NSG 4060 Comprehensive ATI Practice B

NSG 4060 Comprehensive ATI Practice B

A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following findings should indicate to the nurse that the therapy has been effective?

A nurse working in a n emergency department is triaging four clients. Which of the following clients should the nurse recommend for treatment first?

A nurse is caring for a c lient who has fluid volume overload. Which of the following tasks should the nurse delegate t o the CNA?

A nurse is preparing t o administer mannitol 0.2g/kg IV bolus over 5 min as a test dose to a client who has severe oliguria. The client weighs 198lb. What is t he amount in grams the nurse should administer?

A nurse is conduction a physical examination for an adolescent and is assessing the range of motion of the legs. W hich of the following images indicates the adolescent is abducting the hip joint?

A nurse is caring for a c lient who has hyperthyroidism. Which of the following findings should the nurse expect?

A nurse is assessing a school-aged child who has bacterial meningitis. Which of the following findings should the n urse expect?

A nurse is assessing a newborn’s heart rate. Which of the following actions should the nurse take?

A nurse is preparing t o assist with a thoracentesis for a client who has pleurisy. The nurse should plan to perform which of the following actions?

A nurse in the ED is a ssessing a preschooler who has a facial laceration. The nurse should identify which of the f ollowing findings as a potential indication of child sexual abuse?

A nurse is preparing t o teach about dietary management to a client who has Crohn’s disease and an enteroenteric f istula. Which of the following nutrients should the nurse instruct the client to decrease in their d iet?

A nurse is caring for a c lient who has a prescription for a continuous passive motion (CPM) machine following a total knee arthroplasty. Which of the following actions should the nurse take?

A nurse is preparing t o initiate IV access for an older adult client. Which of the following sites should the nurse select when initiating the IV for the client?

A nurse is developing a client education program a bout osteoporosis for older adult clients. The nurse should include which of the following variables as a risk factor for osteoporosis?

A nurse in an ED is caring for a child who has a fever and fluid-filled vesicles on the trunk and extremities. Which of t he following interventions should the nurse identify as the priority?

A nurse is caring for a c lient who has a clogged percutaneous gastrostomy feeding tube. Which of the following actions should the nurse take first?

A home health care nurse is developing a teaching plan for a client who has a new ileostomy. Which of the following i nstructions should the nurse include?

A nurse is reviewing the laboratory report of a client who has end-stage kidney disease and received hemodialysis 24 yr ago. Which of the following lab values should the nurse report to the provider?

A nurse is caring for four clients. Which of the following tasks should the nurse delegate to a CNA?

A nurse is preparing a client for a paracentesis. Which of the following actions should the nurse take?

A nurse has received change of shift report on four assigned clients. For which of the following clients should the nurse intervene to prevent a potential food and medication interaction?

A nurse is planning care for a client who has rheumatoid arthritis and has moderate to severe pain in multiple joints. W hich of the following actions should the nurse plan to take?

A nurse is caring for a c lient who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports bladder spasms, and the nurse observes a decreased u rinary output. Which of the following action should the nurse take?

A nurse is assessing a client who has COPD. Which of the following findings should the nurse expect?

A nurse in a community center is providing an educational session to a group of clients about ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse include in the teaching?

A nurse is caring for a c lient who has active TB. Which of the following actions should the nurse plan to take to prevent the transmission of the disease?

A nurse is caring for a g roup of clients. Which of the following clients should the nurse attend to first?

An RN is observing an LPN and a CNA move a client up in bed. For which of the following situations should the nurse intervene?

A nurse is preparing t o administer insulin to a client via a pen device. Which of the following actions should the nurse take?

A nurse is caring for a c lient who has immunosuppression and a continuous IV infusion. Which of the following actions should the nurse take?

A nurse is providing t eaching about advance directives to a middle-aged adult client. Which of the following client responses indicates an understanding of the teaching?

A nurse is assessing a client following a vaginal delivery and notes heavy lochia and a boggy fundus. Which of t he following medications should the nurse expect to administer?

A nurse manager is planning to use a democratic l eadership style with the nurses on the unit. Which of the following a ctions by the nurse manager demonstrates a democratic leadership style?

A nurse is assigning t ask roles for a group of clients in a community mental health clinic. Which of the following tasks should the nurse a ssign to the member of the group functioning as the orienteer?

A nurse is creating a plan of care for a newly admitted child. Which of the following actions should the nurse include in the plan? See Exhibit button Administer high-dose antibiotic therapy.

A nurse is caring for a n ewborn immediately after delivery. Which of the following interventions should the nurse implement to prevent heat l oss by conduction?

A nurse is caring for a c lient who had abdominal surgery 24 hr ago. Which of the following actions is the nurse’s priority?

A nurse in an outpatient mental health clinic is caring for four clients. The nurse should recognize that which o f the following clients is effectively using sublimation as a defense mechanism?

A nurse is assessing f or correct placement of a client’s NG feeding tube prior to administering a bolus feeding. Which o f the following actions should the nurse t ake?

An antepartum nurse i s caring for four clients. For which of the following clients should the nurse initiate seizure precautions?

A nurse is providing d ischarge teaching to a client who is to receive home oxygen therapy. Which of the following i nstructions should the nurse include in the teaching?

A nurse is providing t eaching for a client who has a fracture of the right fibula with a short-leg cast in place and a n ew prescription for c rutches. The client is non-weight bearing for 6 weeks. Which of the following i nstructions should the nurse include in the teaching?

A nurse is preparing t o transfer a client from the ICU to the medical floor. The client was recently weaned from mechanical ventilation following a pneumonectomy. Which of the following information should the n urse include in the change-of-shift report?

A nurse is assessing a n infant who has hydrocephalus and is 6 hr postop following placement of a ventriculoperitoneal (VP) shunt. Which of the following findings should the nurse report to the provider?

A nurse is caring for a c lient who has a prescription for chlorpromazine. Which of the following finding should the n urse identify as an indication that the medication is effective?

A nurse is providing t eaching about lithium to a client who has bipolar disorder. Which of the following statements s hould the nurse include in the teaching? “Notify your provider if you experience increased thirst”

A nurse caring for a client who has a fecal impaction. Which of the following actions should the nurse take when digitally evacuating the stool?

A nurse is planning to delegate client care tasks to a CNA. Which of the following tasks should the nurse plan to delegate to the CNA?

A nurse manager is preparing an educational session for nursing staff about how to provide cost-effective care. Which of the following methods should the nurse include in the teaching?

A nurse on an inpatient m ental health unit is monitoring a visit between a client who has a history of aggressive b ehavior and the client’s partner. Which of the following should the nurse identify as an indication of potential violence?