2019 ATI Mental Health Proctored Exam with Answers (110 Solved Questions)

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ATI FUNDAMENTALS PROCTORED RETAKE EXAM 2 VERSIONSEACH WITH 70 QUESTIONS AND NGN QUESTIONS 2019 GRADEDA+/UPDATED•Anurseisplanningcareforagroupofclients.Whichofthefollowingtasksshould thenursedelegatetoanassistivepersonnel?•Changingthedressing foraclientwhohasastage3pressureinjury•Determiningaclient'sresponsetoadiuretic•Comparingradialpulsesforaclientwhoispostoperative•Providing postmortem care to a clientPostmortem careserves several purposes,including: preparing the patient for viewing by family. ensuring proper identification of thepatientpriortotransportationtothemorgueorfuneralhome.providingappropriatedispositionofpatient's belongings.maintainingvitalorgans,if donation is planned.)•Anurse isconductingahealthassessmentforaclientwhotakesherbalsupplements.Whichofthefollowingstatementsbytheclientindicatesanunderstanding of theuseofthesupplements?•Itakeginkgobilobaforaheadache•ItakeechinaceatocontrolmycholesterolC. Iusegingerwhen Iget carsickD.Iusegarlicformymenopausalsymptoms•Anurse iscaringforaclientwhohas influenzaandisolationprecautionsinplace. Whichofthefollowingactions shouldthenursetaketopreventthespreadofinfection?•Wearamaskwhenworkingwithin3feetoftheclient•Administermetronidazole•Donprotectiveeyewearbeforeenteringtheroom.•Placetheclientinanegativeairflowroom.•AnurseobtainsaprescriptionforwristrestraintsforaclientwhoistryingtopullouthisNGtube.Whichofthefollowingactions shouldthenursetake?•Attachtherestraintssecurelytothe siderailsoftheclient'sbed.•Applytherestraintstoallowaslittlemovement aspossible•Allowroomfortwofingerstofitbetweentheclientsskinand therestraints•Removethe restraintsevery4hr.•Anurseisadmittingaclientwho hastuberculosis.Whichofthefollowingtypesoftransmissionprecautionsshouldthenurseplantoinitiate?•Droplet•B.AirbornesC.ProtectiveenvironmentD.Contact

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•Anurseinawell-childclinicreceivesatelephonecallfromaparentwho statesthattheirchildaccidentally swallowed paint thinner. The child is awake and alert. Which of thefollowingresponsesshouldthenursemake?A.Haveyour childdrinkone largeglassofwater.•Hangup andcallapoisoncontrolcenterhotline.•Bring yourchildintothecliniclatertoday.•Induce vomitinginyourchildwithsyrupofipecac.•Anurse isdocumentingaclient'smedicalrecord.Whichofthefollowingentriesshouldthenurserecord.•Oraltemperatureslightlyelevated at0800•B.Administered painmedicationC. IncisionwithoutrednessordrainageD.Drankadequateamountsoffluidwithmeals.•Anurse isprovidingoralcareforaclientwhoisunconscious. Whichofthefollowingactionsshouldthenursetake?•Placetheclientinaside-lyingposition.•Brushtheclientsteethdaily•Applymineraloiltothe client’slips•Rinsetheclient’s mouthwithanalcohol-basedmouthwash•Anurseiscollaboratingwithariskmanagementteamaboutpotentiallegalissuesinvolvingclient care. The nurse should identify which of the following situations is anexample ofnegligence?•Anurseadministersa medicationwithoutfirstidentifyingtheclient.•Anassistivepersonneldiscussesclientcareinthefacilitycafeteriawithvisitorspresent.•Anursebeginsabloodtransfusionwithoutobtaining consent.•Anassistivepersonnelpreventsaclientfromleavingthefacility.•Anurseiscollectingasputumspecimen forculturefromaclientwhohasarespiratoryinfection.Whichofthefollowingactions should thenursetake?•Wearsterilegloveswhencollectingthespecimen.•B.OffertheclientoralhygieneafterthecollectionC.Collectthespecimenintheevening.DCollect1mlofsputum.•Anurseisassessinganolderclient.Whichofthefollowingfindingsshould thenurseexpect?•Decreasedsenseofbalanced•Increasednighttimesleeping

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•Heightenedsenseofpain•Nighttimeurinaryincontinence•A nurse is completing discharge teaching about ostomy care with a client who has anewstoma.Whichofthefollowinginstructionsshouldthenurse includeintheteaching?(selectallthatapply)•“Cut theopeningofthepouch⅛ofan inchlargerthanthe stoma“•“Placeapieceagauzeoverthestomawhilechangingthepouch”•“Usepovidone-iodinetocleanaroundthestoma”•“Emptytheostomypouchwhen itbecomesone-thirdfullofcontents”•“Expectthestomatoturnapurple-bluecolorasitsheals”•Anurse ispreparingtoobtaininformedconsentfromaclientwhospeaksadifferentlanguagethanthenurse.Whichofthefollowing actionsshould the nursetake?•“Requestthatanassistivepersonnelinterpretthe informationfortheclient”•“Usepropermedicalterms whengivinginformationtotheclient”•“Offerwritteninformationintheclient’slanguage”•“Avoidusinggestureswhenspeakingtotheclient”•Anurseisteachingaclientabouthomecareequipment. Whichofthefollowinginformationshouldthenurseincludeinthe teaching?(selectallthatapply)•“Avoidusingwoolblanketswhenreceivingoxygen”•“Keeptheoxygendeliverysystem0.6m(2feet)fromanyheatsource”•“Checktheoxygendeliveryrateatleastonceaday”•“Alignthemiddleoftheballintheflowmeterwiththelineoftheprescribedflowrate”•“Laytheoxygentankflatwhenstoring”•Anurseisplanningcare foraclient whoreportsinsomnia.Whichofthefollowingactionsshouldthenurseperformshortlybeforebedtime?•Providealatesupper.•Offerawetwashclothfortheclienttowashherface•Performrange-of-motionexercises•Preparehotcocoaorteafortheclient•Anurseonamedical-surgicalunitisreceivingachange-of-shiftreportforfourclients.Whichofthefollowingclients shouldthenurseseefirst?•Aclientwhohasacuteabdominalpainof4 onascalefrom0to10•Aclientwhohaspneumoniaand anoxygensaturationof96%•Aclientwhohasnew onsetofdyspnea24hr afteratotalhiparthroplasty•Aclientwhohasaurinarytractinfectionandlow-gradefever•A nurse is reviewing a client’s intake and output and notes the following: 0.9% sodiumchloride600mLIVinfusion,cefazolin250mgindextrose5%inwater100mLintermittentIVbolus, 200mL emesis, 40mL voided urine, and 20mL urine from straight catheterization.

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Thenurse should record the client’s net fluid intake as how many mL? (Round the answerto thenearestwholenumber.Use aleadingzeroifitapplies.Do notuseatrailingzero.)•700mL,therestareoutput•Anurseisdiscussingincidentreportswithagroupofnewlylicensednurses.Thenurseshouldincludethatwhich ifthefollowingrequiresthecompletionofanincidentreport?•Aclient’sprescribedlaboratorytestingwasnotobtained•Aclientwithdrewconsentforaprocedure•Anoncomingnursearrived toworklate•Anursetransfused aunitofpackedRBCsin2hr.•A nurse is caring for a client who has a new prescription for negative-pressure therapyfor achronic wound. The nurse is unfamiliar with the procedure. Which of the followingresourcesshouldthe nurseconsultto learnmoreabouttheintervention.•Theclient’splanofcare•Thenursepracticeact•Thematerialsafetydatasheet•Thepolicyandproceduremanual•Anurseisperformingposturaldrainagewithpercussionandvibrationforaclientwhohascysticfibrosis.Whichofthefollowing actionsshould thenursetake?•Coverthe areaofpercussionwithatowel.•Instructtheclientto exhalequicklyduringvibration•Scheduleposturaldrainageaftermeals•Performpercussionoverthe lowerback•A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old childwhohasdifficultyswallowing pills.Availableisdiphenhydramine12.5mg/5mloralsyrup.Whichofthe following images indicates the correct number of mL the nurse shouldadminister? (roundanswer tothenearestwholenumber.)Shouldbethefirstsyringe8ml•Anurseisadmittingaclient who ismalnourished. Theclient states, “MyweddingringislooseandI'mworriedIwillloseitifitfallsoff.”Whichofthefollowingisanappropriateresponse bythenurse?•“Iwillplaceitinyourdrawersoit won’tgetlost.”•Icanpinittoyourhospitalgownsoyouwon’tlose it.”•“Iwillhold ontoituntila familymembercantakeithome.”

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•“Icanput itina lockedstorageunitforyou.”•Achargenurseisteachingagroupofnewlylicensednurses about theuseof restraints.Inwhichofthefollowing clinicalsituationsshould the nurseapplyrestraints?•Iftheclientispacinginthehallway•Asapart ofafallprevention program•Attherequest oftheclient’sfamily•Whentheclientposesathreattoself•Toensureclient safety,anursemanagerisplanningtoobserveanewlylicensednurseperform a straight catheterization on a client. In which of the following roles is thenursemanagerfunctioning?•Casemanager•Clienteducator•Clientcareprovider•Clientadvocate•A charge nurse in a long-term care facility is preparing an educational program aboutdeliriumfornewlyhirednurses. Whichofthefollowingstatementsshouldthenurseplantoinclude?•“Deliriumdoesnot affectaclient’sperceptionofherenvironment.”•“Deliriumdoesnotaffectaclient’ssleepcycle.”•“Deliriumhasanabruptonset.”•“Deliriumhasaslowprogression.”•A nurse is speaking with a client who has recently received a diagnosis of a chronicillness.The client states, “ The doctor must be wrong. I can't be that sick”. The nurse shouldinform theclientthat their reaction isanexampleofwhichofthefollowingexpectedresponsestogrief?•Acceptance•Denial•Anger•Depression•ANurseona medical-surgicalunitisprovidingcareforfourclients.Thenurseshouldidentifywhichofthefollowing situationsas anethicaldilemma?•Asurgeonwhoremovedthewrong kidneyduring a surgicalprocedurerefusestotakeresponsibilityforheractions•Aclientwho hasCrohn’s diseasereportsthathisprescriptiondrugplanwill notpayforhismedications.•Aclientwhohasanewcolostomyrefusestotakeinstructionsfromtheostomytherapistbecauseshe“doesn'tlikehim.”•The familyofaclientwhohasaterminalillnessasksthattheprovidernottelltheclientthediagnosis

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•Anurse isteachingaclientaboutperformingbreastself-examinations. Whichofthefollowingstatements bytheclientsindicates anunderstandingoftheteaching?•“Ishould performmyself-examtheweekthatmyperiodstarts”•“IshouldmakedifferentpatternsoneachbreastwhenIdomyself-exam.”•“Ishould usethepalmofmyhand to applypressuretoeachbreast.”•“Ishouldmakecircular motionswithmyfingertipsundermyarms.”•Anurseispreparingtotransferaclientwhoispartiallyweightbearing fromthebedtothechair.Whichofthefollowing actionsshould thenursetake?•Keephiskneesstraightwhenmovingtheclient•Positionthechair nexttothebedasa90degreeangle•Standwithhisfeettogetherwhenliftingtheclient•Havetheclientbearweightonherstrongerleg•A nurse is caring for a client following a laparoscopic cholecystectomy. The client has aprescription for ondansetron 4mg IV bolus every 6hr PRN for nausea and vomiting. Identifythesequenceofstepsthenurseshouldfollowtoadministerthemedication. (Movethestepsintotheboxontheright,placingthemintheorderofperformance.Useallthesteps.)•Performhand hygiene.Selecttheinjectionportofthe IVtubingclosesttotheclient.Cleansetheinjectionportwith anantisepticswab.Aspirateforbloodreturn.Injectthemedication.•Anurseisteachingaclient whohasdiabetesmellitusaboutmixingregularandNPHinsulin.Whichofthefollowingstatementsbuttheclientindicatesanunderstandingoftheteaching•Ishouldwait3 minutesaftermixingtheinsulintoinject it•IshoulddrawuptheNPHinsulinbeforeregularinsulin•Ishouldinjectairintothevialofregularinsulinfirst•IshouldrollthevialofNPH insulinbetween myhandsbeforedrawingitup•A nurse is assessing the body temperature of an adult client using a temporal arterythermometer.Whichofthefollowingactionsshouldthenursetake?(Selectallthatapply)•Slidetheprobeacrosstheclientsforehead•Pulltheclients pinnaup &back•Holdtheclient’shair asidewhileperformingtheprocedure•Documenttheclient'stemperaturewith“AX”nexttothevalue•Movetheprobeinacircularmotion

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