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ATI RN PROCTORED ADULT MED-SURG FORM A 2016 QUESTIONS WITH UPDATED CORRECT ANSWERS/A+ GRADE

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ATI RN PROCTORED ADULT MED-SURG FORM A 2016 QUESTIONS WITH UPDATED CORRECT ANSWERS/A+ GRADE Nurse is preparing to administer thrombolytic therapy to a client with ischemic stroke. Which is an appropriate nursing action Elevate HOB btw 25-30 degrees Nurse isteaching about the use of incentive...

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  • 9 novembre 2023
  • 40
  • 2023/2024
  • Examen
  • Questions et réponses
  • ADULT MED-SURG
  • ADULT MED-SURG
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Studocu is not sponsored or endorsed by any college or university ATI RN Capstone COMP FORM B Fundamentals of Nursing (Eastern Florida State College)
Studocu is not sponsored or endorsed by any college or university ATI RN Capstone COMP FORM B Fundamentals of Nursing (Eastern Florida State College)
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lOMoARcPSD|28698912 ATI PROCTORED CAPSTONE
COMPREHENSIVE TEST B 2022 FINAL EXAM
A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of the following actions is the priority?
A. Assess fluid intake every 24 hours
B. Ambulate three times a day
C. Assist with deep breathing and coughing
D. Monitor the incision site for findings of infection
C
The priority action the nurse should take when using the airway, breathing, circulation approach to client
care is to assist the client with deep breathing and coughing, wh ich reduces the risk for postoperative pneumonia.
A nurse is talking with a client who has stage IV breast cancer. T he nurse should recognize which of the following statements by the client as a constructive use of a defen se mechanism?
A. I have experienced physical discomfort when intimate with my p artner since my diagnosis
B. I wish other women would stop socializing with my partner
C. I told my doctor that I would like to start a support group for oth er women who are sick in my community
D. I used to mistrust my doctor, but now I know that she is the best on e to care for me during my illness
C
This statement indicates that the client is using the constructiv e defense mechanism sublimation by devising a socially acceptable alternative to facing a realit y that she does not wish to accept.
A nurse is caring for a client who has immunosuppression and a continuous IV infusion. Which of the following actions should the nurse take?
A. Assess the clients IV site every 8 hours
B. Check the clients WBC count every 48 hours
C. Monitor the clients mouth every 8 hours
D. Change the clients IV tubing every 48 hours
C
A nurse is caring for a 2-month-old infant who has Hirschsprung disease ( HD). Which of the following areas should the nurse assess for manifestations of HD?
A. Eyes area
B. Chest area
C. Lower abdominal area
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lOMoARcPSD|28698912 ATI PROCTORED CAPSTONE
COMPREHENSIVE TEST B 2022 FINAL EXAM
C
Hirschsprung disease is a condition that affects the large intes tine (colon) and causes problems with passing stool. This is present at birth (congenital) as a result of m issing nerve cells in the muscle of the baby's colon
A nurse at a mental health clinic is caring for four clients. The nurse should recognize that which of the following clients is using dissociation as a defense mechanism?
A. A client forgets to buy their partner a birthday gift after a di sagreement
B. A client who was abused as a child describes the abuse as if it hap pened to someone else.
C. A client who is shorter than average is verbally assertive with coworkers
D. A client states that they did not get a job promotion because the boss did not like them
B
A nurse is providing teaching to a client who has a new diagnosis of ty pe 1 diabetes mellitus. The nurse should instruct the client to monitor for which of the following findi ngs as a manifestation of hypoglycemia?
A. irritability
B. increased urination
C. vomiting
D. facial flushing
A
A nurse in an outpatient mental health clinic is caring for fou r clients. The nurse should recognize that which of the following clients is effectively using sublimation as a defen se mechanism?
A. A client who transfers their anger about their job onto their family and then apologizes
B. A client who misses provider appointments because they say they are too busy
C. A client who channels their energy into a new hobby following the loss of their job
D. A client whose partner died 4 years ago sets a place for him at di nner each night
C
The nurse should identify that this client is using the defense mecha nism of sublimation by channeling negative feelings over the loss of their job into a new hobby.
A hospice nurse is consulting with a client and her family about recei ving home services. Which of the following statements should the nurse identify as an indication that the family understands home hospice care?
A. "We can expect the hospice nurse to provide support for us after ou r mother's death."
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lOMoARcPSD|28698912 ATI PROCTORED CAPSTONE
COMPREHENSIVE TEST B 2022 FINAL EXAM
B. A hospice nurse will come to the house each time our mother needs pain medication
C. Now that my mother is receiving hospice services, we will not be abl e to get respite care
D. Hospice care focuses on arranging treatment that will prolong o ur mother's life
A
Hospice care includes bereavement services after a family membe r's death.
A nurse is caring for a client who has active pulmonary tuberculosis. Wh ich of the following actions should the nurse take?
A. Wear a surgical mask when providing client care
B. Have visitors maintain a distance of 1.8m (6 feet) from the client
C. Restrict fresh flowers from the clients room
D. Assign the client to a private room with negative air pressure
D
A nurse is providing teaching to a client who is at 24 weeks of gestati on and is scheduled for a 3-hr oral glucose tolerance test. Which of the following instructions should th e nurse include in the teaching?
A. Limit your fat intake for 72 hours before the test
B. You will need to fast the night before the test
C. We will collect a urine sample the day after testing
D. A blood sample will be collected every 15 minutes during the test
B
A nurse on a pediatric unit has received change-of-shift report f or four children. Which of the following children should the nurse assess first?
A. A 6month old infant who has croup and an O2 saturation of 92% on room ai r
B. A 15 year old adolescent who is 2 hour postop following an open red uction and internal fixation of the
left ankle and is requesting pain medication
C. A 3 year old toddler who has gastroenteritis, moderate dehydration , and had 2 loose bowel movements over the past 24 hours
D. A 10-year-old child who is awaiting surgery for an appendectomy and experienced sudden relief from pain.
D
A nurse in a community center is providing an educational session to a g roup of clients about ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse include in the teaching?
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lOMoARcPSD|28698912

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