ATI Capstone Fundamentals |
Actual Exam| Multiple Choice With
All Correct Questions and Answers
/2024
a nurse is in an acute care facility is caring for a client who is
postop following abdominal surgery. which of the following
behaviors should the nurse identify as increasing the client...
ATI Capstone Fundamentals |
Actual Exam| Multiple Choice With
All Correct Questions and Answers
/2024
a nurse is in an acute care facility is caring for a client who is
postop following abdominal surgery. which of the following
behaviors should the nurse identify as increasing the client's
risk for constipation? - ANS-urge suppression
history of chronic stimulant laxative use
inadequate fluid intake
a nurse is caring for a client who expresses anxiety about an
upcoming surgery, what should the nurse do? - ANS-ask the
client to describe feelings
a nurse is preparing to perform a sterile dressing change for
a client who has a surgical wound. which of the following
actions should the nurse take to prevent contamination
during the dressing change? - ANS-restart the procedure if
the sterile solution splashes onto the sterile field when
pouring the solution into the dressing tray
(if liquid comes in contact with the sterile field at any point it
is considered contaminated and unsterile)
,a nurse is caring for a pt who is scheduled for a cataract
surgery, the client states "is see just fine and have decided
to cancel my surgery". which of the following responses
should the nurse make? - ANS-share with me more about
the thoughts that are concerning you
a nurse is teaching a client about the use of a MDI, which
instruction should the nurse include in the teaching? - ANS-
inhale the medication deeply for 3-5seconds
(hold breath for 10s after inhalation, shake MDI vigorously,
hold mouthpiece 2.5-5cm/1-2in in front of mouth)
a nurse is teaching a group of AP about the expected
integumentary changes in OA, which should the nurse
include - ANS-decrease in elasticity
(increase in pigmentation, decrease in subq and moisture
levels)
a nurse is monitoring a client who has been receiving
intermittent enteral feedings, what should the nurse identify
as an intolerance to the feeding? - ANS-nausea
(vomiting, dumping syndrome-change the rate or type of
formula)
, a nurse enters a clients room and sees smoke coming from
the trash can. which of the following actions should the
nurse take first - ANS-evacuate the room
(RACE)
a nurse is completing a nutritional assessment on a client
and measures BMI, which of the following readings
correlates with a BMI of an overweight client? - ANS-25
(25-29.9)
a nurse is verifying ng tube placement by the pH of aspirated
gastric fluid. which of the following pH values provides a
good indication of correct tube placement? - ANS-2
(pH between 0-4)
a nurse is caring for a client with a closed head injury. when
pressure is applied to the client's nail beds, the clients eyes
open and adduction of the arms with flexion of the elbows
and wrists is noted. the client also moans with stimulation,
what is the GCS? - ANS-7
eye opening 1-4
verbal 1-5
motor 1-6
a nurse should teach which of the following clients requiring
crutches about how to use a three point gait? - ANS-a client
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