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Homework answers / question archive / International College of Health SciencesFUND 101 ATI Test-Chapters 27-31-Fundamentals A 1)A nurse is preparing to administer 0

International College of Health SciencesFUND 101 ATI Test-Chapters 27-31-Fundamentals A 1)A nurse is preparing to administer 0

Nursing

International College of Health SciencesFUND 101

ATI Test-Chapters 27-31-Fundamentals A

1)A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. Which of the following actions should the nurse take?

2. A nurse is administering IV fluid to an older adult client. The nurse should perform which priority assessment to monitor for adverse effects?

3. A nurse is planning care to improve self-feeding for a client who has vision loss. Which of the following interventions should the nurse include in plan of care?

4. A nurse is assessing an adult client who has been immobile for the past 3 weeks. The nurse should identify that which of the following findings requires further intervention?

5. A nurse is reviewing protocol in preparation for suction secretions from a client who has a new tracheostomy. Which of the following actions should the nurse plan to take?

6. A nurse is admitting a client who has varicella. Which of the following types of transmission precations should the nurse initiate?

7. A nurse is caring for a client who is reporting difficulty falling asleep. Which of the following measures should the nurse recommend?

8. A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first?

9. A nurse is caring for a client who has had a diet prescription changed to a mechanical soft diet. Which of the following food items should the nurse remove from the client’s breakfast tray?

10. A nurse in a long-term care facility is planning to perform hygiene care for a new resident. Which of the following assessment questions is the nurse’s priority before beginning this procedure?

11. A nurse is giving discharge instructions to a client who will require oxygen therapy at home. Which of the following statements should the nurse identify as an indication that the client understands how to manage this therapy at home?

12. A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through an open system. Which of the following actions should the nurse take first?

Tell the client to keep the head of the bed elevated at least 30 degrees. A nurse is performing a Romber’s test during techniques should the nurse use?

 

13. A nurse in a clinic is caring for a middle adult client who states, “the doctor says that, since I am at an average risk for colon cancer, I should have routing screening. What does that involve?” Which of the following responses should the nurse make?

14. A nurse is assessing a client who has been on bed rest for the past month. Which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis?

15. A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following assessment findings should the nurse expect?

16. A nurse is planning an education session for an older adult client who has just learned that she has type 2 diabetes mellitus. Which of the following strategies should the nurse plan to use with this client?

17. A nurse is admitting a client who has an abdominal wound with a large amount of drainage. Which of the following types of transmission precautions should the nurse initiate?

18. A nurse manager is overseeing the care on a unit. Which of the following situations should the nurse manager identify as a violation of HIPPA guidelines?

19. A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take?

20. A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The client’s partner wants the client to have the blood transfusion. Which of the following actions should the nurse take?

21. A nurse has accepted a verbal prescription for three tenths fo a milligram of levothyroxine IV state for a client who has myxedema coma. How should the nurse transcribe the dosage of this medication in the client’s medical record?

22. A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to mix together and administer subcutaneously. Determine the correct order of steps for this procedure. (Move the steps in the box on the right, placing them in the order of performance. Use all the steps.)

23. A nurse is caring for a client who requires a 24-hr urine collection. Which of the following statements by the client indicates an understanding of the teaching?

 

 

24. A nurse is reviewing practice guidelines with a group of newly licensed nurses. Which of the following interventions should the nurse include that is within the RN scope of practice?

 

25. A nurse is preparing a heparin infusion for a client who was hospitalized with deep-vein thrombosis. The order reads: 25,000 units heparin in 250 mL of 0.9% sodium chloride to infuse at 800 units/her. At what rate should the nurse set the infusion pump? (round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

26. A nurse is caring for a client who requires an NG tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube?

27. A nurse is caring for a client who has limited mobility in his lower extremities. Which of the following actions should the nurse take to prevent skin breakdown?

28. A nurse is caring for a client who is postoperative and refuses an incentive spirometer following a major abdominal surgery. Which of the following is the nurses priority action?

29. A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the nurse plan to take?

30. A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching?

31. A nurse is reviewing a client’s medication prescription, which reads “digoxin 0.25 by mouth every day.” Which of the following components of the prescription should the nurse question?

32. A nurse is caring for a client who requires bed rest and has a prescription for anti-embolic stocking. Which of the following actions should the nurse take?

33. A nurse is talking with the partner of an older adult male client who has dementia. The client’s partner expresses frustration about finding time to manage household responsibilities while caring for his partner. The nurse should identify that he is going through which of the following types of role-performance stress?

35. A nurse is preparing a change-of-shift report. Which of the following tools or documents should the nurse use to communicate continuity of care?

 

36. A nurse is assessing a client’s readiness to learn about insulin administration. Which of the following statements should the nurse identify as an indication that the client is ready to learn?

37. A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that his condition is a contraindication for which of the following therapies?

38. A nurse is caring for a client who is having difficulty breathing. The client is lying in bed with a nasal cannula delivering oxygen. Which of the following interventions should the nurse take first?

39. A nurse is caring for a client who has terminal liver cancer. Which of the following statements should the nurse identify as an indication that the client is experiencing spiritual distress?

40. A nurse in a surgical suite notes documentation on a client’s medical record that he has a latex allergy. In preparation for the client’s procedure, which of the following precautions should the nurse take?

41. A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take? (Select all that apply) Place the client in a room with negative-pressure airflow

42. A nurse is teaching an older adult client who is at risk for osteoporosis about begging a program of regular physical activity. Which of the following types of activities should the nurse recommend?

43. A nurse is caring for a client who asks about the purpose of advance directives. Which of the following statements should the nurse make?

44. A nurse is caring for a client who is terminally ill. Which of the following statements should the nurse identify as an indication that the client’s family member is coping effectively with the situation?

45. A nurse is caring for a client who reports pain. When documenting the quality of the clients pain on an initial pain assessment, the nurse should record which of the following client statements

46. A nurse is preparing to administer multiple medications to a client who has an enternal feeding tube. Which of the following actions should the nurse plan to take?

47. A nurse is administering an otic medication to an older adult client. Which of the following actions should the nurse take to ensure that the medication reaches the inner ear?

 

48. A charge nurse is discussing the responsibility of nurses caring for clients who have Clostridium difficile infection. Which of the following information should the nurse include in the teaching?

49.     A nurse is reviewing a client’s fluid and electrolyte status. Which of the following should the nurse report to the provider.

50. A nurse is caring for a client receiving fluid through a peripheral IV catheter. Which of the following findings at the IV site should the nurse identify as infiltration?

51. A nurse is providing care to four clients. Which of the following situations requires the nurse to complete an incident report?

52. A nurse is caring for an open irrigation technique to irrigate a client’s indwelling urinary catheter. Which of the following actions should the nurse take?

53. A nurse is assessing an older adult client’s risk for falls. Which of the following asssessments should the nurse use to identify the client’s safety needs?

54. A nurse is assisting a client who is postoperative with the use of an incentive spirometer. Into which of the following positions should the nurse place the client?

55. A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1 mL of the medication from a 2 mL vial. Which of the following actions should the nurse take?

 

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