GREEN-------NEW QUESTIONS
YELLOW-----AGREED ANSWER
RED- ---DOUBLE CHECK
1. a nurse is planning care for a client who has Meniere's disease and his
... [Show More] experiencing episodes of
vertcal. which of Following interventon should the nurse include in the plan of care?
a. Maintain strict bed rest.------pg 75
b. Restrict fluid intake to the morning hours.
c. Administer aspirin.
d. Provide a low-sodium diet.
2. a nurse is assessing a client of possible exposure of HIV . Which of the following fndings should
the nurse identfy as an early manifestaton of HIV infecton?
a. Stomatts
b. Fatgue
c. Wastng syndrome
d. Lipodystroph
3. Play nurse is teaching a client about using contnuous positve airway pressure (CPAP) device to
treat obstructve sleep apnea . Which of the following informaton should the client include in
the teaching?
a. It delivers a preset amount of inspiratory pressure at the beginning of each
breath---------------pg 119??????
b. it has contnuous adjustment feature that changes the airway pressure throughout
thecycle
c. it delivers a preset amount of airway pressure throughout the breathing cycle
d. it delivers positve pressure at the end of each breath
4. A nurse is teaching a client about fecal cult blood testng (FOBT) for the screening of colorectal
cancer. Which of the following statements should the nurse include in the teaching?
a. "Your provider will use stool from your digital rectal examinaton to perform the test."
b. "Your provider will prescribe a stmulant laxatve prior to the procedure to evacuate the
bowel."
c. "You should begin annual fecal occult blood testng for colorectal cancer screening at 40
years old."
d. "You should avoid taking cortcosteroids prior to testng."
5. A nurse is preparing a client for a colonoscopy. Which of the following medicaton should the
nurse antcipate the provider to prescribe as an anesthetc for the procedure?
a. Propofol-----------pg 303
b. Pancuronium
c. Promethazine
d. Pentoxifylline6. A nurse is teaching a client who has hypertension about dietary modifcatons to help control
blood pressure. Which of the following food choices should the nurse recommend as a best
choice for the client to include in their diet?
a. 1 packet of reconsttuted dry onion soup
b. 3 oz of lean cured ham
c. 3 oz of chicken breast
d. ½ cup of canned baked beans
7. A nurse is caring for a client who has rheumatoid arthrits and has been taking Prednisone.
Which of the following fnding should the nurse identfy as an adverse effect of this medicaton?
a. Weight loss
b. hypoglycemia
c. hypertension
d. hyperkalemia
8. A nurse is caring for a client who has increased intracranial pressure (ICP ). Which of the
following interventon should the nurse implement?
a. Place several pillows behind the client's head
b. place the client in a Sims positon - per p. 83 of 2019 version, frst interventon to
decrease ICP is to elevate head to at least 30o
c. keep the client's neck in a midline positon
d. maintain flexion of the client's hips at a 90 degree angle
9. A home health nurse is providing teaching to the family of a client who has a seizure disorder.
Which of the following interventon should the nurse include in the teaching?
a. Keep a padded tongue blade near the bedside.
b. Place a pillow under the client's head while in bed during a seizure.
c. Administer diazepam orally at the onset of seizures.
d. Positon the client on their side during a seizure.--------pg 36
10. A nurse is assessing a client who has meningits the nurse should identfy which of the following
fndings as a positve kernig's sign?
a. Afer stroking the lateral area of the foot, the client's toes contract and draw together.
b. Afer hip flexion, the client is unable to extend their leg completely without pain.-----pg
31
c. The client's voluntary movement is not coordinated.d. The client reports pain and stffness when flexing their neck.
11. A nurse is providing discharge teaching to a client who has heart failure and a prescripton for
furosemide 20 mg PO two tmes daily. Which of the following instructon should the nurse
include in the teaching?
a. Monitor for increased blood pressure.
b. Increase intake of high-potassium foods.--------------pg 207
c. Expect an increase in swelling in the hands and feet.
d. Take the second dose at bedtme.
12. A nurse is teaching a client who has type 1 diabetes mellitus about hypoglycemia. Which of the
following statements by the client indicates an understanding of the teaching?
a. exercise reduces the risk for hypoglycemia
b. I can skip my insulin when I don't eat
c. I can drink 4 ounces of soda if my blood sugar is low
d. diabetc pills don't cause hypoglycemia; Only insulin does
13. A nurse in a rural community center is providing educaton to a group of clients about frst aid
interventons for snake bites to prevent further injury. Which of the following instructons should
the nurse include in the teaching?
a. Apply an ice pack directly to the affected area
b. Immobilize the affected extremity with a splint - p. 9, 2019
c. Place tourniquet above and below the affected area
d. Elevate the affected extremity
14. A nurse is teaching a group of clients about the risk factors for osteoporosis. Which of the
following should the nurse include as a risk factor for osteoporosis?
a. Early menopause
b. history of falls
c. African American race
d. obesity
15. A nurse is reviewing the medical record of a client who has unstable angina. Which of the
following fndings should the nurse report to the provider? (Click on the “Exhibit” buton for
additonal informaton about the client. There are three tabs that contain separate categories of
data).
a. Breath soundsb. Temperature
c. Blood pressure
d. Creatne kinase
16. A nurse is providing discharge teaching to a client who is startng to take carbidopa /levodopa to
treat Parkinson's disease. Which of the following instructons should the nurse include in the
teaching?
a. "This medicaton can cause your urine to turn a dark color."
b. "Expect immediate relief afer taking this medicaton."
c. "Take the medicaton with a high-protein food."
d. "Skip a dose of the medicaton if you experience dizziness."-----------pg 42
17. A nurse is providing dietary teaching for a client who has chronic cholecystts. Which of the
following day each of the nurse recommend?
a. Low-potassium diet
b. High-fber diet
c. Low-fat diet------pg 356
d. Low-sodium diet
18. A nurse is providing teaching to a client who is scheduled for an electroencephalogram (EEG).
which of the following statements by the client indicates an understanding of the teaching?
a. I should not wash my hair prior to the procedure
b. I will receive a sedated 1 hour before the procedure
c. I should avoid eatng prior to the procedure
d. I will be exposed to flashes of light during the procedure-------------------PG 18 2016
VERSION
19. A nurse is providing discharge teaching to a client following a heart transplant. Which of the
following informaton should the nurse include in the teaching?
a. Immunosuppressant medicaton needs to be taken for up to 1 year
b. Shortness of breath might be an indicaton of transplant rejecton------------pg 209c. the surgical site will heal in 3 to 4 weeks afer surgery
d. begin 45 min of moderate aerobic exercise per day following discharge
20. A nurse is caring for a client who has been experiencing repeated tonic clonic seizures over the
course of 30 minutes. Afer maintaining the client's airway and turning the client on their side,
which of the following medicaton should the nurse administer?
a. Diazepam IV------pg 38
b. Lorazepam P0
c. Diltazem IV
d. Clonazepam PO
21. The nurse is providing discharge instructons to a client who has GERD. Which of the following
statements by the client demonstrates an understanding of the teaching?
a. I should take my medicine with orange juice
b. a bedtme snack will prevent heartburn
c. I will lie down afer meals
d. I will limit actvites that require bending at the waist
22. A nurse is caring for a client who is at high risk for iron defciency anemia. Which of the
following foods should the nurse instruct the client to increase in their diet?
a. Yogurt
b. apples
c. raisins---------------------------PER NUTRITION BOOK
d. cheddar cheese
23. A nurse is caring for a client who has rights sided pneumothorax. Following chest tube inserton,
which of the following fndings indicates that the chest drainage system is functoning correctly?
a. Gentle bubbling in the sucton chamber------------PG 108 2019 VERSION
b. crepitus around the inserton site
osteoc. constant bubbling in the water seal chamber
d. absence of breath sounds on the right side
24. A nurse is planning care for a client who has acute post streptococcal glomerulonephrits .
Which of the following interventon should the nurse include in the client's plan?
a. Encourage a high-protein diet for the client
b. increase the client's fluid intake
c. administer diuretcs to the client - glomerulnophrits results in fluid retenton (because
kidneys can’t flter out well) (p. 402-403, 2019)d. Weigh client twice a week - wrong, should weigh daily
25. A nurse is caring for a client who has a peripheral inserted central catheter (PICC). For which of
the following fndings should the nurse notfy the provider?
a. The dressing was changed 7 days ago.
b. The circumference of the client's upper arm has increased by 10%.------PG 175
c. The catheter has not been used in 8 hr.
d. The catheter has been flushed with 10 mL of sterile saline afer medicaton use.
26. The nurse is developing a plan of care for a client who will be placed in a Halo surgical repair
cervical spine. Which of the following interventon should the nurse include in the plan?
a. Inspect the pin site every 48 hr.
b. Monitor the client's skin under the halo vest.--------pg 474
c. Ensure two personnel hold the halo device when repositoning the client.
d. Apply powder frequently to the client's skin under the vest to decrease itching.
27. A nurse is caring for a client who has syndrome of inappropriate ant diuretc hormone (SIADH)
and is receiving 3% sodium chloride via contnuous IV. which of the following laboratory fndings
should the nurse identfy as an indicaton that the SIADH is resolving?
a. Urine specifc gravity 1.020------pg 284 says “Urine specifc gravity: Decreased (1.002 to
1.004 in sodium loss; greater than 1.012 in SIADH)”---so 1.020 means not resolving
b. Sodium 119 mEq/L------------wrong bc when have SIADH will have hyponatrmia
c. BUN 8 mg/dL
d. Calcium 8.7 mg/dL------pg 85; I think bc its an electrolyte that is norm range-I PUT
THIS
28. A nurse is caring for a client who is receiving total parenteral nutriton (TPN ). which of the
following fndings should the nurse identfy as a possible complicaton of TPN administraton?
a. Pitng edema of bilateral lower extremites
b. hypoactve bowel sounds in all four quadrants
c. weight is the same as the day before
d. bilateral posterior lung sounds are diminished - I think it is this. TPN can result in fluid
imbalance/hypervolemia (p. 311)
29. A nurse is assessing a client who has a heart rate of 40 /min. the client is diaphoretc and as
chest pain period which of the following medicaton should the nurse plan to administer?
a. Lidocaine-----for tachycard
b. Adenosine
c. Atropine------------pg 181 chart----atropine, dopamine, and epi for bradycard less 60/min
d. Verapamil30. The nurse is teaching a group of assistve personnel (AP) about caring for clients who have
Alzheimer's disease. Which of the following informaton should the nurse include in the
teaching?
a. Explain procedures in full detail to a client before initatng care
b. limit a client’s actvites to minimize emotonal outburst
c. speak clearly and loudly to a client who is unable to form words or sentences
d. provide supervision to prevent a client from becoming injured or lost
31. A nurse at a provider’s ofce is interviewing a client who has multple sclerosis and has been
taking dantrolene for several months. Which of the following client statements should the nurse
identfy as an indicaton that the medicaton is effectve?
a. I don't have muscle spasms as frequently----------------PG 46 2016 VERSION
b. I haven't goten any colds, even though it is flu season
c. I feel like my nerve pain has improved
d. it is easier to urinate now
32. A nurse is preparing to discharge a client who has a new diagnosis of chronic kidney disease
(CKD). which of the following referral should the nurse plan to initate?
a. Respiratory therapy
b. Hospice care
c. Occupatonal therapy
d. Dietary services---------pg 394
14. A nurse is caring for a client who has burn injuries covering their upper body and is concern about
their altered appearance. Which of the following statements should the nurse make?
a. It is okay to not want to touch the burned areas of your body
b. cosmetc surgery should be performed within the next year to be effectve
c. reconstructve surgery can completely restore your previous appearance
d. it could be helpful for you to atend a support group for people who have burn
injuries
4. A nurse is providing teaching to a client who was newly diagnosed with nephrotc syndrome. Which
of the following statements should indicate to the nurse that the client understands the teaching?
a. I can expect swelling in my hands an on my face------------PER ATI PRE-ASSESS
STUDY GUIDE
b. the amount of protein in my blood is highc. I might have some pain and gas in my stomach from this conditon
d. I will use a sof bristle toothbrush so my gums don't bleed
10. A nurse is caring for a client who has dehydraton. The client has a peripheral IV and has a
prescripton for an infusion of 0.9% sodium chloride 1000 mL with 40 mEq potassium chloride to infuse
over 1 hr. Which of the following acton should the nurse take frst?
a. Teach the client to report fndings of IV extravasaton
b. evaluate the patency of the IV
c. consult with the pharmacist about the prescripton
d. verify the prescripton with the provider - can’t fnd in ATI, but google says KCl can
cause vomitng/diarrhea, which you wouldn’t want if pt is already dehydrated
13. A nurse is admitng a client who has suspected appendicits. Which of the following fndings should
the nurse report to the provider immediately?
a. Distended, board-like abdomen
b. WBC count 15,000 /mm3
c. rebound tenderness over McBurney’s point - concur, but can’t fnd it in ATI-------on
Children ATI book pg 145 2019 e
d. temperature 37.3 C (99.1 F )----------expected
2. A nurse in an Emergency Department is caring for a client who sustained multple injuries. The nurse
observes client’s thorax moving inward during inspiraton and outward during expiraton. The nurse
should suspect which of the following injuries?
a. Flail chest----------------PER PG 157 2019 VERSION
b. Hemothorax
c. Pulmonary contusion
d. Pneumothorax
20. A nurse is assessing a client who has a sodium level of 122 mEq/L. which of the following fndings
should the nurse expect?
a. Decrease deep-tendon reflexes
b. positve Trousseau’s signc. hypoactve bowel sounds
d. stcky mucus membranes
A nurse is providing teaching to a client who is scheduled for electromyography (EMG). the nurse
should include which of the following informaton in the teaching?
a. "You will receive a fxed dose of radioisotope 2 hours before the procedure."
b. "Momentary flushing will occur at the beginning of the procedure."
c. "You should inform your provider if you are claustrophobic."
d. "You should expect inserton of small needle electrodes into the muscles."----pg 448
12. The nurse is providing discharge teaching for a client who has COPD about nutriton. Which of the
following instructon should the nurse include?
a. Eat three large meals daily
b. consume high calorie foods
c. limit caffeinated drinks to two per day
d. drink fluids during meal tme
A nurse is administering a blood transfusion to a client and suspects that the client is having an
adverse reacton to the blood. Which of the following acton should the nurse take frst?
a. Maintain IV access.
b. Obtain the client's vital signs.
c. Contact the provider.
d. Stop the transfusion.
A nurse is providing discharge teaching to a client who has acute leukemia and received
chemotherapy 12 hours ago. Which of the following instructon should the nurse include in the
teaching (select all that apply )
a. Use an electric shaver.-----pg 615
b. Avoid crowds.
c. Take temperature weekly.----------weekly didn’t sound right
d. Consume a low-residue diet.----pg 615; not true (low residue is veg and fber; but in
leukemia- need to restrict)
e. Monitor for bruising.---------pg 616
A nurse is caring for a client who has a new diagnosis of tuberculosis. Which of the following
precautons should the nurse initate to prevent transmission of the disease?
o Contact precautons
o Airborne precautons
o Droplet precautonso Protectve environment
A nurse is caring for a client who is hyperventlatng and has the following abgs results PH 7.50,
PACO2---29, HCO3---25. The nurse should recognize that the client has which of the following
acid base imbalance?
o Respiratory acidosis
o Respiratory alkalosis
o Metabolic acidosis
o Metabolic alkalosis
5. A nurse is planning for a group of postoperatve clients. Which of the following interventons should
the nurse identfy as the priority?
a. Administer IV pain medicaton to a client who reports pain as a 6 on a scale of 0 to
10
b. administer oxygen to a client who has an oxygen saturaton of 91%
c. instructor client who is 1 hour postoperatve about coughing and deep breathing
exercises
d. initate an infusion of 0.9% sodium chloride for a client who has just had abdominal
surgery
23. A nurse is planning care for a client who has acute pancreatts. Which of the following interventon
should the nurse include in the clients plan? (Select all that apply )
a. initate insulin drip---------------------??????????? Says “provide insulin as needs”
b. monitor blood glucose levels------------pg 360
c. contnue regular diet as tolerated
d. maintain NPO status untl pain-free
e. manage acute pain
7. A nurse is caring for a client who is to undergo in liver biopsy. Which of the following instructon
should the nurse provide to the client following the procedure?
a. Lie on your lef side
b. lie on your right side---------------------PG 366 2019 VERSION
c. increase your fluid intaked. decrease your fluid intake
A nurse is assessing a client who has permanent spinal cord injury and is scheduled for discharge. which
of the following client statement indicates the client is coping efciently?
"I would like to play wheelchair basketball. When I get stronger, I think I'll look for a league."
"I'm glad I'll only be in this wheelchair temporarily. I can't wait to get back to running."
"I'm so upset that this happened to me. What did I do to deserve this, and why am I not getng
beter?"
"I feel like I'll never be able to do anything that I want to again. All I am is a burden to my family."
The nurse is caring for a client who has chronic kidney disease. Which of the following diet
should the nurse antcipate the provider to prescribe?
o 4 g sodium diet
o Potassium-restricted diet
o High-phosphorous diet
o High-protein diet
the nurse is caring for a client who is traumatc brain injury period which of the following binding should
indicate to the nurse the need for Immediate interventon?
Axillary temperature 37.2° C (99° F)
Apical pulse 100/min
Respiratory rate 30/min
Blood pressure 140/84 mm Hg [Show Less]