ATI: Knowledge and Clinical judgement beginner – Flashcards
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A nurse preceptor is orienting a newly licensed nurse. Which of the following actions indicates a breach of confidentiality and requires intervention by nurse preceptor?
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Discussing changes in clients plan of care with friend who is a nurse on another unit
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When collecting data on a client who is immobile, a nurse locates a reddened area of skin on the left scapula. Which of the following actions should the nurse take?
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Cover area with transparent wound barrier
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A Nurse is providing discharge education to parents of preschooler who is prescribed tylenol 300mg every 4hr as needed. The liquid suspension that has been prescribed provides 120 mg/5mL. How many teaspoons should the nurse teach the parents to administer per dose?
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2.5
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a nurse is collecting date on a recently admitted patient. Which of the following techniques should the nurse use to measure tissue perfusion?
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Obtaining the client's level of oxygen saturation
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A nurse is caring for a patient who scheduled for cardiac surgery and tells the nurse, " I don't think I'm going to have the surgery. Everybody has to die sometime." Which of the following responses by the nurse is appropriate?
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Tell me more about your concerns
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A nurse is caring for a patient who diagnosed with urinary tract infection and is prescribed ciprofloxacin 250 mg PO two times daily. The amount is available is 100 mg/tablet. How many tablets should the nurse administer?
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2.5
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A nurse is providing patient education about a new prescription of nitroglycerin to a client who is diagnosed with angina. Which of the following statements indicates a needs for further teaching?
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I'm lucky I have a prescription plan that allows me to buy pills in bulk quantities
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A nurse is caring for a male client who has been prescribed an indwelling urinary catheter. In which of the following positions should the client be placed for insertion of the catheter?
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Supine
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A nurse is assisting with preparation of a teaching program about healthy nutrition for a group of clients who are tactile learners. Which of the following should be included?
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Prepare healthy meal to serve at the end of class
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A nurse preceptor is working with a newly licensed nurse to transfer a client from the bed to a chair. Which of the following actions by the new nurse indicates a need for further teaching to prevent lift injuries?
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Twisting at the waist and shoulders
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A nurse is caring for a client who has been prescribed an indwelling urinary catheter. When preparing to insert the catheter, the nurse should first open the sterile package in which of the following directions?
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Away from body
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Which of the following solutions should the nurse use to clean a blood spill that occurred while inserting a catheter?
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Bleach
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A Nurse is caring for a patient with rheumatoid arthritis and is prescribed Prednisone. Which of the following indicates the client is experiencing an adverse effect?
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Hyperglycemia
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a nurse is collecting nutritional data on an older adult client. Which of the following findings is suggestive of a healthy nutritional status?
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Deep red tongue
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A nurse is collecting data on a client who had received a preoperative dose of morphine. Which of the following indicated the client is experiencing an adverse effect of the medication?
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Urinary retention
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A nurse is precepting a newly licensed nurse while he is charting. Use of which of the following abbreviations indicates a need for further teaching?
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q.d
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A nurse is caring for a patient who is diagnosed with anemia. Which of the following skin variations is caused by reduced amount of oxyhemoglobin?
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Pallor
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A nurse is conducting a breast examination on a client who has a family history of breast cancer. Which of the following should the nurse report to the provider?
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Dimpling of the tissue in the upper outer quadrant
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A nurse is assisting with the preparations of an education program regarding advance directives for new hires. Which of the following information should be included about living wills?
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Living wills detail treatment wishes of a client in the event of terminal illness
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A nurse is caring for a client who is receiving intermittent enteral tube feedings and have diarrhea after each feeding. Which of the following actions should the nurse take in an attempt to prevent diarrhea after subsequent feedings?
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Reduce the rate of the feedings
