2026/2027||Elsevier Evolve / ATI Testing
Standards||Comprehensive Academic Readiness
Assessment for Practical/Vocational Nursing Program
Admission!!Graded A+!!!
The home health nurse visits an elderly female client who
had a brain attack three months ago and is now able to
ambulate with the assistance of the quad cane. Which
assessment finding has the greatest implications for this
clients care? - ANSWER-The nurse notes that there are
numerous scatter rugs throughout the house. Scatter rugs
pose a safety hazard because the client can trip on them
,when ambulating, so this finding has the greatest
significance in planning this client's care
The nurse is digitally removing a fecal impaction for a
client. The nurse should stop the procedure and take
corrective action if which client reaction is noted? -
ANSWER-Pulse rate decreases from 78 to 52 beats/min.
Parasympathetic reactions can occur as a result of digital
stimulation of the anal sphincter, which should be stopped
if the client experiences a vagal response, such as
bradycardia
, The nurse is providing passive range of motion exercises
to the hip and knee for a client who is unconscious. After
supporting the client's knee with one hand, what action
should the nurse take next? - ANSWER-Cradle the client's
heel.
Passive ROM exercise for the hip and knee is provided by
supporting the joints of the knee and ankle and gently
moving the limb in a slow, smooth, firm but gentle manner,
followed by bending the knee and moving it toward the
chest as far as it will go. Bed should be raised to a
comfortable working level first
A client who has moderate, persistent, chronic neuropathic
pain due to diabetic neuropathy takes gabapentin