Adult Non Proctored ATI B
- Assessing an IV Urography. Which of the following is Highest priority finding?
o Swollen lips
- Reviews medical record of older adult receiving IV fluid therapy. What client information
indicates to the nurse that the client requires a revision?
o BUN 29 mg/dL; indicates dehydration
- A nurse is working in a hospital that is going to receive clients from a mass casualty
incident. Which should be kept in a private room?
o A client who has tuberculosis
- Caring for a client who has a splint applied for a tibia fracture and received codeine 30
mg for pain. Which statement is of highest priority for further intervention and
documentation?
o I feel some tingling and numbness in my toes.
- A nurse in the emergency department is caring for a client who is experiencing heroin
overdose. Which of the following is the priority action the nurse should take?
o Monitor the clients O2 saturation
- Nurse in a providers office is educating a client who is to have an endometrial biopsy.
Which statements by the client indicates understanding?
o My doctor will remove a tissue specimen from inside my uterus.
- Discharge teaching for a client who is post op following ileostomy. Which of the following
should the nurse include in the teaching?
o The stoma will remain red and moist. Feces will gradually become thicker & more
paste-like over time.
- Nurse is preparing to present a program about prevention of atherosclerosis at a health
fair. (SELECT ALL THAT APPLY)
o Follow a smoking cessation program, maintain an app weight, eat a low fat diet
- Client who is in PACU following colonoscopy. Client reports abdominal pain, his skin is
pale, cool, and diaphoretic.; his abdomen is distended. What is the priority assessment?
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