ATI NUR 265 EXAM QUESTIONS WITH
CORRECT ANSWERS
A nurse is caring for a client who is 24 hours postop following a total hip
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arthroplasty. Which of the following action should the nurse take? -
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CORRECT ANSWER✔✔-Maintain abduction of the affected extremity
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A nurse is providing teaching to a client who is scheduled for a
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bronchoscopy. Which of the following statements should the nurse| | | | | | | | |
include in the teaching? - CORRECT ANSWER✔✔-"You will not be able
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to eat or drink after the procedure until you are able to cough."
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- A client who had a bronchoscopy received a local anesthetic that can
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suppress the cough reflex. The cough reflex protects the client from
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aspirating fluids or food. Therefore, the client should not eat or drink
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until the cough reflex returns.
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A nurse is assessing a clients understanding of a surgical procedure prior
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|to witnessing their signature on the informed consent form. The nurse
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determines that the client does not understand what the procedure will
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involve. Which of the following action should the nurse take? - CORRECT
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|ANSWER✔✔-Contact the provider who will be performing the | | | | | | | |
procedure
,A nurse is providing discharge teaching to a client who has COPD. Which
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of the following instruction should the nurse include in the teaching? -
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CORRECT ANSWER✔✔-Consume a diet that is high in calories
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A nurse is providing teaching about dietary options for a client who has
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cholithiasis which of the following statements should the nurse include
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in the teaching - CORRECT ANSWER✔✔-Select desserts, such as angel
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food cake |
A nurse is monitoring a client who has a traumatic brain injury, which of
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the following findings should the nurse identify as a manifestation of
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Cushing's triad - CORRECT ANSWER✔✔-Increase in blood pressure from
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130/80 to 180/100
| | |
A nurse is teaching a client who has a new diagnosis of type one
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diabetes mellitus, which of the following statement by the client
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indicates an understanding of the teaching - CORRECT ANSWER✔✔-I
| | | | | | | | |
am aware that my diabetes is caused by an auto immune disorder
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A nurse is caring for a client who has a small bowel obstruction and an
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NG tube in place which of the following action should the nurse take -
| | | | | | | | | | | | | |
CORRECT ANSWER✔✔-Maintain low intermittent suction
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, A nurse is assessing a client who has a chest tube connected to a closed
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water seal drainage system which of the following findings should the
| | | | | | | | | | |
nurse report to the provider - CORRECT ANSWER✔✔-CONSTANT
| | | | | | | |
BUBBLING IN THE WATER SEAL CHAMBER. | | | | |
- Constant bubbling in the water seal chamber can be an indication of an
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air leak, which is caused by a disruption in the system such as a loose
| | | | | | | | | | | | | | | |
connection. Pulmonary air leaks create intermittent bubbling that is
| | | | | | | | |
synchronous with respiration. This finding should be reported to the
| | | | | | | | | |
provider immediately. |
A nurse is providing teaching for a client who has neutropenia and is
| | | | | | | | | | | | |
receiving chemotherapy, which of the following client statements,
| | | | | | | |
indicates an understanding of the teaching? Select all that apply. -
| | | | | | | | | | |
CORRECT ANSWER✔✔-I will avoid crowds, and I will take my
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temperature daily |
I nurse is preparing to administer propranolol to several clients. For
| | | | | | | | | | |
which of the following clients to the nurse clarify the prescription with
| | | | | | | | | | | |
the provider before administration. - CORRECT ANSWER✔✔-A client has
| | | | | | | |
|a history of asthma
| | |
Nurses analyzing the ABG results of a client who is in respiratory
| | | | | | | | | | | |
acidosis, which of the following mechanisms to the nurse, identify as
| | | | | | | | | | |
responsible for this acid-base imbalance - CORRECT ANSWER✔✔-
| | | | | | |
Retention of carbon dioxide | | |
CORRECT ANSWERS
A nurse is caring for a client who is 24 hours postop following a total hip
| | | | | | | | | | | | | | | |
arthroplasty. Which of the following action should the nurse take? -
| | | | | | | | | | |
CORRECT ANSWER✔✔-Maintain abduction of the affected extremity
| | | | | |
A nurse is providing teaching to a client who is scheduled for a
| | | | | | | | | | | | |
bronchoscopy. Which of the following statements should the nurse| | | | | | | | |
include in the teaching? - CORRECT ANSWER✔✔-"You will not be able
| | | | | | | | | | |
to eat or drink after the procedure until you are able to cough."
| | | | | | | | | | | |
- A client who had a bronchoscopy received a local anesthetic that can
| | | | | | | | | | | | |
suppress the cough reflex. The cough reflex protects the client from
| | | | | | | | | | |
aspirating fluids or food. Therefore, the client should not eat or drink
| | | | | | | | | | | |
until the cough reflex returns.
| | | |
A nurse is assessing a clients understanding of a surgical procedure prior
| | | | | | | | | | |
|to witnessing their signature on the informed consent form. The nurse
| | | | | | | | | | |
determines that the client does not understand what the procedure will
| | | | | | | | | | |
involve. Which of the following action should the nurse take? - CORRECT
| | | | | | | | | | |
|ANSWER✔✔-Contact the provider who will be performing the | | | | | | | |
procedure
,A nurse is providing discharge teaching to a client who has COPD. Which
| | | | | | | | | | | |
of the following instruction should the nurse include in the teaching? -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-Consume a diet that is high in calories
| | | | | | | |
A nurse is providing teaching about dietary options for a client who has
| | | | | | | | | | | | |
cholithiasis which of the following statements should the nurse include
| | | | | | | | | |
in the teaching - CORRECT ANSWER✔✔-Select desserts, such as angel
| | | | | | | | | |
food cake |
A nurse is monitoring a client who has a traumatic brain injury, which of
| | | | | | | | | | | | | |
the following findings should the nurse identify as a manifestation of
| | | | | | | | | | |
Cushing's triad - CORRECT ANSWER✔✔-Increase in blood pressure from
| | | | | | | |
130/80 to 180/100
| | |
A nurse is teaching a client who has a new diagnosis of type one
| | | | | | | | | | | | | |
diabetes mellitus, which of the following statement by the client
| | | | | | | | | |
indicates an understanding of the teaching - CORRECT ANSWER✔✔-I
| | | | | | | | |
am aware that my diabetes is caused by an auto immune disorder
| | | | | | | | | | |
A nurse is caring for a client who has a small bowel obstruction and an
| | | | | | | | | | | | | | |
NG tube in place which of the following action should the nurse take -
| | | | | | | | | | | | | |
CORRECT ANSWER✔✔-Maintain low intermittent suction
| | | |
, A nurse is assessing a client who has a chest tube connected to a closed
| | | | | | | | | | | | | | |
water seal drainage system which of the following findings should the
| | | | | | | | | | |
nurse report to the provider - CORRECT ANSWER✔✔-CONSTANT
| | | | | | | |
BUBBLING IN THE WATER SEAL CHAMBER. | | | | |
- Constant bubbling in the water seal chamber can be an indication of an
| | | | | | | | | | | | |
air leak, which is caused by a disruption in the system such as a loose
| | | | | | | | | | | | | | | |
connection. Pulmonary air leaks create intermittent bubbling that is
| | | | | | | | |
synchronous with respiration. This finding should be reported to the
| | | | | | | | | |
provider immediately. |
A nurse is providing teaching for a client who has neutropenia and is
| | | | | | | | | | | | |
receiving chemotherapy, which of the following client statements,
| | | | | | | |
indicates an understanding of the teaching? Select all that apply. -
| | | | | | | | | | |
CORRECT ANSWER✔✔-I will avoid crowds, and I will take my
| | | | | | | | | |
temperature daily |
I nurse is preparing to administer propranolol to several clients. For
| | | | | | | | | | |
which of the following clients to the nurse clarify the prescription with
| | | | | | | | | | | |
the provider before administration. - CORRECT ANSWER✔✔-A client has
| | | | | | | |
|a history of asthma
| | |
Nurses analyzing the ABG results of a client who is in respiratory
| | | | | | | | | | | |
acidosis, which of the following mechanisms to the nurse, identify as
| | | | | | | | | | |
responsible for this acid-base imbalance - CORRECT ANSWER✔✔-
| | | | | | |
Retention of carbon dioxide | | |
