2019 ATI RN Practice Exam with Answers (60 Solved Questions)

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2019 ATI RN Practice Exam with Answers (60 Solved Questions) - Page 1 preview image

ATI Predictor Comprehensive Assessment 2019 AA nurse is teaching a client who has a new prescription for metforminextended releasetablets.Which of the following statements by the client indicates an understanding of the teaching?a.I will avoid crushing this medicationA nurse is assessing a client who is receiving enteral feeding via an NG tube. The client hasdeveloped hyperosmolar dehydration. Which of the following actions should the nurse takewhen administering the client’s findings?a.Switch to a lactose-free formula.A nurse is providing discharge teaching to a client who has a new ostomy. Which of thefollowing instructions should the nurse include?a.Empty your ostomy pouch when it is half fullA nurse is teaching the parents of a school-age child who has sickle cell anemia aboutmanaging the disease at home which of the following instructions should the nurse include?a.Apply cold compresses too painful areasA nurse is teaching about Safe Handling of formula to a client who is postpartum and chooses tobottle feed her newborn. Which of the following statements by the client indicates anunderstanding of the teaching?a.I should boil tap water for 2 minutes and call it before I mix it with powderedformulaA nurse is assessing a child who is post-operative following a tonsillectomy. Which of thefollowing findings should the nurse identify as the priority?a.Frequent swallowingA nurse is teaching a client who is pregnant about non-stress testing. Which of the followingstatements by the client indicates an understanding of the teaching?a.During this test, I will punch a button if the baby movesA nurse is monitoring a client who is receiving a transfusion of packed RBC's. The client reportschills, headaches, low back pain, and a feeling of tightness in his chest. The nurse shouldidentify that the client has developed which of the following types of transfusion reactions?a.Acute hemolyticA nurse is caring for a client who is in the latent phase of Labor and reports severe back pain.The vaginal examination reveals that the cervix is dilated two centimeters, 25% effaced and -2station. Which of the following interventions should the nurse implement?1.Request the provider prescribe a pudendal nerve blockA nurse is teaching about how to suppress lactation with a client who is postpartum and bottlefeeding her newborn. Which of the following instructions should the nurse include in theteaching?a.You should wear a snug fitting bra continuously for 72 hoursA nurse is preparing to administer medication to a client. What are the following identifiersshould the nurse use to identify the client?a.Room number

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A nurse is caring for a client who is taking antihypertensive medication and is moving from asupine to a seated position. Which of the following findings should indicate to the nurse that theclient is experiencing orthostatic hypotension?a.The clients systolic blood pressure decreases by 25 mmHgWhile a nurse is caring for a client who is receiving mechanical ventilation via an endotrachealtube, the high-pressure alarm of the ventilator sounds. Which of the following actions should thenurse take?a.Look for a leak in the tubes cuffA nurse is preparing to insert an indwelling urinary catheter for a client. Which of the followingactions should the nurse take first?a.Position the sterile drape leaving the perineum exposedA nurse is planning to administer packed RBC's to an older adult client who has a lowhemoglobin level. Which of the following actions should the nurse plan to take?a.Monitor Vital Signs every hour throughout the transfusionA new nurse in an acute mental health facility is teaching a client about potential adverse effectsof transcranial magnetic stimulation. The nurse tells the client that he might not feel light-headedbut that it should not affect his memory. The nurse is demonstrating which of the followingethical principles?a.BeneficenceA nurse is teaching a class about providing care within the legal scope of practice to a group ofnurses. The nurse should include that which of the following procedures is outside the legalscope of practice for an RN?a.Irrigation of the external ear canalA nurse in an acute care facility is caring for a client who has anorexia nervosa. During the firstweek of care, which of the following actions should the nurse take?a.Observe the client for 1 hour after mealsA nurse is planning care for a client who has sciatica and a prescription for a transcutaneouselectrical nerve stimulation (TENS) unit. Which of the following referral should the nurseanticipate for the client?a.Physical therapistA nurse is teaching a client who has generalized anxiety disorder about ways to help managestress. Which of the following instructions should the nurse give the client about usingProgressive relaxation?a.Tighten the muscle group, then release tension and move to the next oneA nurse is assessing a client who is at 37 weeks of gestation and reports sudden, severeabdominal pain with moderate vaginal bleeding and persistent uterine contraction. The client'sblood pressure is 88 over 50 mmhg and her abdomen is rigid. The nurse should identify thesefindings as indicating which of the following complications?a.Placenta abruptionA home health nurse is planning care for an older adult client who has a vision loss and takesmedication throughout the day. Which of the following actions should the nurse include in theplan?a.Use container Lids of different shapes to indicate times of Administration

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A nurse is planning care for a client who has a history of urinary tract infections UTIs andrequires placement of an indwelling catheter. Which of the following actions should the nursetake to help minimize the client's risk of acquiring a UTI?a.Whoop the tubing so that is lower than the collection bagb.keep urine a bag at bladder level when ambulatingc.secure the catheter to the client’s thighd.obtain urinary samples by disconnecting the tubing connectionsA nurse at an acute care facility is teaching a client about fall risk prevention strategies for useduring their stay at the facility. Which of the following statements by the client indicates anunderstanding of the teaching?a.I will wear a yellow wristband, so everyone knows I'm at risk for fallingA nurse is caring for a client who is taking disulfiram for alcohol-use disorder and reportsingestion of alcohol. For which of the following adverse effects should the nurse monitor?a.HeadacheA nurse at the health department is providing anticipatory guidance to a parent of a one monthor a year-old infant. The nurse should inform the parent that the infant should receive which ofthe following immunizations at the age of two months?a.RotavirusA Nurse is assisting in the selection of foods for a client who has dysphagia caused by a stroke.Which of the following foods should the nurse recommend?a.Scrambled eggsA community health nurse is providing education to a group of older adults about immunizations.Which of the following immunizations should the nurse recommend?a.TdapA nurse is caring for a client who is postoperative following a mitral balloon valvuloplasty. Whichof the following areas should the nurse auscultate to assess for mitral areas of the heart? (youwill find hot spots to select in the artwork below. Select only the hot spot that corresponds toyour answer.)A nurse is planning care for a client who is experiencing benzodiazepine toxicity. The nurseshould plan to administer which of the following medications?a.FlumazenilMitral Valve Area

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A nurse is admitting a client to the medical-surgical unit. The patient self-determination actrequires the nurse to perform which of the following actions during the admission process?Document in the client's medical record is a client has advance directivesA nurse is assessing a client who is postoperative following orthopedic surgery. Which of thefollowing findings should the nurse identify as an indication of paralytic Ileus?a.Abdominal distensionA nurse is performing an administered admission assessment of a school-age child who hasspina bifida. the parents state that a child is allergic to latex. The nurse should assess furtherfor cross sensitivity to which of the following Foods?a.BananasA nurse is planning care for a client who is at 32 weeks of gestation and has severe pre-eclampsia. Which of the following actions should the nurse plan to take?a.Ensure that the side rails are up on the client's bedA nurse is documenting admission data for a client in an acute care facility. Which of thefollowing actions should the nurse take?a.Note whether the client has a living willA client on an acute mental health unit states to a nurse, tie a bow. Row the boat. Now I know.Whoa! I see you, you the nurse should document that the client is exhibiting which of thefollowing speech alterations?a.Clang AssociationA nurse is caring for a client who has Crohn's disease. The nurse calculates that the client BMIis 17.2. The nurse should document that the clients wait status is being within which of thefollowing categories?a.UnderweightA nurse is planning post-operative care for a client who is scheduled for a thoracotomy withchest tube placement. Which of the following pieces of equipment should the nurse plan to haveat the client's bedside?a.Tracheostomy trayA nurse is providing discharge teaching to a client who has Gerd. Which of the followinginformation should the nurse include?a.Avoid consuming foods containing chocolateA nurse is part of a task force planning to audit a facilities nursing unit concerning adherence tohand hygiene protocols. Which of the following steps should the task force take first?a.Determine the accepted standards for hand hygieneA nurse is planning educational materials for a client who has a new pacemaker. Which of thefollowing information should a nurse include?a.Keep mobile phones 4 inches from the pacemaker generatorA nurse is providing discharge teaching to a client who is 1-day postoperative following a rightmodified radical mastectomy. Which of the following instructions should the nurse include in theteaching?a.Avoid using the affected arm for eatingA nurse is planning care for a client prior to an amniocentesis. Which of the following actionsshould the nurse include in the plan of care?a.Monitor the fetal heart rate throughout the procedure

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A nurse is assessing a 24-month-old toddler at a well-child checkup. Which of the followingfindings indicates to the nurse that the toddler has a developmental delay?a.Runs with a wide stanceA nurse in an emergency department is administering naloxone to a client who had a heroinoverdose. The nurse should identify which of the following assessment findings as an indicationthat the medication is reversing the effects of the opioid overdose?a.Increase respiratory rateA nurse is caring for a client following an involuntary admission to an acute mental health facility.The client states, I'm afraid they will give me drugs that put me to sleep. Which of the followingstatements should the nurse make?a.Why do you think your provider will prescribe you medication’s that will make yousleep?A nurse is caring for a client who is preoperative for cataract removal. Which of the followingstatements by the client indicates an understanding of the procedure?a.I can expect my eyelids to be bruised after this procedureA nurse is planning care for a client who is undergoing brachytherapy for a low dose radiationimplant for treatment of prostate cancer. Which of the following interventions should the nurseinclude in the client's plan of care?a.Limit each of the client’s visitors to two hours per dayA nurse is teaching a client about using transdermal scopolamine to treat motion sickness.Which of the following instructions should the nurse include?a.Apply the patch prior to travelingA nurse is admitting a school-age child who has bacterial meningitis. Which of the followingtypes of isolation precautions should the nurse initiate?a.DropletA nurse is planning assignments for an upcoming shift. Which of the following tasks should thenurse delegate to an assistive Personnel? (select all that apply.)a.Record a client's intake after each mealb.Transfer a client to physical therapyc.Obtain the client's Vital Signs every 4 hoursA nurse is interpreting a cardiac Rhythm strip from a client who has recurrent episodes ofsyncope. Which of the following images indicates the client has atrial fibrillation?A community health nurse is planning an educational program on Lyme disease or the generalpublic. Which of the following statements should the nurse include in the program?a.Remove embedded Ticks by squeezing the body with tweezers

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A nurse is admitting a client to the medical-surgical unit. The patient self-determination actrequires the nurse inform which of the following actions during the admission process?a.Document in the client's medical records if the client has advance directivesA nurse is teaching a client how to care for his behind the ear hearing aid. Which of the followingstatements by the client indicates an understanding of the teaching?a.I'll disconnect the battery when I remove my hearing aidsa nurse is caring for a client who is postpartum and expresses concern about how herpreschool-age son will react to having a baby sister. Which of the following strategies should thenurse suggest?a.Give your son a little gift from his new sisterA nurse is caring for a 3-year-old toddler who has dehydration. Which of the following findingsshould the nurse report to the provider?a.Potassium 3.9 mEq / LA nurse is teaching a class about using niacin to reduce LDL cholesterol. The nurse shouldinclude in the teaching that which of the following conditions is a contraindication for receivingthis medication?a.Active liver diseasea school nurse is using the Weber test to check a child. Which of the following actions shouldthe nurse take?a.Place a vibrating tuning fork on the top of the child's headA nurse is reviewing the medical record of a client who has a prescription for misoprostol forinduction of Labor. Which of the following findings is a contraindication for administration of thismedication?a.Transverse fetal lieA nurse is reviewing the results of laboratory screenings for a nine-month-old infant. Which ofthe following results should the nurse report to the provider?a.Iron 74 mcg / dL.A nurse is teaching a client who has a new prescription for sertraline to treat depression. Forwhich of the following findings should the nurse instruct the client to Monitor and Reportimmediately as indicating serotonin syndrome?a.Excessive sweatingA community health nurse is developing a plan of care for an older adult client who has Type 2diabetes mellitus and lives independently in a Royal area. Which of the following interventionsshould the nurse include?a.Instruct the client about the use of Telehealth servicesA nurse in a provider's office is monitoring the laboratory results of a client who has type 1diabetes mellitus. Which of the following results and the case of the client demonstratesacceptable glycemic control?a.Hba1c 6.8%A nurse is providing dietary teaching to the guardian of a preschooler who has celiac disease.Which of the following foods should the nurse recommend including the preschoolers’ diet?a.A corn tortilla with black beans

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A nurse is caring for a client who has a peritoneal catheter that requires a dressing change.Identify the sequence of actions the nurse should take. (the steps into the box on the right,placing them in the order of the performance. Using all the steps.)a.2nd- Remove the old dressingb.4th- Cleanse the site with povidone-iodinec.1st- Mask self and the clientd.5th- Apply precut gauze pads to the sitee.3rd- Create a sterile fieldA case manager is performing a home visit for a client following a stroke. The client’s partner isproviding care in the home. The client's partner states that she sometimes feels exhausted. Forwhich of the following referral should the case manager recommend for the caregiver?a.Respite careA nurse is reviewing the laboratory results of a client who is receiving Total parenteral Nutrition.Which of the following results should the nurse identify as an identification for the client hasdeveloped a common complication of this nutritional therapy?a.Capillary glucose 198 mg / DLa nurse is teaching a newly licensed nurse about advance directives. Which of the followingstatements by the newly licensed nurse indicates an understanding of the teaching?a.Patient can resume control of health care after a temporary loss of competencyA nurse is assessing a client for an allergy spider administering the Influenza vaccine. Thenurse should identify that an allergy to which of the following Foods is a contraindication toreceiving this vaccine?a.EggsA nurse is caring for a client who has deep vein thrombosis and a new prescription for an anti-embolic stocking. Which of the following actions should the nurse take?a.Measure the legs with a tape measure to determine stocking sizeA nurse is inserting a short peripheral IV catheter for a client who is requires IV fluids. Which ofthe following actions should the nurse take?a.Select a site proximal to previous venipuncture sitesA charge nurse is evaluating a newly licensed nurse who is caring for a client who has measles.Which of the following actions by the newly licensed nurse should the charge nurse intervene?a.The nurse wears an N95 respirator when performing client careA nurse is caring for a client who is 2 days postpartum. Which of the following findings shouldthe nurse report to the provider?a.4 + deep tendon reflexesA nurse is observing an assistive Personnel (AP) measure blood pressure from the right arms ofthe group of clients. The nurse should instruct the AP to measure the blood pressure in the leftarm of which of the following clients?a.A client who had dialysis and is using an arteriovenous shunt in the left lowerforearmA nurse is caring for a female client who requires bed rest and reports difficulty urinating into abedpan. Which of the following actions should the nurse take?a.Turn on the faucet in the client's sink

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A charge nurse observes smoke coming from a trash receptacle and the units waiting room.Which of the following actions should the nurse take first?a.Evacuate clients from the areaA nurse is caring for a client who has diabetic ketoacidosis. During the shift, the client receives0.45% sodium chloride IV at 500 mL over hours for 3 hours. Then at 200 mL/ hour for 3 hours.And then dextrose 5% in water at 75 mL / hour for 2 hours. What is the total volume the nurseshould document for the client’s IV fluid intake? (round the answer to the nearest whole number.Use a leading zero if it applies. Do not use a trailing zero.)___1250_mLA nurse is teaching a client who is at 20 weeks of gestation about how to manage Harbor.Which of the following instructions should the nurse include?a.Eat a high-fiber snack at bedtimeA nurse is assessing a client who is taking Digoxin to treat chronic heart failure. Which of thefollowing findings should indicate to the nurse that the client is developing Digoxin toxicity?a.Blurred visionA charge nurse is observing an assistive Personnel perform delegated tasks. What of thefollowing actions by the AP requires a charge nurse to intervene?a.Washing hands with alcohol-based hand rub after bathing a client who has c-diffa nurse is caring for four children in an emergency department. Which of the following clientsshould the nurse assess first?a.A child who has acute epiglottitis and is drooling1.A nurse is reviewing the laboratory results of a client who is taking cyclosporinefollowing a kidney transplant. Which of the following findings should the nurse report?a.Serum creatinine 1.6 mg/dL2.A nurse is providing discharge instructions about a newborn safety to a client who is 2days postpartum. Which of the following instructions should the nurse include?a.Use a car seat when traveling by airplane.3.Math question4.A nurse is caring for a client who has major depressive disorder. The client tells thenurse, “No one cares about me. I’m completely alone”. Which of the following responsesshould the nurse make?a.“Can you give me an example of how others are making you feel this way?”5.A nurse on a medical-surgical unit is caring for a client who states that she plans to leavethe facility against medical advice. For which of the following actions by the nurseshould the charge nurse intervene?a.Asks security to detain the client until the provider is notified6.A nurse is a prenatal teaching to a client who is at 12 weeks of gestation. The nurseshould tell the client she will undergo which of the following screening tests at 16 weeksof gestation?a.Maternal serum alpha-fetoprotein7.A nurse is admitting a client who has schizophrenia and experiences occasional auditoryhallucinations. The client states, “It’s hard not to listen to the voices.” Which of thefollowing questions should the nurse ask the client?a.“Do you understand that the voices are not real?”

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8.A nurse is planning care for a client who sustained a major burn over 20% of the body.Which of the following interventions should the nurse include to support the client’snutritional requirements?a.Maintain calorie intake at 1,500 per day9.A charge nurse is preparing to lead negotiations among nursing staff due to a conflictabout overtime requirements. Which of the following strategies should the charge nurseuse to promote effective negotiation?a.Attempt to understand both sides of the issue10. A nurse is preparing to administer a NG tube feeding to a school-age child. Which of thefollowing actions should the nurse plan to take?a.Measure the tubing from the nose to the distal port11. A nurse is developing a plan of care for a client who has preeclampsia and is to receivemagnesium sulfate via continuous IV infusion. Which of the following actions should thenurse include in the plan?a.Monitor the FHR via Doppler every 30 min12. A nurse realizes that thewrong medicationhas been administered to a client. Which ofthe following actions should the nurse take first?a.Measure the client’s vital signs13. A nurse is providing teaching to a client about the adverse effects of sertraline. Which ofthe following adverse effects should the nurse include?a.Excessive sweating14. A nurse is caring for a client who is postoperative and has a chest tube drainage system.For which of the following findings should the nurse notify the provider?a.Tidaling occurs when the client is breathing15. A nurse is preparing to administer vancomycin IV to an adult. The client asks the nurseif the medication can be given 2 hr earlier. Which of the following statements should thenurse make?a.“I can start the medication 30 min earlier.”16. A nurse in the emergency department is interviewing a client immediately following asexual assault. Which of the following actions should the nurse take first?a.Determine a client’s current anxiety level17. A nurse is caring for a client who gestational hypertension and is experiencing toxiceffects due to magnesium sulfate therapy. The nurse should anticipate administeringwhich of the following medications?a.Calcium gluconate18. A nurse is caring for a client who has end-stage kidney disease. The client’s adult childasks the nurse about becoming a living kidney donor for their parent. Which of thefollowing conditions in the child’s medical history should the nurse identify as acontraindication to the procedure?a.Hypertension19. A nurse has identified tasks to delegate to a group of assistive personnel (AP) afterreceiving change-of-shift report. Identify the sequence of steps the nurse should followwhen delegating tasks to the Aps.Put in order

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- 1stReview the skill level and qualifications of each AO-3rdMonitor progress of tasks completion with each AP- 4thEvaluate the APs’ performance of each task- 2ndCommunicate appropriate tasks to the APs with specific expectations20. A nurse is preparing to perform sterile wound irrigation and dressing change for aclient. Which of the following actions by the nurse indicates a break in surgical aseptictechnique?a.Balancing the bottle on the sterile basin while pouring the liquid21. A nurse is working with a client who has an anxiety disorder and is in the orientationphase of the therapeutic relationship. Which of the following statements should thenurse make during this phase?a.“We should establish our roles in the initial session.”22. A nurse is caring for a client who is receiving intermittent enteral tube feeding. Which ofthe following factors places the client at risk for aspiration?a.A history of gastroesophageal reflux disease23. A nurse is caring for a client who is 4 hr postpartum. The client reports an urge to voidbut is unable to void. Which of the following actions should the nurse take?a.Encourage the client to attempt to void while using a Sitz bath24. A nurse is caring for a client who has preeclampsia and is experiencing a postpartumhemorrhage. The nurse should expect the provider to prescribe which of the followingmedications?a.Oxytocin25. A nurse is providing teaching to the parents of a newborn about newborn geneticscreening. Which of the following statements should the nurse include in the teaching?a.“This test should be performed after your baby is 24 hours old.”26. A nurse is preparing an in-service for a group of nurses about malpractice issues innursing. Which of the following examples should the nurse include in the teaching?a.Documenting communication with a provider in the progress notes of theclient’s medical record27. A nurse is receiving change-of-shift report for a group of clients. Which of the followingclients should the nurse assess first?a.A client who has a hip fracture and a new onset of tachypnea28. A nurse is preparing to insert an indwelling urinary catheter for a client. Which of thefollowing actions should the nurse plan to take?a.Secure the urinary catheter to the client’s thigh29. A nurse is planning care for a group of clients. Which of the following methods shouldthe nurse use to manage time effectively?a.Gather supplies prior to completing a dressing change30. A nurse is preparing to assist the provider with a paracentesis for a client who hasascites. Which of the following actions should the nurse plan to take?a.Have the client void prior to the procedure

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31. A nurse is teaching a prenatal class about infection prevention at a community center.Which of the following statements by a client indicates an understanding of theteaching?a.“I can visit my nephew who has chickenpox 5 days after the sores have crusted.”32. A nurse is caring for a school-age child who has sickle cell anemia and is in vaso-occlusive crisis. Which of the following actions should the nurse take?a.Increase oral fluid intake33. A nurse is assessing a client who is 2 hr postpartum for uterine atony. Which of thefollowing actions should the nurse take?a.Palpate the client’s fundus34. A nurse manager is reviewing documentation with a newly licensed nurse. Which of thefollowing notations by the newly licensed nurse indicate an understanding of theteaching?a.“OOB with assistance for breakfast.”35. A charge nurse is teaching new staff members about factors that increase a client’s riskto become violent. Which of the following risk factors should the nurse include as thebest predictor of future violence?a.Previous violent behavior36. A nurse is teaching a wellness class about depression for a group of older adult client.Which of the following information should the nurse include in the teaching?a.Depression can be misdiagnosed as a neurocognitive disorder in older adultclients37. A nurse is assessing a client who is receiving morphine IV for pain. Which of thefollowing findings should the nurse report the provider first?a.BP 80/40 mm Hg38. A nurse is providing discharge teaching to a client who is postoperative followingsurgery for carpal tunnel syndrome. Which of the following statements by the clientindicated an understanding of the teaching?a.“I should not use my affected hand for 4 to 6 weeks.”39. A nurse is using an IV pump for a newly admitted client. Which of the following actionsshould the nurse take?a.Check the cords of the IV pump for fraying40. A nurse is planning care for a client who has unilateral paralysis and dysphagiafollowing a right hemispheric stroke. Which of the following interventions should thenurse include in the plan?a.Place the client left arm on a pillow while he is sitting41. A nurse on a pediatric unit is preparing to insert an IV catheter for a 7-year-old childwho is dehydrated. Which of the following actions should the nurse take?a.Tell the child there will be discomfort during the catheter insertion42. A nurse is caring for a client who has acuteglomerulonephritis. The nurse shouldidentify that which of the following findings is the priority?a.BUN 24 mg/dL

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43. A nurse is assessing a client who is postoperative and has a history of pulmonaryembolism. Which of the following findings is the priority for the nurse to report to theprovider?a.Hypotension44. A nurse is reviewing the medical record of a client. Which of the following findingsshould the nurse report to the provider? EXHIBITa.Temperature45. A nurse in the infectious disease division of the local health department is caring for aclient. Which of the following infections should the nurse identify should be reported tothe health department?a.Chlamydia trachomatis46. A nurse in a family practice clinic is screening an adolescent client for idiopathicscoliosis. Which of the following assessments should the nurse perform as part of thisscreening?a.Measure the truncal rotation47. A nurse is assessing an older adult client who had left-sided stroke. Which of thefollowing findings should the nurse expect?a.Expressive aphasia48. A nurse is preparing to teach the parents of a child who has cystic fibrosis. Which of thefollowing instructions should the nurse plan to include?a.Provide a diet high in protein and calories49. A nurse is reviewing the medical records of four clients. The nurse should identify whichof the following client findings requires follow-up care?A client who received a Mantoux test 48 hr ago and has an induration1.A nurse is providing dietary teaching to a client who has a new diagnosis of irritablebowel syndrome. Which of the following recommendations should the nurse include?a.Consume foods high in bran fiber2.A nurse is planning care for a client who has an L4 spinal cord injury. Which of thefollowing interventions to prevent skin breakdown should the nurse include in the planof car?a. Ask the client to shift his weight every 20 min while sitting in a chair3.A nurse is caring for a client who has bipolar disorder and is experiencing acute mania.The nurse obtained verbal prescription for mechanical restraints. Which of the followingactions should the nurse take?a.Assess the clients peripheral pulse rate every 30 min4.A nurse is teaching a guardian of an adolescent who has mild persistent asthma and anew prescription for maintenance prednisone. Which of the following statements by theguardian indicated an understanding of the teaching?a.“This medication can increase my son’s risk for infection5.A charge nurse is teaching a group of newly licensed nurses about the correct use ofrestraints. Which of the following examples should the charge nurse include in theteaching?a.Keeping the side-rails of a toddler’s crib elevated

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