ATI Final Review Questions 2023 Graded A
1. A nurse is performing tracheostomy care for a client and suctioning to remove copious secretions. Which of
... [Show More] the following actions should the nurse take?
A. Suction two to three times with a 60-second pause between passes.
B. Perform chest physiotherapy prior to suctioning.
C. Lubricate the suction catheter tip with sterile saline.
D. Hyperventilate the client on 100% oxygen prior to suctioning.
2. A nurse is preparing a client for outpatient surgery. After the nurse inserts the IV catheter, the client reports pain in the insertion area. Which of the following actions should the nurse take?
A. Remove the catheter and insert another into a different site.
B. Administer an analgesic PO.
C. Request a prescription for placement of a central venous access device.
D. Administer a local anesthetic.
3. A nurse is working with a licensed practical nurse (LPN) to care for a client who is receiving a continuous IV infusion. Which of the following findings reported by the LPN indicates to the nurse the client has phlebitis at the IV insertion site?
A. “The infusion rate has stopped but the tubing is not kinked.”
B. “The area surrounding the insertion site feels warm to the touch.”
C. “There is fluid leaking around the insertion site.”
D. “There is no blood return when the tubing is aspirated.”
4. A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day. After reviewing the admission laboratory findings, the nurse recognizes that these findings are consistent with which of
the following conditions? Sodium 152 mEq/L Glucose 102
mg/dLPotassium 3.6 mEq/L BUN 18 mg/dLChloride 105
mEq/L Creatinine 0.7 mg/dL
A. Renal failure
B. Low-protein diet
C. Dehydration
D. Syndrome of inappropriate antidiuretic hormone (SIADH)
5. A nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to his NPO status. Which of the following solutions should the nurse prepare to infuse for this client?
A. Lactated Ringer's
B. Dextrose 5% in 0.9% sodium chloride
C. 0.45% sodium chloride
D. Dextrose 10% in water
6. A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client’s potential allergies during which phase of the nursing process?
A. Planning
B. Evaluation
C. Assessment
D. Implementation
7. A nurse is assessing for cyanosis in a client who has dark skin. Which of the following sites should the nurse examine to identify cyanosis in this client?
A. Pinnae of the ears
B. Dorsal surface of the hand
C. Conjunctivae
D. Dorsal surface of the foot
8. A nurse is caring for a client who is scheduled for an elective surgical procedure. Which of the following actions should the nurse take regarding informed consent?
A. Obtain the client’s consent.
B. Witness the client’s signature.
C. Explain the risks and benefits of the procedure.
D. Explain the procedure to the client if they do not understand. [Show Less]