PT 3 FUNDAMENTAL, ATI PN 2023
A nurse is talking with a parent of a preschool age child who tells the nurse" my child has suddenly become disinterested nterest in certain food." which of the following statement should the make?
" keep a diary of the food. Your child eats each day."
A nurse is collecting data from a client.Which of the following statements reflects the communication technique of clarifying?
"It sound like your pain is intermittent"
A nurse is collecting data regarding clients nutrition status during community health screening. The nurse determines the client is consuming 500 cal per day more than his energy that requires. When the client has gain 5.5 KG/pounds.
10 weeks
A nurse is measuring the blood pressure of several clients. We should've follow results is within the expected range for blood pressure.
116/70
A nurse is taking a client final signs. Which of the following finance is outside the expected rain
145/90
Add to collecting data from a client, the nurse documents plus 1 edema bilaterally. This indicates the nurse observes an indication which of the following depth after applying pressure?
2mm
A nurse is reinforcing, teaching with a client whose postoperative following a knee replacement about the muscles, he will need to straighten in the physical therapy. Which of the following muscle groups are responsible for movement at the knee joint.
Antagonistic
A n ruse is caring for a client who had MRSA. What precautions?
Apply a gown when entering the client room
A nurse and providers office is reinforcing teaching with a client about foods. They are higher in fiber what are the choices?
Black beans and whole-grain bread
A nurse is assessing with care of a client who requires Villery assistance with breathing, following motor vehicle crash. The nurse just suspected the client has an injury to which of the following parts of the brain.
Brainstem
A nurse employees a thoroughly somatic method of obtaining "objective data "about a client. Which of the following method should the nurse uses to collect this information
Physical examination
A nurse is collecting a specimen for culture from a client infected wound. We should've following action should the nurse take?
Cleanse the one with a 0.9% sodium chloride irrigation
A nurse is collecting data from a client who has fluid-volume excess. Which of the following findings should the nurse expect?
Crackles in the fields Other signs: dependent edema,full neck veins when the client is upright,increase blood pressure and sudden weight gain.
A nurse is collecting data during a neurological examination of a client. When asking the client to stick out his tongue, which cranial nerve is the nurse testing?
Cranial VIII
The nurse is caring a client who is immobile. The nurse should recognize that immobile places the client at what risk
Decrease credit output
A nurse is measuring a client's blood pressure. The nurse knows that the systolic reading is typical for the client but the systolic reading is considerably higher than the clients usually based on. Which of the following errors in the blood pressure measurement is a possible cause of falsely evaluated result
Deflating the cuff too slow
A nurse is caring for a client who has MRSA infection. A dietary system asked the nurse what precautions are necessary for going inside the clients room with the lunch tray.
Done gloves when entering the room and use hand sanitizer when exiting
A nurse is collecting data as part of her comprehensive physical exam of a client. The nurse should use inspection to evaluate which of the following.
Gait
Change the lines a client who have aids precautions
Gloves and gown
A nurse is caring for a client who is dehydrated which should've fallen laboratory value. Should the nurse expect for this client
HCT 55%
As a nurse is preparing to administer liquid medication from a bottle to a client. Which of the following actions should the nurse take?
Hold medication bottle with able against the Palm of the hand when pouring.
A nurse in the emergency department is caring for a inmate who has a laceration and is bleeding. The client was brought to the facility by a guard who asked the nurse about the clients HIV infection status which of the following action should the nurse take?
Instructor guard to ask the inmate
A nurse is measuring a client"s vital signs. The clients resting radial pulse rate is 55/min.What is the nurse next move?
Measure the client's apical pulse rate
A nurse on a medical surgical unit is client who has developed the rapid respirations are audio blood gas pH 7.25 PA CO2 is 40 and HCO3 -18
Metabolic acids
A nurse is using the Brighton scale to predict the pressure of service for a client in a long-term care facility using the scale of the following parameters. Should the nurse evaluate.
Nutrition
A nurse is assisting with a initiation of seizure precaution who has a client that has seizure disorder. What equipment does the nurse need?
Oxygen supply/equipment
A home health. Nurse enters a client home and finds a use insulin syringe without a cap on the table. Which of the following ng action should the nurse take?
Play the syringe in a puncture proof, disposable container
A nurse is caring for a client who is receiving intermittent internal feeding through a NG tube. The specific gravity of the client urine is 1.035 which of the following action should the nurse take?
Provide more water with the feedings
A nurse is caring for a client who has xerostomia a lack of saliva. The nurse should identify that the following nutrition will be affected by lack of salivary amylase?
Starch
A nurse is caring for adult client in the terminal stages of lung cancer, who refuses any further treatment. The nurse should provide care facilitates, which of the following outcomes?
Support self-determination
A nurse is a minister being a I am injection to a five month old infant. Which of the following injection site should the nurse use?
Vastus laterials
A nurse is preparing to irrigate a client on which of the following and after the nurse take
Warm the irrigated solution to 37 Celsius/98.6 Fahrenheit
