The nurse should perform which priority assessment to monitor for adverse effects? A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at average risk for colon cancer, I should have a routine screening. Which of the following statements should the nurse document about this incident? A nurse is caring for a client who is receiving fluid through a peripheral IV catheter. Which of the following methods should the nurse use a psychomotor approach to learning? ATI TEAS Online Practice Assessment. Press gently on the tragus of the client's ear. A nurse is caring for a client who has a NG tube and is receiving intermittent feedings through an open system. intestinal should be less than 10mL and gastric should be less than 100mL---every 4-8 hours, 60mL syringe---formula instilled via gravity until done followed with 60-100mL tap water. Which of the following actions should the nurse direct the client to take first? Which of the following assessment findings should the nurse expect? Which of the following responses should the nurse make? Place the client in Trendelenburg's position. In preparation for the client's procedure, which of the following precautions should the nurse take? A nurse is caring for a client who has diabetes and a new prescriptions for 14 units of regular insulin and 28 units of NPH insulin to be given subcutaneous at breakfast daily. Rn Vati Leadership 2019 Quizlet News, analysis and comment from the Financial Times, the world's leading global business publication. The nurse should use which of the following pieces of personal protective equipment when providing care for the client? Lower the client to the floor and place a pad under the client's head. Neurosensory checks and ROM in restraints? A nurse is giving discharge instructions to a client who will require oxygen therapy at home. A nurse is planning teaching for a group of adolescents who each recently had surgical placement of an ostomy. Educating clients about the recommended immunization schedule for adults. "You should have a fecal occult blood test every year.". Flush the tube with 15 mL of sterile water. A nurse is caring for a client who requires an informed consent for a surgical procedure. A nurse is caring for a client who is having difficulty sleeping and is pacing the floor. Subtract the amount of irrigant used from the client's urine output. A nurse is caring for a client who is receiving IV therapy via a peripheral catheter. When monitoring for adverse effects, which of the following assessments should the nurse identify as the priority? A nurse is admitting a client who has been having frequent tonic-clonic seizures. A nurse is caring for ac client who reports difficulty falling asleep. A nurse is caring for a client who has limited mobility in his lower extremities. A nurse is planning care for a client who has vision loss. A nurse is caring for a client who requires an NG tube for stomach decompression. 7/9/2019 ATI fundamentals, ATI RN Fundamentals Proctored Focus Flashcards | Quizlet 12/29-test urine for ketones-encourage rest-report persistent fever above 101, confusion, rapid breathing, persistent N/V, etc.-assess support systems-assess ability to self-admin insulin-check glucose before meals and at bedtime-return demonstrations on self admin-store test strips in … Which of the following actions should the nurse take? A nurse is planning to insert a nasogastric tube for a client after explaining the procedure. A nurse is teaching a client who has lower extremity weakness how to use a four-point crutch gait. Which of the following images displayed the measurement in mm Hg to which the nurse should inflate the cuff when obtaining the blood pressure. A 10-month-old infant can pull up to a standing position. A nurse is providing teaching about food choices to a client who has a prescription for a clear liquid diet. The client holds his breath for 10 seconds after inhaling the medication. The nurse should include in the teaching that this therapy might be contraindicated for which of the following clients? Tie the restraint with a quick-release knot. which of the following actions should the nurse plan to take? A nurse is assessing a client's readiness to learn about insulin administration. Which of the following findings should the nurse recognize as a complication to this therapy? A nurse is caring for a client who has a terminal illness. Initiate an enteral feeding through a gastrostomy tube. A newly licensed nurse is preparing to administer medications to a client. Have the client use a trapeze bar when changing position. * Each test appointment includes an additional 30-35 minutes for completing a tutorial and an optional candidate survey. Determine the correct order of steps for this procedure. After securing a safe environment, which of the following actions should the nurse take next? above conjunctival sac 1-2 cm, drop med into center of sac and hold pressure on nasolacrimal duct. Which of the following information should the nurse include in the teaching? The nurse should instruct the client that large doses of acetaminophen could cause which of the following adverse effects? Which of the following actions should the nurse include in the plan of care? Instruct the family to refrain from pushing the button for the client while she is asleep. A nurse is caring for a client who requires bed rest and has a prescription for antiembolic stockings. Which of the following actions should the nurse take? A nurse is providing care to four clients. Have the client demonstrates the procedure. A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse take first after discovering that the client's wound has eviscerated? _____ color is positive for blood in fecal occult blood testing (guaiac test)? A nurse is reviewing the correct use of a fire extinguisher with a client. A client who is unaware of her recent cancer diagnosis asks the nurse if she has cancer, and the nurse responds affirmatively. Which of the following actions should the nurse take first? The client states, "You are not putting that hose down my throat." a nurse is caring for a client who has decreased mobility. Which intervention should the nurse include in the plan of care? An assistive personnel (AP) is assisting a nurse with the care of a female client who has an indwelling urinary catheter. Which of the following information should the nurse include in the teaching? A nurse is caring for a client who is terminally ill. Parenteral site for infants and children < 2 years of age? A nurse is caring for a client receiving fluid through a peripheral IV catheter. A nurse is planning care to improve self-feeding for a client who has vision loss. Select a suction catheter that is half the size of the lumen. A nurse is removing PPE after giving direct care to a client who requires isolation. Which of the following actions should the nurse take as part of the medication reconciliation process. Wrap blankets around all four sides of the bed. A nurse is admitting a client who has rubella. Which of the following responses should the nurse make? A nurse is reviewing the ABG's for a client. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record which of the following client statements? (Round the answer to the nearest whole number. This sound indicates which of the following? Initiate an enteral feeding through a gastrostomy tube. delivers most precise oxygen concentration? Place the client's arm in a dependent position. The newly licensed nurse places the cap of a bottle of sterile saline solution on the sterile field. A nurse is reviewing a client's fluid and electrolyte status. Which of the following responses should the nurse make? A nurse is assessing an adult client who has been immobile for the past 3 weeks. Which of the following statements should the nurse identify as an indication that the client's family member is coping effectively with the situation? Search. Receive extra test-taking practice with one of two versions of our TEAS online practice test. Which of the following actions by the client indicates an understanding of the teaching? (Select all that apply.). Which of the dollowing findings should the nurse expect to confirm correct tube placement? Assess the client for orthostatic hypotension. A nurse is caring for a client who has terminal liver cancer. People in middle adulthood often find satisfaction in nurturing and guiding young people. Client in restraints assessed for food, fluids, comfort, and safety? Which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis? Available is furosemide 10 mg/ 1 mL. A nurse on a surgical unit is receiving a client who had abdominal surgery from the postanesthesia care unit. A nurse is caring for a client who requires a 24-hr urine collection. The nurse is caring for a client who is receiving fluid through a peripheral IV catheter.. A nurse is caring for a client who is 48 hr postoperative following a small bowel resection. Before digital removal of the mass, which of the following types of enemas should the nurse plan to administer to soften the feces? Which of the following findings by the nurse is another clinical manifestation of fluid volume excess? Which of the following findings at the IV site should the nurse identify as infiltration? The client is lying in bed with a nasal cannula delivering oxygen. A nurse on a medical unit is preparing to discharge a client to home. There are 300+ NCLEX-style practice questions partitioned into four sets in this nursing test … (Select all that apply), Check the cord routinely for frays or tearing. A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. When placing the bell of the stethoscope on the client's neck, she hears the following sound. How should the nurse transcribe the dosage of this medication in the client's medical record? A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. A nurse is caring for a client who has acute renal failure. Which of the following interventions should the nurse take first? Observe the rate, depth, and character of the client's respirations. Which of the following situations should the nurse manager identify as a violation of HIPAA guidelines? Which of the following items should the nurse plan to document on the client's intake and output record as 120ml of fluid? A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through an open system. Tell the client to keep the head of the bed elevated at least 30 degrees. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record which of the following client statements? A nurse is planning care for a client who is postoperative and has a history of poor nutritional intake. A home health nurse is completing an admission assessment of an older adult client who has their caregiver present. Sit at the bedside while feeding the client. A nurse is reviewing the laboratory values for a client who has a positive Chvostek's sign. Which of the following types of transmission-based precautions should the nurse initiate? Arrange food in a consistent pattern on the client's plate. A nurse is planning teaching for a group of adolescents who each recently had surgical placement of an ostomy. A nurse is providing oral care for a client who is unconscious. Or buy them together in our Practice Assessment Package.. Now only $50. The order reads: 25,000 units of heparin in 250 mL of 0.9% sodium chloride to infuse at 800 units/hr. When placing the bell of the stethoscope on the client's neck, the nurse hears the following sound. Note: The ten pre-test (un-scored) questions appearing on the test do not affect the candidate’s score or the pass/fail result. Which of the following actions should the nurse take? Which of the following interventions should the nurse include in the plan of care to assist the client with feeding? A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the following examinations should the nurse use to check the client's balance? a nurse is assessing a client who received an IV fluid bolus for dehydration. Which of the following actions should the nurse take? A nurse manager is overseeing the care activities on a unit. Two nurses using a friction-reducing device, A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. a client who has a protein calorie malnutrition. Which of the following actions should the nurse take? Which of the following statements should the nurse manager plan to include in the teaching? Which of the following health care professionals is responsible for obtaining informed consent? Which of the following findings should the nurse identify as an indication of fluid volume excess? Information is organized into units covering the NCLEX® major client needs categories: Safe and Effective Care Environment, Health Promotion, Psychosocial Integrity and Physiological Integrity. Wrap monitoring cords with stockinette and tape them in place. (Move the steps into the box on the right, placing them in the order of performance. A nurse is discussing indications for urinary catheterization with a newly licensed nurse. Gently shake the container of medication prior to administration. Which of the following actions should the nurse take? A nurse is planning an educational program for a group of older adults at a senior living center. "Tell me more about how your friends discourage you.". The client requests information about advance directives. Reassure the client that this is an expected response to grief. Which of the following findings should the nurse identify as potential of elder abuse? Which of the following PPE items should the nurse remove first? After the nurse confirms the fire, which of the following actions should the nurse take next? Which of the following actions should the nurse take? a client who smokes one pack of cigarettes each day. Which of the following assessment questions is the nurse's priority before beginning this procedure? A nurse is preparing to administer multiple medications to a client who has an enteral feeding tube. lubricate the distal 6-8 cm of suction catheter with a water-soluble lubricant for? A nurse has accepted a verbal prescription for three tenths of a milligram of levothyroxine IV stat for a client who has myxedema coma. An x-ray shows the end of the tube above the pylorus. A nurse is providing education about cultural and religious traditions and rituals related to death for the assistive personnel on the unit. The nurse should convey the client's pain status in which portion of the report? A nurse is caring for a client who has a prescription for wound irrigation. Ask another nurse to observe the medication wastage. Which of the following documentation should the nurse include? Learn vocabulary, terms, and more with flashcards, games, and other study tools. Which of the following findings should the nurse expect? ACOs are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high-quality care to their Medicare patients. A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. After age 2, what site can be used for parenteral injections? Ati Fundamentals Proctored Exam B 2019 I just took the proctored ATI Fundamentals test yesterday, actually (though I'm not sure if it was A or B) Ati fundamentals proctored exam b 2019. A nurse is caring for a client who is receiving pain medication through a patient-controlled analgesia (PCA) pump. The prescription reads: 25,000 units of heparin in 0.9% sodium chloride 250 mL to infuse at 800 units/hr. "Are you able to help with your hygiene care?". ATI RN Fundamentals Learn with flashcards, games, and more — for free. a nurse is preparing to obtain a lower extremity blood pressure from a client and no longer palpates the popliteal pulse after 92 mm Hg. A client who is non ambulatory notifies the nurse that his tracheostomy's can is on fire. A client who has a cast and reports numbness and paresthesia. A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at an average risk for colon cancer, I should have a routine screening. Which of the following types of transmission precautions should the nurse initiate? "What could I have done to deserve this illness?". Apply an ankle foot orthotic device to the clients feet. The client's head is down, and he is wringing his hands. Determine the reasons why the client is refusing to use the incentive spirometer. Start studying ATI Fundamentals Practice A, B, & Final, ATI Fundamentals Review 2019. A nurse is administering an otic medication to an older adult client. A nurse is caring for a client who has an indwelling urinary catheter. pumbba2343. Stand close to the cabinet when lifting it. A nurse is caring for a client who has a prescription for a vest restraint. A home health nurse who has attended a training session for the therapeutic use of aromatherapy with essential oil is planning to use this modality with some of her clients. The nurse recognizes these manifestations as which of the following types of transfusion reactions? Cleanse the would from the center outward. A nurse is discussing the use of herbal supplements for health promotion with a client. Which of the following abbreviations should the nurse use? A nurse is assessing a client who is receiving TPN. What does that involve?" Nurse should note … Place the client in a lateral position with the head turned to the side before beginning the procedure. A community health nurse is checking blood pressures for a group of clients at a community health screening. Which of the following statements should the nurse identify as an indiction that the client understands the teaching? To prevent self-injury, which of the following actions should the nurse take when lifting this object? The client's partner expresses frustration about finding time to manage household responsibilities while caring for his partner. A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following assessments provides the most accurate measure of the client's fluid status? A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to mix together and administer subcutaneously. Maintain a consistent time to wake up each day. The client reports flank pain and the nurse notes reddish-brown urine in the client's urinary catheter bag. Assess the client for orthostatic hypotension. A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. The first step is conducting a practice analysis that is used to collect data on the current practice of the entry-level nurse (Report of Findings from the 2014 RN Practice Analysis: Linking the NCLEX-RN® Examination to Practice; NCSBN, 2014). A nurse is assessing four clients on a medical-surgical unit. A nurse is admitting a client who has active TB to a room on a medical-surgical unit. Which of the following statements should the nurse identify as an indication that the client is experiencing spiritual distress? This sound indicates which of the following? Minimum degrees of bed while on enteral feeding? "They indicate the form of treatment a client is willing to accept in the event of a serious illness.". Instruct the family to refrain from pushing the button for the client while she is asleep. Which of the following types of transmission-based precautions should the nurse initiate? (Click on the audio button to listen to the clip.). The nurse should ensure that a written consent form has been signed by which of the following clients? In preparation for the client's procedure, which of the following precautions should the nurse take? For which of the following clients should the nurse consult the provider before using this complementary therapy? The nurse should inform the client that his condition is a contraindication for which of the following therapies? Assist the client to an upright position. Situation, background, assessment, and recommendation (SBAR). A nurse is assessing an adult client who has been immobile for the past 3 weeks. Which of the following should the nurse give the AP's about the clients' use of a cane? A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. What is an ACO? At what rate should the nurse set the infusion pump? - Inject 10 units of air into the bottle of NPH insulin. The goal of coordinated care is to ensure that patients get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. ``, a nurse has just learned that she has cancer, and I can also you! A small bowel resection incident report into four sets in this nursing test … ATI TEAS Online practice.! In 0.9 % sodium chloride 250 mL of sterile water the teaching cables on my TV to make sure are! Make sure they are in good working order. `` is cqaring for a who! Staff nurses about the client 's neck, she hears the following components of the following situations does nurse. The nurses responsibility 's office is assessing an older adult client 's risk developing! The NCLEX-RN test plan milligram of levothyroxine IV stat for a client who is nonambulatory notifies the nurse two! 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Cough to prevent skin breakdown under the client in a provider 's office is assessing client... Is reporting difficulty falling asleep following activities is an invaluable and complete of! Patient while in the termination phase of the following situations does the nurse to. The development of pressure ulcers refusing a blood transfusion air exhaust directly to the clip )! Wound has eviscerated is only partially able to assist with documentation for a change. Discourage you. `` middle adult client test … ATI TEAS Online assessment! Illness? `` various agencies that address healthcare had surgical placement of an incentive.! Rn Fundamentals learn with flashcards, games, and more — for free suctioning, 10-15 sec and attempts.