ATI Community – Flashcards

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question
A school nurse is discussing levels of prevention with a teacher. Which on the following activities should the nurse identify as a primary prevention strategy? A. Provide nutritional counseling for students B. Report suspected child neglect to the proper authorities C. Conduct vision and hearing screening and kindergarten enrollment. D. Demonstrate proper hand washing techniques
answer
D. Demonstrate proper hand washing techniques
question
A school nurse id conducting hearing screening procedures in an elementary school. Which of the following instructions should the nurse provide when performing the Rinne test? A. "After I place the tuning fork on your scalp, tell me if your hear the sound better in one ear or the same in both ears" B. "Use your finger to close one ear while I whisper some numbers into your ear" C. "After I place this tuning fork behind your ear, tell me when you no longer hear the sound" D. "You'll wear the headphones and press the button when you hear a sound"
answer
C. "After I place this tuning fork behind your ear, tell me when you no longer hear the sound"
question
A palliative care nurse is teaching a client who has cancer about the services that are available for the client. Which of the following statements should the nurse identify as an indication that the client understands the teaching? A. "If I begin palliative care, I will have to stop my chemotherapy" B. "I can begin palliative care when I have less than 6 months to live C. "This type of care can help me with pain control" D. "My family will not be involved with this type of care program"
answer
C. "This type of care can help me with pain control"
question
A nurse us caring for a client who has AIDS and is experiencing rapid weight loss. Which of the following actions should the nurse take first? A. Examine the client's oral mucous membranes. B. Encourage the client to consume 1.2 to 2.0 g/kg of protein daily. C. Recommend the client care increase her daily calorie intake by 25% D. Teach the client about findings that should be reported to the provider
answer
A. Examine the client's oral mucous membranes. -The first action that the nurse should take when using the nursing process is to assess the client. The nurse should examine the clients oral mucous membranes for painful lesions, such as candidiasis
question
A home health nurse is scheduling client visits for the day. Which of the following clients should the nurse plan to visit first? A. A client who is 10 days post op following a mastectomy and needs to have surgical staples removed. B. A client who has diabetes mellitus and reports new erythema to the left foot. C. A client who has COPD and needs a follow-up visit related to home oxygen therapy D. A client in a hip spica cast who reports pruritus under the cast
answer
B. A client who has diabetes mellitus and reports new erythema to the left foot.
question
A nurse manager at a community health clinic is presenting an in-service for nurses about assessing clients for abuse. Which of the following statements by a nurse indicates an understanding of the teaching? A. "Once I determine that a client is not at risk for abuse, I do not need to ask about it at future visits" B. "I should not document the name of the person the client accuses of the abuse in the medical record" C. "I should wait until I see signs of physical abuse before I help the client develop a safety plan" D. "I should refer a client for a rape kit examination if she reports sexual assault within the previous 24 hours"
answer
D. "I should refer a client for a rape kit examination if she reports sexual assault within the previous 24 hours"
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