ATI Nur 551 Fundamentals proctored exam(Nursing Complex)

The nurse receives a patient status post abdominal surgery into the post-anesthesia care unit (PACU). The patient was just extubated with an indwelling urethral catheter, a midline abdominal dressing,

The nurse is obtaining the health history of a patient who has iron deficiency anemia. Which factor in this patient’s history would the nurse correlate with this diagnosis?

A patient presents to the emergency department with a thoracic aortic aneurysm. Which findings would the nurse find most consistent with this condition? (Select all that apply)

A nurse in a hematology clinic is working with four patients who have polycythemia vera. Which patient would the nurse assess first?

Which of the following patients exhibits signs and symptoms consistent with cystic fibrosis?

Which important aspect of coordinating care within the interdisciplinary team is facilitated by the use of SBAR?

A visiting nurse is in the home of an older adult and notes a 7-pound weight loss since last month's visit. What actions should the nurse perform first? (Select all that apply)

An RN has delegated measurement and documentation of hourly intake and outputs (I&Os) on the cardiac care unit to a certified nurse assistant (CNA). Which principle of delegation applies in this situa

A nurse is caring for an older adult patient who has been admitted for exacerbation of left-sided heart failure. Which of the following assessment findings should the nurse anticipate?

The patient with significant diarrhea due to a Clostridium difficile infection is at risk for which electrolyte imbalance?

An arterial blood gas report indicates the patient’s pH is 7.50, PaCO2 is 30 mm Hg, and HCO3 is 23 mEq/L. How would the nurse interpret these results?

A student nurse is preparing an IV push dose of furosemide 80 mg. Which lab value would cause the student to question administering the medication?

A nurse admits a patient with community-acquired pneumonia. Which medical order should the nurse implement first?

The physician orders ampicillin 2 grams in 50 ml of normal saline to infuse over 30 minutes, and the drop factor on the tubing is 15 gtt/ml. How many gtt/min will the nurse administer?

A nurse is assessing a patient who is at risk for deep-vein thrombosis (DVT). Which of the following findings is a manifestation of DVT?

A patient presents in sickle cell disease crisis. What intervention by the nurse takes priority?

A nurse is providing discharge instructions for a client who has congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?

A patient has just been diagnosed with pulmonary tuberculosis and will be discharged with a prescription for isoniazid 300 mg orally daily. At what time would the nurse teach this patient to take this

What conditions predispose an older adult patient to acute confusion or delirium? (Select all that apply)

A pulmonary nurse cares for patients who have chronic obstructive pulmonary disease (COPD). Which patient would the nurse assess first?

A nurse is caring for a patient who has valvular heart disease and is at risk for developing left-sided heart failure. Which of the following manifestations should alert the nurse the patient is devel

The nurse knows that the pathway for circulating debris or venous stasis within the blood itself that can activate platelets and trigger the clotting cascade is called

A nurse is assessing a patient who has suffered a nasal fracture. Which assessment would the nurse perform first?

A nurse is prioritizing care for multiple patients. Which action should the nurse prioritize?

An inpatient nurse brings an informed consent form to a patient for an operation scheduled for tomorrow. The patient asks about possible complications from the operation. What response by the nurse is