ATI RN Comprehensive Practice A 2023 NGN****

A home health nurse is evaluating a school-age child who has cystic fibrosis. The nurse should initiate a request for high-frequency chest compression vest in response to which of the following parent statements? "My child doesn't like to sit still for nebulizer treatments." "I think that my child has been running a fever over the last couple of days." "My child has only a small amount of mucus after percussion therapy." "I am concerned about my child's future participation in team sports."

"My child has only a small amount of mucus after percussion therapy."

A nurse is caring for a client who is 1 hr postpartum. Select 6 actions the nurse should take.

-Administer oxygen -Insert an indwelling catheter -Provide emotional support -Weigh the perineal pads -Administer methylergonovine -Firmly massage the uterine fundus

A nurse is caring for a client who is receiving a transfusion of packed red blood cells (RBCs). The nurse should suspect a transfusion reaction based on which of the following assessment findings? Select all that apply.

-Back pain -Anxiety -Headache

A nurse is caring for a client in the inpatient psychiatric unit. Based on the assessment findings, which of the following actions should the nurse take? Select all that apply.

-Ensure the client does not have access to sharp objects -Observe the client swallow all prescribed medications -Assess the client's method of lethality -Provide one-on-one observation

A nurse is assessing a client who is scheduled for surgery. Click to highlight the assessment findings that the nurse should notify the provider about prior to the procedure.

-Hemoglobin levels -Allergies -Family history

A nurse is caring for an adolescent. Select 4 findings that require follow-up.

-Pedal pulse -Capillary refill -Skin temperature -Pain

A nurse is caring for a client in the emergency department (ED). The nurse is planning care for the client. Select the 5 actions the nurse should plan to take.

-Perform a Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) -Initiate seizure precautions -Administer chlordiazepoxide -Administer thiamine -Maintain a low-stimulation environment

A nurse is caring for a school-age child. For each assessment finding, click to specify if the finding is consistent with attention deficit hyperactivity disorder (ADHD) or intellectual disability (ID). Each finding may support more than 1 disease process.

ADHD- Hyperreactivity to sensory input, Interrupting others, Losing necessary things, Intellectual impairment ID- Impaired language skills, Intellectual impairment

A nurse on a mental health unit is caring for a client. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated.

Anticipated: Initiate suicide precautions Potassium 40 mEq PO daily Contraindicated: Low-sodium diet Fluoxetine 20 mg PO daily

A nurse is caring for a client who had a recent stroke. Prior to transferring the client to a bedside commode, which of the following actions should the nurse take first? Ask for help with a two-person assist transfer Assess the client for functional limitations Request a mechanical lift device Medicate the client for pain

Assess the client for functional limitations

A nurse is caring for a newborn whose parent ask why the baby is receiving vitamin K. The nurse should explain to the parent that the newborn should receive vitamin K to prevent which of the following? Bleeding Potassium deficiency Infection Hyperbilirubinemia

Bleeding

A nurse is caring for a client during a follow up visit at a gastrointestinal clinic. For each assessment finding, click to specify if the assessment findings are consistent with Crohn's disease, ulcerative colitis, peritonitis. Each finding may support more than one disease process.

Bowel pattern: Crohns disease Weight: Crohns disease, Ulcerative colitis Heart rate: Peritonitis WBC: Crohns disease, Ulcerative colitis, Peritonitis Temperature: Crohns disease, Ulcerative colitis, Peritonitis Abdominal pain location: Crohns disease Albumin level: Crohns disease, Ulcerative colitis

A nurse is continuing to care for the adolescent. Which of the following prescriptions should the nurse anticipate from the provider?

Contraindicated: Elevate the right leg above the heart level Apply ice to the affected extremity Anticipated: Prepare the adolescent for surgery Remove splint

A nurse is caring for a client who has a new prescription for clonidine. The nurse should inform the client that which of the following findings is an adverse effect of this medication? Diarrhea Dry mouth Photophobia Bruising

Dry mouth

A nurse is assessing a client who has sickle cell anemia. The nurse should identify which of the following findings as a manifestation of vaso-occlusive crisis? Diminished reflexes Hematuria Hyperglycemia Hearing loss

Hematuria

A nurse is caring for a newly admitted client. Select 2 findings that require immediate follow-up.

Hemoglobin Platelet count

A nurse manager is reviewing unit records and discovers that client falls occur most frequently during the hours of 0530 and 0730. Which of the following actions should the nurse take when conducting a root cause analysis? Investigate environmental factors that might be contributing to client injury during these hours Review the performance evaluations of nurses who work during these hours Implement a plan to transition the team nursing to primary care nursing during these hours Discuss a plan with the providers to reduce the use of barbiturate sedatives prior to these hours

Investigate environmental factors that might be contributing to client injury during these hours

A nurse is preparing to insert and indwelling urinary catheter for a client. The nurse should assess the client for which of the following conditions prior to starting the procedure? Ketonuria Fecal impaction Latex allergy Tachycardia

Latex allergy

A nurse is caring for a client. Complete the diagram by dragging from the choices.

Potential Condition: Somatic symptom disorder Actions to take: Monitor the clients physical manifestations Assess the client for a secondary gain from illness Parameters to monitor: Vital signs Pain

A nurse is caring for a 68-year-old client who is 2 days postoperative following surgical repair of a left hip fracture. Complete the diagram.

Potential condition: Intestinal obstruction Actions to take: Prepare to administer IV fluids Assist client to semi-Fowlers position Parameters to monitor: Bowel sounds Urine output

A nurse on a medical-surgical unit is caring for a client who is postoperative following an emergency appendectomy. Complete the diagram.

Potential condition: Varicose veins Actions to take: Elevate the extremity Apply graduated compression stockings Parameters to monitor: Edema of right lower extremity Pruritis of right lower extremity

A nurse is continuing to care for the adolescent. The nurse is preparing the adolescent for fasciotomy. Which of the following findings should the nurse report to the provider prior to surgery?

The adolescents parents have concerns regarding the surgery

A nurse is caring for a 3-year-old child who has a gastrostomy tube. Drag words from the choices below to fill in each blank in the following sentence. The child is at risk for developing _____ and _____.

The child is at risk for developing SKIN BREAKDOWN and AN INFECTION.

A client is caring for a client with bulimia nervosa. Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing _____ and ______.

The client is at risk for developing HYPONATREMIA and CARDIOVASCULAR ABNORMALITIES.

A nurse is caring for a client who is 24 hr postoperative following a cesarean birth. Drag 1 condition and 1 client finding to fill in the blank in the following sentence. The client is at risk for developing ____ as evidenced by _____.

The client is at risk for developing SEIZURES as evidenced by BLOOD PRESSURE.

A nurse is caring for an adolescent. Complete the following sentence. The client is at highest risk for developing ___as evidenced by the clients _____.

The client is at highest risk for developing COMPARTMENT SYNDROME as evidenced by the clients PARESTHESIA.

A nurse is caring for a client who is on 24-hr observation. Complete the following sentence by using the lists of options. The client is at risk for ____ due to _____.

The client is at risk for HEMORRHAGE due to THROMBOCYTOPENIA.

A nurse in a providers office is caring for a client who has a new diagnosis of type 2 diabetes mellitus. Complete the following sentence by using the lists of options. The client is at risk for developing _____ due to ______.

The client is at risk for developing DELAYED WOUND HEALING due to GLUCOSE LEVEL.

A nurse is caring for a client who is 3 days postoperative following a T4 spinal cord injury. Drag 1 condition and 1 client finding to fill in the blank in the following sentence. The client is at risk for developing ____ due to ____.

The client is at risk for developing HEMORRHAGIC STROKE due to AUTONOMIC DYSREFLEXIA.

A nurse is providing phone advice for a client who is pregnant. Complete the following sentence by using the lists of options. The client is at risk for experiencing _____ due to the clients ____.

The client is at risk for experiencing METABOLIC ACIDOSIS due to the clients WEIGHT LOSS.

A nurse is caring for client. Complete the following sentence by using the list of options. The client is exhibiting manifestations of ____ and is at risk for _____.

The client is exhibiting manifestations of ANOREXIA NERVOUSA and is at risk for ARRYTHMIA.

A nurse is caring for a client who is in the spinal cord injury (SCI) unit. Complete the following sentence by using the list of options. The nurse should first address the clients ____ followed by the clients ____.

The nurse should first address the clients OXYGEN SATURATION followed by the clients URINE OUTPUT.

A nurse is caring for a newborn. Complete the following sentence by using the list of options. The nurse should plan to first assess the newborn's ______followed by the newborn's_______.

The nurse should plan to first assess the newborn's RESPIRATORY RATE followed by the newborn's HEART RATE.

A nurse is preparing to transfer a client from the ICU to the medical floor. The client was recently weaned from mechanical ventilation following a pneumonectomy. Which of the following information should the nurse include in the change-of-shift report? The time of the clients last dose of pain medication The clients most recent ventilator settings The last time the provider evaluated the client The frequency in which the client presses the call button

The time of the clients last dose of pain medication