ATI Fundamentals

A nurse is providing preoperative teaching to a client who is scheduled for Arthroplasty in the next month that might require a blood transfusion. The client expresses concern about the risk of acquiring an infection from the blood transfusion. Which of the following statements should the nurse make to the client?

1. Ask your provider to prescribe exporting before the surgery 2. You should ask your provider about taking iron supplements prior to the surgery 3. Request a family member to donate blood for you. 4. Donate autologous blood before the surgery.

A community health nurse is preparing a campaign about seasonal influenza. Which of the following plans should the nurse include as secondary prevention 1. Holding a community clinic to administer influenza immunizations 2. Screening groups of older adults in nursing care facilities for early influenza manifestations 3. Educating parents of young children about dangers of influenza 4. Finding rehabilitation programs for older adults who have complications from influenza

2

A nurse observes an assistive personnel preparing to obtain a blood pressure with a regular size cuff for a client who is obese. Which of the following explanations should the nurse give? 1. The reading will be inaudible if the cuff is too small for the client 2. The width of the cuff bladder should be 75% of the circumference of the clients arm 3. As long as the cuff will circle the arm the reading will be accurate 4. Using a cuff that is too small will result in an inaccurately high reading

4

A nurse in an emergency department is assessing a client who reports diarrhea and decreased urinationfor 4vdays. Which of the following actions should the nurse take to assess skin turgor

Grasp a skin fold on the chest under the clavicle release it and note whether it springs back

A charge nurse is observing a newly licensed nurse perform tracheostomy care for a client. Which of the following actions by the newly licensed nurse requires intervention? 1. Obtaining hydrogen peroxide for the tracheostomy care 2. Obtaining cotton balls for the tracheostomy care 3. Obtaining sterile gloves for the tracheostomy care 4. Obtaining a sterile brush for the tracheostomy care

Obtaining cotton balls for the tracheostomy care

A nurse is obtaining the blood pressure in a clients lower extremity. Which of the following actions should the nurse take?

Place the bladder of the cuff over the posterior aspect of the thigh

A nurse on a medical surgical unit is washing her hands prior to assisting with a surgical procedure. Which of the following actions by the nurse demonstrate proper surgical Hand washing techniques

The nurse washes her hands higher than her elbows

A nurse is providing teaching to an older adult client who has constipation. Which of the following statements should the nurse include in the teaching?

1. Drink a minimum of 1,000mls a day 2. Increase your intake of refined fiber foods 3. Sit on the toilet 30 minutes after eating a meal 4. Take a laxative everyday to maintain regularity

A nurse is admitting the client who has decreased circulation in his left leg. Which of the following actions should the nurse take first? 1. Evaluate pedal pulses 2. Obtain a medical history 3.measure vital signs 4. Assess the leg for pain

1. Evaluate pedal pulses