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A nurse is witnessing a client sign an informed consent form for surgery. Which
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m of the following describes what the nurse is affirming by this action?
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The signature on the preoperative consent form is the client’s
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A nurse on a medical-
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surgical unit is admitting a client. Which of the following information should th
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e nurse document in the client’s record first?
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Assessment
A nurse on a medical-
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surgical unit is washing her hands prior to assisting with a surgical procedure.
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Which of the following actions by the nurse demonstrates proper surgical hand-
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washing techniques? m
The nurse washes with her hands held higher than her elbows.
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A nurse at a screening clinic is assessing a client who reports a history of a hear
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t murmur related to aortic valve stenosis. At which of the following anatomical
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areas should the nurse place the stethoscope to auscultate the aortic valve?
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Second intercostal space to the right of the sternum
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A nurse is measuring vital signs for a client and notices an irregularity in the pu
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lse. Which of the following actions should the nurse take?
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Count the apical pulse rate for 1 full minute, and describe the rhythm in
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the chart. m
A nurse is caring for an older adult client who becomes agitated when the nurse
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m requests the client’s dentures be removed prior to surgery. Which of the follow
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ing responses should the nurse make?
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“What worries you about being without your teeth?”
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A nurse is caring for a client who has a terminal illness. The client asks severa
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l questions about the nurse’s religious beliefs related to death and dying. Whi
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ch of the following actions should the nurse take?
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Encourage the client to express his thoughts about death and dying
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,A nurse is caring for a client who has Type 1 diabetes mellitus and is resistant t
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o learning self-
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injection of insulin. Which of the following statements should the nurse make?
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“Tell me what I can do to help you overcome your fear of giving yourself i
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njections.”
A charge nurse is teaching adult cardiopulmonary resuscitation (CPR) to
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a group of newly licensed nurses. Which of the following actions should t
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he charge nurse teach as the first response in CPR?
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Confirm unresponsiveness.m
A community health nurse is preparing a campaign about seasonal influenza. W
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hich of the following plans should the nurse include as a secondary prevention?
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Screening groups of older adults in nursing care facilities for early influe
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nza manifestations
m
A nurse is preparing to provide tracheostomy care for a client. Which of th
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e following actions should the nurse take first?
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Perform hand hygiene m m
LINKS FOR ALL ATI RESOURCES: m m m m
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