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ATI Proctored Exam Latest (Multiple Versions), Document to secure HIGHSCORE
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VIRTUAL ATI PREDICTOR (GREEN LIGHT) (15 Versions, 1000QA)/ GREEN LIGHT VIRTUAL ATI PREDICTOR
VIRTUAL ATI PREDICTOR (GREEN LIGHT) (15 Versions, 1000QA)/ GREEN LIGHT VIRTUAL ATI PREDICTOR
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ATI Nursing Care of Children Proctored Exam (16 Versions, 900QA)/ Nursing Care of Children
ATI Nursing Care of Children Proctored Exam (16 Versions, 900QA)/ Nursing Care of Children A nurse is planning care for a newly admitted school-age chil... [Show More] d who has generalized seizure disorder. Which of the following interventions should the nurse plan to include? Ensure the oxygen source is functioning in the childs room 2. A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Which of the following statements should the nurse make? “You should offer your child high-protein meals and snacks throughout the day.” 3. A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative following hypospadias repair with a stent placement. Which of the following instructions should the nurse include in the teaching? “Allow the stent to drain into your infants diaper.” 4. A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone. Following 1 week of treatment, which of the following manifestations indicates to the nurse that the medication is effective? Decreased edema 5. A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse assess first? A toddler who has a concussion and an episode of forceful vomiting. 6. A nurse is providing discharge teaching to the guardians of a toddler who had lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of the following finding to the provider? Restricted ability to move the toes. 7. A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing dyspnea. The nurse should identify the sound as which of the following? Wheezes 8. A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the provider? Potassium Chloride 9. A nurse is planning an educational program for school-age children and their parents about bicycle safety. Which of the following information should the nurse plan to include? The child should be able to stand on the balls of their feet when sitting on the bike. 10. A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant? Great Toe 11. A nurse is an emergency department is caring for a school-age child who has epiglottitis. Which of the following actions should the nurse take? Monitor the childs oxygen saturation 12. A nurse in an emergency department is caring for a school-age child who has sustained a minor superficial burn from fireworks on their forearm. Which of the following actions should the nurse take? Apply an antimicrobial ointment to the affected area. 13. A nurse in a providers office is caring for a school-age child who has varicella. The parents asks the nurse when their child will no longer be contagious. Which of the following responses should the nurse make? “When your childs lesions are crusted, usually 6 days after they appear.” 14. A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistant asthma. Which of the following instructions should the nurse include? “Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy.” 15. A nurse is admitting an infant who has intussusception. Which of the following findings should the nurse expect? (Select all that apply.) -Vomiting -Lethargy 16. A nurse is reviewing the laboratory results of a school-age child who is 1 week postoperative following an open fracture repair. Which of the following findings should the nurse identify as an indication of a potential complication? Erythrocyte sedimentation rate 18 mm/hr 17. A nurse is providing discharge teaching to the parents of a 3-month old infant following a cheiloplasty. Which of the following instructions should the nurse include? “Apply a thin layer of antibiotic ointment on the your babys suture line daily for the next 3 days.” 18. A nurse is discussion organ donation with the parents of a school-age child who has sustained brain death due to a bicycle crash. Which of the following actions should the nurse take first? Explore the parents feelings and wishes regarding organ donation. 19. A nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel stick. Which of the following actions should the nurse take to minimize the infants pain? Allow the mother to breastfeed while the sample is being obtained. 20. A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicates effectiveness of the medication? Serum potassium level 4.1 mEq/L 21. A charge nurse is preparing to make a room assignment for a newly admitted school-age child. Which of the following considerations is the nurses priority? Disease process 22. A nurse is assessing the pain level of a 3-year-old toddler. Which of the following pain assessment scales should the nurse use? FACES 23. A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr PRN for a temperatures above 38.0 C (100.5 F) to an infant who weighs 17.6 lb. Available is ibuprofen oral suspension 100mg/5mL. How many mL should the nurse administer to the infant per dose? 2 mL 24. A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? Presence of strabismus 25. A school nurse is caring for a child following.. ... .. [Show Less]
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ATI Nutrition Proctored Exam (19 Versions, 1600QA)/Nutrition Proctored Exam
ATI Nutrition Proctored Exam (19 Versions, 1600QA)/Nutrition Proctored Exam 1. A nurse is caring for a client who expresses a desire to lose weight. Whi... [Show More] ch of the following actions should the nurse take first? a. Recommend checking weight once weekly. b. Obtain a 24-hr dietary recall. c. Assist with creating an exercise plan. d. Initiate a plan for diet modification. 2. A nurse is teaching about nutritional requirements for a client who is starting a vegetarian diet. Which of the following information should the nurse include in the teaching? a. Consume high-fat cheese to replace meats when on a vegetarian diet. b. A vegetarian diet is high in vitamin B12 • c. Fewer calories are required when on a vegetarian diet. d. Include two servings per day of nuts when on a vegetarian diet. 3. A nurse is caring for a client who has acute inflammatory bowel disease. Which of the following nutritional supplements should the nurse anticipate providing to this client? a. Hydrolyzed formula b. Polymeric formula c. Milk-based supplement formula d. Modular product supplement formula 4. A nurse is teaching a client who is newly diagnosed with type 1 diabetes mellitus how to count carbohydrates. Which of the following statements made by the client indicates an understanding of the teaching? a. "I am including vegetables as starch items in my carbohydrate count." b. "I am limiting the number of carbohydrates to four carbohydrate choices or 60 grams per day." c. "I know the serving size can affect the number of carbohydrates I eat." d. "I know the carbohydrate count is dependent on the calories in the food item." 5. A nurse is providing dietary teaching for a client who has osteoporosis. The nurse should instruct the client that which of the following foods has the highest amount of calcium? a. 1 cup avocado b. 2 tablespoons peanut butter c. ½ cup roasted sunflower seeds d. ½ cup roasted almonds 6. A nurse is discussing dietary factors to assist in blood pressure management for a client who has hypertension. Which of the following client statements indicates an understanding of the teaching? a. "I can drink up to three glasses of wine each day." b. "I should choose whole grain pastas when selecting my foods." c. "I should decrease my consumption of foods high in potassium." d. "I can use low-sodium salt substitutes when I cook my food." ATI Nutrition test 7. A nurse is caring for a client who has a new prescription for parenteral nutrition (PN) containing a mixture of dextrose, amino acids, and lipids. Prior to administration of the PN, the nurse should report which of the following food allergies to the provider? a. Gelatin b. Peanuts c. Shellfish d. Eggs 8. A nurse is teaching a client who has chronic kidney disease about limiting dietary calcium intake. Which of the following food choices should the nurse include in the teaching as having the highest amount of calcium? a. 1 cup low-fat yogurt b. 1 oz cheddar cheese c. 1 egg d. ½ cup spinach 9. A home health nurse is providing dietary teaching to the guardians of a 3-year-old child. Which of the following statements by the guardians should the nurse identify as understanding of the teaching? a. "I will offer my child a cup of peanut butter to dip her celery in." b. "I can leave her grapes whole, so she can practice getting them with her fork." c. "I can give her popcorn as a snack to provide a serving of whole grains." d. "I will put low-fat milk in her cup for her to drink." 10. A nurse is caring for an adolescent who has type 1 diabetes mellitus. Which of the following actions should the nurse take to assess for Somogyi phenomenon? a. Monitor blood glucose levels during the night. b. Check for urinary ketones at the same time each day for 1 week. c. Perform an oral glucose tolerance test after administering a dose of insulin. d. Compare current glycosylated hemoglobin level with the level at time of diagnosis 11. A nurse is reviewing the introduction of solid foods with the guardian of a 4-month-old infant. Which of the following statements by the guardian indicates an understanding of the teaching? a. "My baby should consume 2 tablespoons of solid food at each feeding." b. "The majority of my baby's calories should come from solid food." c. "I will give my baby one bottle of fruit juice each day." d. "I will introduce a new solid food every 5 days." 12. A nurse in a long-term care facility is monitoring a client during mealtime who has Parkinson's disease. Which of the following findings should the nurse identify as the priority? a. The client eats all of their cake and a few bites of bread. b. The client drools while eating. c. The client's hand trembles when they holds their spoon. d. The client chooses to sit alone during the meal. ATI Nutrition test 13. A home health nurse is reviewing the medical record of a client who had an open reduction internal fixation of the tibia. Which of the following findings should the nurse identify as a risk factor for impaired wound healing? a. The client's hemoglobin is 15 g/dl. b. The client's peripheral pulses are +3 distal to the affected extremity. c. The client consumes 1,000 kcal daily. d. The client takes zinc supplements. 14. A nurse is providing teaching to a client who has diabetes mellitus and an HbA1c of 8.7%. Which of the following statements by the client indicates an understanding of this laboratory value? a. "I should have gone to my exercise class yesterday." b. "This shows that my result is finally within a normal range." c. "This shows that I have not been following my diet." d. "I should have my blood work done first thing in the morning." 15. A nurse is teaching a client about stress management. Which of the following statements by the client indicates an understanding of the teaching? a. "I will take a long walk every evening." b. "I will keep a daily diet and activity log." c. "I will avoid eating 1 hour before bedtime." d. "I will drink a full glass of water with each meal." 16. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is prescribed an oral diet. The client asks the nurse why the TPN is being continued since he is now eating. Which of the following responses should the nurse make? a. "Your blood glucose levels need to be within a normal range before the parenteral nutrition can be stopped." b. You should consume at least 60 percent of your calories orally before the parenteral nutrition can be discontinued." c. "You should have a weight gain of at least 1 kilogram per day before the therapy is stopped." d. "Your bowel movements need to be regular before the therapy can be discontinued." 17. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) through a peripherally inserted central catheter. The pharmacist informs the nurse that there will be a delay in delivering the next bag of TPN solution. Which of the following actions should the nurse take? a. Slow the rate of the current infusion. b. Infuse 0.9% sodium chloride when the current infusion ends. c. Infuse dextrose 10% in water when the current infusion ends. d. Remove the tubing and flush the access device when the current infusion ends 18. A nurse is assessing a client who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia? a. Diaphoresis b. Bradycardia c. Abdominal cramps ATI Nutrition test d. Acetone breath 19. A nurse is planning dietary teaching for a client who has dumping syndrome following a gastrectomy. Which of the following interventions should the nurse include in the client's plan of care? a. Use simple sugars to sweeten foods. b. Remain upright for 1 hr following meals. c. Limit eating to three large meals per day. d. Select grains with less than 2 g fiber per serving. 20. A nurse is providing dietary teaching to a client who is postoperative following a gastric bypass procedure. Which of the following instructions should the nurse include? a. Eat six small meals per day. b. Begin each meal with a protein. c. Finish each meal even if feeling full. d. Plan to eat each meal over 15 min. 21. A nurse is evaluating a client who is receiving a continuous enteral feeding and has diarrhea. Which of the following actions should.... .. . [Show Less]
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ATI Paediatric Proctored Exam (18 Versions, 1400QA)/ Paediatric Proctored Exam
ATI Paediatric Proctored Exam (18 Versions, 1400QA)/ Paediatric Proctored Exam A nurse is planning care for a child who has severe diarrhea. which of th... [Show More] e following actions is the nurse priority? A. Introduce a regular diet B. Rehydrate C. Maintain fluid therapy D. Assess fluid balance (Assess first the other three are interventions, before u intervene you have to assess how much fluid imbalance. Check for labs results because it will tell you what kind of fluid is to be given and how much fluid to be replaced. Priority is assessment first) A nurse is caring for a toddler who’s parent states that the child has a mass in his abdominal area and his urine is a pink color. Which of the following actions is the nurse’s priority? A. Schedule the child for an abdominal ultrasound B. Instruct the parent to avoid pressing on the abdominal area C. Determine if the child is having pain D. Obtain a urine specimen for a urinalysis A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse’s priority? A. Place the child on a no salt added diet B. Check the Childs weight daily C. Educate the parents about potential complications D. Maintain a saline lock (IV access that is attached to any fluids. For emergency) (inflammation of the kidneys caused by group A beta hemolytic streptococcus, infection. Fluid or fluid retention. Patient with kidney problems affect blood pressure ‐> High blood pressure because of fluid retention. Salt increases high blood pressure. Lower the salt intake of this patient) A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following is the nurse’s priority? A. Administer antibiotics when available B. Reduce environmental stimuli (because of increase of ICP and can cause seizures) C. Document intake and output D. Maintain seizure precautions A nurse is collecting data from an adolescent. Which of the following represents the greatest risk for suicide? A. Availability of firearms B. Family conflict C. Homosexuality D. Active psychiatric disorder (Mark, mental problems, patients mind is unstable) A nurse is collecting data from an infant who has otitis media (middle ear infection). The nurse should expect which of the following findings? A. Tugging on the affected ear lobe B. Bluish green discharge from the ear canal (there’s usually no discharge, discharge only comes out if there’s opening in the ear drum) C. Increase in appetite (decrease in appetite) D. Erythema and edema of the affected auricle (usually no redness in the affected auricle) (otitis externa: infection of the outer ear) A nurse is reinforcing reaching with a parent of a 1 month old infant who is to undergo the initial surgery to treat Hirschsprung’s disease (a ganglionic megacolon, part of the colon isn’t connected to the nerves or not functioning, so there will be an increase size of the colon and stool gets stuck in there). Which of the following statements should indicate to the nurse that the parent understanding the goal of surgery? A. “I’m glad that the ostomy is only temporary “ (1st there going to cut the nonfunctioning of the colon, and then apply temporary colostomy, after a couple of months they will suture it together) B. “I’m glad my child will have normal bowel movements now” C. “I want to learn how to use the feeding tube as soon as possible” D. “the operation will straighten out the kink in the intestine” A nurse is caring for an infant who is 1 day postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take? A. Apply an antibiotic ointment to the suture site B. Clear oral secretions using a bulb syringe C. Feed the infant using a spoon D. Position the infant on her abdomen A nurse is reinforcing discharge instructions with a parent of a child who has cystic fibrosis. Which of the following statements by the parent indicates an understanding of the teaching? A. “I will make sure my child washes her hands before eating” B. “I will restrict the amount of salt in my child’s meal” C. “I will put my child in daycare to ensure that she socializes with other children” D. “I will provide low fat meals for my child A nurse working at a clinic speaks on the telephone with a parent of a 2‐month‐old infant. The parent tells the nurse that the infant has projectile vomiting followed by hunger after meals. Which of the following response by the nurse is appropriate? A. “Bring your infant into the clinic today to be seen” B. “Burp your child more frequently during feedings” C. “Give your infant an oral rehydrating solution” D. “You might want to try switching to different formula” A nurse is caring for a 4 year old child who is 2 days postoperative following the insertion of a ventriculoperitoneal shunt. Which of the following findings should the nurse identify as the priority . (causes icp hydrocephalus) A. lethargy (high pitched cry, respiratory changes, bradycardia, wide pulse pressure, irritability) B. lying flat on the unaffected side C. respiratory rate 20/min D. urine output 50 mL in 2hr a nurse is caring for a child following an open reduction and internal fixation of a fractured femur and application of a cast. The cast has a window cut in it for viewing of the incision. Which of the following actions should the nurse take first? A. Remove the window and view the incision B. Turn the client so the cast will dry on all sides C. Medicate the client for pain D. Perform neurovascular checks of the affected extremity (check for infection, color, capillary refill, redness) A nurse is an urgent care clinic is assisting with the care of a toddler who ingested 30 tablets of aspirin. Which of the following substances should the nurse administer to the toddler? A. Activated charcoal (can work with toxin, poison. Given through ng tube absorbs toxins) B. Acetylcysteine (antidote for acetaminophen) C. A chelating agent (usually used for iron) D. Digoxin immune FAB A nurse is caring for a 3 year old client who has persistent otitis media. To help identify contributing factors, the nurse should ask the parents which of the following questions? A. Has your daughter been drinking 6 glasses of water a day B. Does anyone smoke in the same house as your daughter? (smoking can cause irritation, cause mucus in respiratory and causes otitis media?) (otitis media is purulent color) C. Does your daughter get water in her ears when you bathe her? (otitis externa, bluish green color) D. Has your daughter had a lot of earwax in her ears over the last month? A nurse is collecting data from a 2 year old toddler who has AIDS. The nurse should inspect inside the toddler mouth for which of the following opportunistic infections (fungus infections is usually opportunistic infections)? A. Candidiasis (also called oral thrush) B. Gingivitis C. Canker sores D. Koplik spots (measles, rubella) A nurse is caring for a 4 year old child who has dehydration. Which of the following findings should the nurse identify as the priority? A. Blood glucose 110 mg/dL B. Potassium 2.5 mEq/L C. Sodium 142 mEq/L D. Urine specific gravity 1.025 A nurse is caring for a child who Is postoperative following the insertion of a ventriculorperitoneal shunt. The nurse should place the child in which of the following positions? A. On the nonoperative side B. A 45 deg head elevation C. Prone D. Supine A nurse is caring for an infant who is dehydrated and requires IV therapy. The nurse should monitor the infant response to therapy by performing which of the following actions? A. weighing the infants at the same time everyday B. Taking the infants vital signs every 2 hr. C. Measuring the infants head circumference twice per day D. Counting the number of wet diapers every shift A nurse is caring for a preschool age child who has croup. Which of the following findings should the nurse report to the provider? A. Barky cough B. Paroxysmal attacks of laryngeal spasm at night C. Hoarseness D. Drooling (that could mean it can mean there’s an epiglottitis causes obstruction of the airway) A nurse is collecting data from an infant who has hypertrophic pyloric stenosis. Which of the following findings should the nurse expect? A. Projectile vomiting B. Bile colored vomit C. Absent bowel sounds D. Fever A school nurse is screening an 11‐year‐old child for idiopathic scoliosis. Which of the following instructions should the nurse give the child for this examination? A. Lie prone on the examination table B. Touch your chin to your chest and then look up at.. ................. ....... [Show Less]
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ATI Fundamentals Proctored Exam-(23 Versions, 1200 QA)/Fundamentals Proctored Exam
ATI Fundamentals Proctored Exam-(23 Versions, 1200 QA)/Fundamentals Proctored Exam 2. A nurse is caring for a client who is scheduled to have his alanin... [Show More] e aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse? a. “This test will indicate if you are at risk for developing blood clots b. “This test will determine if your heart is performing properly” c. “This test will provide information about the function of your liver” d. “This test is used to check how your kidneys are working” Rationale: Leadership 7.0. ALT and AST measure you liver function. Creatinine and BUN measure your kidney function. 3. A nurse is caring for a client who has a prescription for morphine 5mg IM accidentally administers the whole 10 mg from the single-dose vial. Which of the following actions should the nurse take first? a. Notify the client’s provider. b. Report the incident to the pharmacy. c. Complete an incident report. d. Measure the client’s respiratory rate. Rationale: Morphine can cause respiratory depression if given too much. Also you should ALWAYS ASSESS the patient first when a med error is performed to make sure med error doesn’t put the client’s health in risk. 4. A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-yearold child who has difficulty swallowing pills. Available is diphenhydramine 12.5 mg/5 mL oral syrup. Which of the following images shows the correct # of mL the nurse should administer? (Round the answer to the nearest whole number.) Click on the syringe that has 8 mL of med. 20 mg x (5mL/12.5mg) = 8 mL 5. A nurse is caring for a 6-year-old child who has a new prescription for cefoxitin 80 mg/kg/day administered intravenously every 6 hour. The child weighs 20 kg. How much cefoxitin should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) So it says each dose for the final answer, but we are given 80 mg/kg/day. 80 x 20 = 1600 / 4 (dose is given every 6 hours a day) = 400 mg 6. A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump. Which of the following actions should the nurse take first? a. Label the pump with a defective equipment sticker. b. Unplug the pump. c. Obtain a replacement pump. d. Notified the biomedical department to fix the pump. Rationale: Prioritization question. YOU WILL FIRST UNPLUG the IV pump to avoid causing a fire. 7. A nurse is caring for a client who has a surgical wound. Which of the following laboratory values places the client at risk for poor wound healing? Ch a. Serum albumin 3 g/dL b. Total lymphocyte count 2400 mm3 c. HCT 42% d. HGB 16g/dL Rationale: Albumin in low. Normal range is 3.5 to 5.5 g/dL. Low albumin places the client at risk for poor wound healing. The other lab values are within normal limits. 8. A nurse is preparing to check a client's blood pressure. Which of the following actions should the nurse take? Chapter 27 Vitals signs page 244 a. Apply the cuff above the clients antecubital fossa. b. Use a cuff with a width that is about 60% of the client's arm circumference.- width of the cuff should be 40 % of arm circumference c. How the clients sit with his arm resting above the level of his heart.- MUST BE AT HEART LEVEL d. Release the pressure on the client's arm 5 to 6 mm per second.- pressure release should not be more than 2 to 3 mm hg per second Rationale: ATI FUNDA says 40% of the arm circumference pg. 139. Release the pressure no faster than 2 to 3 mm Hg per second. Apply the BP cuff 2.5 cm (1 in) above the antecubital space with the brachial artery in line with the marking on the cuff. Apply the BP cuff 2.5 cm (1 in) above the antecubital space with the brachial artery in line with the marking on the cuff. 9. A nurse is preparing to perform nasal tracheal suctioning for a client. Which of the following is an appropriate action for the nurse to take? Chapter 53 Airway management page 563 a. Hold the suction catheter with the clean non-dominant hand. b. Apply suctioning for 20 to 30 seconds.- 10 -15 seconds is the maximum. c. Place the catheter in a location that is clean and dry for later use new line.- NEVER EVER REUSE THE SUCTION CATHETER . you throw it away after being used. d. Use surgical asepsis when performing the procedure. Rationale: ATI FUNDA. PG. 316 Use surgical asepsis for all types of suctioning. No longer than 10-15 seconds to avoid hypoxemia 10. A nurse is documenting client care. Which of the following abbreviations should the nurse use?ati book was not thorough so i had to go on different sites for charts - not confident with this, please double check. a. “SS” for sliding scale b. “BRP” for bathroom privileges c. “OJ” for orange juice- do not d. “SQ” for subcutaneous- do not 11. MISSING 12. A nurse is collecting A blood pressure reading from a client who is sitting in a chair period the nurse determines that the clients BP is 158/96 mmhg. which of the following actions should the nurse take? a. Ensure that the width of the BP cuff is 50% of the client’s upper arm circumference. It says 40% b. Reposition the client Supine and recheck her BP. BP. → ORTHOSTATIC HYPOTENSION c. Recheck the clients BP and her other arm for comparison. d. Request that another nurse check the the clients BP in 30 minutes. → 15 minutes 13. A nurse is caring for a client who has left lower atelectasis. in which of the following positions should the nurse place the client for postural drainage? Chapter 53 Airway Management page 562 a. Supine and low-Fowler's position b. Right lateral in Trendelenburg position c. Side lying with the right side of the chest elevated d. Prone with pillows under the extremities 14. A nurse is receiving the prescription for a client who is experiencing dysphagia following a stroke. Which of the following prescriptions should the nurse clarify? a. Dietitian consult b. Speech therapy referral c. Oral suction at the bedside d. Clear liquids Rationale: ATI MS. Pg. 83 food levels ......................... ............ .......... [Show Less]
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ATI Comprehensive Predictor Exam-(25 Versions.. 1500 Q & A)/ Comprehensive Predictor Exam
ATI Comprehensive Predictor Exam-(25 Versions.. 1500 Q & A)/ Comprehensive Predictor Exam 1. A nurse is performing tracheostomy care for a client who is... [Show More] postoperative following a laryngectomy. Which of the following actions should the nurse take when suctioning the client's airway? Withdraw the catheter if the client begins coughing. Apply suction for 10 seconds. Advance the catheter 2 cm (0.8 in) after resistance is met. Use medical asepsis when performing the procedure. 2. A nurse is preparing to administer a long-acting insulin to a client who has diabetes mellitus. Which of the following actions should the nurse plan to take first? Teach the client reportable adverse effects from the medication. Check the insulin dose with another licensed nurse Administer the insulin at a 90° angle. Clean the insertion site. 3. A nurse is caring for an older adult client in the PACU following general anesthesia. Which of the following findings should the nurse report to the provider? Urine output 120 mL in 4 hr Systolic blood pressure 12 mm Hg lower than the preoperative level Audible stridor Normal sinus rhythm with an occasional premature ventricular contraction 4. A nurse is preparing to administer diazepam 0.3 mg/kg IV bolus to a toddler who weighs 22 lb and is experiencing a grand mal seizure. Available is diazepam solution for injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) 0.6 5. A charge nurse is planning an educational session for staff nurses about working with parents whose terminally ill children are candidates for donating their organs. Which of the following information should the nurse plan to include? Choosing to donate organs can delay the timing of the child's funeral. The family can have the child an open casket without fearing that the organ donation might disfigure the childs body The family should understand that an autopsy is mandatory prior to organ donation. The nurse should introduce the option of organ donation to the parents when first discussing the child's impending death. 6. A nurse manager is planning to make changes to the current scheduling system on the unit. To facilitate the staff 's acceptance of this change, which of the following actions should the nurse manager take first? Provide information about scheduling issues to the staff Ask staff members to participate in a trial of the new scheduling system. Encourage staff to offer alternate scheduling solutions. Develop goals to implement the new scheduling system. 7. A nurse is assessing a client who is receiving a blood transfusion. Which of the following findings should indicate to the nurse that the client is having a hemolytic transfusion reaction? Bradycardia Low back pain Hypertension Distended jugular veins 8. A nurse is assessing a client who has macular degeneration. Which of the following findings should the nurse expect? Increased intraocular pressure Floating dark spots Decreased central vision Double vision 9. A nurse working in a long-term care facility is assessing an adult client. Which of the following findings places the client at risk for development of a pressure injury? Report of persistent constipation Hgb 14 g/dL Albumin 4.2 g/dL Recent weight loss 10. A nurse is teaching about total parenteral nutrition (TPN) and IV lipid emulsions with a client who has an extensive burn injury. Which of the following information should the nurse include? "This type of nutrition is more effective than eating by mouth." “You will receive fingersticks for blood glucose testing. "TPN is a way to provide vitamins and minerals without increased calories." "Taking TPN can increase the risk of developing a latex allergy." 11. A nurse is caring for a client who has had nausea and vomiting for the past 2 days. The nurse should identify which of the following findings as an indication the client is experiencing fuid volume de deficit? Shortness of breath Visual disturbances Decreased BUN levels •Orthostatic hypotension 12. A nurse is caring for a client who is in labor at 39 weeks of gestation. During the second stage of labor, the nurse observes early decelerations on the monitor tracing. Which of the following actions should the nurse take? Continue observing the fetal heart rate Assist the client to a knee-chest position. Prepare the client for continuous internal monitoring. Prepare for an emergency cesarean birth. 13. A nurse is caring for a client who requires physical therapy following discharge. Which of the following actions should the nurse take? Initiate the referral at the time of discharge. Have the client contact a physical therapist when feeling ready to begin therapy. Verify that insurance will pay for outpatient physical therapy. •Involve the client in selection of a physical therapy provider. 14. A nurse is assessing a client who has sickle cell anemia. The nurse should identify which of the following findings as a manifestation of vaso-occlusive crisis? Diminished reflexes Hematuria Hyperglycemia Hearing loss 15. A nurse is teaching a group of guardians about child safety measures. Which of the following statements by a guardian indicates an understanding of the teaching? "I will make sure my 4-year-old child wears a helmet when using a skateboard." "I should have my child avoid sun exposure between 10 am and 2 pm." "I can give my 2-year-old child a whole hotdog on a bun." "When my infant is in the carrier, I will place it on a raised, at surface whenever possible." 16. A nurse is caring for four clients at the beginning of a shift. After receiving change-of-shift report, which of the following clients should the nurse attend to first? A client who has a temperature of 38.2° C (100.8° F) and requests a cup of ice chips A client who is postoperative and reports a pain level of 5 on a scale from 0 to 10 A client who has voided and is ready for a bladder scan A client who is confused and has been attempting to get out of bed 17. A nurse is assessing a client who has been taking lithium carbonate for the past month to treat bipolar disorder. Which of the following assessment findings should the nurse identify as the priority? Lethargy Confusion Polyuria Fine hand tremors 18. A nurse manager is on a planning committee to develop an emergency preparedness plan. The nurse should recommend that which of the following actions takes place Contact the triage officer. Implement the client tracking system. Ask the communications officer to release a press statement. Notify the incident commander. 19. A nurse is planning care for a client who is receiving hemodialysis via an established arteriovenous (AV) fistula in the right arm. Which of the following interventions should the nurse include in the client's plan of care? Notify the provider if a thrill is palpated at the fistula. Auscultate the affected extremity for a bruit Discourage range-of-motion exercises in the affected extremity. Perform venipuncture in the affected extremity. 20. A nurse receives a request from a client to review the information in his medical record. Which of the following responses should the nurse give? "There's a protocol for reviewing your medical record, and I can initiate the process." "The medical record has a lot of medical terminology, and it might be di cult for you to understand." "You should really talk to your provider if you have any questions about your treatment." "Some parts of your medical record are restricted, but I can show you the parts that you are allowed to see." 21. A nurse is assessing a client who has obstructive sleep apnea. For which of the following complications should the nurse monitor? Weight loss Urinary retention Hypertension Hypoglycemia 22. A nurse is preparing to administer heparin 5,000 units subcutaneously. Available is heparin injection 10,000 units/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) 0.5 23. A nurse in an emergency department is assessing a client who reports taking methylenedioxymethamphetamine (MDMA). Which of the following findings should the nurse expect? Lethargy Diaphoresis Bradycardia Cough 24. A nurse is caring for a client who has a terminal illness and requests no lifesaving measures if a cardiac arrest occurs. Which of the following statements should the nurse make? "You will need to draft a health care proxy so a designee can make this decision for you." "I will make sure that no one performs any lifesaving measures if your heart stops." "Your provider determines if you should have lifesaving measures if your heart stops." "I will provide you with information about medical treatment to include in your living will." 25. A nurse is administering cyclophosphamide orally to a school-age child who has neuroblastoma. Which of the following actions should the nurse take when administering this medication? Give an antiemetic 30 min after medication administration. Monitor blood glucose levels. Monitor for tumor lysis syndrome. Maintain hydration with liberal fluid intake 26. A nurse is reviewing the urinalysis report of a client who has acute glomerulonephritis. Which of the following findings should the nurse expect? Uric acid crystals Protein WBCs Nitrites 27. A nurse is providing colostomy care for a client using a two-piece pouching system. Which of the following actions should the nurse take? Cleanse the skin at the stoma site with povidone-iodine for 15 seconds. Dampen the skin before applying the skin barrier and ostomy pouch. Place the skin barrier over the stoma and hold it for 30 seconds Cut the skin barrier opening 0.6 cm (0.25 in) larger than the stoma. 28. A nurse is administering medications to a client who has a percutaneous gastrostomy tube for enteral feedings. Which of the following actions should the nurse take to prevent clogging of the tube? Flush the clients gastrostomy tube with 30 ml of water before administering the medication. Crush the client's medications and mix them in with the tube feeding formula prior to administration. Change the client's feeding bag every 72 hr. Administer multiple prescribed medications at the same time. 29. A night shift nurse is giving change-of-shift report to the day shift nurse on a client who is ready for discharge. Which of the following information is the priority for the nurse to communicate to the oncoming nurse? The client needs assistance when transferring from the bed to a wheelchair. The client will have a visit by a home health nurse tomorrow. The client's partner will bring clothes for the client to change into prior to discharge. The client often needs encouragement to engage in personal hygiene activities. 30. A nurse is planning teaching about allowable foods for a client who has a history of uric acid-based urinary calculi formation. Which of the following foods should the nurse include in the teaching? Liver Oranges Chicken Red wine 31. An RN is planning care for a group of clients and is working with a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the RN delegate to the LPN? Collection of a stool specimen Preparation of a client's postoperative bed Preparation of a teaching plan about pneumonia... ... .............. [Show Less]
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ATI Pharmacology Proctored Exam (25 Versions, 1800 Q & A)/Pharmacology Proctored Exam
ATI Pharmacology Proctored Exam (25 Versions, 1800 Q & A)/Pharmacology Proctored Exam 1. A nurse is assessing a client who is receiving chloramphenicol ... [Show More] (Chloromycetin). Which of the following findings is an adverse effect of this medication? (adverse affect is thrombocytopenia) o Ecchymosis o Ototoxicity o Hypertension o Anxiety 2. A nurse is caring for a client who is to receive 1,500 mL of 0.9% sodium chloride IV over 8 hours. The nurse plans to use IV tubing with a drop factor of 10 gtt/mL. How many gtt/min of IV fluid should the client receive? (Round your answer to the nearest whole number). 31 gtt/min 3. A nurse is admitting a client to a long-term care facility. While reconciling the medication prescribed at home with those prescribed in the facility, the nurse discovers a discrepancy in the dosages. Which action should the nurse take? o Clarify the medication dosages with the provider. o Change the prescribed medication dosages to reconcile the discrepancy o Contact the pharmacist regarding the dosage discrepancies o Ask a family member to verify the medication dosages 4. A nurse is caring for a client who is receiving a fentanyl transdermal system (Duragesic). What is important to document in the client’s record? o Fluid intake o Skin integrity o Respiratory rate o Pulse rate 5. A nurse is caring for a client who has acute angina and has a prescription for nitroglycerin. Which of the following is an appropriate intervention for the nurse to take when administering this medication? o Massage the nitroglycerin ointment completely into the skin. o Replace the nitroglycerin transdermal patch every 4 hours. o Administer a sustained nitroglycerin tablet orally. o Administer a nitroglycerin tablet sublingually every 5 minutes. 6. A nurse is preparing to administer infliximab (Remicade) to a client who has rheumatoid arthritis. The nurse should watch the patient for which of the following adverse effects? (Select all that apply.) o Bradycardia o Jaundice o Polyuria o Urtipenia o Fever 7. A nurse is providing teaching to a client who was recently diagnosed as HIV positive. The client is beginning medication therapy with zidovudine (Retrovir). Which of the following statements should the nurse include in the teaching. (Select all that apply.) o Must be taken with other retroviral medicines. o Has few adverse effects o Cures an HIV infection o Prevents you from transmitting the HIV infection o Increases CD4+ cell count 8. A nurse is assessing a school age client who is experiencing seizure activity and is prescribed diazepam (Valium) IV. The nurse should should clarify the order if the client is receiving a continuous infusion of which of the following IV: o Lactated Ringers solution o 0.9% Sodium chloride with 100 units of regular insulin o 0.9% sodium chloride o 0.9% Sodium chloride with 20 mEq of potassium chloride 9. A nurse is assessing a client who is taking enalapril (Vasotec) for congestive heart failure. Which of the following indicates an expected finding? o Activity tolerance o Orthostatic hypotension o Loss of strength o Increase in blood pressure 10. A child with cerebral palsy is prescribed Baclofen (Lioresol). Which of the following therapeutic effects should the nurse monitor? o Increased urine output o Increased energy o Decreased anxiety o Decreased spacity 11. Clinical findings of a client who has a prescription for lithium carbonate (Lithobid). For which reasons should the nurse withhold the medication and notify the provider? o Lithium level 1.0 mEq/L o Potassium at 3.7 mEq/L o Sodium at 143 mEq/L o Lithium level 2.5 mEq/L 12.The nurse is caring for a client who has tuberculosis and is being treated with combination medication therapy. To test the effectiveness of the treatment, the nurse should periodically monitor which of the following laboratory results. o TT o ESD rate o Sputum culture o INR 13. A nurse is caring for a client who is taking amoxicillin (Amoxil) and is experiencing adverse effects. Which of the following instructions should the nurse give to this client? o “Stand up slowly after taking this medication.” o “Monitor for incr eased urine output.” o “Take this medication with a snack.” o “Administer the medication at bedtime.” 14. A nurse is reviewing the medication administration record for a client who has metastatic cancer and a fentanyl (Duragesic) transdermal patch for pain. The client reports a pain level of 10 on a scale of 0 to 10. Which of the following medications should the nurse anticipate administering? o Hydromorphone (Dilaudid) o Butorphanol (Stadol) o Alprazolam (Xanax) o Carbenezepine (Tegretol) 15. A nurse is caring for a client with PCA Morphine Sulfate. Which of the following statements is not true? o "I will not receive any pain medications during the lockout period" o "I should push the button when the pain becomes severe" o "I will be asked to rate my pain occasionally" o "I don't have to worry about getting an overdose of the medication" 16.A nurse is caring for a client who is to receive a series of allergy tests. The nurse should instruct the client to avoid which medications for up to 4 weeks before the procedure? o Acetemetaphen (Tylenol) o Diphenhyramine (Benadryl) o Albuterol (Accuneb) o Psuedoephedrine hydrochloride (Sudafed) 17. A nurse administered meperidine (Demerol) intramuscularly to a client with an ankle fracture. Which of the following actions should the nurse take next? o Assess the client’s r espirator y status o Document on the clients medication record o Reassess the client's pain level o Check the client's blood pressure 18. A nurse is caring for a client who has an order for clozapine (Clozaril) 350 mg PO daily. The nurse should recognize that which of the following findings is a side effect of this medication? o WBC 8,000 mm3 o Serum sodium 136 mg/dL o Fasting blood glucose of 220 mg/dL o Weight loss of 2.26 kg (5 lb) in 2 weeks 19. A client with diabetes mellitus is admitted to the medical unit. The client has routine beforebreakfast prescription for 8 units of regular insulin and 18 units ofNPH. The primary care provider adds an additional dose of Regular insulin based on the following: Blood Glucose Regular Insulin Dose 121 to 150 2 units 151 to 180 4 units 201. 200 6 units 201 to 250 8 units > 250 Call provider The client’s pre-breakfast glucose is 192 mg/dl. Which dosage of insulin should the nurse administer? o 8 units of Regular, 18 units of NPH o 8 units of Regular, 24 units of NPH o 14 units of Regular, 18 units of NPH o 14 units of Regular, 24 units of NPH 20. A nurse is caring for a client who has a new prescription of zolpidem (Ambien) 10 mg by mouth. Which comments by the client indicates understanding regarding this medication? o “ I will take m y medicat ion at bedtime.” o “I will take this medication with food.” o “I will stop taking this medication in 1 week, so I don’t get addicted.” o “I will take vitamin C to increase the effectiveness of this medication.” 21. A nurse is monitoring a client who is taking fosinopril (Monopril). The nurse should understand that this has a beneficial effect on which of the body systems? o Gastrointestinal o Cardiovascular o Pulmonary o Reproductive 22. A nurse is assessing a client who is taking naproxen (Naprosyn). Which of the following is an expected outcome for this client? o Increased appetite o Reduced bleeding o Improved breathing o Reduced pain 23. A nurse is providing teaching to a client who just started taking lithium (Eskalith). Which of the following statements indicates that the client understands the teaching? o ‘I should inject this medication subcutaneously.’ o “I should expect to feel better in just a few days.” o “ I shoul d call m y docto r if I develop h and tremo rs.” o “I should take this medication on an empty stomach.” 24.A nurse is administering verapamil (Calan) to a client via IV bolus. The nurse should monitor for which outcome? o A rapid increase in aPTT. o A sudden increase in heart rate. o A sudden decrease in heart rate. o A rapid decrease of aPTT. 25.A nurse is caring for a client who has rheumatoid arthritits. The client is prescribed methotrexate (Rheumatrex). Which of the following should the nurse instruct the client to monitor and report to the provider? o Sore throat o Urinary retention o Constipation o Insomnia 26.A nurse is caring for a client who has been prescribed Ceftriaxone (Rocephin). The nurse notes that the client’s chart lists a penicillin allergy. Which of the following actions should the nurse take first? o Notify the provider that the client is allergic to the medication. o Teach the client about signs of allergic response. o Question the client about previous allergic reactions. o Administer the medication and monitor the client for ............. ................. .......... [Show Less]
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ATI Med SURG Proctored Exam (23 Versions, 1500QA)/Med SURG Proctored Exam
ATI Med SURG Proctored Exam (23 Versions, 1500QA)/Med SURG Proctored Exam A nurse is reinforcing discharge teaching about wound care with a family membe... [Show More] r of a client who is postoperative. Which of the following should the nurse include in the teaching? a) Administer an analgesic following wound care.(The nurse should remind the family member to administer an analgesic prior to wound care to prevent discomfort.) b) Irrigate the wound with povidone iodine.(The nurse should remind the family member to irrigate the wound with 0.9% sodium chloride.) c) Cleanse the wound with a cotton-tipped applicator.(The nurse should remind the family member to avoid using a cotton-tipped applicator to cleanse the wound because the fibers can become embedded in the wound, cause infection, and delay wound healing.) d) Report purulent drainage to the provider.(The nurse should remind the family member to report signs of infection, including purulent drainage.) 2. A nurse is caring for a client who has bacterial meningitis. Upon monitoring the client, which of the following findings should the nurse expect? a) Flaccid neck(The nurse should recognize that nuchal rigidity, rather than a flaccid neck, is a manifestation of meningitis.) b) Stooped posture with shuffling gait(The nurse should recognize that a stooped posture with shuffling gait is a manifestation of Parkinson's disease, not a manifestation of meningitis.) c) Red macular rash(The nurse should expect to find a red macular rash, sometimes called a petechial rash, which is a manifestation of meningococcal meningitis.) d) Masklike facial expression(The nurse should recognize that a masklike expression is a manifestation of Parkinson's disease, not a manifestation of meningitis.) 3. A nurse is contributing to the plan of care for an older adult client who is at risk for osteoporosis. Which of the following interventions should the nurse include to prevent bone loss? a) Increase fluid intake.(Fluid intake is beneficial for general health and wellness, and it helps to treat some disorders. Caffeine and alcohol intake can increase the client's risk of developing osteoporosis. However, fluid intake does not prevent bone loss.) b) Encourage range-of-motion exercises.(Range-of-motion exercises are beneficial for general health and wellness, and they help to maintain flexibility and prevent contractures. However, range-of-motion exercises do not prevent bone loss.) c) Massage bony prominences.(Massaging bony prominences should be avoided because it can traumatize deep tissues.) d) Encourage weight-bearing exercises.(Weight-bearing exercises, such as walking, can maintain bone mass by reducing bone demineralization, thus helping to prevent osteoporosis.) 4. A nurse is collecting data from a client and notices several skin lesion. Which of the following findings should the nurse report as possible melanoma? a) Scaly patches(The nurse should report scaly patches as possible basal or squamous cell carcinoma. b) Silvery white plaques(The nurse should report silvery white plaques as possible psoriasis.) c) Irregular borders(The nurse should report irregular borders of a skin lesion to the provider because it can indicate malignant melanoma.) d) Raised edges(The nurse should report raised edges of a skin lesion as possible basal cell carcinoma.) 5. A nurse is reinforcing discharge teaching to prevent dumping syndrome for a client following a partial gastrectomy for ulcers. Which of the following information should the nurse include in the teaching? a) Avoid liquids at mealtimes.(The nurse should remind the client to avoid drinking liquids at mealtimes to prevent the food from emptying into the small bowel too quickly.) b) Exclude eating starchy vegetables.(The nurse should remind the client to include starchy vegetables in the meal plan to slow gastric emptying.) c) Avoid eating high-protein meals.(The nurse should remind the client to eat high-protein meals to help slow gastric emptying.) d) Plan to increase intake of sweetened fruits.(The nurse should remind the client to exclude sweetened fruits from the diet to help slow gastric emptying.) 6. A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the following laboratory levels should the nurse review prior to the procedure? a) Albumin(Albumin levels determine the amount of protein the liver produces in the body and is an indication of hepatic function and nutritional status. However, it is not impacted by contrast media used for cardiac catheterization. Therefore, the nurse does not need to review this laboratory level prior to a cardiac catheterization.) b) Phosphorus(Phosphorus is an electrolyte that combines with calcium to maintain bone health and is involved as an energy source in metabolism. However, it is not impacted by contrast media used for cardiac catheterization. Therefore, the nurse does not need to review this laboratory level prior to a cardiac catheterization.) c) TSH(TSH levels determine thyroid function. However, it is not impacted by contrast media used for cardiac catheterization. Therefore, the nurse does not need to review this laboratory level prior to a cardiac catheterization.) d) BUN(BUN levels indicate kidney function. Contrast media used during cardiac catheterization can cause renal failure. The nurse should review this laboratory level to determine if the client can tolerate the IV contrast dye during the procedure.) 7. A nurse is reinforcing glycosylated hemoglobin (HbA1c) testing with a client who has diabetes mellitus. Which of the following statements indicates that the client understands the teaching? a) "The HbA1c test should be performed 2 hr after I eat a meal that is high in carbohydrates."(The nurse should remind the client that carbohydrate consumption is not required for HbA1c testing.) b) "The HbA1c test can help detect the presence of ketones in my body."(The nurse should remind the client that urine testing can detect ketone bodies.) c) "I will have my HbA1c checked twice per year."(An HbA1c test provides the client's average glucose level for the preceding 3 months. The nurse should instruct the client to have her HbA1c tested twice yearly to manage her glucose.) d) "I will plan to fast before I have my HbA1c tested."(The nurse should remind the client that fasting is not required for HbA1C testing.) 8. A nurse is examining a client’s IV site and notes a red line up his arm. The client reports a throbbing, burning pain at the IV site. The nurse should identify that the client’s manifestations indicate which of the following complications of IV therapy? a) Thrombophlebitis(The nurse should identify pain, warmth, and a red streak up the arm as indications of thrombophlebitis.) b) Infiltration(The nurse should identify swelling and cool skin at the IV site as indications of infiltration.) c) Hematoma(The nurse should identify swelling and bruising as indications of a hematoma that can develop by not holding enough pressure after discontinuing the IV.) d) Venous spasms(The nurse should identify cramping at or above the insertion site and numbness as indications of venous spasms.) 9. A nurse is reinforcing teaching about management of constipation with a client who has hypothyroidism. Which of the following should the nurse include in the teaching? a) Increase intake of fiber-rich foods.(The nurse should instruct the client to increase the amount of fiber-rich foods in his diet. Dried beans and brown rice are examples of fiberrich foods.) b) Take a laxative every morning.(The nurse should instruct the client to initially take a laxative in the evening to stimulate the evacuation of stool. However, the nurse should instruct the client to use laxatives sparingly.) c) Maintain a fluid intake of 1200 mL per day.(The nurse should instruct the client to increase his fluid intake to 2,000 mL per day to maintain soft stools.) d) Limit activity to preserve energy.(The nurse should instruct the client to increase activity to stimulate the evacuation of stool.) 10. A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the following actions should the nurse take? a) Position pillows between the bony prominences.(The nurse should use positioning devices to keep bony prominences from being in direct contact with each other, which will prevent skin breakdown and pressure ulcer development.) b) Check for incontinence every 3 hr.(The nurse should check the client for incontinence at least every 2 hr to prevent skin breakdown.) c) Massage reddened areas of the skin.(The nurse should avoid massaging reddened areas of the skin, which can lead to the formation of a pressure ulcer by damaging underlying tissue.) d) Elevate the head of the bed to 45°.(The nurse should avoid elevating the head of the bed to an angle greater than 30°. An angle greater than 30° can cause shearing of the skin, which leads to tissue injury and pressure ulcer development.) 11. A nurse is contributing to the plan of care for a client who has peripheral arterial disease (PAD) of the lower extremities. Which of the following interventions should the nurse include? a) Place moist heat pads on the extremities.(The nurse should avoid applying heat to the client's extremities to prevent injury due to decreased sensation.) b) Perform manual massage of the affected extremities.(The nurse should avoid massaging the client's lower extremities if the client is having pain from ischemia. A warm environment and keeping the client warm will help with circulation to the extremities and decrease pain through vasodilation.) c) Dangle the extremities off the side of the bed.(The nurse should include in the plan of care to have the client dangle the lower extremities off the side of the bed to aid in reducing pain by increasing arterial blood flow. The client should not raise the lower extremities above the level of the heart when resting in bed because it impairs arterial blood flow.) d) Apply support stockings before getting out of bed.(The nurse should avoid applying support stockings to the lower extremities because support stockings interfere with the arterial blood flow to the lower extremities.) 12. A nurse is caring for a client who has meningococcal pneumonia. Which of the following personal protective equipment should the nurse use? a) Gown(The nurse should wear a gown when caring for a client who requires contact precautions.) b) Mask(The nurse should identify that a client who has Meningococcal pneumonia requires droplet precautions, which include wearing a mask when providing care within 3 feet of the client.) c) Sterile gloves(The performance of sterile dressing changes or tracheostomy care requires the nurse to wear sterile gloves. However, clean gloves are used to provide medical aseptic care.) d) Protective eyewearA nurse should wear protective eyewear when there is a risk for splashing, such as during the irrigation of a wound.) 13. A nurse is assisting with the care of a client who has a cardiac catheterization via the right femoral artery. Which of the following actions should the nurse take to prevent postprocedure complications (Select all that apply?) a) Should wait at least 2 hours after eating before going to bed."(The client should wait to lie down or go to bed at least 2 hr after eating to minimize reflux.) b) "I should eat three meals a day without eating snacks between meals."(The client should eat four to six small meals per day rather than three large meals to minimize bloating and abdominal distention.) c) "I should season my food with garlic."(The client should avoid spicy foods, including garlic, to minimize reflux.) d) "I should drink my liquids through a straw."(The client should avoid drinking through a straw, which can promote belching and reflux.) 14. A nurse is caring for a client who is postoperative and has an epidural infusion. Which of the following findings should the nurse recognize. .. . [Show Less]
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ATI Leadership Management Proctored Exam(5 Versions)/Leadership Management Proctored Exam
ATI Leadership Management Proctored Exam(5 Versions)/Leadership Management Proctored Exam 1. A nurse manager witnesses an assistive personnel (AP) usin... [Show More] g incorrect procedure when transferring a client using a mechanical lift. After reinforcing proper procedure, which of the following methods should the nurse manager use to evaluate the AP's understanding of the teaching? Require the AP's attendance at an in-service about the lift. This form of education gives a demonstration of the use of the equipment, but it does not allow for the nurse manager to observe and assess the AP's use of the equipment. Assign the AP to work with a senior staff member when using the lift. Working with another staff member can provide further education and reinforce proper use of the lift, but it does not allow for the nurse manager to observe and assess the AP's use of the equipment. Observe the AP's technique with the lift at random times throughout the day. Observing the AP is an effective way for the nurse manger to evaluate the AP's use of the equipment. This method of assessment also assists in determining the need for further education and staff development. Enforce the staff's completion of skills modules about medical equipment. MY ANSWER This form of education gives the AP a demonstration of the use of the equipment, but it does not allow for the nurse manager to observe and assess the AP's use of the equipment. Training should occur before task delegation. 2. A nurse is caring for a client who received pain medication 1 hr ago. The client tells the nurse the medication is not working because they are still experiencing pain. Which of the following actions by the nurse demonstrates client advocacy? Provide the client with a back massage to help ease their pain. Providing the client with a back massage can assist the client with pain management. However, this is not a demonstration of client advocacy, which involves intervening on the client's behalf. Recommend the client watch television as a distraction from the pain. Distraction, such as watching television, can assist a client with pain management. However, this is not a demonstration of client advocacy, which involves intervening on the client's behalf. Attempt to obtain a prescription for a different analgesic medication. MY ANSWER The role of the nurse as a client advocate involves directly intervening on behalf of the client. The nurse should attempt to obtain a prescription from the provider for a different analgesic medication to manage the client's pain. Inform the client that they can receive their next dose in 3 hr. The nurse should tell the client when they can receive their next dose of the medication to keep the client informed of the treatment plan. However, this is not a demonstration of client advocacy, which involves intervening on the client's behalf. 3. A charge nurse is teaching a newly licensed nurse about providing written discharge instructions for a client who is postoperative following an arthroplasty. The charge nurse should identify that which of the following discharge instructions written by the newly licensed nurse indicates understanding of the teaching? Take oxycodone 10 mg, q6h, PRN, for pain. The nurse should avoid using medical terminology when providing written instructions to the client because the client can have difficulty understanding the information. Report pus-like drainage from the wound. MY ANSWER The nurse should provide clear descriptions in terms the client can understand when providing written discharge instructions. The nurse should also ensure the client is aware of what complications to report to the provider. Resume Na-restricted diet. The nurse should avoid using abbreviations in written discharge instructions because the client can have difficulty understanding the information. Perform quadriceps setting exercises when supine. The nurse should provide step-by-step instructions on how to perform quadriceps setting exercises when lying supine and avoid using vocabulary that the client can have difficulty understanding in the written discharge instructions. 4. A nurse is using the SBAR communication tool for reporting a client's condition to the provider. Which of the following information should the nurse include in the "S" portion of the tool? The client was medicated with morphine 2 mg IV 1 hr ago. This information provides medical information that is pertinent to the client's condition and is part of the background portion (B) of the SBAR communication tool. The client needs a change in pain medication prescription. MY ANSWER This information provides a potential solution for the client's current need and is part of the recommendation portion (R) of the SBAR communication tool. The client is reporting a pain level of 8 on a scale from 0 to 10. This information provides a brief explanation of the current situation and is part of the situation portion (S) of the SBAR communication tool. The client has a heart rate of 110/min and a BP of 148/88 mm Hg. This information provides recent assessment data indicating the client's current condition and is part of the assessment portion (A) of the SBAR communication tool. 5. A nurse manager is anticipating a period when staffing will be especially short. The nurse manager decides to reorganize the delivery of care on the unit until staffing improves by appointing a charge nurse, a medication nurse, and a treatment nurse. Which of the following delivery systems is the nurse manager using? Primary nursing Primary nursing is a form of total client care in which one nurse has 24-hr responsibility and accountability for the nursing care of specific clients for the duration of their stay at the facility. Primary nursing promotes clear communication among the health care team. Team nursing MY ANSWER Team nursing is the most common nursing care ........................... .............. .... [Show Less]
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ATI Leadership Proctored Exam ( 18 Versions ,1400QA)/Leadership Proctored Exam
ATI Leadership Proctored Exam ( 18 Versions,1400QA)/Leadership Proctored Exam 1. A nurse manager is preparing to institute a new system for scheduling sta... [Show More] ff. Several nurses have verbalized their concern over the possible changes that will occur. Which of the following is an appropriate method to facilitate the adoption of the new scheduling system? A. Identify nurses who accept the change to help influence other staff nurses B. Provide a brief overview of the new scheduling system immediately before it implementation C. Introduce the new scheduling system by describing how it will save the institution money D. Offer to reassign staff who do not support the change to another unit 2. A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordance with the care pathway, antibiotic therapy is prescribed. Which of the following situations requires the nurse to complete a variance report with regard to the care pathway? A. Antibiotic therapy was initiated 2 hr after implementation of the care pathway B. A blood culture was obtained after antibiotic therapy has been initiated C. The route of antibiotic therapy on the care pathway was changed from IV to PO D. An allergy to penicillin required an alternative antibiotic to be prescribed. 3. A nurse should recognize that an incident report is required when A. A client refuses to attend physical therapy B. A visitor pinches his finger in the client‟s bed frame C. A client throws a box of tissues at a nurse D. A nurse gives a med 30 min late 5. Client satisfactory surveys from a med-surg unit indicate the pain is not being adequately relieved during the first 12 hr post-opt. The unit manager decides to identify post-opt pain as a quality indicator. Which of the following data sources will be helpful in determine the reason why clients are not receiving adequate pain management after surgery? A. Prospective chart audit B. Retrospective chart audit C. Postoperative care policy D. Pain assessment policy 6. A nurse precepting a newly licenced nurse who is caring for a client who is confused and has an IV infusion. The newly licensed nurse has placed the client in wrist restraints to prevent dislodging the IV catheter. Which of the following questions should the precepting nurse ask? A. “Did you secure the restraints to the side rails of the bed?” B. “Are you able to insert two fingers between the restraint and the client‟s skin?” C. “Did you tie the restraints using double knot?” D. “Are you removing the client‟s restraints every 4 hr?” 7. A nurse is caring for an older adult client who has stage III pressure ulcer. The nurse request a consultation with the wound care specialist. Which of the following actions by the nurse is appropriate when working with a consultant? A. Arrange the consultation for time when the nurse is caring for the client is able to be present for consultation B. Provide the consultant with subjective opinions and beliefs about the client‟s wound care C. Request the consultation after several wound care treatment tried D. Arrange for the wound care nurse specialist to see the client daily to provide the recommended treatment 8. A client is admitted wit TB and placed in a negative pressure room. Which of the following actions is appropriate? A. Notify the local health department of the admission B. Place a sign on the client‟s door with the diagnosis C. Ensure that admitting staff undergo PPD skin tests D. Determine who had contact with the client in the last 48 hr 9. A nurse is caring for a client who is unconscious and whose partner is health care proxy. The partner has spoken with the provider and wishes to discontinue the client‟s feeding tube. The provider states the nurse, “I will not discontinue the client‟s treatment. His partner has no right to make decisions regarding the client‟s care. “Which of the following responses by the nurse is appropriate? A. You should consider speaking with the facility‟s ethics committee before making your decision B. You have the right to make decision, even if the partner is the client‟s health care proxy C. The client has designated his partner as health care proxy in his advance directives D. We‟ll need to have the nursing supervisor review the client‟s advance directives 10. A nurse is caring for a client who has increased intracranial pressure and is receiving IV corticosteroids. Which of the following info is most important for the nurse to report at shift change? A. Gasglow Coma scale score B. Most recent blood glucose reading C. Lab test scheduled for next shift D. Reddened area on the coccyx 11. A nurse is assigned the following four clients for the current shift. Which of the following clients should the nurse assess first? A. A client who has a hip fracture and is in Buck‟s traction B. A client who has aspiration pneumonia and a respiratory rate of 28/min C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot D. A client who has a C diff infection and needs a stool specimen collected 12. A nurse is caring for a client who fell and is reporting pain in the left hip with external rotation of the left leg. The nurse has been unable to reach the provider despite several attempts over the past 30 min. Which of the following actions should the nurse take? A. Notify the nursing supervisor about the issues B. Contact the client‟s physical therapist C. Apply a warm compress to the hip D. Reposition the client for comfort 13. The mother of a client with breast cancer states, it‟s been hard for her, especially after losing her hair. And it has been difficult to pay for all the treatments. Which of the following actions is appropriate client advocacy? A. The nurse investigates potential resources to help the client purchase wig B. The nurse explains to the mother that most clients with cancer lose their hair C. The nurse informs the next shift nurse regarding the mother‟s concerns. D. The nurse suggests counseling for the client‟s body image issues 14. Which of the following items must be discarded in a biohazard waste receptacle? A. A urinary catheter drainage bag from a client who is post-opt B. A bed sheet from a client with bacterial pneumonia C. A perineal pad from a client who is 24-hr post-vaginal delivery D. An empty IV bag removed from a client who has HIV 15. A nurse tells the unit manager, “I am tired of all the changes on the unit. If things don‟t get better, I‟m going to quit. “Which of the following responses appropriate? A. “So you are upset about all the changes on the Unit” B. “I think you have a right to be upset, I am tired of the changes too” C. “Just stick with it a little longer. Things will get better soon D. “ You should file complaints with hospital administrator 16. According to the HIPAA regulations, which of the following is a violation of client confidentiality? A. Telephone the pharmacy with a prescription for the spouse to pick up B. Providing a copy of the record to the transporting paramedic C. Reporting a client‟s disposition to the referring provider D. Informing housekeeping staff that the client is in dialysis unit 17. A Nurse preceptor is evaluating a newly licensed nurse‟s competency in assisting with a sterile procedure. Which of the following actions indicates the nurse is maintaining sterile technique? (Select all that apply.) A. Open the sterile pack by first unfolding the flap farthest from her body B. Rests the cap of a solution container upside down on the sterile field C. Removes the outside packaging of a sterile instrument before dropping into the sterile field D. Holds a bottle of a sterile solution 15 cm (6 inches) .. .... .. 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