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ATI RN · Concepts in Nursing · Nursing a Concept Based Approach to Learning Test Bank Free

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

An older adult client receiving medication for hypertension had a recent fall at home. Which intervention should the nurse include in this client's plan of care?

A. Monitor serum sodium levels

B. Assess postural blood pressures

C. Monitor serum creatinine levels

D. Monitor blood pressure every 2 hours

Expert Explanatory Rationale

Correct Answer: Assess postural blood pressures

Question 2 of 5

The nurse is evaluating teaching provided to a client with peripheral vascular disease (PVD). Which client observation indicates teaching has been effective?

A. Sitting in a chair with a pillow behind knees

B. Washing the lower extremities with mild soap, drying the legs, and applying a light moisturizer

C. Sitting in a chair with left leg crossed over the right

D. Smoking a pipe instead of cigarettes

Expert Explanatory Rationale

Correct Answer: Washing the lower extremities with mild soap, drying the legs, and applying a light moisturizer

Question 3 of 5

Which action should the nurse carry out for the laboring client who has been diagnosed with preeclampsia?

A. Place the client in the room closest to the nurse's station, even if it is a shared room.

B. Place the client in left lateral position when the client feels the urge to push.

C. Monitor client's fetus intermittently while client is in first stage of labor.

D. Encourage the client to be alone in the room without family in order to maintain a quiet environment.

Expert Explanatory Rationale

Correct Answer: Place the client in left lateral position when the client feels the urge to push.

Question 4 of 5

During an assessment, the nurse asks the patient to move an extremity away from the body midline. What movement is the nurse assessing?

A. Flexion

B. Extension

C. Abduction

D. Adduction

Expert Explanatory Rationale

Correct Answer: Abduction

Question 5 of 5

What is a good way for a nurse to prepare the environment for teaching?

A. Keep to a strict schedule decided in advance.

B. Emphasize the importance of paying close attention if client reactions demonstrate confusion.

C. Evaluate client abilities to perform skills with return demonstrations.

D. Inform students that they need to take effective notes because you will not be repeating yourself.

Expert Explanatory Rationale

Correct Answer: Evaluate client abilities to perform skills with return demonstrations.

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