching about emergency preparedness to a group of newly licensed nurses for clients who experience mental health crisis following a disaster. Which of the following actions should the nurse include in the teaching as the first step to take when caring for these clients? Determine the clients' level of precision functioning A nurse is performing mass casualty triage following a disaster. To which of the following clients should the nurse assign a black tag? A client who has a penetrating head wound and agonal respirations A nurse is developing a plan of care for a toddler who has heart failure and is receiving furosemide. Which of the following actions should the nurse include in the plan? Increase the toddler's intake of foods high in potassium A nurse is reviewing the laboratory results for a client who sustained major burns after a motor vehicle crash where a fuel spill ignited. Which of the following laboratory values should the nurse expect during the resuscitation phase of care? potassium of 6.2 mEq/L A nurse is reviewing the medical record for a client who has Addison's disease. Which of the following laboratory findings should the nurse expect? fasting blood sugar 62 mg/dL A nurse is planning care for a client who is postoperative following abdominal surgery. According to research-based care, which of the following interventions should the nurse include in the plan for prevent a deep-vein thrombosis? Administer prophylactic anticoagulant medication to client A nurse is participating in interprofessional collaboration regarding a client who is to be discharged to home following a stroke. which of the following information should the nurse provide the occupational therapist on the team? Client experiences difficulty using a spoon for self-feeding A nurse is reviewing the medical record of an 11-year old child who has acute renal failure. Which of the following laboratory results should the nurse expect? potassium of 5.2 mEq/L A nurse is assessing a client who has a stage 3 pressure ulcer. Which of the following findings should the nurse expect? Full-thickness tissue loss with visible subcutaneous fat A nurse is planning care for a newborn whose mother has HIV. Which of the following actions should the nurse plan to take? Delay administration of phytonadione until the newborn has been bathed A nurse is assessing a client who has encephalitis. The nurse should identify that which of the following findings is an indication of increasing intracranial pressure? Increased pupil size A nurse is caring for a child who has bacterial meningitis with increased intracranial pressure. Which of the following actions should the nurse take? Administer acetaminophen with codeine for pain A nurse is assessing a client who is a resident of a halfway house for clients who have mental health disorders. The client has patterned bruising to the torso and arms. Which of the following actions should the nurse take first? Develop a rapport with the client