COMPREHWNSIVE ATI STUDY GUIDE QUESTIONS AND ANSWERS
A nurse is caring for a client who is experiencing a diazepam overdose.
Which of the following
... [Show More] medication should the nurse administer?
Flumazenil
A nurse is caring for a client who is febrile. To reduce the client’s fever, the nurse applies a cooling blanket. Which of the following findings indicates the client is having an adverse reaction to the cooling?
Shivering
A nurse is planning care for a client who sustained a major burn over 20% of the body. Which of the following interventions should the nurse include to support the client’s nutritional requirements
Keep a calorie count for foods and beverages
A nurse is caring for a client who has severe hypertension and is to receive nitoprusside via continuous IV infusion. Which of the following actions should the nurse plan to take?
Protect the IV bag from exposure to light
A nurse is caring for a client who is recovering from an amputation for her right arm below the elbw. Which of the following information should the nrurse report to the occupational therapist
A nurse is caring for a client who has cancer of the throat and is receiving radiation therapy. The nurse should monitor for which of the following findings as an adverse effect of the radiation?
Altered taste sensation
A nurse in an intensive care unit is assessing a client who has heart failure and has been receiving metoprolol for 3 days. Which of the following findings indicates the treatment has been effective?
Decreased edema
A nurse is admitting a client who has schizophrenia and experiences occasional auditory hallucinations. The client states “Its hard not to listen to the voices” which of the following questions should the nruse ask the client?
What helps you ignore what you are hearing?
A nurse is preparing to administer cefpodoxime 10 mg/kg/day PO divided equally every 12 hr to a child who weighs 66lbs. available is cefpodoxime 20 mg/ml oral solution. How many Mls should the nurse administer per dose?
7.5
A nurse is teaching a client who has chronic urinary tract infections. Which of the following instructions should the nurse include?
Try to void every 4 hr
A nurse is assessing the coping strategies of a client who has recently retired. Which of the following statements by the client indicates that the client is using compensation as a defense mechanism?
Since I retired I have entered many gardening compensations
A nurse is caring for a client who is recovering from an amputation of her right arm below the elbow. Which of the following information should the nurse report to the occupational therapist?
The client has two small children at home
A nurse is providing teaching to a client who is at 12 weeks of gestation. The nurse should tell the client that she will undergo which of the following screening tests at 16 weeks of gestation?
Maternal serum alpha fetoprotein
A nurse is planning care for a client who is 3 days postoperative following a below the knee amputation. Which of the following actions should the nurse include in the plan?
Assist the client to a prone position once a day for 1 hr
A nurse is assessing a client who is pregnant and has new diagnosis of hyperemesis gravidarum. Which of the following findings should the nurse expect?
Elevated blood pressure
A nurse is providing discharge teacing to a client who has type 1 dm about preventing diabetic ketoacidosis when ill. Which of the following statements by the client indicates an understanding of the teaching?
I will call my dr if I am sick
A nurse is caring for a client who has schizophrenia and is experiencing delusions. Which of the following actions should the nurse take?
Encourage the client to rest quietly in bed twice per day
A nurse is teaching a wellness class about depression for a group of older adults clients. Which of the following information should the nurse include in the teaching?
Depression can be misdiagnoses as a neurocognitive disorder in older adult clients
A nurse is preparing for discharge information for a client who has type 2 dm. which of the following information resources should the nurse provide to the client?
Food exchange lists for meal planning from the American diabetes association
A nurse is preparing to perform a heel stick on an infant. Which of the following actions should the nurse plan to take to reduce the infant’s pain during the procedure?
Promote skin to skin contact with the infants guardian during the
procedure
A nurse is administering a continuous enteral feeding to a client.
Which of the following actions should the nurse take?
Check gastric residuals every 4 hr
A nurse is preparing to obtain a clients signature on an informed consent form. Which of the following actions should the nurse take first?
Ask the client to explain his understanding of the procedure
A nurse is preparing to obtain a client’s signature on an informed consent . which of the following actions should the n take first ?
Witness the client signing the informed consent form
A nurse is planning care for a client who is receiving continuous enteral tube feedings through an open system, which of the interventions should the nruse include in the plan of care?
Place enough formula in the containter to last 18 hours
A nurse on an antepartum unit is prioritizing care for multiple clients. Which of the following clients should the nurse see first?
A client who has preeclampsia and reports a persistent headache
A nurse is providing discharge teaching for the guardian of a school age child following a cardiac catheterization instructions should the nurse include in the teaching?
You should remove your child’s pressure dressing tomorrow
A nurse in an emergency department is caring for a 3 year old child who has suspected epiglottis. Which of the following actions should the nurse take?
Obtain a throat culture
A nurse is preparing to provide discharge teaching to a client who is newly diagnoses with diabetes mellitus. Which of the following statements by the client indicates a readiness to learn?
Id like to wait until my partner is here so that we can both learn
together
A home health nurse is preparing to make an initial visit to a family following a referral from a local provider. Identify the sequence of steps the nurse should take when conducting a home visit.
Clarify the reason for the referral with the providers office
Contact the family to determine availability and readiness to make an appointment
Identify family needs and interventions using the nursing process Discuss plans for future visits with the family
Record information about the home visit according to agency policy A nurse is teaching a guardian of an adolescent who has mild persisten
asthma and a new prescription for maintenance prednisone. Which of the following statements by the guardian indicates an understanding of the teaching?
This medication can increase my son’s risk for infection.
A nurse is using an IV pump for a newly admitted client. Which of the following actions should the nurse take?
Check the cords of the IV pump for fraying
A nurse is assessing a client who is receiving daily aspirin therapy. The nruse should identify that which of the following findings might indicate an allergic reaction to this medication?
Blurred vision
A nruse manager is developing a protocol for staff discipline. Which of the following actions should the nruse manager take when impliemnting this new protocol?
Inform staff about the purpose of the units new processes
A nruse is caring for a 1 month old infant who has manifestation of severe dehydration and a prescription for parenteral fluid therapy the guardian asks: what are the idications that my baby needs an iv?” which of the following responses should the nurse make?
Your baby needs an iv because she is not producing tears [Show Less]