ATI MED SURG Comprehensive Practice B

A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following findings should indicate to the nurse that the therapy has been effective? A nurse working in a n emergency departm ...

A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following findings should indicate to the nurse that the therapy has been effective? A nurse working in a n emergency department is triaging four clients. Which of the following clients should the nurse recommend for treatment first? A nurse is caring for a c lient who has fluid volume overload. Which of the following tasks should the nurse delegate t o the CNA? A nurse is preparing t o administer mannitol 0.2g/kg IV bolus over 5 min as a test dose to a client who has severe oliguria. The client weighs 198lb. What is t he amount in grams the nurse should administer? A nurse is conduction a physical examination for an adolescent and is assessing the range of motion of the legs. W hich of the following images indicates the adolescent is abducting the hip joint? A nurse is assessing a school-aged child who has bacterial meningitis. Which of the following findings should the n urse expect? A nurse is assessing a newborn’s heart rate. Which of the following actions should the nurse take? A nurse is preparing t o assist with a thoracentesis for a client who has pleurisy. The nurse should plan to perform which of the following actions? A nurse in the ED is a ssessing a preschooler who has a facial laceration. The nurse should identify which of the f ollowing findings as a potential indication of child sexual abuse? A nurse is preparing t o teach about dietary management to a client who has Crohn’s disease and an enteroenteric f istula. Which of the following nutrients should the nurse instruct the client to decrease in their d iet? A nurse is caring for a c lient who has a prescription for a continuous passive motion (CPM) machine following a total knee arthroplasty. Which of the following actions should the nurse take? A nurse is preparing t o initiate IV access for an older adult client. Which of the following sites should the nurse select when initiating the IV for the client? A nurse is developing a client education program a bout osteoporosis for older adult clients. The nurse should include which of the following variables as a risk factor for osteoporosis? A nurse in an ED is caring for a child who has a fever and fluid-filled vesicles on the trunk and extremities. Which of t he following interventions should the nurse identify as the priority? A nurse is caring for a c lient who has a clogged percutaneous gastrostomy feeding tube. Which of the following actions should the nurse take first? A home health care nurse is developing a teaching plan for a client who has a new ileostomy. Which of the following i nstructions should the nurse include? A nurse is reviewing the laboratory report of a client who has end-stage kidney disease and received hemodialysis 24 yr ago. Which of the following lab values should the nurse report to the provider? A nurse is caring for four clients. Which of the following tasks should the nurse delegate to a CNA? A nurse is preparing a client for a paracentesis. Which of the following actions should the nurse take? A nurse has received change of shift report on four assigned clients. For which of the following clients should the nurse intervene to prevent a potential food and medication interaction? A nurse is planning care for a client who has rheumatoid arthritis and has moderate to severe pain in multiple joints. W hich of the following actions should the nurse plan to take? A nurse is caring for a c lient who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports bladder spasms, and the nurse observes a decreased u rinary output. Which of the following action should the nurse take? A nurse is assessing a client who has COPD. Which of the following findings should the nurse expect? A nurse in a community center is providing an educational session to a group of clients about ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse include in the teaching? A nurse is caring for a c lient who has active TB. Which of the following actions should the nurse plan to take to prevent the transmission of the disease? A nurse is caring for a g roup of clients. Which of the following clients should the nurse attend to first? An RN is observing an LPN and a CNA move a client up in bed. For which of the following situations should the nurse intervene? A nurse is preparing t o administer insulin to a client via a pen device. Which of the following actions should the nurse take? A nurse is caring for a c lient who has immunosuppression and a continuous IV infusion. Which of the following actions should the nurse take? A nurse is providing t eaching about advance directives to a middle-aged adult client. Which of the following client responses indicates an understanding of the teaching? A nurse is assessing a client following a vaginal delivery and notes heavy lochia and a boggy fundus. Which of t he following medications should the nurse expect to administer? A nurse manager is planning to use a democratic l eadership style with the nurses on the unit. Which of the following a ctions by the nurse manager demonstrates a democratic leadership style? A nurse is assigning t ask roles for a group of clients in a community mental health clinic. Which of the following tasks should the nurse a ssign to the member of the group functioning as the orienteer?