Ati question
A charge nurse is providing teaching to a newly licensed nurse about removing sutures from a client's laceration. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
"I will clip each suture close to the skin and pull it through from the other side."
A nurse is preparing a client for discharge and providing instructions about performing dressing changes at home. Which of the following statements should the nurse identify as an indication that the client understands medical asepsis?
"I'll wash my hands before I remove the old dressing and again before putting on the new one."
A nurse in a long-term care facility is admitting a client who is incontinent and smells strongly of urine. His partner, who has been caring for him at home, is embarrassed and apologizes for the smell. Which of the following responses should the nurse make?
"It must be difficult to care for someone who is confined to bed."
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?
"Sit on the toilet 30 minutes after eating a meal."
A nurse is caring for a semiconscious client who had a small-bore NG tube placed yesterday for the administration of enteral feeding. Which of the following methods should the nurse use to verify correct tube placement? (Select all that apply.)
-Verify the initial X-ray examination -Measure the length of the exposed tube -Determine the pH of aspirated fluid
A nurse is preparing to insert an NG tube for a client. Which of the following actions will help facilitate the insertion of the tube? (Select all that apply.)
1.) Coat the tip of the tube with a water-soluble lubricant 2.) Ask the client to swallow water while the tube enters her throat 3.) Tell the client to tilt her head backward as insertion begins
A nurse is assessing the pH of a client's gastric fluid to confirm the placement of an NG tube in the stomach. Which of the following pH values should the nurse Expect?
2 a range of 0-4 for gastric secretions
A nurse is performing an admission assessment for a client who has asthma and reports several food allergies. Which of the following actions should the nurse take first?
Ask the client to identify the specific food allergies.
A nurse is supervising a newly licensed nurse who is caring for a client with streptococcal pharyngitis and is on transmission-based precautions. Which of the following actions by the newly licensed nurse indicates an understanding of droplet precautions?
Assigning another client with the same infection to share the room with the client
A nurse in the emergency department is caring for an inmate who has a laceration and is bleeding. The client was brought to the facility by a guard who asks the nurse about the client's HIV infection status. Which of the following actions should the nurse take?
Instruct the guard to ask the inmate
A nurse on a medical-surgical unit is caring for a client who is at risk of experiencing seizures. Which of the following pieces of equipment must be available at the client's bedside at all times?
Suction equipment
A nurse is admitting a client who has measles. Which of the following types of transmission precautions should the nurse initiate?
airborne
A nurse is teaching a group of unit nurses about the experiences of clients who are having surgery. In which phase of care is the client transferred to the surgical suite table before being transferred to the PACU?
intraoperative
A nurse is performing a physical examination for a client. To evaluate the client's skin moisture, the nurse should use which of the following techniques?
palpation
A nurse is preparing to change a dressing on a client who is receiving negative pressure wound therapy (NPWT). Which sequence of action should the nurse plan to take?
1.) Turn off the vacuum on the NPWT device and administer the prescribed analgesic. 2.) Remove the soiled dressing and perform hand hygiene. Apply sterile or clean gloves and irrigate the wound. 3.) Apply a skin protectant or a barrier film to the skin around the wound. 4.) Place prepared foam into the wound bed and cover with a transparent dressing. 5.) Connect the tubing to transparent film and turn on the NPWT unit.
A nurse on a medical unit is caring for a client who has difficulty sleeping. Which of the following actions should the nurse take to promote the client's ability to fall asleep?
Allow the client to maintain the same bedtime routine as at home
A nurse is working with the facility's language interpreter to explain a wound-care procedure to a client who does not speak the same language as the nurse. Which of the following actions should the nurse take when describing the procedure to the client?
Ensure the interpreter and the client speak the same dialect
A nurse is caring for a client who has a history of dyshythmias. Upon entering the room, the nurse discovers the client is unresponsive to verbal or painful stimuli, has no respirations, and is pulseless. Which of the following actions should the nurse take first?
Start chest compression
A nurse is caring for a client who had a mastectomy and has a self-suction drainage evacuator in place. Which of the following actions should the nurse take to ensure proper operation of the device?
Collapse the device of air after emptying
