ATI CMS FUNDAMENTALS

ATI CMS FUNDAMENTALS

A nurse is caring for a client who is in the terminal stage of cancer. Which of the following actions should the nurse take when she observes the client crying?
A. Contact the family and ask them to stay with the client B. Offer to call the client's minister
C. Sit and hold the client's hand
D. Leave the room and allow the client to cry privately Correct Ans -    C. Sit and hold the client's hand

A nurse is caring for a client who requires wrist restraints. Which of the following actions should the nurse take?
A.    Tie a secure knot with the restraint straps
B.    Attach the restraints' straps to the bed's side rails C. Make sure 3 fingers fit beneath the restraints
D. Remove the restraints at least every 2 hrs  Correct Ans  -    D. Remove the restraints at least every 2 hrs

After collecting data on a client's radial pulses, the nurse documents "radial pulses 4+ bilaterally." This finding indicates which of the following pulse qualities?
A. Bounding B. Full
C. Variable
D. Weak  Correct Ans  -    A. Bounding

A nurse is reinforcing teaching with a client regarding protein intake. Which of the following foods should the nurse include as an example of an incomplete protein?
A.    Eggs
B.    Soybeans C. Lentils
D. Yogurt Correct Ans -    C. Lentils