ATI Childcare Predictor Exam With Answers (182 Solved Questions)

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VERSION 21.A nurse is caring for a client who has given informed consent for ECT. Just before theprocedure the client tells the nurse she is consideringnot going forward with thetreatment.Which ofthefollowing statementsoy thenurseIsappropriate?a."Youdon'thavetogothroughwiththetreatment."b."Mostpeoplewhohavethisprocedurefeelbetterfollowingthetreatment.c."It’sokaytobenervousbeforethistreatmentd."Yourdoctorwouldn'thaveorderedthistreatmentunlessitwasnecessary.2.Whileperformingarouteassessment.anursenoticestracingontheelectricalcordofa

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clientsCPMdevice. Whichofthefollowingactionsshould thenursetakefirst?a.Reportthedefecttothe equipmentmaintenance staff.b.Ensurethedeviceinspectionstickeriscurrentc.Remove the devicefromtheroomd.Initiatearequisitionfor areplacementPMdevice3.Anurseiscaringfora clientwhoispostoperativeandhasanewprescriptiontorhydromorphone,Which ofthefollowingactionsshouldthenursetake:a.Documentadministrationofthemedicationuponremovalfromthemedicationdispensingb.Withholdthemedicationiftheclientdoes notappeartobe inpain.c.Countthecurrentnumberofunitdosesavailableinthemedicationdispensing system.d.Withholdthemedicationif the clienthasafever4.Anurseperformingachange-of-shiftassessment.Whichofthefollowingclientshasthepriorityfinding?a.Type2DMandabloodglucoseof250mg/dLb.Pneumoniawithaproductivecoughandafeverof38.8°C (101.8°F)c.2hr.postcastplacementandhas 2+pittingedemaandpallord.First-degreeheartblockandaheartrateof62/min5.A nurse in an outpatient mental health facility is providing teaching to a group oradolescents.Whichofthefollowing statementsbyaclientindicatesanunderstanding oftheteaching?a."Iwilllimitmyalcoholusetoonedrinkdailywhiletaking disulfiram.b."IwillavoidfoodscontainingtyraminewhiletakingFluoxetinec."Iwilltakethesustained-releasemethylphenidateeverymorning.d."Iwilltakemy lithiumonanemptystomach."6.Anurseintheemergencydepartmentisassessingclientwhohasmajordepressivedisorder.Whichorthefollowingactionsshouldthenursetakefirst?a.Administer Zofrantothe clientfornauseab.Implementseizureprecautionsfortheclient

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c.Encouragetheclienttoverbalizefeelingsd.Obtaintheclient'sweight7.A nurse is completing an admission assessment for a client who has narcissisticpersonality disorder.Whichofthefollowing shouldthenurseexpect?a.Suspiciousofothersb.Exhibitsseparationanxietyc.Ritualisticbehaviord.Preoccupiedwithaging8.DrugCalc:Clientweighs99lb.Prescribeddietof1.5gprotein/kg/dav.Howmangramsofproteinperdayshouldthenurseincludeintheclientsdietaryplan?9.A nurse is planning care for a group of clients and is working with one LPN and one AP.Whichofthe following actionsshouldthenursetakefirsttomanagehertime effectively?a.Developanhourly time framefortasksb.Scheduledailyactivitiesc.Determinegoals of the dayd.Delegate tasks to the AP10.Anurseisdevelopinga planofcareforaclientwhohaspreeclampsiaandistoreceivemagnesium sulfate via continuous IV infusion. Which or the following actions should thenurseincludeintheplan?a.Restrictthe client's totalfluidintake to250mL/hr.b.Measurethecentsurineoutputeveryhourc.Givetheclientprotamineifsignsofmagnesiumsulfatetoxicityoccur(antidote:calciumgluconate)e.Monitor the FHRviaDoppler every30min11.Anurseiscaringfora groupofclients.Whichofthefollowingwoundsshouldthenurseexpecttohealbyprimaryintention?a.Infectedlaceration.b.StageIlpressureulcerc.Approximatedsurgicalincisiond.Partial-thicknessburn12.Anurseinanacutementalhealthcarefacilityisprioritizingcareformultipleclients.Whichofthefollowingclientsshouldthenurseseefirst?a.Clienttaking clozapinetotreatschizophreniaandreportssorethroatb.ClienthasOCDandisupsetaboutachangeindailyroutinec.Clienthasnarcissisticpersonalitydisorderandismockingothersduringgrouptherapyd.ClientwhohasdepressivedisorderandrequiresassistancewithADLS

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13.A nurse is caring for a client who has animplanted venous access port. Which of thefollowing shouldthenurseusetoassesstheport:a.Anangiocatheterb.Abutterfly needlec.Anoncoringneedled.A 25gauge needle14.A nurse is caring for a client who has pneumonia and tells the nurse, "I teel like anelephantissittingonmv chest"Theclientisweakandunabletowalk.Afterthenurseindicateschestpainprotocolwhichorthefollowingistheprioritydiagnostictest?a. PT and INRb.12leadECGc.ChestX-rayd.Serumpotassium15.A nurse is assessingthe growth and development of a 3 /o child. Which of thefollowingquestionsshouldthenurseasktheparenttodetermineIfthechildisexhibitingtypical developmentalexpectations?a."Canyour childdrawastickfigure?b."Canvourchildcatchandthrowasmallball?c."Canyour childride a tricycle?"d."Canyourchildnamefivecolors?16.Anurseispreparingtoassessfetal hearttonesforaclientwhoisat12weeksofgestation. Which ofthefollowingactionsshouldthenursetake?a.Measurethefundalheighttodeterminetheplacementoftheultrasoundstethoscopeb.PerformLeopoldmaneuverspriortoauscultatingtheFHRc.PositiontheultrasoundstethoscopeabovethesymphysispubistoassesstheFHRd.Placetheclientinaside-lying positionpriortoassessing theHR17.A nurse is assessing a client who has a chest tube with a water seal drainage system.Uponassessment,thenursenotestidaling inthewaterseal.Whichorthefollowing isanexplanation forthetidaling?a.Thereisaloopoftubing belowthedrainagesystemb.Thesystemis workingproperlyc.Thelung hasre-expandedd.Thetubingispartiallyobstructedbyclots18.A charge nurse on a medical surgical unit is assisting with the emergency responseplan following an external disaster in the community in anticipation of multiple clientadmissions.Whichofthefollowingcurrentclientsshouldthenurserecommendforearlydischarge?a.Aclientwhois receivingheparin for DVb.Aclientwhois1daypostoperativefollowingavertebroplasty

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c.Aclientwhohas COPD andarespiratoryrateof44/mind.Aclientwhohascancer withasealedimplantorradiationtherapy19.A nurse is caring for a client who has ESRD. The clients adult child asks the nurse aboutbecoming a living kidney donor for her father. Whichof the following conditions in thechild'smedicalhistoryshould thenurseidentityasa contraindicationtotheprocedure?a. Osteoarthritisb.HTNc.Amputationd.Primaryglaucoma20.Anurseiscaring fora clientwhois4dayspostpartum.Whichofthefollowingassessment findingsshouldthenurseexpect?(SATA)a.Foulperinealodorb.Fundus displaced to the rightc.Lochia serosad.Fundus4cm(1.6in) belowtheumbilicuse.Postpartumchill21.Anurseiscaringforachildwhohascysticfibrosisandrequiresposturaldrainage.Whichofthefollowingactionsshould thenursetake?a.Performtheproceduretwiceadayb.Holdhandtoperformpercussionsonthechildc.Administerabronchodilatoraftertheprocedured.Performtheprocedurepriortomeals22.A home care nurse is making a follow up visit with a client who has COPD and is usinga compressed oxygen system in his home. Which of the following action should the nursetake?a.Ensurethattheclientchecksthegaugeweeklyb.Storetheoxygentankwrenchinalockedcabinetc.Havetheclientstoresmallertanksunder hisbedd.Placetheoxygentankawayfromcurtainsordrapes23.Locationof cracklesIMAGEI24.Anurseiscaringforanewclientwhohasbacterialmeningitis.Whichofthefollowingactionsshouldthenursetake?a.Implementseizureprecautionsb.Placetheclientinhigh-Fowler'spositionc.PerformROMexercises once pershiftd.Monitortheclientforhypoglycemia

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25.A nurse is reviewing the preadmission lab tests results of a client who is to undergohip arthroplasty in 2 days. Which of the following results should the nurse report to theprovider:a.Na142mEq/Lb.Blood glucose 80 mg/dLc.K3.3mEq/L(Potassium)d.PT11.5seconds26.Anurseiscaringforaclientwhohasundergoneamodifiedradicalmastectomy.Theclient has aclosed-suction drain. Which of the following actions should the nurse take?a.Reset thevacuumbycompressingthecontainerb.Securethedraintothebeddingc.Positiontheaffectedextremitybelowthe levelofthe client'sheartd.Maintainthe clientina supine positionfor the first 4hr.27.A nurse is receiving change of shift report for four clients. Which of the followingclientsshouldthenurse assess first?a.DMandHbA1cof5.2%b.Leukemiaandplateletlevelof95,000/mm3c.ReceivedIVLasixandKof 3.6mEq/Ld.Hepatitis Bandtotalbilirubinof 1.2mg/dL28.A nurse is developing plan of care for a newborn, mother tested positive for heroinduringpregnancy.Newbornisexperiencingneonatalabstinencesyndrome.Whichofthefollowing actionsshouldthenurseincludeintheplan?a.MinimizenoiseIthenewbornsenvironmentb.Swaddlethenewbornwithhislegsextendedc.Administernaloxonetonewbornd.Maintaineyecontactwiththenewbornduring feedings29.Nutritional teaching for an adult client who has seizure disorder and a newprescription for phenytoin. Which of the following instructions by the nurse isappropriate?a.“Youshouldexpectachangeinthecolorofyourstoolwhiletaking thismedication”b."Increase your intakeof vitaminDwhile takingthis medication"c."Plantotakethismedicationwithantacids."d."Limitfoodsthatcontainfolicacidwhiletaking thismedication”30.A nurse is assessing a client who presents to the L&D unit reporting the onset ofcontractions.Whichofthefollowingfindingsshouldthenurseidentifyasamanifestationoffalselabor?a.Presenceofbloodyshowb.Contractionintensityincreasedbvambulationc.Slowchangeindilationandeffacement

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d.Intermittent,painlesscontractions31.AnurseiscaringforaclientWhohasCdiff.Whichorthefollowingactionsshouldthenurse take?(SATA)a.Washhandswithalcoholbasedb.WearN95c.Removethermometer fromclient'sroomforuseonanotherclientd.Change glovesaftercontactwithinfectiousmateriale.Wear agownwhenproviding care32.Anurseisreceiving changeofshift reportforagroup ofclients.Whichorthefollowing clientsshouldthenurseplantoassessfirst?a.DMandHbA1Cof6.8%b.Hipfractureandanewonsetoftachypneac.Epiduralanalgesiaandweakness inlower extremitiesd.Sinusarrhythmiaandisreceivingcardiacmonitoring33.Nurse accidently punctures IV bag causing the medication to leak on the counter:Which of the following medications requires the nurse to follow facility procedures in thesafehandlingofabiohazardousmaterialspill?a.Phenytoinb.DoxorubicinHydrochloridec.Metronidazoled.Ampicillinsodium34.Postoperativeclientfollowingappendectomyandreceivinggentamicin.Whichisanadverseeffectofthismedication?a.Respiratoryrate22/minb.Hgb8.7g/dLc.2+pittingedemaoftheanklesd.Creatinine2.3mg/dL35.Whichofthefollowingclientsshouldthenurserecommendreferraltoadietitian?a.OlderadultwhohasBMof 24b.Clientwithalbuminof3.7g/dLc.olderadultwhohaspresbyopiad.Clientwhohasanonhealing legulcer36.SupportgroupforclientsWhosefamilyhavecommittedsuicide.Whichorthefollowing shouldthenurseplan touseduringthegroupsession?a.Encourageclientstoestablishatimelinefortheirgrieving processb.AssistClientsinIdentifyingwayssuicidecouldhavebeenpreventedc.Discourageclientsfromsharingnegativeaspectsoftheirrelationshipwiththedeceasedpersons

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d.Initiateadiscussionwithclientsaboutwaystocopewithchanges infamilydynamics37.Whichofthefollowing riskfactorsshouldthenurseincludeasthebestpredictoroffutureviolence:a.Experiencingdelusionsb.Ahistory ofbeinginprisonc.Malegenderd.Previousviolentbehavior38.ArialFibrillationplacestheclientatriskforWhichorthefollowingconditions?a.Pulmonaryembolib.Cardiactamponadec.widenedpulsepressured.Hemothorax39.Clientwithschizophreniaandexperiencesauditoryhallucinations,whichactionshould thenurseincludeintheplan?a.Refer tothe hallucinationsas if they are realb.Encouragetheclienttoliedowninaquietroomc.Ask the clientdirectlywhatheishearingd.Avoideye contactwiththeclient40.Circumcisednewborn.Whichorthefollowinginstructionsshouldthenurseincludeintheteaching:a."Wrapsterilegauzearoundthepenisif bleedingoccurs”b."Usesoaptocleanse thesite.”c."Applypetroleumjellytotheglanswithdiaper changes."d."Removeyellowexudatearoundthepenis”41.Crohn's disease. Which of the following diagnostic procedures should the nurse planto teachtheclientregardingperniciousanemia?a.Schillingtest(medsurgpg.254)b.Oralglucose tolerancetestc.D-dimertestd.Thyroidscan42.Anurseiscreatingacareplantora clientwhoispostoperativefollowingaCABG.Toprevent complications of cardiac surgery, which of the following instructions should thenurseincludeintheplanofcare?a.Administeratropinetotheclientif tachycardiaispresentb.Maintaintheindwelling urinarycatheteruntiltheclientisreadyfordischargec.Prepare for fluid volume replacement it the central venous pressure steadily increasesd.Checktheclient'shemoglobinlevelif chesttubedrainageis300mLinthefirst1hour

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43.A nurse is reviewing the medication administration record of a client who hasrheumatoid arthritis and is 1 day postoperative following a left total hip arthroplasty.Whichofthefollowingmedicationsplacestheclientatriskfordelayedwoundhealing?a.Morphineb.Digoxinc.Prednisoned.Omeprazole44.Client becomes unconscious and monitor displays v-tach. Which action should thenursetakefirstafterdetermining theclientdoesnot havea palpablepulse:a.EstablishIVaccessb.Administerepinephrinec.Defibrillated.Assessheartsounds45.Anurseiscaringforseveralclientsonamedsurgunit. Forwhichofthefollowingnursing activitiesisitrequiredthatthenurseusesterilegloves?a.Initiating IVassessb.Performingtracheostomycarec.Inserting anNGtubed.Administeringtotalparenteralnutritionthroughacentralvenousaccessdevice46.Labresultss/psurgery.Whichshouldbereportedtotheprovider?a.Na160mEq/Lb.C1100mEq/Lc.Bicarbonate26mEq/Ld.K 3.8mEq/L47.NurseisdevelopingcareplantorclientonBuck'stractionandisscheduledforsurgeryforfracturedfemuroftherightleg.WhichshouldthenursedelegatetoanAP?a.Observethepositionofthesuspendedweightb.Remindtheclienttousetheincentivespirometerc.Checktheclient'spedalpulseonthe rightlegd.Askclienttodescribe their pain48.ClientinERexperiencingstimulantwithdrawal.Whichfindingshouldthenurseexpect?a.Decreased appetiteb.Runnynosec.Musclespasmsd.Fatigue49.Postpartum client with a language barrier.Which or the following actions should thenursetaketogathertheclient'sadmissiondata?

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a.Allowclient'spartnertotranslateb.Requestfemaleinterpreter throughthefacilityc.Haveclient'schildtranslated.Asknursing studentwhospeaksthesamelanguageastheclienttotranslate50.Operatingfireextinguisher(Thisis theproperorder)51.A nurse in a mental health clinic receives a request from a client who is undergoingpsychotherapytoobtainacopyofthetherapist'snotes.Whichofthefollowingresponsesshould thenursemake?a."Areyounothappywithyourtreatment?b."Whyareyouinterestedinseeingourtherapist'snotes?c."Idon'tthinkyouwillbenefitfromreviewing yourtherapist'snotes rightnow.d."Wecanprovideacopyofyourrecords,butthetherapist'snotesarenotincluded."52.Anurseisassessingaclientwhohashypervolemia.Whichofthefindingsshouldthenurseexpect?a.Urinaryfrequencyb.Decreased BPc.Boundingpulsed.Bradycardia53.Insertingindwellingurinarycathetertoamaleclient.Whichofthefollowingactionsshould thenursetake?a.Cleansethe tinor thepenis inasidetoside motionb.Pickupthe catheter 13cm(5in)fromitstipc.Performthecleansingprocedurewithafreshswabtwotimesd.Liftthepenis sothatitis perpendiculartotheclient's body54.A nurse is caring for a client who is febrile. To reduce fever, the nurse applies a coolingblanket. Which of the findings indicates the client is having an adverse reaction to thecooling?a.Tachycardiab.Flushingc.shiveringd.Restlessness55.Teachingformisoprostol.Whichinformationshouldbeincludedintheteaching?a."Youwillhaveaurinarycatheter insertedpriortotheplacementofthemedication.b.“Youwilllieonyoursidefor30minafterthe medicationisinserted1.Unlockthehandlebypullingonthepin2.Pointthe hoseatthebase ofthe fire3.Squeezethehandlebypullingonthepin4.Sweeptheextinguisher fromsidetoside

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c."Youwillhaveoxytocininitiatedwithin3hoursofadministrationofthemedicationd."Youwillhaveintermittentfetalmonitoring whileyoureceivethemedication."56.Clientinpsychiatricunit.Theclientstates,"Thevoicesaretellingmetojump”.Whichofthefollowingisanappropriateresponseby thenurse?a."Thatcan'tbetrue.Theonly voices inthis roomareyours andmine!”b."Youshouldn'tbeafraidwhenyouthink thevoicesare tellingyoutohurtyourself."c."I understand the voices are frightening you, but I do not hear any voices”d."Doyourecognize the voicesasbelongingtoanyone youknow?'57.Teaching the parent of an infant who has positional plagiocephaly. Which of thefollowingstatements bytheparent indicatesan understanding oftheteaching?a."Ishouldplacemv baby intheleftside-lvingpositionatnightwhenusingthehelmet.b.“Ishouldavoidtummytime whenmybaby iswearing the helmet.”c."Ishouldexpecttohavemybabywear thishelmetfor10monthsd."Ishouldkeepthe helmet onmy baby for 23hoursaday.”58.Whichofthefollowinglab findingsshouldthenurserecognizeasindicativeofrheumatic fever?a.Decreasedhgbandplateletcountb.Decreasedmyoglobinandantinuclearantibodytiterc.Elevatedsedimentationrateand C-reactiveproteind.Elevatedcreatinekinaseandtroponin59.Client with pneumonia gained 4.2kg(9.3 lb.) over the last 5 days. Lab values thismorning are WBC 10,000/mm3, RBC 5.2 million/mm3, platelets 250,000/mm3, BUN 32mg/dL, and serum creatinine 2.1 mg/dL. The nurse should report these findings to whichofthe followingmembersoftheinterdisciplinaryteam?a.Nephrologistb.Cardiologistc.Infectiouscontrolnursed.Dietitian60.Anursereceivedchangeofshiftreport.Whichofthefollowingactionsshouldthenursetaketomanagetimeeffectively?a.focusonseveralclienttasks atatimeb.Documentclientcareattheendortheshiftc.Skip breaks until client tasks are completedd.Make a clientto-dolistforthe day61.Protocolsforbeltrestraints.Whichofthefollowingguidelinesshouldthenurseinclude?a.Removethe centsrestraintevery 4hr.b.RequestaPRNrestraintprescriptionforclientswhoareaggressive

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c.Attachthe restrainttothe bed's side railsd.Documenttheclient'sconditionevery15min62.AssessingclientinER.Whichofthefollowingactionsshouldthenursetakefirst?a.ObtainABGlevelsb.Elevatetheheadoftheclient's bedto30°c.Placeclientonacoating blanketd.Administerananalgesic63.Clientwhohasdepressivedisorderandanewprescriptiontoramitriptyline.Whichofthefollowing statementsby theclientindicatorsan understanding oftheteaching?a."IcancontinuetotakeSt.John'swortwhiletaking thismedication.b.“Iknowitwillbeacoupleofweeksbeforethemedicationhelpsmefeelbetter."c."Iexpectthismedicationtoraisemybloodpressure.d."Ishouldtakethismedicationonanemptystomach.64.A nurse is preparing to feed a newly admitted client who has dysphagia. Which of thefollowing actionsshouldthenurseplantotake?a. Instruct the client to lift her chin when swallowingb.Sitatorbelowtheclient'seyelevelduring feedingsc.Talkwiththeclientduring her feedingd.Discouragetheclientfromcoughingduringfeedings65.Childwithsicklecellanemia.Thenurseshouldemphasizetheimportanceofwhichofthefollowingfactorstopreventsicklecellcrisis?a.Allow-proteindietb.Adequatehydrationc.Calorierestrictiond.Increasedironintake66.Clientwithindwellingurinarycatheter.Whichofthefollowingactionsshouldthenursetaketoprovidecathetercare?a.Provideperinealhygieneafterdefecationb.Emptythecollectedurineonceever24hr.c.Hang the drainage bagonabedraild.Changetheindwelling catheter every 8hr.67.Clientexperiencingacutemania.Whichofthefoodsshould thenurseprovideforthisclient?a.Peanutbuttersandwichb.Chickennoodlesoupc.Celerysticksd.Oatmealwithbutter

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68.??????????69.A home health nurse is completing screenings for elder abuse during client visits.Which of the following findings should the nurse identify as an indication of potentialelderabuse?a.Clientwhoreportsbeinggivensedativemedicationsbyfamilymembersb.Clientwhoistakingwarfarinandhasseveralsmallbruisesonher shinsandhandsc.Clientwhoschedulesmultiplevisitswithhisprovider everymonthd.Clientwholiveswithfamily membersandbegins totake more responsibilityfor selt-care70.A nurse is caring for a school-age child who is postoperative and received morphine IVbolustorpain 10min ago. Whichofthefollowing findingsisthenurse'spriority?a.Bradypneab.Sedationc.Euphoriad.Constipation71.Anurseisplanningto administer2unitsofpacked RBCsto an olderadultwho hasanemia.Whichofthefollowingactionsshouldthenurseplantotake?SATAa.Primetheinfusiontubing with0.45NaClb.Infusebloodover 4hr.c.Don sterile gloves to prepare blood administration setupd.Assess theclient's lungsoundsprior totheinfusione.Verifywithanothernursethattheunitofbloodiscompatiblewiththeclient'sbloodtype72.A nurse is planning care for a client who is scheduled to receive a PICC in the arm.Which or the following interventions is appropriate for the nurse to include in the plan ofcare?a.Administersedationfortheprocedureb.Measurethearmcircumferenceabovetheinsertionsitedaily.c.Use gauzetosecureanarmboardtotheinvolvedextremity.d.ScheduleandMRIpostprocedure toverityplacement73.Whichofthefollowing clientsshouldthenurseplacenearthenurse’s station:a.AclientwhoisinBuck'stractionb.Aclientwhohasorthostatichypotensionc.Aclientwhohasanopenwoundd.Aclientwhois onfluidrestriction74.Olderclienttransferredfromanotherfacility.Nursenotesulcersonthecoccyxandabrasions around both wrists. Which of the following actions should the nurse take toaddresssuspicionsofelderabuse?a.Notifyrisk managementb.Informthetransferringagencyoftheclientscondition

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c.Privatelyinterviewtheclientaboutherconditiond.Contactthefamilyregardingtheclient'scondition75.Client receiving intermittent enteral tube feedings. Which of the following places theclient atrisk for aspiration?a.HistoryofGERDb.Sittinginahigh-Fowler'spositionduringthefeedingc.Aresidualof65mL1hrpostprandiald.Receivingahighosmolarityformula76.Adverseeffectsofsertralinea.Dry coughb.Increasedurinaryfrequencyc.Metallictasteinmouthd.Excessivesweating(pharmpq.53:serotoninsyndrome)77.Teachingforaclientundergoingradiationtherapyandhasstomatitis.Whichoftheresponsesbytheclientindicatesanunderstandingoftheteachinga."Ishouldlimitmyintakeofdairyproductstopreventnausea.b."Ishoulduseasoft-bristletoothbrushtocleanmy teethafter meals."c."Ishouldmoistenmy lips withlemon-glycerinswabs.d."Ishouldgarglewithanalcohol-basedmouthwashtokillgerms78.Clientplacedinseclusionandrestraints.Whichofthefollowingactionsshouldthenurseplantotake?a.Ensurethattheprescriptionforrestraintsberenewedevery6hr.b.Haveaprovider evaluatetheclientinpersonwithin1hr.c.Plantomonitorthe clientevery 30minwhilerestrainedd.Complete awrittenrecordreading the seclusionandrestraintevery2hr79.Client with acute glomerulonephritis. Which of the following food choices should thenurserecommend?(lowin potassium,sodium,andprotein)a.Bagelb.Bananac.Eggsd.Smokedsalmon80.Client asks about acupuncture to manage his osteoarthritis pain. The nurse shouldidentitywhichofthefollowingconditionsasacontradictionforreceivingthistreatment?a.HTNb.Herpes zosterc.Obesityd.Hypothyroidism

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81.Reviewingclientslabresults.Whichofthefollowingshouldthenursereviewtoevaluatetheclientsnutritionalstatus?a.serumalbuminb.Serumsodiumc.Troponind.ESR82.Nurse manger observes two staff nurses reviewing the computer records of a clientwhoisnotundertheircare.Whichofthefollowingshouldthenursemanagertakefirst?a.Requestthenurses presentanin-serviceonclientconfidentialityb.Place documentation of the nurses actions in thepersonnel filec.Instructthe nursestoclose theclient's computer recordd.Advisethenursestoreadthefacilitysconfidentiality policy83.Discharge teaching to a client who does not speak the same language as the nurse.Thenurseiscommunicatingwiththeclientusinganinterpreter.Whichofthefollowingactionsshouldthenursetake.a.Usegestures toconvey meaningb.Speak slowly when talking to the interpreterc.Speakdirectly totheclientd.Pauseinthemiddleofthesentences84.TeachingtheparentsofaclientwithnewonsetofseizuresandistoundergoanEEG.Whichofthefollowing instructionsshouldthenurseincludeintheteaching?a."Ensurethechild'shairiscleanandwithoutconditionerbeforetheprocedure.b."Keepthechildoutofthesunfor4hr.following theprocedurec."MakethechIldNUbeforetheprocedured."Givethechildacetaminophenforpainfollowingtheprocedure.85.Clientpresentedwithfinehair,exophthalmos,andreportsintolerancetoheat.Whichorthefollowingendocrinedisordersisassociatedwiththesefindings?a.Hyperthyroidismb.Hyperparathyroidismc.Hypothyroidismd.Hypoparathyroidism86.Clientonbedrest.Thenurseshouldrecognizethatwhichofthefollowingfindingsisacomplicationofimmobility?a.Decreasedserumcalciumlevelsb.IncreasedRPc.Urinaryfrequencyd.Swollenareaoncalf

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