ATI Nurs100102 Fundamentals Proctored Exam Retake

A nurse is developing a plan of care for a client who has a stage 3 pressure ulcer. Which of the following interventions should the nurse include in the plan?

A nurse is caring for a client who has a rectal temperature of 35°C (95°F). Which of the following actions should the nurse take?

A nurse is caring for a 65-year-old client admitted to the hospital with symptoms of productive cough, malaise, fever, joint pain, and dehydration. What type of isolation should the patient be placed

A nurse is assessing a client's ability to ambulate with crutches using a three-point gait. Which of the following actions should the nurse identify as a risk to the client's safety?

A provider prescribes a sublingual medication for a client who has an NG tube in place. Which of the following actions should the nurse take?

A nurse is completing an 8-hour I&O record for a client who consumed 4 oz juice, 6 oz tea, a 100 mL cup full of ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of

You're providing an in-service on transmission-based precautions to a group of nursing students. Which statement made by a student warrants re-education about the topic?

A nurse is helping an older adult client ambulate in the hallway for the first time since admission. The client has brought her standard walker from home. To ensure proper use of the walker and the sa

Before administering a medication to a client, the nurse must identify the client. Which of the following methods of identification should the nurse use?

A nurse is caring for an immunocompromised client on chemotherapy. The family would like to visit. What teaching should the nurse provide to the family regarding protective isolation?

A nurse is preparing a teaching plan for a client who is on neutropenic precautions as a result of radiation therapy. Which of the following should the nurse plan to include in the teaching?

A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an abdominal wound. The nurse enters the room to check the client's pulse. Which of the following actions s

A nurse in an outpatient clinic is assessing a middle adult client as part of a routine physical examination. The client's BP is 142/88 mm Hg, his body mass index (BMI) is 31, and he is a current smok

A nurse is teaching a client who has a history of falls about home safety. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

A nurse is caring for a client who has an indwelling urinary catheter and notes blood-tinged urine in the catheter bag. The nurse recognizes this finding can be a manifestation of which of the followi

A nurse is assessing a client who has a heart rate of 115. Which of the following is the medical term?

A nurse should teach which of the following clients requiring crutches about how to use a three-point gait?

A nurse is assessing a client who is 48 hours postoperative following knee surgery. Which of the following findings should the nurse report to the provider?

A nurse is preparing a client for outpatient surgery. After the nurse inserts the IV catheter, the client reports pain in the insertion area. Which of the following actions should the nurse take?

A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider subjective data?

A nurse is preparing to obtain an electronic blood pressure measurement on a client. Which of the following actions should the nurse plan to take?