ATI Fundamentals Retake PRE Test Questions With 100% Verified Solutions

ATI Fundamentals Retake PRE Test Questions With 100% Verified Solutions What is the priority action for a patient with a history of falls? - ANSWER Complete a fall risk assessment. What blood glucose level requires immediate action? - ANSWER 70 mg/dL of less What are manifestations of hypoglycemia? - ANSWER Mild shakiness, mental confusion, sweating, palpitations, headache, lack of coordination, blurred vision, seizures, and coma. What should clients with hypoglycemia do? - ANSWER Take 10 to 30 g of readily absorbed carbohydrate. Including two or three glucose tablets, six to ten hard candies, 1/2 cup of soda or juice, 1 tbsp honey or 4 tsp sugar. What should clients do when levels stabilize? - ANSWER Have the client take an additional carbohydrate and protein snack of small meal. What information should the nurse provide to a client with a new diagnosis of diabetes mellitus type 1? - ANSWER Usually occurs before the age 30, is treated with oral antiglycemic medications and regular exercise can reduce insulin requirements. What instructions should the nurse include when reinforcing dietary teaching to a client with type 2 diabetes mellitus? - ANSWER Carbohydrate intake should compromise of 55% of daily caloric intake, you can add table sugar to cereal, you can drink one alcoholic beverage with a meal and use the same portion size to exchange carbohydrates. What information should the nurse incorporate into the dietary plan for a client with type 2 diabetes mellitus? - ANSWER Weight management, lipid profile, cultural needs, and personal preferences. A nurse is caring for a family experiencing a crisis. What approach should the nurse use when working with a family using an open structure for coping with crisis? - ANSWER Convening a family meeting. What should you do before administering any medications? - ANSWER Obtain a complete medication and allergy history. What does diphenhydramine treat in relation to allergic reactions? - ANSWER Mild rashes and hives What should you do after hand-washing with ostomy skin care? - ANSWER Apply gloves & inspect the stoma, use mild soap and water to cleanse, then dry it gently and completely. What are the steps to take when administering a large-volume enema? - ANSWER 1. Position the client on the left side with right leg flexed forward. Put on gloves. Lubricate rectal tube or nozzle. (Also, warm to enema solution). 2. Slowly insert rectal tube (3 to 4 inches for an adult). Raise bag above anus, 18 inches (if client reports abd cramping, lower the enema fluid container) . Ask the client to retain the solution for prescribed amount of time, or until client is no longer able to retain it. 3. Discard bag. Assist the client to the appropriate position to defecate. Document results and the client's tolerance of the procedure. What should the nurse do to help prevent plantar flexion? - ANSWER Encourage active or provide passive ROM two or three times/day. Instruct clients to perform ROM while bathing, eating, grooming, and dressing. What should be done for a client to promote a proper sleep-wake cycle? - ANSWER Cluster care. ` Who is a fracture pan used for? - ANSWER Supine client and clients in body casts or leg casts. What should the nurse do for clients using a fracture pain? - ANSWER Raise the head of the bed to 30 degrees. If the client cannot lift his hips to get the bedpan under him, roll him onto one side, position the bedpan over his buttocks, and roll the client back onto the bedpan. Signs/symptoms of extracellular fluid volume deficit - ANSWER 1. Hypothermia, tachycardia, thready pulse, orthostatic hypotension, decreased central venus pressure, tachypnea, and hypoxia. 2. Dizziness, syncope, confusion, weakness and fatigue. GI findings related to extracellular fluid volume deficit - ANSWER Dry mucous membranes, dry furrowed tongue, nausea, vomiting, anorexia, and acute weight loss.