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Ati Nurse 250 med surg final exam

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Total Questions : 42

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Question 1:

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

Answer and Explanation

A
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Question 2:

A home health nurse is assessing a patient who has heart failure and notes the patient has had a weight gain of 1.8 kg (4 lb), as well as generalized edema, since the last visit 3 days ago. Which of the following actions should the nurse take next?

Answer and Explanation

A
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Question 3:

A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 min and a frequency of 3 min. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min and maternal blood pressure 92/54 mm Hg. Which of the following is the priority action for the nurse to take?

Answer and Explanation

A
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Question 4:

A nurse is reviewing a client's medical record. Which of the following findings should the nurse identify as a fall risk?

Answer and Explanation

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Question 5:

A nurse is implementing the ventilator care bundle for a client who is receiving mechanical ventilation. Which of the following should the nurse expect to find in the bundle?

Answer and Explanation

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Question 6:

A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take?

Answer and Explanation

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Question 7:

A nurse is caring for a client who acquired a Staphylococcus aureus infection from touching a contaminated towel. Through which of the following modes of transmission did the client acquire the infection?

Answer and Explanation

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Question 8:

A nurse enters a client's room and finds the client on the floor. After the nurse has ensured the client's safety, which of the following actions should the nurse take?

Answer and Explanation

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Question 9:

A charge nurse is teaching a newly licensed nurse about health care-associated infections (HAIs). Which of the following should the nurse include in the teaching as examples of HAIS?

Answer and Explanation

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Question 10:

An infection control nurse is teaching a class about transmission of infectious agents. The nurse should include that which of the following diseases is transmitted via airborne transmission?

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