Which step of the nursing process involves setting long-term goals and short-term expectations?
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ATI RN · Introduction to Community Health Nursing
Question 2 of 72
While assessing an older adult patient, the nurse notes jugular venous distention (JD) with the head of the patient's bed elevated 45 degrees. What does this finding indicate?
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Question 3 of 72
To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule at least annually? (Select all that do not apply.)
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Question 4 of 72
What part of the eye examination should occur first?
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Question 5 of 72
Which of these clients has a problem with the transport of oxygen from the lungs to the tissues:
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Question 6 of 72
An emergency department nurse assesses a female client. Which assessment findings would alert the nurse to request a prescription for an electrocardiogram?(Select the one that does not apply.)
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Question 7 of 72
Independent nursing interventions commonly used for clients with pressure ulcers include which of the following?
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Question 8 of 72
The model of nursing care that works best when there are many patients but few nurses is:-
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Question 9 of 72
What indicates the expected outcome is achieved for a client with urinary incontinence?
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Question 10 of 72
A client has a tracheostomy that is 3 days old. Upon assessment, the nurse notes that the client's face is puffy and the eyelids are swollen. What action by the nurse takes best?
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Question 11 of 72
While assessing an older adult patient, the nurse notes jugular venous distention (JVD) with the head of the patient's bed elevated 45 degrees. What does this finding indicate?
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Question 12 of 72
The nurse understands that which type of immunity is the longest acting?
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Question 13 of 72
A nurse conducts a smoking-cessation program for patients of a neighborhood clinic. This is an example of which of the following aims of nursing?
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Question 14 of 72
Which symptom may appear first in an 80-year-old client diagnosed with pneumonia?
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Question 15 of 72
An 80-year-old woman states, 'I have successfully raised my family and had a good life.' This statement illustrates meeting which basic human need?
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ATI RN · Introduction to Community Health Nursing
Question 16 of 72
A young adult patient tells the health care provider about experiencing cold, numb fingers and Raynaud's phenomenon is suspected. What type of testing should the nurse anticipate explaining to the patient?
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ATI RN · Introduction to Community Health Nursing
Question 17 of 72
Through the client's history, you gather that the patient smokes and drinks coffee. When taking the temperature of a client who recently smoked or drank coffee, how long should the nurse wait before taking the client's oral temperature for accurate reading?
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Question 18 of 72
An older adult patient who had a mitral valve replacement with a mechanical valve is taking warfarin. What should the nurse include in discharge teaching?
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Question 19 of 72
What does the 'art of nursing' primarily emphasize in patient care?
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Question 20 of 72
A nurse caring for patients with diabetes knows that the following is a characteristic of a chronic illness:
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Question 21 of 72
What is the nurses best defense if a patient alleges nursing negligence?
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Question 22 of 72
A patient who has been anticoagulated with warfarin (Coumadin) has been admitted for gastrointestinal bleeding. The history and physical examination indicates that the patient may have taken too much warfarin. The nurse anticipates that the patient will receive which antidote?
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ATI RN · Introduction to Community Health Nursing
Question 23 of 72
The nurse assesses a patient who had a total abdominal hysterectomy 2 days ago. Which information about the patient is most important to communicate to the health care provider?
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ATI RN · Introduction to Community Health Nursing
Question 24 of 72
A patient arrives in the emergency department with a swollen ankle after a soccer injury. Which action by the nurse is appropriate?
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ATI RN · Introduction to Community Health Nursing
Question 25 of 72
The nurse cares for a pre-operative client who is unable to accept blood products due to her religion. What is this client9s religion?
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Question 26 of 72
Which of the following is a situational role change?
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ATI RN · Introduction to Community Health Nursing
Question 27 of 72
The nurse is to administer an IV infusion of a medication at 10 units/kg/hour. The patient weighs 50 kilograms. The medication concentration is 50,000 units per 1000 ml. The nurse should set the infusion rate at:
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Question 28 of 72
An older adult client has been moved from home to a skilled nursing facility (SNF). Which behavior, demonstrated by this client, indicates a problem with daily functioning?
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ATI RN · Introduction to Community Health Nursing
Question 29 of 72
Why is a chest X-ray ordered for a client with a positive Mantoux test?
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Question 30 of 72
For a client who has a chest tube connected to a closed water-seal drainage system, the nurse should include which action in the plan of care?
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ATI RN · Introduction to Community Health Nursing
Question 31 of 72
The following statement is related to Florence Nightingale:-
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Question 32 of 72
A patient is being transferred from a hospital to a long-term care facility. What will happen to the patients medical record (chart)?
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Question 33 of 72
Which intervention takes priority for the client receiving hospice care?
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Question 34 of 72
A nurse is providing nursing care in a neighborhood clinic to single pregnant teens. Which of the following actions is the best example of using the collaborator role as a nurse?
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ATI RN · Introduction to Community Health Nursing
Question 35 of 72
Which action should the nurse plan to prevent aspiration in a high-risk patient?
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Question 36 of 72
Which activity related to respiratory health is an example of tertiary health promotion and illness prevention?
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Question 37 of 72
How should the first flap of an envelop-wrapped sterile package be opened?
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Question 38 of 72
The nurse has been assigned the same patients for the past 3 days. Two of the patients demand a great deal of attention, so the nurse feels anxious and angry about being given this assignment again. How can the nurse cope with this patient care assignment?
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Question 39 of 72
What is the most important nursing action if a client complains of severe pain after a renal biopsy?
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Question 40 of 72
After a stroke, a patient is having difficulty swallowing. The nurse may make a referral to what member of the healthcare team?
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ATI RN · Introduction to Community Health Nursing
Question 41 of 72
The medication order of a client indicates: hs. This means that the nurse should administer the medication:
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ATI RN · Introduction to Community Health Nursing
Question 42 of 72
Nurse Jasmine provides a list of instructions to a client being discharged to home with a peripherally inserted central catheter (PICC). The nurse determines that the client needs further instructions if the client made which statement?
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Question 43 of 72
A client is diagnosed with deep vein thrombosis. Which nursing diagnosis should receive highest priority at this time?
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ATI RN · Introduction to Community Health Nursing
Question 44 of 72
An experienced nurse orients a new nurse to the postanesthesia care unit (PACU). Which action by the new nurse, if observed by the experienced nurse, indicates that the orientation was successful?
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Question 45 of 72
If a client has been suctioned, how long should the nurse wait before drawing an arterial blood gas?
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Question 46 of 72
Which instruction should nurse Tom give to a male client who is having external radiation therapy:
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Question 47 of 72
The nurse is admitting a patient who has chest pain. Which assessment data suggest that the pain is from an acute myocardial infarction?
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ATI RN · Introduction to Community Health Nursing
Question 48 of 72
Who is considered to be the founder of professional nursing?
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Question 49 of 72
Which of the following information would a nurse include as part of a minimum data set when using electronic medical records? Select all that apply.
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ATI RN · Introduction to Community Health Nursing
Question 50 of 72
A clinic nurse is teaching a client prior to surgery. The client does not seem to comprehend the teaching, forgets a lot of what is said, and asks the same questions again and again. What action by the nurse is best?
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Question 51 of 72
A nurse assesses a client who has a nasal fracture. The client reports constant nasal drainage, a headache, and difficulty with vision. What action would the nurse take next?
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Question 52 of 72
The nurse understands that a diabetic patient should have which of the following tests performed to determine the effect of therapy?
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Question 53 of 72
To obtain a specimen for a stool culture, the nurse should:
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Question 54 of 72
A client who is unconscious needs frequent mouth care. When performing a mouth care, the best position of a client is:
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Question 55 of 72
During the physical examination, the nurse uses various techniques to assess structures, organs, and body systems. Which technique allows the nurse to feel for vibration and locate body structures?
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ATI RN · Introduction to Community Health Nursing
Question 56 of 72
A nurse observes that certain patients have less pain after procedures than do others, and forms a theory of why this happens. What is a theory?
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ATI RN · Introduction to Community Health Nursing
Question 57 of 72
What does the term 'environment' in nursing philosophy encompass?
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Question 58 of 72
In performing enemas, the indicated height for adults should be:
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Question 59 of 72
The nurse is developing a plan of care for a client with disturbed body image. Which interventions would the nurse most likely include in the plan? Select all that apply.
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Question 60 of 72
A young mother asks the nurse in a pediatric office for information about safety, diet, and immunizations for her baby. Which nursing diagnosis would be appropriate for this patient?
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ATI RN · Introduction to Community Health Nursing
Question 61 of 72
While the client has a pulse oximeter on his fingertip, the nurse notices that sunlight is shining on the area of the sensor. The nurse's action should be:
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Question 62 of 72
What discharge instruction should be given to a client after cataract removal with intraocular lens implant?
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Question 63 of 72
A nurse assesses a client with diabetes mellitus who is admitted with an acid–base imbalance. The client's arterial blood gas values are pH 7.36, PaO2 98 mm Hg, PaCO2 33 mm Hg, and HCO3 18 mEq/L (18 mmol/L). Which sign or symptom does the nurse identify as an example of the client's compensatory mechanisms?
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Question 64 of 72
Which of the following is included in the assessment of the client's cognitive processes?
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Question 65 of 72
State whether the following statements are true or false concerning decision-making process:
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Question 66 of 72
The nurse reviews a healthcare provider9s (HCP) order and finds that the medication amount is greater than the standard dose. What should the nurse do?
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Question 67 of 72
What is the term for unequal pupil size?
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Question 68 of 72
A patient refuses to have a pain medication administered by injection. A nurse says, 'If you don't let me give you the shot, I will get help to hold you down and give it.' With what crime might the nurse be charged?
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Question 69 of 72
A patient with upper body strength and ability to maintain balance best ambulates using:
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Question 70 of 72
Nurse Gray places a client in a four-point restraint following orders from the physician. The client care plan should include:
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ATI RN · Introduction to Community Health Nursing
Question 71 of 72
A client with a chest tube attached to a Pleurevac drainage system wants to get out of bed. While the nurse is assisting the client, the chest tubing accidentally gets caught in the bed rail and disconnects and the Pleur-Evac drainage system falls over and cracks. The nurse takes which immediate action?
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Question 72 of 72
Which of the following are ANA standards of clinical nursing practice? Select all that apply.
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