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ATI RN EXAM COMPILATIONS LATEST 2022
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ATI Pharmacology Proctored Exam Practice 2022 138 questions with 100% correct answers
A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid ... [Show More] volume excess? a. Decreased bowel sounds b. Distended neck veins c. Bilateral muscle weakness d. Thread pulse - b. Distended neck veins A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective? a. Absent Chvostek's sign b. Improved cognition c. Decreased vomiting d. Cardiac arrhythmias absent - b. Improved cognition A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include? a. "Discontinue the patch if you experience a headache." b. "Apply a new patch if you have chest pain." c. "Cover the patch with dry gauze when taking a shower." d. "Remove the patch prior to going to bed." - d. "Remove the patch prior to going to bed." A nurse is reviewing he laboratory results of a client who has a prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider? a. Creatinine 0.72 mg/dL b. Sodium 138 mEq/L c. Magnesium 2 mEq/Ld. Potassium 5.2 mEq/L - d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater than 5.0 mEq/L) increases the client risk for fatal cardiac dysrhythmias. Kayexalate is used to decrease the serum potassium level so the PN should monitor the client's serum potassium level A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen? a. The client has a negative sputum culture b. The client tests negative for HIV c. The client has a positive purified protein derivative test d. The client's liver function test results are within the expected reference range - a. The client has a negative sputum culture A client is caring for a client who develops an anaphylactic reaction to IV administration. After assessing the client's respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next? a. Replace the infusion with 0.9% sodium chloride b. Give diphenhydramine IM c. Elevate the client's legs and feet d. Administer epinephrine IM - d. Administer epinephrine IM A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements. Which of the following supplements should the nurse advise the client to avoid? a. St. John's Wort b. Ginger root c. Black cohosh d. Coenzyme Q10 - a. St. John's Wort A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril? a. Bradycardia b. Hypokalemia c. Tinnitusd. Hypotension - d. Hypotension A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an PPT of 90 seconds. They should monitor the client for which of the following changes in their vital signs? a. Decreased temperature b. Increased pulse rate c. Decreased respiratory rate d. Increased blood pressure - d. Increased blood pressure A nurse is preparing to administer medication to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report? a. The quality improvement committee b. The nurse who identifies the error c. The nurse who caused the error d. The charge nurse - b. The nurse who identifies the error A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following? a. Pruritus b. Cough c. Tachypnea d. Gastric bleeding - a. Pruritus - Sign of allergic reaction to morphine A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right placing them in the order of performance. Use all the steps.) - a. Obtain the client's apical heart rate b. Remove the medication from the dispensing system c. Open the medication package d. Compare the client's wristband to the medication administration record e. Document administration of the medicationA nurse is reviewing the medical record of an adult client who has a fever and a prescription for acetaminophen. Which of the following findings should the nurse identify as a contraindication for receiving this medication? a. Alcohol use disorder b. Chronic kidney disease c. Hepatitis B vaccine within the last week d. Diabetes mellitus - a. Alcohol use disorder b. Chronic kidney disease A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the last visit 2 days ago. Which of the following actions should the nurse take first? a. Encourage the client to dangle the legs while sitting in a chair b. Teach the client about foods low in sodium c. Determine medication adherence by the client d. Notify the provider of the client's weight gain - c. Determine medication adherence by the client A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection? a. Urticaria b. Bradycardia c. Pallor d. Dyspepsia - a. Urticaria A nurse is teaching a client who has angina a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching? a. "Discard any tablets you do not use every 6 months." b. "Take one tablet each morning 30 minutes prior to eating." c. "Keep the tablets at room temperature in their original glass bottle."d. "Place the tablet between your cheek and gum to dissolve." - c. "Keep the tablets at room temperature in their original glass bottle." A nurse is providing teaching to a client who has a new prescription for theophylline a sustainedreleased capsule. Which of the following statements by the client indicates an understanding of the teaching? a. "I can take my medication in the morning with my coffee." b. "I may sprinkle the medication in applesauce." c. "I should limit my fluid intake while on this medication." d. "I will need to have blood levels drawn." - a. "I can take my medication in the morning with my coffee." A nurse is mixing regular insulin and NPH in [Show Less]
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ATI RN Medical Surgical Online Practice Assessment 2022 A 90 QUESTIONS WITH 100% CORRECT ANSWERS
A nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. The client is experiencing excessive stools. Which of t... [Show More] he following findings is an adverse effect of this medication? - Hypokalemia Rationale: Lactulose works by stimulating the production of excess stores to rid the body of excess ammonia. These excessive stores can result in a hypo kalemia and dehydration. A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions should the nurse take first? - Instruct the client to allow the machine to breathe for them. Rationale: When providing client care, the nurse should first use the least restrictive intervention. Therefore, the first action the nurse should take is to provide verbal instructions in emotional support to help the client relax and allow the ventilator to work. Clients can exhibit anxiety and restlessness we're trying to "fight the ventilator." A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this risk, which of the following dietary alterations should the nurse recommend? - Add cabbage to the diet. Rationale: To help reduce the risk for colorectal cancer, the client should consume a diet that is high in fiber, low in fat, and low in refined carbohydrates. Brassica vegetables, such as cabbage, cauliflower, and broccoli, are all high in fiber. A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. Which of the following neurologic deficits should the nurse expect to find when assessing the client? (Select all that apply.) - Visual spatial deficits, Left hemianopsia, One-sided neglect. Rationale: Visual spatial deficits and loss of depth perception occur secondary to a right hemispheric stroke. Left hemianopsia, or blindness in the left half of the visual field, occur secondary to right hemispheric stroke. One-sided neglect, or in unawareness of the affected side, occur secondary to a right hemispheric stroke. A nurse is caring for a client who has viral pneumonia. The client's pulse oximeter readings have fluctuated between 79% and 88% for the last 30 min. Which of the following oxygen delivery systems should the nurse initiate to provide the highest concentration of oxygen? - Nonrebreather mask Rationale: The nurse should initiate a nonrebreather mask to deliver between 80% to 95% oxygen to the client. A client who has an unstable respiratory status should receive oxygen via non-rebreather mask. A nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. The client has dyspnea with a productive cough and is using accessory muscles to breathe. Which of the following actions should the nurse take first? - Place the client in high-Fowler's position. Rationale: the greatest risk to this client is injury from airway obstruction. Therefore, their priority intervention the nurse should take us to move the client into high Fowlers position. High Fowlers position facilitate long expansion and improves been elation and gas exchange A nurse is planning care for a client who has extensive burn injuries and is immunocompromised. Which of the following precautions should the nurse include in the plan of care to prevent a Pseudomonas aeruginosa infection? - Avoid placing plants or flowers in the client's room. Rationale: live plants can harbor P. Aeruginosa, And this bacterium can infect burn moons and cause life-threatening complications. The nurse should ensure no one brings live plants or flowers into the clients room. An older adult client is brought to an emergency department by a family member. Which of the following assessment findings should cause the nurse to suspect that the client has hypertonic dehydration? - Urine specific gravity 1.045 Rationale: a urine specific gravity greater than 1.030 indicates a decrease in urine volume and an increase in osmolarity, which is a manifestation of hypertonic dehydration. A nurse in an emergency department is reviewing the provider's prescriptions for a client who sustained a rattlesnake bite to the lower leg. Which of the following prescriptions should the nurse expect? - Administer an opioid analgesic to the client. Rationale: the nurse should expect a prescription for an opioid analgesic to promote comfort following a rattlesnake bite. A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the following findings? - Dysphagia Rationale: dysphasia indicates that this client is at greatest risk for aspiration due to impaired sensation and function within the oral cavity. Therefore, the nurse should place priority on this finding. A nurse is teaching a young adult client how to perform testicular self-examination. Which of the following instructions should the nurse include? - Roll each testicle between the thumb and fingers. Rationale: the nurse should instruct the client to roll each testicle horizontally between the thumbs and fingers to fill for any lumps deep in the center of the testicle. A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following statements by the client indicates an understanding of the teaching? - "I should take this medication with a meal." Rationale: the client should take metformin with or immediately following Mills to improve absorption and to minimize gastrointestinal distress. A nurse is teaching a client who has venous insufficiency about self-care. Which of the following statements should the nurse identify as an indication that the client understands the teaching? - "I will wear clean graduated compression stockings every day." Rationale: the client should apply a clean pair of graduated compression stockings each day and clean stalls stockings with a mild detergent and warm water by hand. A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? - Tachycardia Rationale: when using the urgent versus non-urgent approach to client care, the nurse should determine that the priority finding is tachycardia. Tachycardia is a manifestation of biliary colic, which can lead to shock. The nurse should position the head of the clients bed flat airport this finding immediately to the provider. A nurse is reviewing the health record of a client who is scheduled for allergy skin testing. The nurse should postpone the testing and report to the provider which of the following findings? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) - Current medications Rationale: the nurse should review the clients medication record to identify medications, including ace inhibitors , beta blockers,theophylline, nifedipine, And glucocorticoids, such as prednisone, that can alter the allergy skin test results. These medications can diminish the clients reaction to the allergens, and the nurse should notify the provider and instruct the client to discontinue prednisone for two weeks before the allergy skin test. A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following clients? - A client who is receiving preoperative teaching for a right knee arthroplasty. Rationale: the nurse should make a referral to physical therapy so the client can begin understanding post operative exercises and physical restrictions. A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following laboratory findings should the nurse expect? - BUN 32 mg/dL Rationale: DKA results in osmotic diuresis and subsequent dehydration. The nurse should expect a client who has DKA to have elevated BUN, creatinine, and urine specific gravity levels resulting from the excess glucose present in the urine. A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. Which of the following statements should the nurse include in the teaching? - "You should cut the opening of the skin barrier one-eighth inch wider than the stoma." Rationale: This is to minimize irritation of the skin from exposure to year end A nurse is providing teaching for a female client who has recurrent urinary tract infections. Which of the following information should the nurse include in the teaching? - Void before and after intercourse. Rationale this flushes bacteria out of the urinary tract and prevent the occurrence of infection. A nurse and an assistive personnel (AP) are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions? - Wear a mask. Rationale: bacterial meningitis requires droplet precautions. Those entering the room should wear a mask when coming within 3 feet of the client until 24 hours after the client has begun receiving anabiotic therapy. A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Which of the following actions should the nurse take? - Place a pillow between the client's legs. Rationale: this helps to prevent hip dislocation. A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches. The nurse should identify that which of the following client medications interacts with feverfew? - Naproxen Rationale: both impair platelet aggregation in place the client at risk for bleeding. A nurse is caring for a client who has pancreatitis. The nurse should expect which of the following laboratory results to be below the expected reference range? - Calcium [Show Less]
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ATI - RN Nutrition Online Practice 2022 A 60 QUESTIONS WITH 100% CORRECT ANSWERS
1. A nurse in an acute care facility is planning care for a client who has chosen to follow Islamic dietary laws during Ramadan. Which of the following act... [Show More] ions should the nurse plan to take? - Provide a snack for the client after sunset 2. A nurse is creating a plan of care for a client who has mucositis following a head and neck radiation therapy to treat cancer. Which of the following interventions should the nurse include in the plan? - Increase fluid intake to 2 L per day 3. A nurse is providing discharge teaching to a postpartum client about breast milk use and storage. Which of the following statements should the nurse make? - "You cannot place thawed breast milk back in the freezer" 4. A nurse is caring for a client who adheres to a kosher diet. Which of the following food choices would be appropriate for this client? - Vegetable salad with cheese 5. A community health nurse is planning to teach a class about weight management for cardiovascular health. Which of the following statements should the nurse plan to include? - "Plan to lose weight gradually at 1/2 to 1 pound per week." 6. A client is experiencing anorexia related to cancer treatment. Which of the following interventions should the nurse implement to increase the client's nutritional intake? - Add extra calories and protein to every meal 7. 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? - Include two servings per day of nuts when on a vegetarian diet 8. A nurse is teaching a female client about a healthy diet to control hypertension. Which of the following client statements indicates an understanding of the teaching? - "I will eat four servings of unsalted nuts per week." 9. A nurse is caring for a client who is dehydrated and is receiving intermittent enteral feeding. Which of the following actions should the nurse plan to take? - Provide the formula as a continuous infusion 10. A nurse is providing teaching to a client who has dumping syndrome and is experiencing weight loss. Which of the following instructions should the nurse include in the teaching? - Consume liquids between meals 11. A nurse is providing dietary instructions for a client who has a prescription for warfarin. Which of the following foods should the nurse recommend the client eat in moderation while taking this medication? - Leafy green vegetables 12. A nurse is teaching a client who has hypertension about decreasing sodium intake. Which of the following information should the nurse include in the teaching? - Season foods with herbs and spices 13. A nurse is teaching a prenatal education class about breastfeeding. Which of the following instructions should the nurse include in the teaching? - Plan 5-min feedings on each breast on the first day after birth. 14. A nurse is assessing a client who has type 2 diabetes mellitus. The nurse should recognize which of the following as a manifestation of hypoglycemia? - Confusion 15. 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? - "I know the serving size can affect the number of carbohydrates I eat." 16. A nurse is assessing a client who is suspected of having lactose intolerance. Which of the following is an expected finding? - Flatulence 17. A nurse is performing a cultural nursing assessment for a client whose religious practices include fasting 1 day each week. Which of the following questions should the nurse ask the client? (Select all that apply.) - "Are you exempt from fasting during illness?" "Does fasting mean refraining from drinking liquids?" Does your fasting occur during certain hours of the day?" "Does fasting mean eating only a certain type of food?" 18. 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? - Select grains with less than 2 g fiber per serving. 19. A nurse is assessing a client's risk for pressure injuries using the Braden scale. The client eats more than half of most meals but occasionally refuses a meal. Which of the following information should the nurse document on the nutrition category of the Braden scale? - 3 (Adequate) 20. A nurse is providing teaching about lowering solid fat intake to an adolescent client who usually consumes about 2,000 calories per day. Which of the following instructions should the nurse include? - "Restrict your daily meat intake to 5 ounces." 21. 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 would healing? - The client consumes 1,000 kcal daily. 22. A nurse is providing teaching to a client who has dumping syndrome. Which of the following information should the nurse include? - Apply pectin to foods. 23. 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? - The client drools while eating. 24. A nurse is reviewing the laboratory values of a group of clients. Which of the following clients should the nurse identify as experiencing dehydration? - A client who has a sodium level of 150 mEq/L [Show Less]
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ATI RN 3.0 Mental Health 1 EXAM QUESTIONS-UPDATED 2022 40 QUESTIONS WITH 100% CORRECT ANSWERS
1. A nurse is conducting a counseling session with a client who has a substance use disorder. The client repeatedly ask personal questions about the nurse.... [Show More] Which of the following actions should the nurse take? - Explain that this time is designated to focus on the client. 2. A nurse is preparing to apply restaurants on a client who is threatening to harm others and has not responded to lessen case of interventions. Which of the following actions should the nurse plan to take? - Document the clients behavior every 15 minutes while restraints are in place. 3. Community mental health nurse is planning strategies to address substance use my adolescence. Which of the following intervention should the nurse plan as a method of primary prevention?Community mental health nurse is planning strategies to address substance use my adolescence. Which of the following intervention should the nurse plan as a method of primary prevention? - Provide a presentation at area high school's and resisting peer pressure for substance use. 4. A nurse in an emergency department is caring for an 18 month old toddler who has a fractured left femur. What is the long statement by the toddler's parent should cause the nurse to suspect child abuse? - "My child was riding a bicycle and fell off." 5. A nurse is administering an oral sedative to a client who is receiving careful and involuntary admission. The client states, " I'm not taking any more medication." Which of the following actions should the nurse take? - Document the client refusal of the medication in the medical record. 6. A nurse is caring for a school age client who begins wetting the bed after finding out her parents are getting a divorce. The nurse should identify the client is exhibiting which is a fine defense mechanisms? - Regression 7. A nurse is caring for a client who is brought to the clinic by her adult son who states that his father recently died. The client repeatedly yells at her son stating, " Quit lying about your father!" The nurse should recognize that the client is demonstrating which of the following defense mechanisms? - Denial 8. A nurse is caring for a client called mental health counseling center. The client received a failing grade in the course and spends entire counseling session blaming the teacher. The nurse should recognize this behavior as example of which of the following defense mechanisms? - Projection 9. A nurse at a college campus health clinic is caring for a client who reports manifestations of bulimia nervosa. The client tells the nurse, " I know my eating binges and vomiting are not normal, but I cannot control it." Which of the following responses should the nurse make? - " You are feeling helpless about changing this behavior?" 10. A nurse is preparing to administer fluphenazine decanoate 12.5 mg subcutaneous. available is fluphenazine decanoate 25 mg/mL. How many mL should the nurse administer per dose? [Show Less]
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ATI RN Practice Quiz B UPDATED 2022 60 QUESTIONS WITH 100% CORRECT ANSWERS & RATIONALE
A nurse is caring for a client who is receiving end-of-life care and has a prescription for fentanyl patches. Which of the following information regarding ... [Show More] the adverse effects of fentanyl should the nurse plan to give to the client and family? - Take a stool softener on a daily basis. Rationale: constipation is an adverse effect of opioid use. --Naloxone is only for use in the acute care setting. --Urinary retention is an adverse effect of opioids, including fentanyl. A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client reports feeling confused and anxious. Which of the following actions should the nurse take first? - Perform a capillary blood glucose test. A nurse is providing teaching to a client who is to start therapy with digoxin. For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider? A- Dry cough B- Pedal edema C- Bruising D- Yellow-tinged vision - D- Yellow-tinged vision Rationale: this is a sign of digoxin toxicity. Other manifestations of digoxin toxicity include nausea, vomiting, loss of appetite, and fatigue. A nurse is reviewing the laboratory results of a client who is taking carbamazepine for a seizure disorder. Which of the following findings should the nurse report to the provider? - WBC 3,500 Rationale: WBC reference range is 5,000 to 10,000 A nurse is reviewing lab results for a client who is to receive a dose of ceftazidime via intermittent IV bolus. Which of the following laboratory findings is the priority for the nurse to report to the provider before administering the medication? - Creatinine 2.6 mg/dL Normal creatinine levels are 0.8 to 1.2 mg/dL A nurse is caring for a client who has hypocalcemia and is receiving calcium citrate. The nurse should identify that which of the following findings indicates a therapeutic response to the medication? - Client report of decreased paresthesia. Rationale: paresthesia (tingling/numbness) is a manifestation of hypocalcemia. The nurse should also monitor for a decrease in other manifestations of hypocalcemia including muscle twitching and cardiac dysrhythmias. A nurse is providing teaching to a client who has a prescription for trimethoprim/sulfamethoxazole. Which of the following instructions should the nurse include in the teaching? - Drink 8 to 10 glasses of water daily. A nurse should instruct the client to increase water intake to 1,920 to 2,400ml a day to decrease the chance of kidney damage from crystallization. A nurse is preparing to administer hydrochlorothiazide to a client. Which of the following actions should the nurse take prior to administering the medication? - Take the client's BP. Rationale: HCTZ is a thiazide diuretic administered to promote urine output and reduce blood pressure and edema. A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? - --Blood glucose levels will need to be monitored --Avoid contact with persons who have known infections --Grapefruit juice can increase the blood levels of the medication A circulating nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse include in the plan of care? - Place monitoring cords and tubes in a stockinet. A nurse in a provider's office is assessing a client who has been taking aspirin daily for the past year. For which of the following findings should the nurse notify the provider immediately? - Hyperventilation. Rationale: This may occur due to acute salicylate poisoning, which causes respiratory alkalosis in the early stages. A nurse is monitoring for adverse effects of hydrochlorothiazide after administering the medication to an older adult client who has heart failure. Which of the following findings should the nurse identify as an adverse effect of the medication? - Orthostatic hypotension A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following client laboratory values should the nurse monitor? - Creatine kinase A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider? - Chest pressure Rationale: sumatriptan is an antimigraine agent which can cause coronary vasospasms, resulting in angina. The client should report chest pressure or heavy arms to the provider. A nurse is completing an incident report for a medication error. Which of the following should the nurse include in the report? - Administered propanolol 80 mg PO at 1800 to the client who did not have a prescription for the medication. A nurse is teaching a client who is taking allopurinol for the treatment of gout. Which of the following information should the nurse include in the teaching? - Drink 2L of water daily. The nurse should instruct the client to drink at least 2L of water each day to prevent renal stone formation and kidney injury, because allopurinol is eliminated through the kidneys A nurse is teaching about self-administration of transdermal medication with a male client who has a new prescription for nitroglycerin. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? - I will remove the patch after 14 hours. A nurse is caring for a client who has developed hypomagnesemia due to long-term therapy with lansoprazole. The nurse should monitor the client for which of the following manifestations? - Disorientation The nurse should monitor for disorientation and confusion as manifestations of hypomagnesemia; and for positive Chvostek's and Trousseau's signs. A nurse is preparing to administer 0.9% NaCl 1,500ml to infuse over 8hr to a client who is postoperative. The nurse should set the IV pump to deliver how many mL/hr? - 188ml/hr A nurse is providing discharge teaching to a client who has a new prescription for furosemide twice daily. The nurse should include which of the following instructions in the teaching? Select all. - --Increase intake of potassium-rich foods --monitor for muscle weakness --dangle your legs from the side of the bed before standing A nurse in a clinic is caring for a client who is taking aspirin for the treatment of arthritis. The nurse should identify which of the following findings as an indication that the client is beginning to exhibit salicylism? - Tinnitus Rationale: Tinnitus is a manifestation of aspirin toxicity, also called salicylism. Other manifestations include sweating, headache, and dizziness. A nurse is caring for a client who has pneumonia. The client tells the nurse she is pregnant and that she has not told her provider yet. The nurse should identify that pregnancy is a contraindication for receiving which of the following medications? - Doxycycline [Show Less]
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RN Nursing Care of Children Practice 2022 A – ATI 60 QUESTIONS WITH 100% CORRECT ANSWERS
A nurse is creating a plan of care for a school-age child who has heart disease and has developed heart failure. Which of the following interventions shoul... [Show More] d the nurse include in the plan? - Provide small, frequent meals for the child. The metabolic rate of a child who has heart failure is high because of poor cardiac function. Therefore, the nurse should provide small, frequent meals for the child because it helps to conserve energy. A nurse is teaching the parent of an infant who has a Pavlik harness for the treatment of developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching? - "I will place my infant's diapers under the harness straps." To prevent soiling of the harness, the parent should apply the infant's diaper under the straps. A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of the following interventions should the nurse include in the plan? - Initiate seizure precautions for the child. A sodium level of 129 mEq/L indicates hyponatremia and places the child at increased risk for neurological deficits and seizure activity. The nurse should complete a neurologic assessment and implement seizure precautions to maintain the child's safety. A nurse is assessing a school-age child immediately following a perforated appendix repair. Which of the following findings should the nurse expect? - Absence of peristalsis The nurse should expect absence of peristalsis immediately following a perforated appendix repair, until the bowel resumes functioning. A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should the nurse take? - Apply topical analgesic cream to the site 1 hr prior to the procedure. The nurse should apply a topical analgesic to the lumbar site 1 hr prior to the procedure to decrease the adolescent's pain while the lumbar needle is inserted. A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first? - Epinephrine This child is most likely experiencing an anaphylactic reaction to the cefazolin. According to evidence-based practice, the nurse should first administer epinephrine to treat the anaphylaxis. Epinephrine is a beta adrenergic agonist that stimulates the heart, causes vasoconstriction of blood vessels in the skin and mucous membranes, and triggers bronchodilation in the lungs. A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parent indicates an understanding of the teaching? - "I should keep my child indoors when I mow the yard." The nurse should instruct the parent to keep the preschooler indoors during lawn maintenance or when the pollen count is increased. Guarding against exposure to known allergens found outdoors, such as grass, tree, and weed pollen, will decrease the frequency of the preschooler's asthma attacks. A nurse is proving dietary teaching to the parent of a school-age child who has celiac disease. The nurse should recommend that the parent offer which of the following foods to the child? - White rice The nurse should recommend that the parent offer white rice to the child because it is a gluten-free food. The nurse should instruct the parent that the child will remain on a lifelong gluten-free diet and the child should not consume oats, rye, barley, or wheat, and sometimes lactose deficiency can be secondary to this disease. A nurse is reviewing the laboratory report of a school-age child who is experiencing fatigue. Which of the following findings should the nurse recognize as an indication of anemia? - Hematocrit 28% The nurse should recognize that this hematocrit level is below the expected reference range of 32% to 44% for a school-age child. The child can exhibit fatigue, lightheadedness, tachycardia, dyspnea, and pallor due to the decreased oxygen-carrying capacity. A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. Which of the following actions should the nurse plan to take? - Perform a finger stick. The nurse should perform a finger stick on a toddler as a component of the sickle-turbidity test. If the test is positive, hemoglobin electrophoresis is required to distinguish between children who have the genetic trait and children who have the disease. A nurse is assessing a school-age child who has meningitis. Which of the following findings is the priority for the nurse to report to the provider? - Petechiae on the lower extremities The presence of a petechial or purpuric rash on a child who is ill can indicate the presence of meningococcemia. This type of rash indicates the greatest risk of serious rapid complications from sepsis and should be reported immediately to the provider. A nurse is assessing an infant who has a ventricular septal defect. Which of the following findings should the nurse expect? - Loud, harsh murmur The nurse should expect to hear a loud, harsh murmur with a ventricular septal defect due to the left-to-right shunting of blood, which contributes to hypertrophy of the infant's heart muscle. A nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury. Which of the following interventions should the nurse include in the plan? - Implement seizure precautions for the infant. An infant who has an epidural hematoma is at great risk for seizure activity. Therefore, the nurse should implement seizure precautions for the child. A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney? - Serum creatinine 3.0 mg/dL Creatinine is a byproduct of protein metabolism and is excreted from the body through the kidneys. An elevated serum creatinine level, therefore, can be an indication that the kidneys are not functioning. The nurse should identify that the adolescent's serum creatinine level is higher than the expected reference range of 0.4 to 1.0 mg/dL for an adolescent and can indicate rejection of the kidney. A nurse in an emergency department is performing an admission assessment on a 2 week-old male newborn. Which of the following findings is the priority for the nurse to report to the provider? - Substernal retractions When using the airway, breathing, and circulation approach to client care, the nurse should determine that the priority finding to report to the provider is substernal retractions. This finding indicates the newborn is experiencing increased respiratory effort, which could quickly progress to respiratory failure. A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he cannot cope anymore and has decided to move out of the house. Which of the following statements should the nurse make? - "Let's talk about some of the ways you have handled previous stressors in your life." This statement offers a general lead to allow the parent to express their feelings and previous actions when faced with stressful situations. It also helps the parent to focus on ways that they can cope with the current situation. A nurse in an emergency department is caring for an adolescent who has severe abdominal pain due to appendicitis. Which of the following locations should the nurse identify as McBurney's point? - A. The nurse should identify this area of the client's abdomen as McBurney's point. This area of the right lower quadrant located about two-thirds of the way between the umbilicus and the client's anterosuperior iliac spine is the area where a client who has appendicitis is most likely to report pain and tenderness. A nurse is reviewing the laboratory report of a 7 year-old child who is receiving chemotherapy. Which of the following lab values should the nurse report to the provider? - Hgb 8.5 g/dL A child receiving chemotherapy is at risk for anemia due to the chemotherapy effects on the blood-forming cells of the bone marrow. The development of anemia is diagnosed through laboratory testing of hemoglobin and hematocrit levels. The nurse should recognize that a hemoglobin level of 8.5 g/dL is below the expected reference range of 10 to 15.5 g/dL for a 7-year-old child and should be reported to the provider. A nurse is caring for a 15 year-old client who is married and is scheduled for a surgical procedure. The client asks, "who should sign my surgical consent?" Which of the following responses should the nurse make? - "You can sign the consent form because you are married." The nurse should inform the adolescent that marriage gives adolescents the legal right to consent to surgical procedures and sign other legal documents that they would not otherwise be able to sign due to their age. A nurse is assessing a 4-year-old child at a well-child visit. Which of the following developmental milestones should the nurse expect to observe? - Cuts an outlined shape using scissors. [Show Less]
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ATI RN Fundamentals Online Practice 2022 A 61 QUESTIONS WITH 100% CORRECT ANSWERS
A nurse is teaching a client and his family how to care for the client's tracheostomy at home. Which of the following instructions should the nurse include... [Show More] in the teaching? a. remove the outer cannula cautiously for routine cleaning b. use tracheostomy covers when outdoors c. use sterile technique when performing tracheostomy care at home d. cleanse irritated skin with full-strength hydrogen peroxide - b. use tracheostomy covers when outdoors -tracheostomy covers protect the client's airway from cold air, dust, and other airborne particles A home health nurse is performing a follow-up visit for a client who has a gastrostomy tube through which they receive intermittent feedings and medications. The client has recently developed diarrhea. Which of the following findings should the nurse identify as a possible cause of the diarrhea? a. the client is receiving formula at room temperature b. the feedings infuse at a slow, continuous drip over 8 hr each night c. the client's caregiver washes out the feeding bag with warm water once every 24 hr d. the client's caregiver flushes the tubing with water before and after administering medications - c. the client's caregiver washes out the feeding bag with warm water once every 24 hr -feeding bags should be washed out after each feeding and replaced with a new feeding bag every 24 hr to prevent bacterial contamination. The nurse should reinforce this information with the client's caregiver to avoid future contamination A nurse is talking with an older adult client who is contemplating retirement. The client states, "I keep thinking about how much I enjoy my job. I'm not sure I want to retire." Which of the following responses should the nurse make? a. "You would have so much more time to spend with your family." b. "You should consider getting a part-time job or doing volunteer work." c. "Let's talk about how the change in your job status will affect you." d. "Why wouldn't you want to retire and relax?" - c. "Let's talk about how the change in your job status will affect you." -this response is therapeutic because the nurse is encouraging the client to verbalize feelings about the life transition of retirement A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client's pain? a. "Is your pain constant or intermittent?" b. "What would you rate your pain on a scale of 0 to 10." c. "Does the pain radiate?" d. "Is your pain sharp or dull?" - d. "Is your pain sharp or dull?" -asking the client whether the pain is sharp, dull, crushing, throbbing, aching, burning, electric-like, or shooting helps determine the quality of the pain. A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take? a. discuss the risk factors of colon cancer b. focus teaching on what the client will need to do in the future to manage his illness c. provide the client with written information about the phases of loss and grief d. reassure the client that this is an expected response to grief - d. reassure the client that this is an expected response to grief -during the anger stage of the client's psychosocial adaptation to illness, the nurse should support the client and explain that this is an expected reaction to a cancer diagnosis A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take? a. pad the client's wrist before applying the restraints b. evaluate the client's circulation every 8 hr after application c. remove the restraints every 4 hr to evaluate the client's status d. secure the restraint ties to the bed's side rails - a. pad the client's wrist before applying the restraints -the use of restraints without padding can abrade the client's skin, resulting in client injury A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Which of the following observations should the nurse identify as proper safety protocol? a. the client uses a wool blanket on their bed b. the client uses nonacetone nail polish remover c. the client stores an extra oxygen tank on its side under their bed d. the client has a weekly inspection checklist for oxygen equipment - b. the client uses nonacetone nail polish remover -the client should use nonflammable materials, such as nonacetone nail polish remover, while using supplemental oxygen A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Which of the following observations should the nurse identify as proper safety protocol? a. the client uses a wool blanket on their bed b. the client identifies the location of a fire extinguisher. c. the client stores an extra oxygen tank on its side under their bed d. the client has a weekly inspection checklist for oxygen equipment - b. the client identifies the location of a fire extinguisher. - The client should be able to identify the location of fire extinguishers in the home and be aware of how to use them A nurse is caring for a client who has a respiratory infection. Which of the following techniques should the nurse use when performing nasotracheal suctioning for the client? a. insert the suction catheter while the client is swallowing b. apply intermittent suction when withdrawing the catheter c. place the catheter in a location that is clean and dry for later use d. hold the suction catheter with her clean, nondominant hand - b. apply intermittent suction when withdrawing the catheter -the nurse should apply intermittent suction during the withdrawal of the catheter to prevent injury to the mucosa. However, suctioning continuously for more than 10 seconds can cause cardiopulmonary compromise A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions should the nurse take? a. administer the medication with the needle at a 45 degree angle b. administer the medication into the client's nondominant arm c. pull the client's skin laterally or downward prior to administration d. massage the injection site after administration - a. administer the medication with the needle at a 45 degree angle -the nurse should insert the needle at a 45-90 degree angle for a subQ injection -the nurse should administer enoxaparin into the abdomen at least 2 inches from the umbilicus -the nurse should not massage the injection site following the injection of an anticoagulant due to the risk for bruising A nurse is preparing an education program for staff about advocacy. Which of the following information should the nurse include? a. advocacy ensures clients' safety, health, and rights b. advocacy ensures that nurses are able to explain their own actions c. advocacy ensures that nurses follow through on their promises to clients d. advocacy ensures fairness in client care delivery and use of resources - a. advocacy ensures clients' safety, health and rights -advocacy is a key component of professional nurses' code of ethics. As a client advocate, the nurse ensures clients' safety, health, and rights, including the right to privacy, confidentiality, and refusal of care A nurse is administering an otic medication to an older adult. Which of the following actions should the nurse take to ensure that the medication reaches the inner ear? a. press gently on the tragus of the client's ear b. pack a small piece of cotton deep into the client's ear canal c. move the client's auricle down and back toward her head d. tilt the clients head backward for 5 min - a. press gently on the tragus of the client's ear -pressing gently on the tragus of the ear will help the medication get into the inner ear A nurse is caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the risk for injury to the client? a. use a bed exit alarm system b. raise four side rails while the client is in bed c. apply one soft wrist restraint d. dim the lights in the client's room - a. use a bed exit alarm system -the nurse should identify that the client who has dementia requires assistance when exiting their bed and might be unable to remember to ask for help. The client's condition places them at risk for falling; therefore, a bed alarm system can alert staff members that the client is trying to get out of bed and requires assistance A nurse is initiating a protective environment for a client who has an allogenic stem cell transplant. Which of the following precautions should the nurse plan for this client? a. make sure the client's room has at least six air exchanges per hour b. make sure the client wears a mask when outside her room if there is construction in the area c. place the client in a private room with negative-pressure airflow d. wear an N95 respirator when giving the client direct care - b. make sure the client wears a mask when outside her room if there is construction in the area -an allogenic stem cell transplant compromises the client's immune system, greatly increasing the risk for infection. The client will need protection from breathing in any pathogens in the environment -a protective environment requires at least 12 air exchanges per hour -the nurse should place the client in a private room that provides positive-pressure airflow -the nurse should wear a N95 respirator mask when caring for clients who require airborne precautions, not a protective environment. A nurse is providing discharge instructions to a client who will be using a walker. Which of the following client statements indicates an understanding of the teaching? a. "I can place an extension cord across my living room to plug in my TV." b. "I will hire someone to trim that tree that hangs low over the stairs of my front porch" c. "I will place my alarm clock on my bedroom dresser across the room." d. "I will replace the old throw rug in my kitchen with a new one." - b. "I will hire someone to trim that tree that hangs low over the stairs of my front porch." -clearing stairs of any object that could cause the client to trip or require them to bend over while walking will decrease the risk for falls A nurse is planning strategies to manage time effectively for client care. Which of the following strategies should the nurse implement? [Show Less]
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RN Leadership ATI – UPDATED 2022 83 QUESTIONS WITH 100% CORRECT ANSWERS
A nurse is reviewing a client's medication administration record and finds that the client has not received a prescribed dose of warfarin for 2 days. which... [Show More] of the following actions should the nurse take first? - Check the client's INR. A nurse manager is presenting an in-service about preventing readmission of clients dues to complications following joint arthroplasty. Which of the following leadership tasks is the nurse performing? - Advocay a nurse is teaching an AP about caring for a client who has a DNR order. Which of the following statements by the AP indicates an understanding of the teaching? - "I will call for the client's nurse to come to the room if I cannot detect the client's pulse." The AP should contact the nurse for further assessment whenever a client's condition does not meet expected findings. The client who has a DNR order in place does not require resuscitation. A nurse is caring for four clients. Which of the following tasks can the nurse assign to an AP? - Perform chest compressions on a client who is in cardiac arrest. The nurse should assign an AP to perform chest compressions on a client who is in cardiac arrest. Performing basic CPR is within an AP's range of function. A Nurse is teaching a newly licensed nurse about using electronic medical records. which of the following statements by the newly licensed nurse indicated an understanding of the teaching? - "My access to client electronic medical records may be tracked by my nurse manager." The nurse should keep her password private and not share it with anyone else to decrease the risk for a breach of client confidentiality.The nurse should expect her employer to track access of client records to ensure client confidentiality.While a client has the right to read his medical record, and the nurse can allow him to do so by following facility protocol, a client's partner does not have that right unless granted by the client.The nurse should log out of the electronic medical record when not actively using it. Failure to log out increases the risk for breach of client confidentiality. a nurse is receiving change-of-shift report. which of the following clients should the nurse assess first? - A client who had abdominal surgery 6 hours ago and had a heart rate of 120/min for the last 2 hours. A RN delegates the task of obtaining the bp of a client who is 2hr post-op following a cholecystectomy to a LPN. The LPN reports a BP that is significantly higher than the clients previous reading. which of the following actions should the RN take first? - Recheck client's BP A public health nurse is developing a list of recommendations for her supervisior on how to use EBP to improve community outcomes. Which of the following should the nurse recommend as a qualitative research method? - Phenomenology Meta-analysis is a quantitative research method that provides a statistical analysis of multiple studies conducted on the same topic.Experimental study is a quantitative research method that uses control and treatment groups to test at least one independent variable.Phenomenology is a qualitative research method that provides additional understanding of participants' experiences with emotional variances, such as grief and hope.Secondary analysis is a quantitative research method that uses previously collected data to answer newly formed hypotheses. A nurse at a urgent care clinic notices that a pain assessment is not being performed for all clients as required by policy. Which of the following actions should the nurse take to ensure care is provided according to policy? - Report this issue to the nurse manager. The nurse should report this issue to the nurse manager because it is the manager's responsibility to ensure that standards are met and that care is provided according to policy. A nurse is teaching a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching? - "These will outline my wishes for medication treatment." The purpose of advance directives is to outline the client's wishes if they become unresponsive A nurse is caring for a client who recently learned he has a mutation of the BRCA2 gene. The client states that he does not plan to tell his adult children about the dx. Which of the following responses displays clients advocacy by the nurse? - "Let's review what you understand about this test result." The nurse should use therapeutic communication techniques to encourage the client to share his point of view and to convey respect for the client's decisions. By seeking to understand the client's perceptions in a nonjudgmental manner, the nurse is displaying client advocacy. A nurse is caring for a client who has breast cancer and is deciding on a plan of treatment. which of the following statements should the nurse make? - "Let's talk about the benefits of each treatment." Talking about the benefits of each treatment option supports the right of the client to make decisions regarding treatment and encourages comparison of the treatments. A nurse in a community health clinic is caring for four clients who each have a communicable disease. Which of the following conditions is considered a nationally notifiable infectious disease? - Chlamydia trachomatis According to the Centers for Disease Control and Prevention, Chlamydia trachomatis is a nationally notifiable infectious disease in all 51 jurisdictions. The nurse should notify the state health department, which monitors and controls communicable diseases. A staff nurse detects alcohol on the breath of another nurse working on the unit. The staff nurse observes that the nurse's speech is slurred and their gait is unsteady. Which of the following actions should the nurse take? - Notify the charge nurse of the nurse's behavior. The charge nurse is responsible for the performance of the nurses on the shift; therefore, the staff nurse should follow the chain of command and notify the charge nurse about the nurse's behavior. A nurse overhears two staff members in the facility elevator discussing a clients care. which of the following actions should the nurse take? - Report the incident to the nurse manager. A Nurse manager is reviewing the stages of conflict resolutions with the nursing staff. The nurse manager should instruct the staff to expect the stages of conflict to occur in what order? STEPs: - 1. Latent Conflict. 2. Perceived Conflict 3. Felt Conflict 4. Manifest Conflict. 5. Conflict Aftermath A nurse is planning discharge care for a client who has rheumatoid arthritis and has difficulty buttoning clothing. Which of the following referrals should the nurse recommend for the client? - Occupational Therapy A nurse has just received report on four clients on a med-surg unit. which of the following clients should the nurse plan to assess first? - A client who is post-op following a total knee arthroplasty and has a cap. refill of 4 secs. A nurse is caring for several clients. which of the following actions should the nurse take to maintain client confidentiality - Tell a client's partner that the clients lab test cannot be disclosed without permission. A Charge Nurse is delegating tasks on a nursing unit that is short staffed. A client has a prescription for a wound irrigation twice per day. Which of the following actions should the CN take? - Assign the procedure to a LPN A nurse on a med-surg unit is terminally ill. which of the follwoing actions demonstrates that the nurse is practicing in an ethical manner when caring for the client? - Discuss end-of-life goals with the client. A nurse is teaching about the patient protection and affordable care act and their rights regarding insurance coverage. which of the following statements by the client indicates an understanding of the teaching? - "My insurance coverage no longer has lifetime coverage limits." A nurse is delegating tasks for a group of clients to an AP. Which of the following statements by the nurse provides the right direction of communication with the AP? - "Tell me what time the client in room 205 voids for the first time after catheter is removed." A nurse is caring for a client who has acute diverticulitis and is scheduled for surgery within the next 2hr. The client tells the nurse that she has called a taxicab and is leaving the hospital. After notifying the surgeon, which of the following actions should the nurse take next? - Inform the client about the risks she may encounter by leaving the facility. [Show Less]
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ATI RN Fundamentals 65 QUESTIONS WITH 100% CORRECT ANSWERS-UPDATED 2022
A nurse is giving change-of-shift report about a client they admitted earlier that day who has pneumonia. Which of the following pieces of information is t... [Show More] he priority for the nurse to provide? A. Admitting diagnosis B. Breath sounds C. Body Temperature D. Diagnostic test results - B. Breath sounds When using the airway, breathing, circulation approach to client care, the nurse should determine that the priority information to provide is the current status of the client's breath sounds. A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through an open system. Which of the following actions should the nurse take first? A. Rinse the feeding bag with water between feedings. B. Tell the client to keep the head of the bed elevated at least 30º. C. Make sure the enteral formula is at room temperature. D. Wipe the top of the formula can with alcohol. - B. Tell the client to keep the head of the bed elevated at least 30º. The first action the nurse should take when using the airway, breathing, circulation approach to client care is to prevent aspiration of the enteral formula; therefore, the priority intervention is to keep the head of the bed elevated at least 30° to prevent reflux of the formula into the esophagus. A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take? (Select all that apply.) A. Place the client in a room with negative pressure airflow. B. Wear gloves when assisting the client with oral care. C. Limit each visitor to 2-hr increments. D. Wear a surgical mask when providing client care. E. Use antimicrobial sanitizer for hand hygiene. - A, B, E A. Place the client in a room with negative-pressure airflow is correct. The nurse should place the client in a room with negative-pressure airflow to meet the requirements of airborne precautions. B. Wear gloves when assisting the client with oral care is correct. The nurse should wear gloves when assisting the client with oral care to meet the requirements of standard precautions, which the nurse must adhere to for all clients regardless of their diagnosis. The nurse should wear gloves whenever their hands might come in contact with a client's bodily fluids, such as saliva, and the mucous membranes in the mouth. C. Limit each visitor to 2-hr increments is incorrect. The nurse does not need to limit the client's visitors. However, the nurse should limit the client's presence outside the room and the client should wear a surgical mask when outside of the room. D. Wear a surgical mask when providing client care is incorrect. The nurse should wear an N95 respirator during client care to meet the requirements of airborne precautions. E. Use antimicrobial sanitizer for hand hygiene is correct. The nurse should use antimicrobial sanitizer for routine hand hygiene when caring for a client who has tuberculosis. Nurses should also wash their hands with soap and water when their hands are visibly soiled. A nurse is performing a Romberg test during the physical assessment of a client. Which of the following techniques should the nurse use? A. Touch the face with a cotton ball. B. Apply a vibrating tuning fork to the client's forehead. C. Have the client stand with their arms at their sides and their feet together. D. Perform direct percussion over the area of the kidneys. - C. Have the client stand with their arms at their sides and their feet together. A Romberg test helps identify alterations in balance. The nurse should have the client stand with their arms at their sides and their feet together to observe for swaying and a loss of balance. A nurse is preparing to obtain a lower extremity blood pressure from a client and no longer palpates the popliteal pulse after 92 mm Hg. Which of the following images displays the measurement in mm Hg to which the nurse should inflate the cuff when obtaining the blood pressure? A. 92 mm Hg B. 102 mm Hg C. 112 mm Hg D. 122 mm Hg - D. 122 mm Hg To obtain an accurate blood pressure measurement, the nurse should inflate the cuff 30 mm Hg beyond the point at which the nurse was last able to palpate the pulse. If the nurse last palpated the pulse at 92 mm Hg, then this would be the correct pressure to which the nurse should inflate the cuff. A nurse has accepted a verbal prescription "for three tenths of a milligram of levothyroxine stat" for a client who has myxedema coma. How should the nurse transcribe the dosage of this medication in the client's medical record? A. .3 mg B. 0.3 mg C. 0.30 mg D. 3/10 mg - B. 0.3 mg The use and placement of a decimal point can potentially cause a medication error if documented incorrectly. A zero should precede a decimal point, as in 0.3 mg, but should not follow a decimal point unless a whole number follows the zero, as in 2.05 mg. A nurse is discussing the use of herbal supplements for health promotion with a client. Which of the following client statements indicates an understanding of herbal supplement use? A. "I can take echinacea to improve my immune system." B. "I can take feverfew to reduce my level of anxiety." C. "I can take ginger to improve my memory." D. "I can take ginkgo biloba to relieve nausea." - A. "I can take echinacea to improve my immune system." Echinacea is taken to promote immunity and reduce the risk of infection. A nurse is caring for a client who has decreased mobility. Which of the following actions should the nurse take to decrease the client's risk of developing plantar flexion contractures? A. Place a pillow under the client's knees. B. Position a trochanter roll under each of the client's hips. C. Advise the client to wear rubber-soled slippers. D. Apply an ankle-foot orthotic device to the client's feet. - D. Apply an ankle-foot orthotic device to the client's feet. The nurse should use a device to maintain dorsiflexion, such as an ankle-foot orthotic device or a foot board placed perpendicular to the mattress. A nurse is reviewing practice guidelines with a group of newly licensed nurses. Which of the following interventions should the nurse include that is within the RN scope of practice? A. Insert an implanted port. B. Close a laceration with sutures. C. Place an endotracheal tube. D. Initiate an enteral feeding through a gastrostomy tube. - D. Initiate an enteral feeding through a gastrostomy tube. [Show Less]
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ATI RN Assessment Level 1 B 100 QUESTIONS WITH 100% CORRECT ANSWERS
A nurse is submitting a dietary request for a client who devoutly follows Mormon dietary practices. The nurse should ask the client if they would like whic... [Show More] h of the following foods or beverages excluded from meals? A. Bacon B. Coffee C. Shrimp D. Milk - B. Coffee A nurse is assessing a client who has a rash on their hands and forearms after working in a garden. The nurse should identify that which of the following findings indicates contact dermatitis? A. Pustules in a scatter pattern across the erythematous area B. Elevations of the skin with darkened areas and irregular borders C. Well-defined margins of the erythematous area D. Straight, black, threadlike lesions - C. Well-defined margins of the erythematous area A home health nurse is teaching a client about fire extinguishers. Which of the following instructions should the nurse include in the teaching? A. Store a fire extinguisher next to the kitchen stove. B. Call the fire department before using a fire extinguisher. C. Use a class A extinguisher to put out an electrical fire. D. Aim the hose of the fire extinguisher toward the top of the flames. - B. Call the fire department before using a fire extinguisher. A nurse is performing a fall risk assessment for a client. Which of the following findings should the nurse identify as a fall risk? A. The client uses a raised toilet seat. B. The client takes a flaxseed supplement. C. The client looks at the ground while walking. D. The client has a history of urinary frequency. - D. The client has a history of urinary frequency. A client who has a history of urinary frequency is at risk for a fall due to frequently getting out of bed at night to go to the bathroom. The nurse should place a commode next to the client's bed to reduce the risk for injury A nurse is assessing a 10-month-old infant who has a urinary tract infection (UTI). which of the following findings should the nurse expect? A. Decreased appetite B. Generalized rash C. Decreased respiratory rate D. Constipation - A. Decreased appetite Manifestations of a UTI in an infant include poor feeding, irritability, fever, and vomiting A nurse is preparing to administer acetaminophen drops 60 mg PO to an infant who has a fever. The amount available is 160mg/5 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 training zero.) - 1.9mL A nurse is teaching a client to self-administer 8 units of NPH insulin and 2 units of regular insulin in the same syringe. Which of the following client statements indicates an understanding of the teaching? A. "I'll draw up regular insulin into the syringe before the NPH insulin." B. "I'll inject air into the regular insulin vial before the NPH vial." C. "I'll inject 10 units of air into the regular insulin vial." D. "I'll inject 10 units of air into the NPH insulin vial." - A. "I'll draw up regular insulin into the syringe before the NPH insulin." A nurse on a mental health unit is planning an in-service for a newly hired staff about the use of restraints. Which of the following information should the nurse include? A. Document a client's condition every 15 min while in restraints. B. Request a prescription for PRN restraints for a client who has a history of violence. C. Restrain a client as a consequence of not following rules on the unit. D. Limit the time an adult client is in restraints to 5 hr. - A. Document a client's condition every 15 min while in restraints. A nurse is a part of an informatics committee to improve safety with medications administration. Which of the following recommendations should the nurse make to decrease the risk of errors at the bedside? A. Disable Internet access from computers used for medication administration. B. Use an electronic medication administration record for documentation. C. Create a computer-specific password that staff share for each computer on the unit. D. Ask providers to handwrite prescriptions that are then scanned into the computer. - B. Use an electronic medication administration record for documentation. A nurse is discussing informed consent with a group of newly licensed nurses. Which of the following actions is the responsibility of the nurses when obtaining informed consent? A. Answer a client's questions about the risks of a procedure. B. Provide information about alternative treatment options. C. Explain the steps of the medical procedure documented on the consent form. D. Verify that the client voluntarily gave consent for the procedure. - D. Verify that the client voluntarily gave consent for the procedure A nurse is teaching a client who has a new diagnosis of obstructive sleep apnea. Which of the following statements should the nurse include? A. "Obstructive sleep apnea occurs when you stop breathing for at least 10 seconds." B. "Obstructive sleep apnea is caused by a dysfunction in the brain." C. "Obstructive sleep apnea increases your risk for developing diabetes mellitus." D. "Obstructive sleep apnea causes excessive episodes of deep sleep." - A. "Obstructive sleep apnea occurs when you stop breathing for at least 10 seconds." A nurse is teaching the parent of a 5-month-old infant who is breastfed about the introductions of complementary foods. Which of the following statements should the nurse make? A. "Wait until your baby is 8 months old to begin solid foods." B. "Start by spoon-feeding your baby ¼ cup of a new food." C. "Introduce up to three new foods to your baby every week." D. "Give your baby iron-fortified infant rice cereals before starting other foods." - D. "Give your baby iron-fortified infant rice cereals before starting other foods." A nurse is teaching a group of newly licensed nurses about using abbreviations when transcribing prescriptions. Which of the following transcriptions should the nurse use as an example of the correct usage of abbreviations? A. Eszopiclone 1 mg PO hs PRN for sleep B. Nebivolol 5 mg PO OD C. Atorvastatin 20 mg PO qd D. Docusate sodium 100 mg PO bid - D. Docusate sodium 100 mg PO bid A nurse is preparing an in-service on different types of pain. Which of the following information should the nurse plan to include as a characteristic of acute pain? A. It can lead to social isolation. B. It is part of the body's attempt to protect itself. C. It lasts for an extended duration. D. It has no identifiable physical cause. - B. It is part of the body's attempt to protect itself. A nurse is teaching about applying the National Patient Safety Goals to reduce health care-associated infections in clients. Which of the following information should the nurse include in the teaching? A. Insert an indwelling catheter in clients who are incontinent. B. Use a safety razor to remove hair from surgical sites. C. Bathe clients using a chlorhexidine solution. D. Reposition clients who are immobile every 4 hr. - C. Bathe clients using a chlorhexidine solution. A nurse is teaching a client about carbon monoxide and home safety. The nurse should instruct the client that which of the following is a manifestation of carbon monoxide exposure? A. Rotten-egg odor B. Metallic taste C. Paresthesia D. Blurred vision - D. Blurred vision A nurse is providing change-of-shift report on a client using Situation Background Assessment Recommendation (SBAR) communication tool. The nurse should identify which of the following information is included in the background step? A. Admission diagnosis B. Current problem C. Recent vital signs D. Suggested nursing interventions - A. Admission diagnosis A nurse is using the SOAP format to document in the electronic medical record of a client who is 2 days postoperative following an open cholecystectomy. Which of the following entries should the nurse practice in the "A" portion of the SOAP progress note? A. "Respiratory rate 22. Temperature 99.8º F. O2 sat 92%. Lung sounds diminished in bases bilaterally. Has not ambulated or used incentive spirometer since last evening." B. "Client states, 'I've been coughing up some thick mucus this morning.'" C. "Set up ambulation schedule and offer incentive spirometer hourly during the day and when awake at night." D. "Ineffective airway clearance due to inadequate use of spirometer. - D. "Ineffective airway clearance due to inadequate use of spirometer. A nurse is performing a health screening assessment on a client. Which of the following findings should the nurse identify as a risk factor for developing colorectal cancer? A. History of polyps B. History of GERD C. History of a high-fiber diet D. History of an inguinal hernia - A. History of polyps A nurse is discussing a wellness approach to preventing excessive nutrition intake with a group of clients. Which of the following statements should the nurse make? A. "Keep a record of cues that trigger a desire to eat." B. "Use distractions to decrease the pleasure associated with eating." C. "Eat on a regular schedule, even if you are not hungry." D. "Consume most of your calories in the evening." - A. "Keep a record of cues that trigger a desire to eat." A nurse is preparing to administer enoxaparin to a client via subcutaneous injection. Which of the following actions should the nurse take? A. Expel the air from the syringe before administering the medication to the client. B. Administer the medication in the client's abdomen. C. Inject the needle at a 30° angle into the client's skin. D. Rub the injection site after administering the medication to the client. - B. Administer the medication in the client's abdomen. A nurse is applying a bed safety monitoring device for a client. Which of the following actions should the nurse take? A. Position the sensor pad below the client's calves. B. Place the sensor pad under the bottom sheet. C. Set the time delay for 20 seconds. D. Connect the sensor pad to the call system. - D. Connect the sensor pad to the call system. A public health nurse is preparing to care for a community that has a large population of clients who practice the Islamic faith. Which of the following practices should the nurse anticipate when care for clients in this community? [Show Less]
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ATI-RN Assessment Level 1: Practice A 100 Questions with 100% Correct Answers UPDATED 2022
A nurse is assessing a preschooler who has a UTI. Which of the following should the nurse inspect? A. Diarrhea B. Abdominal Pain C. Increased Thirst ... [Show More] D. Skin Rash - B. Abdominal Pain Other manifestations include constipation, dysuria, foul-smelling urine, fever A nurse is counseling a client who has a family history of colorectal cancer about management of nutrition to help prevent GI cancers. Which of the following images indicated a food or beverage the nurse should encourage? A. Wine B. Fruit C. Fried Chicken D. Bread - B. Fruit Consume at least 2.5 cups of fruit and vegetables per day to help reduce the risk of cancers of the GI system A nurse is preparing to extinguish a small fire in a client's room. Which of the following actions should the nurse take? A. Aim the extinguisher at the top of the flames B. Pump the handles of the extinguisher up and down three times C. Sweep the fire extinguisher in a circular motion until fire is extinguished D. Slide the pin on the top of the fire extinguisher straight out - D. Slide the pin on the top of the fire extinguisher straight out A nurse is caring for a child who has celiac disease. Which of the following items should be removed from the meal tray? A. Corn-flake cereal B. Orange juice C. Scrambled eggs D. Oatmeal with raisins - D. Oatmeal with raisins Celiac disease is the intolerance to dietary gluten, which is a protein in wheat, rye, oats, and barley. This intolerance causes diarrhea, weight loss, abdominal pain, and fatigue A nurse at a provider's office is counseling a client who reports insomnia. Which of the following statements should the nurse make to include the clients preferences into sleep promotion plan? A. "If alcoholic beverages are desires, consume them in the early evening" B. "Sleep in the location of your home where you feel you rest best." C. "Turn on a favorite television show just before going to bed." D. "Allow your sleep and wake times to vary depending on how you feel each day." - B. "Sleep in the location of your home where you feel you rest best." Whether it be a bed, couch, or chair A nurse is assessing the spiritual wellbeing and development of a preschooler. The nurse asks "why is it wrong to kick your baby sister?" Which of the following responses should the nurse expect? A. "Its not wrong because she made me mad" B. "Its wrong because my dad said I cant kick her" C. "It wrong to kick her because the gods wont like it" D. "Its wrong because she would get hurt and be sad" - B. "Its wrong because my dad said I cant kick her" The nurse should expect the preschooler to be motivated to choose right from wrong because of rules taught to him by his parents. The nurse should understand that, even though the preschooler might know the rules, he is not yet able to understand the rationale for the rules A nurse in a long-term care facility is admitting a new client following a brief stay in acute care. In adherence with the Joint Commission National Patient Safety Goals regarding medication administration, which of the following actions should the nurse take? A. Inform the client that he will not be receiving medications he took prior to his hospitalization B. Compare a list of the clients current medications with the ones he will take in long-term care C. Eliminate any OTC products from the clients current medication list D. Omit the medication indications when listing the clients medication dose information - B. Compare a list of the clients current medications with the ones he will take in long-term care The Joint Commission National Patient Safety Goals regarding medication reconciliation includes maintaining and communicating accurate client medication information. The nurse should complete a medication reconciliation to identify and resolve any discrepancies by comparing the client's list of current medications with the medications he will take in the long-term care facility and addressing any duplications, omissions, or interactions A nurse is caring for a client who is 2 days postoperative following an above-the- knee amputation. The client states he is experience in a dull, burning pain in the leg that was amputated. Which of the following should the nurse take to treat the client's neuropathic pain A. Inform the client that phantom limb pain is not real B. Administer a beta-blocking medication to the client C. Place the client on a soft mattress D. Loosen the bandage on the client's residual limb - B. Administer a beta-blocking medication to the client This classification of medication has been shown to relieve the phantom limb pain manifestations of constant dull and burning type pain A nurse is teaching the parent of a toddler about home injury prevention. When discussing snacks, which of the rolling statements by the parent indicates an understanding of the teaching? A. "I can offer her grapes as long as I peel them first?" B. "I can give her watermelon pieces after I remove the seeds." C. "I should give her popcorn that is air-popped and without salt or butter." D. "I should cut hot dogs into thin, round slices before giving them to her." - B. "I can give her watermelon pieces after I remove the seeds." The nurse should inform the parent that toddlers can easily choke on seeds from fruits, such as watermelon seeds or cherry pits, because of their round shape and size. Removing the seeds and cutting the watermelon into pieces provides the toddler with a nutritious snack that does not increase the toddler's risk of foreign body obstruction A nurse is searching electronic databases for clinical research about behavior indications of pain in an infant. Which of the following online sources should the nurse select to research this infant care issue A. Cumulative Index to Nursing and Allied Health Literature (CINAHL) B. The Nursing Minimum Data Set C. The Omaha System D. The Nursing Intervention Classification (NIC) - A. Cumulative Index to Nursing and Allied Health Literature (CINAHL) A nurse is caring for a client who has dysphagia following a stroke. Which of the following actions should the nurse take to facilitate safe swallowing and decrease the risk of aspiration? A. Delay the clients meal-time if he is fatigued B. Instruct the client to tilt his head to the side when swallowing C. Assist the client with fluid intake by inserting it into the client's mouth with a syringe D. Encourage the client to focus on a television program during mealtime - A. Delay the clients meal-time if he is fatigued A nurse in a long-term care facility is performing a fall risk assessment on a newly admitted client using the Timed Up and Go (TUG) test. The client reports using a tripod cane for ambulation. Which of the following actions should the nurse take when using this test? A. Observe the client ambulating a distance of 3m(10 feet) during the TUG test B. Instruct the client to perform the TUG test without the use of the cane C. Assist the client to stand up from the chair when starting the TUG test D. Advise the client to use the arms of the chair to stand when starting the TUG test - A. Observe the client ambulating a distance of 3m(10 feet) during the TUG test The nurse should instruct the client to stand, ambulate to the marked spot, turn, ambulate back to the chair, and sit down. The nurse should observe the client's ability to perform the test and use a stopwatch to time the client. The nurse should identify that the client is at increased risk of falls if it takes longer than 14 seconds to complete the test A nurse in an emergency room is caring for an infant who required emergency surgery. The infant is accompanies by his 16 year old mother and his sternal grandfather. Which of the following should the nurse take when assisting with informed consent A. Witness consent obtained from the infants mother B. Inform the family that informed consent is not needed due to the emergency surgery C. Notify the maternal grandfather that he is required to give informed consent D. Request that a court-appointed representative provide consent - A. Witness consent obtained from the infants mother The nurse should assist in obtaining informed consent from the infant's mother by witnessing her signature. Statutory guidelines indicate that a minor, even if unemancipated, can provide consent for her infant A nurse is planning care to prevent a catheter-related blood stream infection for a client who is receiving IV fluid therapy. Which of the following interventions should the nurse include in the plan A. Change bags of IV solution every 72 hours B. Perform hand hygiene before touching the IV tubing C. Use hydrogen peroxide to cleanse the IV insertion site D. Assess the IV insertion site every 12 hours for redness - B. Perform hand hygiene before touching the IV tubing A nurse is caring for an adolescent client who is in critical condition following a motor vehicle crash in which he was the passenger. The client's parent shouts at the nurse, asking why her son is dying instead of the driver. Which of the following actions should the nurse take to provide emotional support to The parent? [Show Less]
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