A nurse is preparing to administer three liquid me

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Question 1 of 5

A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. Which of the following actions should the nurse take?

A. Maintain the head of the bed in a flat position for 30 min following medication administration B. Mix the three medications together prior to administering C. Rush the NG feeding tube with 30 mL of water immediately D. Dilute each medication with 10 mL of tap water

Correct Answer: D

Rationale: Diluting each medication with 10 mL of tap water prevents tube occlusion and ensures proper administration. Other options risk aspiration, drug interactions, or inadequate flushing.

Question 2 of 5

A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? (Select all that apply)

A. Clubbing of the fingers B. Deep respirations C. Bradycardia D. Barrel chest E. Dyspnea

Correct Answer: A,D,E

Rationale: Clubbing of the fingers, barrel chest, and dyspnea are common in emphysema due to chronic hypoxia, lung hyperinflation, and impaired gas exchange. Deep respirations and bradycardia are not typical.

Question 3 of 5

A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client received a telephone call that was upsetting and now the client is pacing up and down the corridors of the unit. Which of the following actions should the nurse take?

A. Instruct the client to sit down and stop pacing B. Have a staff member escort the client to her room C. Allow the client to pace alone until physically tired D. Walk with the client at a gradually slower pace

Correct Answer: D

Rationale: Walking with the client at a gradually slower pace provides support, de-escalates anxiety, and allows therapeutic communication. Other options may escalate anxiety or fail to address the client's needs.

Question 4 of 5

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?

A. Pancrelipase 500 units/kg PO three times daily with meals B. Pantoprazole 80 mg IV bolus twice daily C. Initiate a low-residue diet D. Ambulate twice daily

Correct Answer: B

Rationale: Pantoprazole reduces gastric acid production, promoting pancreatic rest in acute pancreatitis. Other options are inappropriate during the acute phase.

Question 5 of 5

A nurse on a medical-surgical unit is reconciling a newly admitted client's medication. The nurse is reviewing the process of medication reconciliation with a newly licensed nurse. The nurse should include which of the following information?

A. The American Hospital Association requires accredited facilities to have protocols in place requiring medication reconciliation B. The nurse who performs medication reconciliation is demonstrating the ethical principal of veracity C. The International Council of Nurses Code of Ethics stipulates that the nurse performs medication reconciliation when a client is admitted to a facility, is transferred to another facility, and when a client is discharged from a facility D. The purpose of medication reconciliation is to prevent adverse medication reactions

Correct Answer: D

Rationale: Medication reconciliation prevents adverse medication reactions by ensuring accurate medication lists, enhancing patient safety.

Nurselytic

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ATI Nursing 4650 Comprehensive Exam Questions

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