NRS 315 Content Exam- ATI Chapters

Chapter 12 - Client's Safety: A nurse is caring for a client who fell at a nursing home. The client is orientated to person, place, and time and can follow directions. Which of the following action should the nurse take to decrease the risk of another fall?
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Chapter 12 - Client's Safety: A nurse is caring for a client who fell at a nursing home. The client is orientated to person, place, and time and can follow directions. Which of the following action should the nurse take to decrease the risk of another fall?
Make sure that the client's call light is within reach, Provide the client with nonskid footwear, Complete a fall-risk assessment.
Chapter 12 - Client's Safety: A nurse manager is reviewing the nurses on the unit of care who has has a seizure. Which of the following statements by a nurse requires further instruction?
"I will go to the nurses' station for assistance."
Chapter 12 - Client's Safety: A nurse observes smoke coming from under the door of the staff's lounge. Which of the following action is the nurses priority?
Move clients who are nearby.
Chapter 12 - Client's Safety: A nurse is caring for a client who has a history of falls. Which of the following actions is the nurse's priority?
Complete a fall-risk assessment.
Chapter 12 - Client's Safety: A nurse discovers a small paper fire in a trash can in a client's bathroom. The client has been taken to safety and the alarm has been activated. Which of the following actions should the nurse take?
Place wet towel along the base of the door to the client's room.
Chapter 40 - Mobility and Immobility: A nurse is caring for a client who has been sitting in a chair for 1 hr. Which of the following complications is the greatest risk to the client?
Pressure Injury
Chapter 40 - Mobility and Immobility: A nurse is caring for a client who is postoperative. Which of the following intervention should the nurse take to reduce the risk of the thrombus development? (Select all that apply.)
Apply elastic stockings, Assist the client to change positions often.
Chapter 40 - Mobility and Immobility: A nurse is planning care for a client who is on bed rest. Which of the following interventions should the nurse plan to implement?
Encourage the client to preform antiembolic exercise every 2 hr.
Chapter 40 - Mobility and Immobility: A nurse is evaluating a client's understanding of the use of sequential compression devices. Which of the following client statements indicates client understanding?
This device will keep the blood pumping through my leg.
Chapter 40 - Mobility and Immobility: A nurse is instructing a client, who has an injury of the left lower extremity, about the use of a cane, Which of the following instructions should the nurse include? (Select all that apply.)
Hold the cane on the right side, Keep two points of support on the floor, After advancing the cane, move the weaker leg forward.
Chapter 54 - Nasogastric Intubation & Enteral Feedings: A nurse is delivering an enteral feeding to a client who has an NG tube in place for intermittent feedings. When the nurse pours water into the syringe after the formula drains from the syringe, the client asks the nurse why the water is necessary. Which of the following response should the nurse make?"Water helps clear the tube so it doesn't get clogged."Chapter 54 - Nasogastric Intubation & Enteral Feedings: A nurse is caring for a client who is receiving continuous enteral feedings. Which of the following nurse interventions is the highest priority when the nurse suspects aspiration of the fedin.Stop the feeding.Chapter 54 - Nasogastric Intubation & Enteral Feedings: A nurse is preparing to instill an enteral feeding to a client who has an NG tube in place. Which of the following is the nurse's highest assessment priority before performing this procedure?Verify the placement of the NG tube.Chapter 54 - Nasogastric Intubation & Enteral Feedings: A nurse is caring for a client in long-term care facility who is receiving enteral feeding via an NG tube. Which of the following actions should the nurse complete prior to administering the tube feeding? (Select all that apply.)Test the pH of gastric aspirate.Chapter 54 - Nasogastric Intubation & Enteral Feedings: A nurse is preparing to insert an NG tube for a client who requires gastric decompression. Which of the following actions should the nurse preform before beginning the procedure? (Select all that apply.)Review a signal the client can use if feeling any distress, Lay a towel across the client's chest,Chapter 46 - Pharmacokinetics & Routes of Administration: A nurse is caring for a client who is 1 day postoperative and reports a pain level of 10 on a scale of 0 to 10. After reviewing the client's medication administration record, which of the following medications should the nurse administer?Morphine 2 mg IVChapter 46 - Pharmacokinetics & Routes of Administration:Chapter 46 - Pharmacokinetics & Routes of AdministrationChapter 46 - Pharmacokinetics & Routes of AdministrationChapter 46 - Pharmacokinetics & Routes of Administration