RN ATI capstone proctored comprehensive assessment2019 B | ATI Comprehensive Practice Test B

A nurse is assessing a school-aged child who has bacterial meningitis. Which of the following findings should the nurse expect? Nuchal rigidity This is a manifestation of bacterial meningitis. 8. A nurse is assessing a newborn’s heart rate. Which of the following actions should the nurse take? Auscultate the apical pulse at least 1 min. The nurse should auscultate the apical pulse to obtain an accurate assessment of heart rate and rhythm. Auscultation of a newborn’s heart sounds can be difficult because of the rapid rate and the transmission of respiratory sounds. 9. A nurse is preparing to assist with a thoracentesis for a client who has pleurisy. The nurse should plan to perform which of the following actions? Instruct the client to avoid coughing during the procedure. It is important for the nurse to remind the client to avoid coughing and to lie still during a thoracentesis to avoid puncturing the pleura. 10. A nurse in the ED is assessing a preschooler who has a facial laceration. The nurse should identify which of the following findings as a potential indication of child sexual abuse? The child exhibits discomfort while walking. The nurse should identify this finding as a potential indication of child sexual abuse. 11. A nurse is preparing to teach about dietary management to a client who has Crohn’s disease and an entero enteric fistula. Which of the following nutrients should the nurse instruct the client to decrease in their diet? Fiber The nurse should instruct the client to consume a low-fiber diet to reduce diarrhea and inflammation. 12. A nurse is caring for a client who has a prescription for a continuous passive motion (CPM) machine following a total knee arthroplasty. Which of the following actions should the nurse take? Turn off the CPM machine during mealtime. This promotes client comfort and dietary intake.