ATI PN Management Online Practice 2023 C, Answered
A nurse in a long-term care facility enters a client's room and finds the client lying
on the floor. The client reports falling while trying to go to the restroom. Which of
the following actions should the nurse take first?
- Check the client for injuries.
A nurse is reinforcing teaching with a newly licensed nurse about the
administration of opioid pain medication. Which of the following instructions
should the nurse include?
- Have a second nurse witness the disposal of the unused portion of the clients
medication
A nurse is using a critical pathway while providing care to a client who is 3 days
postoperative. Which of the following events should the nurse document as a
variance?
- The client has a circular area of nonblanchable redness on her left heel
A home health nurse is reinforcing teaching about the effects of carbon monoxide
poisoning. Which of the following manifestations should the nurse include?
- Headaches
The nurse should reinforce in the teaching that headaches, dizziness, nausea,
vomiting, loss of muscle control, and muscle weakness are manifestations of
carbon monoxide poisoning.
A nurse is contributing to the plan of care for a client who is newly admitted to a
rehabilitation facility. Which of the following actions should the nurse take first?
- Ask the client to identify his goals for recovery
A nurse is discussing delivery models of care with a group of newly licensed
nurses. Which of the following should the nurse include as an example of the
functional nursing model of care?
- Nurses are assigned specific tasks to perform for each of the clients
, A nurse is reinforcing discharge teaching with a client who is 2 days postpartum.
The client expresses concern about a lack of family support and limited financial
resources. Which of the following responses should the nurse make?
- "How do you feel about discussing your concerns with a social worker?"
A nurse is preparing to document client care in the electronic health record for a
client who is postoperative. Which of the following should the nurse include in the
documentation?
- A treatment that was refused by the client.
A nurse on a facility's performance improvement team is assisting to develop
practice guidelines for performing bladder scans. Which of the following actions
should the nurse take prior to developing a policy and procedure for this task?
- Review evidence-based practice data related to bladder scanner use.
A nurse is caring for a client who received a skin tear during a routine dressing
change. After completing an incident report, which of the following actions should
the nurse take?
- Submit the incident report to the nurse manager for review
A nurse is contributing to the plan of care for a client who has a prescription for a
24 hr urine specimen. Which of the following interventions should the nurse plan
to include? (Select all that apply.)
- Begin the timed collection by discarding the first specimen
Post the times for urine collection above the toilet in the clients bathroom
Obtain a clean specimen collection container for use during the test
A nurse is caring for an adolescent client who requires a blood transfusion. The
client's parents will not consent to the transfusion due to religious beliefs. Which of
the following actions should the nurse take?
- Inform the charge nurse and recommend that social services be contacted
A nurse in a long-term care facility enters a client's room and finds the client lying
on the floor. The client reports falling while trying to go to the restroom. Which of
the following actions should the nurse take first?
- Check the client for injuries.
A nurse is reinforcing teaching with a newly licensed nurse about the
administration of opioid pain medication. Which of the following instructions
should the nurse include?
- Have a second nurse witness the disposal of the unused portion of the clients
medication
A nurse is using a critical pathway while providing care to a client who is 3 days
postoperative. Which of the following events should the nurse document as a
variance?
- The client has a circular area of nonblanchable redness on her left heel
A home health nurse is reinforcing teaching about the effects of carbon monoxide
poisoning. Which of the following manifestations should the nurse include?
- Headaches
The nurse should reinforce in the teaching that headaches, dizziness, nausea,
vomiting, loss of muscle control, and muscle weakness are manifestations of
carbon monoxide poisoning.
A nurse is contributing to the plan of care for a client who is newly admitted to a
rehabilitation facility. Which of the following actions should the nurse take first?
- Ask the client to identify his goals for recovery
A nurse is discussing delivery models of care with a group of newly licensed
nurses. Which of the following should the nurse include as an example of the
functional nursing model of care?
- Nurses are assigned specific tasks to perform for each of the clients
, A nurse is reinforcing discharge teaching with a client who is 2 days postpartum.
The client expresses concern about a lack of family support and limited financial
resources. Which of the following responses should the nurse make?
- "How do you feel about discussing your concerns with a social worker?"
A nurse is preparing to document client care in the electronic health record for a
client who is postoperative. Which of the following should the nurse include in the
documentation?
- A treatment that was refused by the client.
A nurse on a facility's performance improvement team is assisting to develop
practice guidelines for performing bladder scans. Which of the following actions
should the nurse take prior to developing a policy and procedure for this task?
- Review evidence-based practice data related to bladder scanner use.
A nurse is caring for a client who received a skin tear during a routine dressing
change. After completing an incident report, which of the following actions should
the nurse take?
- Submit the incident report to the nurse manager for review
A nurse is contributing to the plan of care for a client who has a prescription for a
24 hr urine specimen. Which of the following interventions should the nurse plan
to include? (Select all that apply.)
- Begin the timed collection by discarding the first specimen
Post the times for urine collection above the toilet in the clients bathroom
Obtain a clean specimen collection container for use during the test
A nurse is caring for an adolescent client who requires a blood transfusion. The
client's parents will not consent to the transfusion due to religious beliefs. Which of
the following actions should the nurse take?
- Inform the charge nurse and recommend that social services be contacted
