ATI fundamentals practice A questions and answers top score 2024.

ATI fundamentals practice A questions and answers top score 2024. A hnurse his hevaluating ha hclient's huse hof ha hcane. hWhich hof hthe hfollowing hactions hshould hthe hnurse hidentify has han hindication hof hcorrect huse? 1. hThe htop hof hthe hcane his hparallel hto hthe hclient's hwaist. 2. hWhen hwalking, hthe hclient hmoves hthe hcane h46 hcm h(18 hin) hforward. 3. hThe hclient hholds hthe hcane hon hthe hstronger hside hof hher hbody. 4. hThe hclient hmoves hher hstronger hlimb hforward hwith hthe hcane. h- h h h hcorrect hanswer h: h3 The hclient hshould hhold hthe hcane hon hthe hstronger hside hof hher hbody hto hincrease hsupport hand hmaintain halignment. A hnurse hreceives ha hreport habout ha hclient hwho hhas h0.9% hsodium hchloride hinfusing hIV hat h125mL/hr. hWhen hthe hnurse hperforms hthe hinitial hassessment, hhe hnotes hthat hthe hclient hhas hreceived honly h80mL hover hthe hlast h2 hhr. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake hfirst? h 1. hReposition hthe hclient. 2. hDocument hthe hclient's hIV hintake hin hthe hmedical hrecord. 3. hRequest ha hnew hIV hfluid hprescription. 4. hCheck hthe hIV htubing hfor hobstruction. h- h h h hcorrect hanswer h: h4 The hfirst haction hthe hnurse hshould htake husing hthe hnursing hprocess his hto hassess hthe hclient. hIf hchecking hthe hIV htubing hand hverifying han hobstruction, hthe hnurse hmight hbe hable hto hfacilitate hthe hflow hof hfluid hthrough hthe htubing. hThis hcould hre-establish hthe hinfusion hrate hthe hprovider hprescribed. A hnurse his hcaring hfor ha hclient hwho hrequires han hNG htube hfor hstomach hdecompression. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake hwhen hinserting hthe hNG htube? 1. hPosition hthe hclient hwith hthe hhead hof hthe hbed helevated hto h30° hprior hto hinsertion hof hthe hNG htube. 2. hRemove hthe hNG htube hif hthe hclient hbegins hto hgag hor hchoke. 3. hApply hsuction hto hthe hNG htube hprior hto hinsertion. 4. hHave hthe hclient htake hsips hof hwater hto hpromote hinsertion hof hthe hNG htube hinto hthe hesophagus. h- h h h hcorrect hanswer h: h4 Taking hsips hof hwater has hthe hNG htube hpasses hthrough hthe horopharynx hwill hclose hthe hepiglottis hover hthe htrachea hand hprevent hthe htube hfrom hpassing hinto hthe htrachea. A hnurse his hreviewing ha hclient's hfluid hand helectrolyte hstatus. hWhich hof hthe hfollowing hfindings hshould hthe hnurse hreport hto hthe hprovider? 1. hBUN h15 hmg/dL 2. hCreatinine h0.8 hmg/dL 3. hSodium h143 hmEq/L 4. hPotassium h5.4 hmEq/L h- h h h hcorrect hanswer h: h4 This hvalue his habove hthe hexpected hreference hrange hof h3.5 hto h5 hmEq/L, hso hthe hnurse hshould hreport hthis hfinding hto hthe hprovider. hThis hclient his hat hrisk hfor hdysrhythmias. A hnurse his hproviding hdischarge hinstructions hto ha hclient hwho hwill hbe husing ha hwalker. hWhich hof hthe hfollowing hclient hstatements hindicates han hunderstanding hof hthe hteaching? 1."I hcan hplace han hextension hcord hacross hmy hliving hroom hto hplug hin hmy htelevision." 2. h"I hwill hhire hsomeone hto htrim hthe htree hthat hhangs hlow hover hthe hstairs hof hmy hfront hporch." 3. h"I hwill hplace hmy halarm hclock hon hmy hbedroom hdresser hacross hthe hroom." 4. h"I hwill hreplace hthe hold hthrow hrug hin hmy hkitchen hwith ha hnew hone." h- h h h hcorrect hanswer h: h2 Clearing hstairs hof hany hobject hthat hcould hcause hthe hclient hto htrip hor hrequire hthem hto hbend hover hwhile hwalking hwill hdecrease hthe hrisk hfor hfalls. A hnurse his hplanning hcare hfor ha hclient hwho hhas hhad ha hstroke, hresulting hin haphasia hand hdysphagia. hWhich hof hthe hfollowing htasks hshould hthe hnurse hassign hto han hassistive hpersonnel? hSATA 1. hAssist hthe hclient hwith ha hpartial hbed hbath. 2. hMeasure hthe hclient's hBP hafter hthe hnurse hadministers han hantihypertensive hmedication. 3. hTest hthe hclient's hswallowing hability hby hproviding hthickened hliquids. 4. hUse ha hcommunication hboard hto hask hwhat hthe hclient hwants hfor hlunch. 5. hIrrigate hthe hclient's hindwelling hurinary hcatheter. h- h h h hcorrect hanswer h: h1, h2, h4 Assisting ha hclient hwith ha hbed hbath hposes hminimal hrisk hto hthe hclient hand his hwithin hthe hAP's hrange hof hfunction. Measuring ha hclient's hBP hposes hminimal hrisk hto hthe hclient hand his hwithin hthe hAP's hrange hof hfunction. Using ha hcommunication hboard hposes hminimal hrisk hto hthe hclient hand his hwithin hthe hAP's hrange hof hfunction. A hnurse his hcaring hfor ha hclient hwho his hexpressing hanger habout hhis hdiagnosis hof hcolorectal hcancer. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake? 1. hDiscuss hthe hrisk hfactors hfor hcolon hcancer. 2. hFocus hteaching hon hwhat hthe hclient hwill hneed hto hdo hin hthe hfuture hto hmanage hhis hillness. 3. hProvide hthe hclient hwith hwritten hinformation habout hthe hphases hof hloss hand hgrief. 4. hReassure hthe hclient hthat hthis his han hexpected hresponse hto hgrief. h- h h h hcorrect hanswer h: h4 During hthe hanger hstage hof hthe hclient's hpsychosocial hadaptation hto hillness, hthe hnurse hshould hsupport hthe hclient hand hexplain hthat hthis his han hexpected hreaction hto ha hcancer hdiagnosis. A hnurse his hpreparing hto happly ha hdressing hfor ha hclient hwho hhas ha hstage h2 hpressure hinjury. hWhich hof hthe hfollowing htypes hof hdressings hshould hthe hnurse huse? h 1. hAlginate 2. hGauze 3. hTransparent 4. hHydrocolloid h- h h h hcorrect hanswer h: h4 Hydrocolloid hdressings hpromote hhealing hin hstage h2 hpressure hinjuries hby hcreating ha hmoist hwound hbed. A hnurse his hadministering han hotic hmedication hto han holder hadult hclient. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake hto hensure hthe hmedication hreaches hthe hinner hear? 1. hPress hgently hon hthe htragus hof hthe hclient's hear. 2. hPack ha hsmall hpiece hof hcotton hdeep hinto hthe hclient's hear hcanal. 3. hMove hthe hclient's hauricle hdown hand hback htoward hher hhead. 4. hTilt hthe hclient's hhead hbackward hfor h5 hmin. h- h h h hcorrect hanswer h: h1 Pressing hgently hon hthe htragus hof hthe hear hwill hhelp hthe hmedication hget hinto hthe hinner hear. A hnurse his husing han hopen hirrigation htechnique hto hirrigate ha hclient's hindwelling hurinary hcatheter. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake? 1. hPlace hthe hclient hin ha hside-lying hposition. 2. hInstill h15 hmL hof hirrigation hfluid hinto hthe hcatheter hwith heach hflush. 3. hSubtract hthe hamount hof hirrigant hused hfrom hthe hclient's hurine houtput. 4. hPerform hthe hirrigation husing ha h20-mL hsyringe. h- h h h hcorrect hanswer h: h3 The hnurse hshould hcalculate hthe hfluid hused hfor hirrigation hand hsubtract hit hfrom hthe hclient's htotal hurinary houtput. A hnurse his hinitiating ha hprotective henvironment hfor ha hclient hwho hhad han hallogeneic hstem hcell htransplant. hWhich hof hthe hfollowing hprecautions hshould hthe hnurse hplan hfor hthis hclient? 1. hMake hsure hthe hclient's hroom hhas hat hleast hsix hair hexchanges hper hhour. 2. hMake hsure hthe hclient hwears ha hmask hwhen houtside hher hroom hif hthere his hconstruction hin hthe harea. 3. hPlace hthe hclient hin ha hprivate hroom hwith hnegative-pressure hairflow. 4. hWear han hN95 hrespirator hwhen hgiving hthe hclient hdirect hcare. h- h h h hcorrect hanswer h: h2 An hallogeneic hstem hcell htransplant hcompromises hthe hclient's himmune hsystem, hgreatly hincreasing hthe hrisk hfor hinfection. hThe hclient hwill hneed hprotection hfrom hbreathing hin hany hpathogens hin hthe henvironment. A hnurse his hplanning hstrategies hto hmanage htime heffectively hfor hclient hcare. hWhich hof hthe hfollowing hstrategies hshould hthe hnurse himplement? 1. hCombine hclient hcare htasks hwhen hcaring hfor hmultiple hclients. 2. hWait huntil hthe hend hof hthe hshift hto hdocument hclient hcare. 3. hUse hthe hplanning hstep hof hthe hnursing hprocess hto hprioritize hclient hcare hdelivery. 4. hAllow hfor hinterruptions hin htasks hto hdiscuss hclient hcare hissues hwith hcolleagues. h- h h h hcorrect hanswer h: h3 Setting hup ha hlist hof hgoals hand htasks hto hperform hfor hclients hcan hhelp hthe hnurse hset hcare hpriorities hand hplan htasks haccordingly. hThe hpriority hto-do hlist his han hefficient htool hfor hoptimal htime hmanagement. A hnurse hcaring hfor ha hclient hwho his hpostoperative hfollowing ha hknee harthroplasty hand hrequires hthe huse hof hthigh-length hsequential hcompression hsleeves. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake? h 1. hAssist hthe hclient hinto ha hprone hposition. 2. hPlace ha hsleeve hover hthe htop hof heach hleg hwith hthe hopening hat hthe hknee. 3. hMake hsure htwo hfingers hcan hfit hunder hthe hsleeves. 4. hSet hthe hankle hpressure hat h65 hmm hHg. h- h h h hcorrect hanswer h: h3 The hnurse hshould hensure hthat hthere his henough hspace hfor htwo hfingers hto hfit hunder hthe hsleeve hbecause hany hless hspace hbetween hthe hsleeves hand hthe hlegs hcan hinhibit hcirculation hwhen hthe hsleeves hinflate. A hnurse his hcaring hfor ha hclient hwho hhas ha hrespiratory hinfection. hWhich hof hthe hfollowing htechniques hshould hthe hnurse huse hwhen hperforming hnasotracheal hsuctioning hfor hthe hclient? 1. hInsert hthe hsuction hcatheter hwhile hthe hclient his hswallowing. 2. hApply hintermittent hsuction hwhen hwithdrawing hthe hcatheter. 3. hPlace hthe hcatheter hin ha hlocation hthat his hclean hand hdry hfor hlater huse. 4. hHold hthe hsuction hcatheter hwith hher hclean, hnondominant hhand. h- h h h hcorrect hanswer h: h2 The hnurse hshould happly hintermittent hsuction hduring hthe hwithdrawal hof hthe hcatheter hto hprevent hinjury hto hthe hmucosa. hHowever, hsuctioning hcontinuously hfor hmore hthan h10 hseconds hcan hcause hcardiopulmonary hcompromise. A hnurse his hassessing ha hclient hwho hreports hincreased hpain hfollowing hphysical htherapy. hWhich hof hthe hfollowing hquestions hshould hthe hnurse hask hwhen hassessing hthe hquality hof hthe hclients hpain? 1. h"Is hyour hpain hconstant hor hintermittent?" 2. h"What hwould hyou hrate hyour hpain hon ha hscale hof h0 hto h10?" 3. h"Does hthe hpain hradiate?" 4. h"Is hyour hpain hsharp hor hdull?" h- h h h hcorrect hanswer h: h4 Asking hthe hclient hwhether hthe hpain his hsharp, hdull, hcrushing, hthrobbing, haching, hburning, helectric-like, hor hshooting hhelps hdetermine hthe hquality hof hthe hpain. A hnurse his hproviding hdischarge hteaching hto ha hclient habout hself-administering hheparin. hWhich hof hthe hfollowing hinstructions hshould hthe hnurse hinclude hin hthe hteaching? 1. hInsert hthe hneedle hat ha h15° hangle. 2. hAspirate hfor hblood hreturn hprior hto hadministration. 3. hAdminister hthe hmedication hinto hthe habdomen. 4. hMassage hthe hsite hfollowing hthe hinjection. h- h h h hcorrect hanswer h: h3 The hnurse hshould hinstruct hthe hclient hto hadminister hthe hmedication hinto hthe habdomen hat hleast h5.08 hcm h(2 hin) hfrom hthe humbilicus. hThe hclient hshould hpinch hor hspread hthe hskin hat hthe hinjection hsite hto hadminister hthe hmedication hinto hthe hsubcutaneous htissue. A hnurse hin ha hlong-term hcare hfacility his hcaring hfor ha hclient hwho hdies hduring hthe hnurses hshift. hIdentify hthe hsequence hin hwhich hthe hnurse hshould hperform hthe hfollowing hsteps 1. hPlace ha hname htag hon hthe hbody 2. hObtain hthe hpronouncement hof hdeath hfrom hthe hprovider 3. hRemove hthe htubes hand hindwelling hlines 4. hWash hthe hclients hbody 5. hAsk hthe hclients hfamily hmember hif hthey hwould hlike hto hview hthe hbody h- h h h hcorrect hanswer h: h2,3,4,5,1 A hnurse his hteaching ha hclient hand hhis hfamily hhow hto hcare hfor hthe hclient's htracheostomy hat hhome. hWhich hof hthe hfollowing hinstructions hshould hthe hnurse hinclude hin hthe hteaching? h 1. hRemove hthe houter hcannula hcautiously hfor hroutine hcleaning. 2. hUse htracheostomy hcovers hwhen houtdoors. 3. hUse hsterile htechnique hwhen hperforming htracheostomy hcare hat hhome. 4. hCleanse hirritated hskin hwith hfull-strength hhydrogen hperoxide. h- h h h hcorrect hanswer h: h2 Tracheostomy hcovers hprotect hthe hclient's hairway hfrom hcold hair, hdust, hand hother hairborne hparticles. A hnurse his hcaring hfor ha hclient hwho hhas ha hterminal hillness hand his happroaching hdeath. hThe hclient his hshort hof hbreath hand hhas hnoisy hrespirations hfrom hsecretions. hWhich hof hthe hactions hshould hthe hnurse htake? 1. hTurn hthe hclient hevery h2 hhr. 2. hAdminister han hantiemetic hevery h6 hhr. 3. hHold horal hcare. 4. hIncrease hthe hroom's htemperature. h- h h h hcorrect hanswer h: h1 The hnurse hshould hturn hthe hclient hat hleast honce hevery h2 hhr hto hbreak hup hthe hsecretions hin hthe hclient's hlungs hand hprevent hnoisy hrespirations. A hnurse his hcaring hfor ha hchild hwho hhas ha hprescription hfor ha hblood htransfusion. hThe hchild's hparents hhave hrefused hthe htreatment hdue hto htheir hreligious hbeliefs. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake? 1. hExamine hpersonal hvalues habout hthe hissue. 2. hTell hthe hparents hthat hthis his ha hnecessary hprocedure. 3. hInform hthe hparents hthat hthe hstaff hdoes hnot hrequire htheir hconsent. 4. hContact ha hspiritual hsupport hperson hto hexplain hthe himportance hof hthe hprocedure. h- h h h hcorrect hanswer h: h1 Nurses hshould hexamine htheir hown hpersonal hvalues habout hthe hissue hin hquestion hin horder hto hprovide hcare hthat his hwithout hbias. A hnurse his hpreparing hto hadminister henoxaparin hsubcutaneously hto ha hclient. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake? 1. hAdminister hthe hmedication hwith hthe hneedle hat ha h45° hangle. 2. hAdminister hthe hmedication hinto hthe hclient's hnondominant harm. 3. hPull hthe hclient's hskin hlaterally hor hdownward hprior hto hadministration. 4. hMassage hthe hinjection hsite hafter hadministration. h- h h h hcorrect hanswer h: h1 The hnurse hshould hinsert hthe hneedle hat ha h45° hto h90° hangle hfor ha hsubcutaneous hinjection. A hnurse his hadmitting ha hclient hwho his hhaving han hexacerbation hof hheart hfailure. hIn hplanning hthis hclients hcare, hwhen hshould hthe hnurse hinitiate hdischarge hplanning? 1. hDuring hthe hadmission hprocess 2. hAs hsoon has hthe hclient's hcondition his hstable 3. hDuring hthe hinitial hteam hconference 4. hAfter hconsulting hwith hthe hclient's hfamily h- h h h hcorrect hanswer h: h1 Discharge hplanning hshould hbegin has hsoon has hthe hclient his hundergoing hthe hadmission hprocess. hThe hnurse hshould hbegin hto hassess hthe hclient's hneeds hand hplan hfor hcare hboth hduring hand hafter hthe hclient's htime hin hthe hfacility. A hnurse his hassessing ha hclient hwho hhas hrequired hbed hrest hfor hthe hpast hmonth. hWhich hof hthe hfollowing hfindings hshould hthe hnurse hidentify has han hindication hthat hthe hclient hhas hdeveloped hthrombophlebitis? 1. hBladder hdistention 2. hDecreased hblood hpressure 3. hCalf hswelling 4. hDiminished hbowel hsounds h- h h h hcorrect hanswer h: h3 Swelling, hredness, hand htenderness hin ha hcalf hmuscle hare hmanifestations hof hthrombophlebitis, ha hcommon hcomplication hof himmobility. A hnurse his hcaring hfor ha hclient hwho hhas hdementia. hWhich hof hthe hfollowing hinterventions hshould hthe hnurse htake hto hminimize hthe hrisk hfor hinjury hto hthe hclient? 1. hUse ha hbed hexit halarm hsystem. 2. hRaise hfour hside hrails hwhile hthe hclient his hin hbed. 3. hApply hone hsoft hwrist hrestraint. 4. hDim hthe hlights hin hthe hclient's hroom. h- h h h hcorrect hanswer h: h1 The hnurse hshould hidentify hthat ha hclient hwho hhas hdementia hrequires hassistance hwhen hexiting htheir hbed hand hmight hbe hunable hto hremember hto hask hfor hhelp. hThe hclient's hcondition hplaces hthem hat ha hrisk hfor hfalling; htherefore, ha hbed halarm hsystem hcan halert hstaff hmembers hthat hthe hclient his htrying hto hget hout hof hbed hand hrequires hassistance. A hnurse his hassessing han holder hadult hclient's hrisk hfor hfalls. hwhich hof hthe hfollowing hassessments hshould hthe hnurse huse hto hidentify hthe hclients hsafety hneeds? 1. hLacrimal happaratus 2. hPupil hclarity 3. hAppearance hof hbulbar hconjunctivae 4. hVisual hfields 5. hVisual hacuity h- h h h hcorrect hanswer h: h2,4,5 . hCloudy hpupils hmean hthat hthe hclient hhas hcataracts. hThis hmakes hvision hcloudy hand hcreates hhalos haround hlights, hwhich hcan hincrease hthe hrisk hfor hfalls hbecause hclients hcannot hsee hitems hin htheir hpath hclearly. The hnurse hshould huse ha hfinger hto htest hthe hclient's hperipheral hvision hby hmoving hthe hfinger hout hof hrange hand hthen hback hinto hthe hvisual hfield hto hdetermine hwhen hthe hclient hsees hthe hfinger. hClients hwho hhave ha hvisual hfield himpairment hare hat han hincreased hrisk hfor hfalls hbecause hthey hmight hnot hsee hobjects houtside hof htheir hcentral hvision hand htrip hover hthem hor hbump hinto hthem hand hfall. The hnurse hshould huse ha hSnellen hchart hto hassess hdistance hvision hand ha hhandheld hcard hto hassess hnear hvision. hClients hwho hwear heyeglasses hshould hwear hthem hduring hthe hassessments. hClients hwho hhave himpaired hvisual hacuity hare hat han hincreased hrisk hfor hfalls hbecause hthey hmight hnot hsee hobjects hin htheir hpath hand htrip hover hthem hor hbump hinto hthem hand hfall. A hnurse his hcaring hfor ha hclient hwho hhas hpharyngeal hdiptheria. hWhich hof hthe hfollowing htypes hof htransmission hprecautions hshould hthe hnurse hinitiate? 1. hContact 2. hDroplet 3. hAirborne 4. hProtective h- h h h hcorrect hanswer h: h2 Droplet hprecautions hare ha hrequirement hfor hclients hwho hhave hinfections hthat hspread hvia hdroplet hnuclei hthat hare hlarger hthan h5 hmicrons hin hdiameter, hincluding hrubella, hmeningococcal hpneumonia, hand hstreptococcal hpharyngitis. hThe hnurse hshould hwear ha hmask hwhen hproviding hcare hor hwhen hwithin h1 hm h(3 hfeet) hof hthe hclient hwho hhas ha hdisorder hrequiring hdroplet hprecautions. A hnurse his hcaring hfor ha hclient hwho hhas hherpes hzoster hand hasks hthe hnurse habout hthe huse hof hcomplementary hand halternative htherapies hfor hpain hcontrol. hThe hnurse hshould hin hform hthe hclient hthat hthis hcondition his ha hcontraindication hfor hwhich hof hthe hfollowing htherapies? 1. hBiofeedback 2. hAloe 3. hFeverfew 4. hAcupuncture h- h h h hcorrect hanswer h: h4 The hnurse hshould hinform hthe hclient hthat hherpes hzoster, hor hany hskin hinfection, his ha hcontraindication hfor hthe huse hof hacupuncture. hAn hopen hportal hon hthe hskin's hsurface hcould hincrease hthe hrisk hof hfurther hinfection. A hnurse his hadmitting ha hclient hwho hhas han habdominal hwound hwith ha hlarge hamount hof hpurulent hdrainage. hWhich hof hthe hfollowing htypes hof htransmission hprecautions hshould hthe hnurse hinitiate? 1. hProtective henvironment 2. hAirborne hprecautions 3. hDroplet hprecautions 4. hContact hprecautions h- h h h hcorrect hanswer h: h4 Major hwound hinfections hrequire hcontact hprecautions, hwhich hmeans hthe hnurse hshould hadmit hthe hclient hto ha hprivate hroom. hAll hcaregivers hshould hwear ha hgown hand hgloves hduring hdirect hcontact hwith hthis hclient. A hnurse his heducating ha hclient hwho hhas ha hterminal hillness habout hdeclining hresuscitation hin ha hliving hwill. hThe hclient hasks hwhat hwould hhappen hif hi harrive hat hthe hemergency hdepartment hand hI hhad hdifficulty hbreathing? hWhich hof hthe hfollowing hresponses hshould hthe hnurse hmake? 1. h"We hwould hconsult hthe hperson happointed hby hyour hhealth hcare hproxy hto hmake hdecisions." 2. h"We hwould hgive hyou hoxygen hthrough ha htube hin hyour hnose." 3. h"You hwould hbe hunable hto hchange hyour hprevious hwishes habout hyour hcare." 4. h"We hwould hinsert ha hbreathing htube hwhile hwe hevaluate hyour hcondition." h- h h h hcorrect hanswer h: h2 Oxygen hcan hprovide hcomfort hand his hnot hconsidered ha hresuscitative hmeasure hwhen hthe hnurse hdelivers hit hvia hnasal hcannula. A hnurse his hperforming ha hskin hassessment hfor ha hclient hwho hexpresses hconcern habout hskin hcancer. hWhich hof hthe hfollowing hfindings hshould hthe hnurse hidentify has ha hpotential hindication hof hskin hmalignancy? 1. hA hlesion hwith huniform hpigmentation 2. hNew happearance hof hpetechiae 3. hA hmole hwith han hasymmetrical happearance 4. hThe hpresence hof ha hpapule h- h h h hcorrect hanswer h: h3 An huneven hor hasymmetrical hshape his ha hpotential hindication hof ha hskin hmalignancy. hThis his hmanifested hwhen hpart hof ha hlesion hor hmole hlooks hdifferent hfrom hthe hother hpart. A hnurse his hreviewing hevidence hbased hpractice hprinciples habout hadministration hof hoxygen htherapy hwith ha hnewly hlicensed hnurse. hWhich hof hthe hfollowing hactions hshould hthe hnurse hinclude? 1. hRegulate hthe hflow hrate hby haligning hthe hrate hwith hthe htop hof hthe hball hinside hthe hflow hmeter. 2. hRegulate hoxygen hvia hnasal hcannula hat ha hflow hrate hof hno hmore hthan h6 hL/min. 3. hMake hsure hthe hreservoir hbag hof ha hpartial hrebreathing hmask hremains hdeflated. 4. hUse hpetroleum hjelly hto hlubricate hthe hclient's hnares, hface, hand hlips. h- h h h hcorrect hanswer h: h2 Evidence-based hpractice hsupports ha hflow hrate hof h1 hto h6 hL/min hvia hnasal hcannula. hRates habove h6 hL/min hhave ha hdrying heffect hand hforce hclients hto hswallow hair hexcessively hwithout hincreasing htheir hfraction hof hinspired hoxygen h(FiO2). A hnurse his hperforming ha hhome hsafety hassessment hfor ha hclient hwho his hreceiving hsupplemental hoxygen. hWhich hof hthe hfollowing hobservations hshould hthe hnurse hidentify has hproper hsafety hprotocol? 1. hThe hclient huses ha hwool hblanket hon htheir hbed. 2. hThe hclient huses hnonacetone hnail hpolish hremover. 3. hThe hclient hstores han hextra hoxygen htank hon hits hside hunder htheir hbed. 4. hThe hclient hhas ha hweekly hinspection hchecklist hfor hoxygen hequipment. h- h h h hcorrect hanswer h: h2 The hclient hshould huse hnonflammable hmaterials, hsuch has hnonacetone hnail hpolish hremover, hwhile husing hsupplemental hoxygen. A hnurse his hcaring hfor ha hclient hwho hhas ha hterminal hillness hand his hat hthe hend hof hlife. hThe hnurse hshould hrecognize hwhich hof hthe hfollowing hstatements hby hthe hclient's hpartner hindicates heffective hcoping? 1. h"I ham hnot hworried hbecause hI hstill hhave hhope hthat hhe hwill hbe hokay." 2. h"I ham hrelying hon hsupport hfrom hour hfamily hduring hthis htime." 3. h"We hcan hplan hour hfamily hreunion honce hhe hrecovers hand hcomes hhome." 4. h"We hdon't hsee hany hreason hto hstart hdiscussing hfuneral harrangements hright hnow." h- h h h hcorrect hanswer h: h2 This hstatement hindicates heffective hcoping hbecause hthe hpartner his hrelying hon hothers hin hthe hfamily hfor hsupport hduring ha htime hof hcrisis. A hnurse his htalking hwith han holder hadult hclient hwho his hcontemplating hretirement. hThe hclient hstates, h"I hkeep hthinking habout hhow hmuch hI henjoy hmy hjob. hIm hnot hsure hI hwant hto hretire." hWhich hof hthe hfollowing hresponses hshould hthe hnurse hmake? 1. h"You hwould hhave hso hmuch hmore htime hto hspend hwith hyour hfamily." 2. h"You hshould hconsider hgetting ha hpart-time hjob hor hdoing hvolunteer hwork." 3. h"Let's htalk habout hhow hthe hchange hin hyour hjob hstatus hwill haffect hyou." 4."Why hwouldn't hyou hwant hto hretire hand hrelax?" h- h h h hcorrect hanswer h: h3 This hresponse his htherapeutic hbecause hthe hnurse his hencouraging hthe hclient hto hverbalize hfeelings habout hthe hlife htransition hof hretirement. A hnurse his hcaring hfor ha hgroup hof hclients. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake hto hprevent hthe hspread hof hinfection? 1. hCarry ha hclient's hsoiled hlinens hout hof hthe hroom hin ha hmesh hlinen hbag. 2. hPlace ha hclient hwho hhas htuberculosis hin ha hroom hwith hnegative-pressure hairflow. 3. hProvide hdisposable hplates hand hutensils hfor ha hclient hwho his hHIV-positive. 4. hDispose hof ha hclient's hblood-saturated hdressing hin ha htrash hbag hinside ha hsecond htrash hbag. h- h h h hcorrect hanswer h: h2 A hclient hwho hhas htuberculosis hrequires hairborne hprecautions, hwhich hinclude hplacing hthe hclient hin ha hroom hthat hhas hnegative-pressure hairflow hto hreduce hthe hrisk hof hinfection htransmission A hnurse his hadmitting ha hnew hclient. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake hwhile hperforming hmedication hreconciliation? 1. hVerify hthe hclient's hname hon htheir hidentification hbracelet hwith hthe hmedication hadministration hrecord. 2. hCall hthe hpharmacy hto hdetermine hwhether hthe hclient's hmedications hare havailable. 3. hCompare hthe hclient's hhome hmedications hwith hthe hprovider's hprescriptions. 4. hPlace hthe hclient's hhome hmedication hbottles hin ha hsecure hlocation. h- h h h hcorrect hanswer h: h3 The hnurse hshould hcompare hthe hclient's hhome hmedications hwith hthe hprovider's hprescriptions hwhen hperforming hmedication hreconciliation. A hnurse his hlifting ha hbedside hcabinet hto hmove hit hcloser hto ha hclient hwho his hsitting hin ha hchair. hTo hprevent hself-injury, hwhich hof hthe hfollowing hactions hshould hthe hnurse htake hwhen hlifting hthis hobject? 1. hBend hat hthe hwaist. 2. hKeep hhis hfeet hclose htogether. 3. hUse hhis hback hmuscles hfor hlifting. 4. hStand hclose hto hthe hcabinet hwhen hlifting hit. h- h h h hcorrect hanswer h: h4 This haction hkeeps hthe hcabinet hclose hto hthe hnurse's hcenter hof hgravity hand hdecreases hback hstrain hfrom hhorizontal hreaching.