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foods should the nurse include as having
A nurse is collecting data from the highest vitamin C content?
a parent of a preschooler at a well- a. 1 cup yogurt
child visit. Which of the following b. 1 cup raw broccoli
findings is a contraindication to a c. 1 large baked potato
measles, mumps and rubella d. 1 cup boiled carrots
(MMR) immunization?
a. Family history of allergies to
penicillin
b. Erythema at injection site
with previous immunization.
c. Long-term use of
immunosuppressants
d. Current use of antimicrobial therapy.
A nurse is reinforcing teaching
with a client who has a vitamin C
deficiency. Which of the following
, NURSE 12354ATI Exam#2 (2) (1) QUESTIONS &
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A nurse is checking the home c. Witness the signature of the client’s
environment of a client for safety parents when he arrives.
hazards. Which of the following items d. Obtain verbal consent from the client
require intervention by the nurse? while waiting for the parents to arrive.
a. The television set is turned to a loud
volume A nurse is reinforcing teaching with a parent
b. The dining room table has low about appropriate snacks for a toddler. Which
chairs with no armrests of the following food should the nurse include?
c. The bedroom extension cord is a. Marshmallows
placed under a heavy nightstand b. Graham crackers
d. The living room contains wall c. Almonds
to wall carpeting. d. Carrot sticks
A nurse is caring for a 17-yr. old client A nurse is preparing to catheterize a
who is admitted for an emergency client’s bladder to check for residual urine.
appendectomy. Which of the following is The nurse should schedule this procedure at
an appropriate action by the nurse in which of the following times?
obtaining informed consent? a. Right after the client void
a. Have the client’s older b. When the client feels an urge to void
sibling give consent if parent c. While voiding on a bedpan
is not available. d. Before obtaining a bladder scan.
b. Delay the procedure if the provider
cannot contact the parents. A nurse is caring for a client who has viral
, NURSE 12354ATI Exam#2 (2) (1) QUESTIONS &
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pneumonia. Which of the following A nurse is collecting data from a client
actions should the nurse take? who has diabetes mellitus. Which of the
a. Place the client in a private room following indicates the client might be
b. Administer azithromycin experiencing diabetic ketoacidosis?
c. Recommend a pneumococcal a. Negative urine ketones
immunization. b. Kussmaul respirations
d. Limit fluid intake to 1L per day. c. Hypoglycemia
d. Anuria
A nurse receives a verbal order for a
client to receive a stat dose of meperidine
100 mg PO. She administers the
medication, charts the administration and
then realizes she has administered
phenytoin 100 mg. which of the following
actions should the nurse take first?
a. Check client’s vital signs.
b. Complete an incident report.
c. Notify the provider
d. Administer the meperidine.
A nurse is caring for a client and begins
to suspect he is experiencing transference.
, NURSE 12354ATI Exam#2 (2) (1) QUESTIONS &
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Which of the following client c. Supine
statements should the nurse identify as d. Orthopneic
an indicator of transference?
a. I’m going to inform my
provider that I’m going to quit
taking my medication
b. I don’t want to talk to you
about how I’m feeling right
now
c. I feel really close to you
because you remind me of
my ex-boyfriend.
d. I feel happy about the progress
I have been making in my life.
A nurse is reinforcing teaching
about self- administration of nasal
drops with a client. Which of the
following position should the nurse
recommend for installation of the
drops?
a. Sims’
b. Prone