PN 3 Comprehensive ATI Questions & Answers(already graded A+)

PN 3 Comprehensive ATI Questions & Answers A nurse is caring for a client who is experiencing a diazepam overdose. Which of the following medication should the nurse administer? Flumazenil A nurse is caring for a client who is febrile. To reduce the client’s fever, the nurse applies a cooling blanket. Which of the following findings indicates the client is having an adverse reaction to the cooling? Shivering A nurse is planning care for a client who sustained a major burn over 20% of the body. Which of the following interventions should the nurse include to support the client’s nutritional requirements Keep a calorie count for foods and beverages A nurse is caring for a client who has severe hypertension and is to receive nitoprusside via continuous IV infusion. Which of the following actions should the nurse plan to take? Protect the IV bag from exposure to light A nurse is caring for a client who is recovering from an amputation for her right arm below the elbow. Which of the following information should the nurse report to the occupational therapist A nurse is caring for a client who has cancer of the throat and is receiving radiation therapy. The nurse should monitor for which of the following findings as an adverse effect of the radiation? Altered taste sensation A nurse in an intensive care unit is assessing a client who has heart failure and has been receiving metoprolol for 3 days. Which of the following findings indicates the treatment has been effective? Decreased edema A nurse is admitting a client who has schizophrenia and experiences occasional auditory hallucinations. The client states “Its hard not to listen to the voices” which of the following questions should the nurse ask the client? What helps you ignore what you are hearing? A nurse is preparing to administer cefpodoxime 10 mg/kg/day PO divided equally every 12 hr to a child who weighs 66lbs. available is cefpodoxime 20 mg/ml oral solution. How many Mls should the nurse administer per dose? 7.5 A nurse is teaching a client who has chronic urinary tract infections. Which of the following instructions should the nurse include? Try to void every 4 hr A nurse is assessing the coping strategies of a client who has recently retired. Which of the following statements by the client indicates that the client is using compensation as a defense mechanism? Since I retired I have entered many gardening compensations A nurse is caring for a client who is recovering from an amputation of her right arm below the elbow. Which of the following information should the nurse report to the occupational therapist? The client has two small children at home A nurse is providing teaching to a client who is at 12 weeks of gestation. The nurse should tell the client that she will undergo which of the following screening tests at 16 weeks of gestation? Maternal serum alpha fetoprotein A nurse is planning care for a client who is 3 days postoperative following a below the knee amputation. Which of the following actions should the nurse include in the plan? Assist the client to a prone position once a day for 1 hr A nurse is assessing a client who is pregnant and has new diagnosis of hyperemesis gravidarum. Which of the following findings should the nurse expect? Elevated blood pressure A nurse is providing discharge teaching to a client who has type 1 dm about preventing diabetic ketoacidosis when ill. Which of the following statements by the client indicates an understanding of the teaching? I will call my dr if I am sick A nurse is caring for a client who has schizophrenia and is experiencing delusions. Which of the following actions should the nurse take? Encourage the client to rest quietly in bed twice per day A nurse is teaching a wellness class about depression for a group of older adults clients. Which of the following information should the nurse include in the teaching? Depression can be misdiagnoses as a neurocognitive disorder in older adult clients A nurse is preparing for discharge information for a client who has type 2 dm. which of the following information resources should the nurse provide to the client? Food exchange lists for meal planning from the American diabetes association A nurse is preparing to perform a heel stick on an infant. Which of the following actions should the nurse plan to take to reduce the infant’s pain during the procedure? Promote skin to skin contact with the infants guardian during the procedure A nurse is administering a continuous enteral feeding to a client. Which of the following actions should the nurse take? Check gastric residuals every 4 hr A nurse is preparing to obtain a clients signature on an informed consent form. Which of the following actions should the nurse take first? Ask the client to explain his understanding of the procedure A nurse is preparing to obtain a client’s signature on an informed consent . which of the following actions should the n take first? Witness the client signing the informed consent form A nurse is planning care for a client who is receiving continuous enteral tube feedings through an open system, which of the interventions should the nruse include in the plan of care? Place enough formula in the container to last 18 hours A nurse on an antepartum unit is prioritizing care for multiple clients. Which of the following clients should the nurse see first? A client who has preeclampsia and reports a persistent headache A nurse is providing discharge teaching for the guardian of a school age child following a cardiac catheterization instructions should the nurse include in the teaching? You should remove your child’s pressure dressing tomorrow A nurse in an emergency department is caring for a 3 year old child who has suspected epiglottis. Which of the following actions should the nurse take? Obtain a throat culture A nurse is preparing to provide discharge teaching to a client who is newly diagnoses with diabetes mellitus. Which of the following statements by the client indicates a readiness to learn? Id like to wait until my partner is here so that we can both learn together A home health nurse is preparing to make an initial visit to a family following a referral from a local provider. Identify the sequence of steps the nurse should take when conducting a home visit. Clarify the reason for the referral with the providers office Contact the family to determine availability and readiness to make an appointment Identify family needs and interventions using the nursing process Discuss plans for future visits with the family Record information about the home visit according to agency policy A nurse is teaching a guardian of an adolescent who has mild persisten asthma and a new prescription for maintenance prednisone. Which of the following statements by the guardian indicates an understanding of the teaching? This medication can increase my son’s risk for infection. A nurse is using an IV pump for a newly admitted client. Which of the following actions should the nurse take? Check the cords of the IV pump for fraying A nurse is assessing a client who is receiving daily aspirin therapy. The nurse should identify that which of the following findings might indicate an allergic reaction to this medication? Blurred vision A nurse manager is developing a protocol for staff discipline. Which of the following actions should the nurse manager take when implementing this new protocol? Inform staff about the purpose of the units new processes A nurse is caring for a 1 month old infant who has manifestation of severe dehydration and a prescription for parenteral fluid therapy the guardian asks: what are the indications that my baby needs an iv?” which of the following responses should the nurse make? Your baby needs an iv because she is not producing tears A nurse on a mental health unit is planning room assignments for four clients. Which of the following clients should the nurse assign to a room near the nurses station? A client who has a depressive disorder and reports feeling hopeless. A nurse is performing an abdominal assessment as part of a clients comprehensive physical examination. Which of the following is the final step the nurse should perform? Palpation A nurse is teaching a client who is pregnant and has a new prescription for an iron supplement. Which of the following statements should the nurse include? You might become constipated while taking this medication A nurse is teaching a client who is receiving radiation therapy about skin protection. Which of the following client statements understanding of the teaching? I will use my hand instead of a washcloth to was the irradiated area of skin A nurse is caring for a client who is 4 hr postpartum. The client reports an urge to void but is unable to void. Which of the following actions should the nurse take? Massage the clients fundus A nurse is preparing educational material for a client. Which of the following techniques should the nurse use in creating the material? Write information at a seventh grade reading level A nurse is reviewing laboratory findings for a client who is receiving tpn. For which of the following findings should the nurse notify the provider? Sodium 125 mew/L A nurse is providing discharge teaching to a client who is postoperative following surgery for carpal tunnel syndrome. Which of the following statements by the client indicates an understanding of the teaching? I will needs to keep my hand elevated above my heart for several days A nurse is planning care for a client who has an L4 spinal cord injury. Which of the following interventions to prevent skin breakdown should the nurse include in the plan of care? Ask the client to shift his weight every 20 mins while sitting in a chair A nurse is caring for a client who repeatedly refuses meals. The nurse overhears an AP telling the client” if you don’t eat ill put restraints on your wrists and feed you. The nurse should intervene and explain to the AP that this statement constitutes which of the following torts? Assault A nurse is caring for a client who reports insomnia. Which of the following is the priority for the nurse to report to the provider? Snores loudly at night with morning headaches A nurse is teaching a client who has heart failure about engaging in an exercise program. Which of the following statements by the client indicates an understandings of the teaching? I will make sure I can still talk while exercising A nurse is assessing a client who has anorexia nervosa. Which of the following findings indicates effectiveness of the treatment plan? The client gains a total of 0.9 kh (2 lbs) during the first month A nurse is assessing a client to determine the needs for physical restraints. The nurse should identify which of the following as an acceptable reason to apply physical restraints. To maintain the patency of an IV line A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a kidney transplant. Which of the following findings should the nurse report to the provider? Serum creatinine 1.6 A nurse is planning a community health program about parkinsons disease, which of the following interventions should the nurse include as a tertiary prevention strategy? Provide daily exercise classes to improve ambulation for cleints who have parkinson’s disease A nurse is creating a plan of care for a newly admitted client who has obsessive compulsive disorder. Which of the following interventions should the nurse include? Allow the client enough time to perform rituals A nurse is teaching a client who has alcohol use disorder about disulfiram. Which of the following client statements indicates an understanding of the teaching? I should avoid products containing alcohol, like mouthwash, while taking the medication A nurse is assessing a client who has type 1 diabetes mellulitis and was administered insulin lispro 1 hr ago. Which of the following manifestations indicates that the client might be experiencing hypoglycemia? Confusion A nurse is preparing to initiate intravenous fluids via infusion pump for a client. Which of the following actions should the nurse take? Check the expiration date on the safety inspection sticker of the pump A nurse is caring for a client who will undergo a procedure. The client states he does not want to provider to discuss the results with his partner . which of the following is an appropriate response for the nurse to make? You have the right to decide who receives information A nurse is caring for a client who is obese. The client is crying and states “everyone is staring at me because o my weight.” Which of the following responses should the nurse make? Is sounds like youre saying that you feel uncomfortable around others A nurse is teaching a group of clients at a community health fair about genetic risks for diseases. Which of the following statements by a client indicates an understanding of the teaching? My family has a genetic risk for breast cancer, so I am considering a total mastectomy A nurse manager is planning a performance evaluation for a staff nurse. Which of following actions should the nurse manager take? Establish goals for improvement with the staff nurse A nurse is caring for a client who has acute glomerulonephritis. The nurse should identify that which of the following findings is the priority? BUN 24 A nurse is teaching participants at a community center about advance directives. Which of the following information should the nurse include in the teaching? A heath care surrogate makes health care decisions when the client is no longer able A nurse is instructing a school age child who has asthma about the use of a peak expiratory flow meter. Which of the following instructions should the nurse include in the teaching? Blow into the meter as hard and quickly as possible A nurse is caring for a client who is postoperative and has a chest tube drainage system. For which of the following findings should the nurse notify the provider? Continuous bubbling in the water seal chamber A nurse is planning care for a client who is receiving hemodialysis. Which of the following actions should