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Ati nursing 100 day exam 4 ( fundamentals)

Total Questions : 58

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Question 1:

The nurse recognizes that the most appropriate reason to suction a client is that:

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Question 2:

A group that has transformed itself from a collection of individuals into a productive, problem-solving highly functioning team would be functioning in which stage of group development?

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Question 3:

The nurse is aware that a common cause of under delegation in client care is:

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Question 4:

A nurse is caring for a client being treated for hypernatremia. Which of the following are appropriate nursing interventions? (Select all that apply)

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Question 5:

The nurse has applied a topical agent to the client's skin, and then applies an ice pack to the area. This is done to:

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Question 6:

A client is admitted to the hospital with a diagnosis of R/O appendicitis. Which abbreviation would describe the location of a client's appendix?

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Question 7:

A client must receive eyedrops bilaterally four times a day. The medication should be dropped onto which of the following areas?

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Question 8:

The nurse knows that teaching about the use of the spirometer incentive is effective when the client seals the lips around the mouthpiece and:

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Question 9:

The nurse is administering medications to a client who has severe liver damage. Which medications, as ordered below, will avoid the first pass effect? (Select all that apply)

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Question 10:

Which nursing action is most helpful in thinning a client's thick respiratory secretions?

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Question 11:

The nurse recognizes that which is not a necessary feature of a team?

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Question 12:

A nurse is caring for a client who has a diagnosis of alcohol withdrawal. Which serum laboratory value validates the client's admitting diagnosis? A serum:

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Question 13:

On admission to the hospital, the nurse notes that the client has a sacral wound that is "yellow" in color. What wound treatment would the nurse expect the health care provider to order?

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Question 14:

A client has had an uncomplicated repair of an inguinal hernia. On the second post operative day, the client has mildly elevated temperature and general malaise. The nurse recognizes that this is a generalized body response which is common to which phase of healing?

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Question 15:

In providing care for clients, the nurse knows that the normal stimulus to breathe is a/an:

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Question 16:

The client asks the nursing student to crush her medications and put them in apple sauce. Even before the student researches the medications, he knows that the tablet he cannot deliver in this manner is:

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Question 17:

A one-day post-operative client complains of severe abdominal pain and has shallow respirations at 22/minute. The client is reluctant to perform coughing and deep breathing. Based on the data, the priority problem that the nurse could assign to this patient is:

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Question 18:

The nurse enters a client's room to find that his abdominal wound has eviscerated. Which intervention should the nurse implement first?

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Question 19:

In order to minimize discomfort when giving an injection to a client, the nurse should:

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Question 20:

Which one of the following blood levels would provide the nurse with the most information about the ability of the client's blood to transport oxygen? The:

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Question 21:

A client is recently diagnosed with pneumonia. The nurse observes the client sitting upright in the bed and assesses a respiratory rate of 26. The client states, "I can't catch my breath." Which abbreviation would be used to document this presentation?

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Question 22:

The nurse is giving vancomycin to a client and must hold the dose until the results of the trough level are known. This term is associated with the point at which the:

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Question 23:

A client is diagnosed with chronic constipation. The nurse is given an order by the physician to administer a glycerin suppository. What abbreviation will be written in the physician's order for the administration route for the suppository?

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Question 24:

The nurse is caring for a client who is at high risk for development of pressure injury. The client is able to move independently, but has been placed on bedrest. The client has experienced two episodes of urinary incontinence. Which intervention(s) should the nurse include in the care plan? (Select all that apply)

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Question 25:

.A client has a serum potassium level of 6.3 mEq/L. The nurse recognizes that the highest priority intervention(s) for this client are to: (Select all that apply)

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