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Exam Review

Ati nurse 142 final

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Total Questions : 45

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Question 1:

The nurse is caring for two clients who both are in pain due to sickle cell anemia. One of the clients rates the pain as a 7 out of 10 (0 is no pain and 10 is the worst pain possible). This client is moving around easily and is eating well, but has asked for pain medication. Which action by the nurse is most appropriate?

Answer and Explanation

A
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Question 2:

The nurse is assessing the patient's lips and notes a bluish tinge. This finding would indicate that the patient may be experiencing which problem?

Answer and Explanation

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Question 3:

When assessing the abdomen, the nurse would expect to auscultate which sounds?

Answer and Explanation

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Question 4:

The nurse is performing a nutritional assessment. Which of the following would be considered objective data?

Answer and Explanation

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Question 5:

The nurse is assessing the patient's range of motion. The nurse asks the patient to circumduct his arms. When the patient asks what this means, the nurse explains:

Answer and Explanation

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Question 6:

When assessing the anus, the nurse should inspect for: (Select all that apply)

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Question 7:

The nurse is teaching the patient about different stages of sleep. The nurse knows that REM sleep includes which one of the following?

Answer and Explanation

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Question 8:

The nurse is assessing the patients sleep habits. Which of the patients responses indicate a need for the nurse to provide teaching?

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Question 9:

In the SBAR reporting system, which of the following would be an example of a recommendation?

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Question 10:

A patient is admitted to the floor with a diagnosis of chest pain. Which of the following would be a priority for the assessment?

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