ATI Demsn 550 Fundamentals proctored Exam

A nurse is assessing the characteristics of a patient's pain. Which question is not included in the pain assessment?

A patient who has type 2 diabetes for 26 years is beginning to experience peripheral neuropathy in the feet and lower leg. The nurse is providing education to the patient to prevent injury to the feet

The nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel?

A nurse is administering a tap water enema to a client who is constipated. During the administration of the enema, the client states he is having abdominal cramps. Which of the following actions shoul

Which observation by the nurse best indicates that a continuous bladder irrigation for a patient following genitourinary surgery is effective?

A client is receiving pain medications as needed. Which of the following interventions are important following the administration of pain medication? (Select all that apply)

A nurse is caring for an older adult client who has a urinary tract infection (UTI). Which of the following manifestations should the nurse identify as a finding specifically associated with this clie

A patient who had a motor vehicle crash 2 days ago is experiencing pain and is receiving patient-controlled analgesia (PCA). Which assessment finding indicates effective pain management with the PCA?

A nurse is teaching a patient about patient-controlled analgesia (PCA). Which statement made by the patient indicates to the nurse that teaching is effective?

A nurse is caring for a patient with an ileostomy. Which action by the nurse is most appropriate?

A nurse is caring for a client who has not voided for 8 hours following the removal of an indwelling urinary catheter. Which of the following actions should the nurse take first?

The nurse anticipates a suprapubic catheter for which patient?

The nurse is caring for patients with ostomies. In which ostomy location will the nurse expect very liquid stool to be present?

A nurse is caring for a patient who recently had abdominal surgery and is experiencing severe pain. The patient’s blood pressure is 110/60 mmHg, and heart rate is 60 beats/min. Additionally, the patie

A nurse is teaching a health class about colorectal cancer. Which information is incorrect and should not be included in the teaching session?

The patient is having lower abdominal surgery and the nurse inserts an indwelling catheter. What is the rationale for the nurse’s action?

A patient is being seen for complaints of severe flank pain lasting for 2 days. The emergency department physician suspects that the patient has renal calculi. Which of the following tests would the n

A patient asks about treatment for stress urinary incontinence. Which is the nurse’s best response?

A nurse is obtaining a 24-hour urine specimen collection from the patient. Which action should the nurse take?

When caring for clients in pain, the nurse needs to understand that clients:

Which clinical manifestation will the nurse expect to observe in a patient with excessive white blood cells present in the urine?

A patient calls the office to tell you that his or her urine has changed orange in color. The best response of the nurse is which of the following?

A patient expresses concerns over having black stool. The fecal occult blood test is negative. Which response by the nurse is most appropriate?

A nurse is planning care for a client who is postoperative and at risk for paralytic ileus. Which of the following interventions should the nurse plan to take to promote peristalsis?

A nurse is planning care for a client admitted with diarrhea. Which of the following interventions would be a priority for this client?