ATI Practice Test - Final Exam A nurse is caring for a client who has a prescription for enoxaparin (Lovenox) 1 mg/kg per dose. The client weighs 77 kg. The vial contains 100 mg/1 mL. How many mL should the client receive per dose? Round to the nearest tenth ________ 0.8 mL 1 mL / 77 kg = 0.77 = 0.8 mL ATI Practice Test - Final Exam A nurse administers an oral medication to a client. The client reports itching 30 min later. Which of the following represents appropriate documentation of this client finding? A. Client is itching from
medication. B. Client states, “I am itching all over.” ATI Practice Test - Final Exam A home health nurse has been assigned care
of a recently discharged client who has macular degeneration. During a home visit, which of the following statements by the client indicate a need for further invention? A. “A meal delivery service brings me hot meals every day.” C. “I will have my spouse change the blade in my razor.” Rationale: ATI Practice Test - Final Exam A nurse is preparing a client for a Romberg test. Which of the following statements is appropriate for the nurse to make to this client at this time? A.
“Stand with your feet together and your arms at your sides.” A. “Stand with your feet together and your arms at your sides.” ATI Practice Test - Final Exam A nurse is reinforcing teaching to a group of young adult makes about testicular self-examination. The nurse should include which of the following pieces of information? A. Conduct testicular self-examination prior to getting out of bed in the morning. C. Perform a testicular self-examination once a month. ***ATI Practice Test - Final Exam The nurse is evaluating a client’s understanding of her infant’s developmental level. Which of the following statements by the client requires
intervention by the nurse? A. “He sleeps about 16 hours a day.” C. “I rock him until he is sound asleep.” Rationale: ATI Practice Test - Final Exam A nurse is reinforcing teaching regarding palliative care with a client who has cancer. Which of the following statements by the client indicates a need for further teaching? A. “My family will receive emotional support during this process.” B. “My provider will still attempt to cure my illness.” ATI Practice Test - Final Exam A nurse is caring for a client who does not speak English. An interpreter is assisting the
nurse with the client’s admission to the hospital. The nurse should: A. direct questions to the interpreter. C. introduce the interpreter to the client. ATI Practice Test - Final Exam A nurse is assisting with the admission of a client who has active tuberculosis. Which of the following actions should the nurse plan to take? A. Restrict the client’s visitors to the immediate family. B. Assign the client to a negative airflow pressure room. ATI Practice Test - Final Exam A nurse is admitting a client into a rehabilitation facility. Which of the following actions by the nurse is the highest priority? A. Obtain the
client’s DNR status. A. Obtain the client’s DNR status. ATI Practice Test - Final Exam A nurse is collecting data from a middle adult client for safety evaluation. Which of the following is the greatest safety risk for clients at this age? A. Motor-vehicle crash ATI Practice Test - Final Exam A client has requested pain medication. The nurse notes that morphine 5 mg is ordered subcutaneously q3 to 4 hr. The medication is available in a pre filled syringe does of 10 mg/mL. The nurse knows that after giving the client 0.5 mL, the appropriate action is to A. place the unused portion in the client’s medication drawer. D. have another nurse witness the disposal of the unused portion. ATI Practice Test - Final Exam A client who has a fractured left femur being discharged. The nurse should reinforce that the client should A. place most of his body weight on the crutches for support. D. use both crutches in one hand when preparing to sit down. ATI Practice Test - Final Exam A nurse is caring for a client who is 2 days postoperative following a cholecystectomy. Which of the following is the best indicator that the client is experiencing pain? A. The client
refuses breakfast C. The client describes her discomfort as unbearable Rationale: ***ATI Practice Test - Final Exam A nurse is preparing to perform a closed-intermittent irrigation for a female client who has an indwelling urinary catheter. The nurse should explain that A. the amount of drainage will be greater than the amount of irrigant. A. the amount of drainage will be greater than the amount of irrigant. Rationale: ATI Practice Test - Final Exam A nurse is caring for a client who is postoperative following radical mastectomy. Therapeutic interventions for helping the client accept her altered body image should include A. changing the subject to more positive topics. B. encouraging her to assist in dressing changes. ***ATI Practice Test - Final Exam A nurse is reinforcing teaching with the family of a client who has generalized weakness following a cerebrovascular accident. Which of the following statements by a family member indicates a need for further teaching? A. “We will help set up his medication in a pill organizer every week.” C. “We will perform passive range-of-motion activities once a day.” Rationale: ATI Practice Test - Final Exam A client who is scheduled for surgery tells the nurse that she does not understand the procedure is having second thoughts. Which of the following actions should the nurse take? A. Offer information about alternative therapies to the procedures. D. Notify the charge nurse of the client’s concerns. ATI Practice Test - Final Exam A nurse is caring for a client who is prescribed mechanical ventilation. The client states that she does not want to undergo this treatment. The nurse should A. recognize that the client has a legal right to refuse treatment. A. recognize that the client has a legal right to refuse treatment. ***ATI Practice Test - Final Exam A nurse is planning to remove a client’s NG tube. Which of the following actions should the nurse plan to take first? A. Instill 50 mL of air into the tube. B. Detach the NG tube. Rationale: ***ATI Practice Test - Final Exam A nurse is reinforcing discharge teaching with an older adult client who lives alone. Which of the following statements by the client indicates an understanding of the teaching? A. “I will store my medications in child-proof containers.” D. “I will contact the community meal delivery program.” ATI Practice Test - Final Exam A nurse performs a guaiac smear on a client’s stool specimen. Which of the following test results should the nurse recognize as indicating a positive finding? A. Blue ATI Practice Test - Final Exam A nurse is reinforcing teaching with a client regarding the prevention of stress injuries. Which of following instructions should the nurse including? A. Keep your knees in a locked position when standing for prolonged periods. D. When lifting a heavy object, keep it close to your body. ATI Practice Test - Final Exam A client has died from injuries sustained in a motor vehicle crash. Members of the client’s family have been grieving loudly since they arrived at the emergency department 10 min ago. Which of the following is appropriate nursing action? A. Inform the family that
they must mourn quietly so as to not disturb others in the hospital. B. Transfer the body to a private room to allow the family members to grieve there. ***ATI Practice Test - Final Exam A nurse is caring for an adult client who has motor/expressive aphasia. Which of the following scales should the nurse use to determine the intensity of the client’s pain? A. Numeric ATI Practice Test - Final Exam A nurse is caring for a client who is scheduled for surgery the following day. During the night, the client is unable to sleep and is restless. Which of the following statements by the nurse is appropriate? A. “It must be difficult facing this type of surgery.” A. “It must be difficult facing this type of surgery.” ***ATI Practice Test - Final Exam A nurse is preparing to perform a wound irrigation for a client who has a Stage 3 pressure ulcer. Which of the following supplies should the nurse plan to use? A. Bulb syringe ATI Practice Test - Final Exam A nurse is caring for an adult client who is receiving medication to control anxiety. Which of the following findings indicates that the client is experiencing mild anxiety? A. Insomnia ATI Practice Test - Final Exam A nurse is caring for four clients. For which of the following clients should the nurse employ the therapeutic communication technique of silence? A. A client who plans to leave the hospital against medical advice. D. A client who has just experienced the death of his child. ***ATI Practice Test - Final Exam A nurse is caring for a client who is returning from surgery. The client is drowsy but oriented. Which of the following actions should the nurse perform first? A. Verify the client’s identity. A. Verify the client’s identity. Rationale: ***ATI Practice Test - Final Exam A nurse is preparing to administer potassium chloride (Kaon-Cl) to a client who has hypokalemia. The prescription reads potassium chloride 60 mEq/day in two equal doses. Available to potassium chloride 40 mEq/15 mL. How many mL should the nurse administer with each dose? (Round to the nearest hundredth) __________mL 11.25 mL Rationale: ATI Practice Test - Final Exam A nurse is admitting a client to the medical-surgical unit. Which of the following findings may indicate that the client is malnourished? A. Heart rate of
89/min ATI Practice Test - Final Exam A nurse is caring for a client who has a new prescription for a chest restraint. Which of following actions is appropriate for the nurse to include in the plan of care? A. Check to be sure that the chest restraint is tied to a fixed frame of the bed. B. Observe the client’s chest movement with inspiration and expiration. ATI Practice Test - Final Exam A nurse is preparing to administer oral medications to a client for the first time. Which of the following actions should the nurse take first, before administering the medication? A. Note the time of the client’s last meal. B. Note the client’s ability to swallow. ***ATI Practice Test - Final Exam A nurse is reinforcing teaching about wheelchair transfer safety with a client who is experiencing right-sided weakness following a cerebrovascular accident. The nurse should recognize that the client understands the teaching when he states, A. “My wheelchair and my armchair should be the same height.” A. “My wheelchair and my armchair should be the same height.” ATI Practice Test - Final Exam A nurse is caring for a client who was admitted with pneumonia and has a productive cough. When the client asks how to avoid spreading the infection to others, which of the following responses in appropriate? A. “Pneumonia is not usually contagious.” D. “Cover your mouth with a tissue when you cough.” ***ATI Practice Test - Final Exam A nurse is caring for a client who has an indwelling urinary catheter. An appropriate nursing intervention for catheter care includes A. flushing the catheter with sterile irrigant daily. C. cleaning the perineal area twice a day using soap and water. ATI Practice Test - Final Exam A nurse is caring for an older adult client who has right-sided weakness. Which of the following statements by the client indicates an understanding of safety procedures regarding ambulation? A. “I can use the wall for support when walking to the bathroom.” B. “I will sit at the side of the bed for 1 minute before standing up.” ***ATI Practice Test - Final Exam A nurse is discussing health and wellness with a group of young adults. Which of the following pieces of information should the nurse include? A. Young
adults should receive a vaccination for human papilloma virus (HPV) prior to becoming sexually active. A. Young adults should receive a vaccination for human papilloma virus (HPV) prior to becoming sexually active. ***ATI Practice Test - Final Exam A nurse is assisting with the plan of care of an adolescent client who has a bacterial infection and has a persistent oral temperature of 39.2º C (102º F). To treat the fever, which of the following should the nurse include in the plan of care? A. Administer aspirin (Ecotrin) D. Obtain blood cultures. Rationale: ATI Practice Test - Final Exam A nurse is speaking with a client who has been prescribed insulin for type 2 diabetes mellitus. The client displays anger about having to take insulin. Which of the following is an appropriate response by the nurse? A. “You’ll feel much better if you take your insulin.” C. “I see that you are angry. Let’s talk about how you are feeling about this.” ATI Practice Test - Final Exam A nurse is obtaining a consent form from a client scheduled for a surgical procedure. With regard to obtaining consent, which of the following is the nurse’s responsibility? A. Explain the surgical procedure to the client. C. Witness the client’s signature. ATI Practice Test - Final Exam A nurse is reinforcing teaching about home safety with a client who is taking insulin. Which of the following statements indicates the client needs further teaching? A. “My throw rug in front of the sink cushions my feet when I stand.” A. “My throw rug in front of the sink cushions my feet when I stand.” ATI Practice Test - Final Exam A nurse is preparing to administer ferrous fumarate (Feostat) to a child who weighs 55 lb. The prescription read ferrous fumarate 3 mg/kg PO daily. Available is ferrous fumarate suspension 100 mg/5 mL. How many mL should the nurse administer with each dose? (Round to the nearest hundredth.) ___________mL 3.75 mL Rationale: ATI Practice Test - Final Exam A nurse is preparing to transfer a client from the hospital to a long-term care facility. Which of the following strategies will promote continuity of care with the long-term care facility? A. The social worker instructs the client’s spouse to provide information about the client’s medical status. C. The nurse communicates with personnel at the long-term care facility regarding the client’s medical status. Rationale: ATI Practice Test - Final Exam A nurse discovers a client received 200 mg of a 400 mg dose of a medication during the previous shift. Which of the following actions should the nurse take? (Select all that apply.) A. Complete an incident report. A. Complete an incident report. ATI Practice Test - Final Exam A nurse is caring for a client who has limited mobility. Which of the following interventions will help prevent the development of pressure ulcers? A. Massage reddened areas over bony prominence. C. Use lukewarm water when bathing the client. ATI Practice Test - Final Exam A nurse is assisting with the care of a client who has a prescription for IV therapy. The client tells the nurse that he has numerous allergies. Which of the following allergies should the nurse bring to the attention of the charge nurse prior to the initiation of the therapy? A. Eggs ATI Practice Test - Final Exam A nurse at a community health fair is assisting with screenings for skin lesions. Which of the following is of greatest priority to report to the provider? A. 3 cm fluid-filled vesicle on the client’s foot. B. 4 cm nodule with an uneven border on the client’s forearm. ATI Practice Test - Final Exam A nurse is caring for a client who has chronic constipation. The client asks the nurse what can be done to improve this condition. Which of the following instructions should the nurse plan to include? A. Take bulk-forming agents with 8 oz glass of water. A. Take bulk-forming agents with 8 oz glass of water. ***ATI Practice Test - Final Exam A nurse is collecting data from an older adult client. Which of the following findings should the nurse address first? A. The client reports a pain level of 7 out of 10 after receiving pain medication. D. The client has redness and warmth in his calf. ATI Practice Test - Final Exam A nurse is assisting a client who has an altered mental status to eat. The nurse notes that the client is having difficulty swallowing. The nurse should first A. ask an
assistive personnel to assist the client. C. request a bedside swallow evaluation. ATI Practice Test - Final Exam A nurse is reviewing the medical record of a client who has heart failure. Which of the following laboratory results indicate fluid volume excess A. Urine specific gravity 1.015 ATI Practice Test - Final Exam A nurse finds a client on the bathroom floor. The client states that he fell while walking to the bathroom. Which of following actions the nurse should take first? A. Assist the client into his bed. C. Check the client for injuries. ***ATI Practice Test - Final Exam When measuring a client’s blood pressure, which of the following actions should the nurse take to obtain an accurate reading? A. Place the diaphragm to the stethoscope directly over the site of brachial pulsation.
A. Place the diaphragm to the stethoscope directly over the site of brachial pulsation. Rationale: ATI Practice Test - Final Exam A nurse is collecting data from a client. The nurse should recognize that which of the following findings is an indicator of pain? A. Decreased respiratory
rate Which of the following actions should the nurse perform first?Assessment is the first step of the nursing process and takes priority over all other steps. It is essential that you complete the assessment phase of the nursing process before you implement nursing activities.
What risk factors increases an older client's susceptibility to an infection ATI?11 Risk Factors for Infections Among the Elderly. Diminished immune response.. Advanced age.. Malnutrition.. The presence of multiple chronic diseases, a status that is often accompanied by many different medications.. Cognitive deficits that may complicate compliance with basic sanitary practices, such as hand washing.. When should the nurse initiate discharge planning?Planning for discharge should involve the patient and caregiver and begin as soon as possible during the hospitalization. The IDEAL discharge planning strategy is one approach emphasizing patient and family engagement in discharge planning and discharge education.
Which of the following actions should the nurse take regarding informed consent?Which of the following actions should the nurse take regarding informed consent? -witness the client's signature (It is the nurse's responsibility to witness the client's signing of the consent form, and to verify that the client is consenting voluntarily and appears to be competent to do so.)
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A nurse is caring for a client who is postoperative following a knee arthroplasty
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