NURS 200 FINAL / ATI QUESTIONS with Complete Solutions

NURS 200 FINAL / ATI QUESTIONS with Complete Solutions CH. 10 When entering a client's room to change a surgical dressing, a nurse notes that the client is coughing and sneezing. which of the following actions should the nurse take when preparing the sterile field? a. keep the sterile field at least 6 feet away b. instruct the client to refrain from coughing or sneezing during the dressing change c place a mask on the client to limit the spread of micro-organisms into the surgical wound d. keep a box of facial tissues nearby for the client to use during the dressing change - CORRECT ANSWER c place a mask on the client to limit the spread of micro-organisms into the surgical wound ch. 10 a nurse has removed a sterile pack from its outside cover and placed it on a clean work surface in preparation for an invasive procedure. which of the following flaps should the nurse unfold first? a. the flap closest to the body b. the right side flap c. the left side flap d. the flap farthest from the body - CORRECT ANSWER d. the flap farthest from the body opening the furthest flap first ensures you will not reach over the sterile field. If you were to do the furthest flap last you would have to reach over the field ch. 10 a nurse is wearing gloves in preparation for performing a sterile procedure. which of the following objects can the nurse touch without breaching sterile technique? a. a bottle containing a sterile solution b. the edge of the sterile drape at the bae of the field c the inner wrapping of an item on the sterile field d. an irrigation syringe on the sterile field e. one gloved hand with the other gloved hand - CORRECT ANSWER c the inner wrapping of an item on the sterile field d. an irrigation syringe on the sterile field e. one gloved hand with the other gloved hand ch. 10 a nurse is reviewing hand hygiene techniques with a group of assistive personal (AP). which of the following instructions should the nurse include when discussing hand washing a. apply 3 to 5 mL of liquid soap to dry hands b. wash the hands with soap and water for at least 15 seconds c rinse the hands with hot water d. use a clean paper towel to turn off hand faucets e. allow the hands to air dry after washing - CORRECT ANSWER b. wash the hands with soap and water for at least 15 seconds d. use a clean paper towel to turn off hand faucets ch. 10 a nurse has prepared a sterile field for assisting a provider with a chest tube insertion. which of the following events should the nurse recognize as contaminating the sterile field? a. the provider drops a sterile instrument onto the near side of the sterile field b. the nurse moistens a cotton ball with sterile normal saline and places it on the sterile field c the procedure is delayed 1 hour because the provider receives an emergency call d. the nurse turns to speak to someone who enters through the door behind the nurse e. the client's hand brushed against the outer edge of the sterile field - CORRECT ANSWER b. the nurse moistens a cotton ball with sterile normal saline and places it on the sterile field c the procedure is delayed 1 hour because the provider receives an emergency call d. the nurse turns to speak to someone who enters through the door behind the nurse ch. 12 a nurse is caring for a client who fell at a nursing home. the client is A&Ox4. which of the following actions should the nurse take to decrease the risk of another fall? a. place a belt restraint on the client when they are sitting on the bedside commode b. keep the bed in the lowest position with all side rails up c make sure that the client's call light is within reach d. provide the client with nonskid footwear e. complete a fall risk assessment - CORRECT ANSWER c make sure that the client's call light is within reach d. provide the client with nonskid footwear e. complete a fall risk assessment ch. 12 a nurse manager is reviewing with nurses on the unit in the care of a client who has had a seizure. which of the following statements by a nurse requires further instruction? a. " i will place the client on their side" b. "i will go to the nurse's station for assistance" c "i will note the time that the seizure begins" d. "i will prepare to insert an airway" - CORRECT ANSWER b. "i will go to the nurse's station for assistance" ch. 12 a nurse observes smoke coming from under the door of the staff's lounge. which of the following actions is the nurse's priority? a. extinguish the fire b. activate the fire alarm c move clients who are nearby d. close all open doors on the unit - CORRECT ANSWER c move clients who are nearby RACE ch. 12 a nurse is caring for a client who has a history of falls. which of the following actions is the nurse's priority? a. complete a fall-risk assessment b. educate the client and family about fall risks c eliminate safety hazards from the client's environment d. make sure the client uses assistive aids in possession - CORRECT ANSWER a. complete a fall-risk assessment assessment is always first ADPIE ch. 12 a nurse discovers a small paper fire in a trash can in a client's bathroom. the client has been taken to safety and the alarm has been activated. which of the following actions should the nurse take? a. open the windows in the clients room to allow smoke to escape b. obtain a class C fire extinguisher c. remove all electrical equipment from the room d. place wet towels along the base of the door to the room - CORRECT ANSWER d. place wet towels along the base of the door to the room ch. 18 a nurse is talking with the parents of a 6-mo infant about gross motor development. which of the following gross motor skills are expected findings in the next 3 months? a. rolls from back to front b. bears weight on legs c. walks holding onto furniture d. sits unsupported e. sits down from a standing position - CORRECT ANSWER a. rolls from back to front b. bears weight on legs d. sits unsupported ch. 18 a nurse is reviewing safety measures with the parent of an 8-mo infant. which of the following statements made by the parent indicates an understanding of safety for the infant? a. "my baby loved to play with the crib gym, but I took it out of the crib" b. " i just bought a soft mattress so my baby will sleep better" c. "my baby really likes sleeping on the fluffy pillow we just got" d. "i put the baby's car seat out of the way on the table after I put him in it" - CORRECT ANSWER a. "my baby loved to play with the crib gym, but I took it out of the crib" ch. 18 a nurse is reviewing car seat safety with the parents of a 1mo infant. when reviewing car seat use, which of the following instructions should the nurse include? a. use a car seat that has a 3-point harness system b. position the car seat so that infant is rear-facing c. secure the car seat in the front passenger seat of the vehicle d. convert to a booster seat after 12 months - CORRECT ANSWER b. position the car seat so that infant is rear-facing ch. 18 a nurse is assessing a 2-week old newborn during a routine checkup. which of the following findings should the nurse expect? a. sleeps 14-16 hours each day b. posterior fontanel closed c. pincer grasp present d. hands remain in a closed position e. current weight is the same as birth weight - CORRECT ANSWER a. sleeps 14-16 hours each day d. hands remain in a closed position e. current weight is the same as birth weight ch. 18 the mother of a 7-mo infant tells the nurse at the pediatric clinic that her baby has been fussy with occasional loose stools since she started feeding him fruits and vegetables. which of the following responses should the nurse make? a. "it may be good to add bananas as they can help with loose stools" b. "lets make a list of foods your baby is eating so we can spot any problems" c. "did the changes begin after you started one particular food?" d. "has your baby been vomiting since starting these new foods?" e. "most babies react with a little indigestion when you start new foods" - CORRECT ANSWER b. "lets make a list of foods your baby is eating so we can spot any problems" c. "did the changes begin after you started one particular food?" d. "has your baby been vomiting since starting these new foods?" ch. 19 a nurse gives a presentation about accident prevention to a group of parents of toddlers. which of the following accident-prevention strategies should the nurse include? a. store toxic agents in locked cabinets b. keep toilet seats up c. turn pot handles toward the back of the stove d. place safety gates across stairways e. make sure balloons are fully inflated - CORRECT ANSWER a. store toxic agents in locked cabinets c. turn pot handles toward the back of the stove d. place safety gates across stairways ch. 19 a nurse is providing diversionary activities for toddlers on an inpatient unit. which of the following activities should the nurse include? a. building models b. working with clay c. filling and emptying containers d. playing with blocks e. looking at books - CORRECT ANSWER c. filling and emptying containers d. playing with blocks e. looking at books ch. 19 a nurse is teaching the parents of a toddler about discipline. which of the following actions should the nurse suggest? a. establish consistent boundaries for the toddler b. place the toddler in a room with the door closed c. inform the toddler how you feel when he misbehaves d. use favorite snacks to reward the toddler - CORRECT ANSWER a. establish consistent boundaries for the toddler ch. 19 a mother tells the nurse that her 2-yo toddler has temper tantrums and says "no" every time the mother tries to help them get dressed. the nurse should recognize the toddler is manifesting which of the following stages of development? a. trying to increase her independence b. developing a new sense of trust c. establishing a new identity d. attempting to master a skill - CORRECT ANSWER a. trying to increase her independence ch. 19 a nurse is reviewing nutritional guidelines with the parents of a 2-yo toddler. which of the following parent statements should indicate to the nurse an understanding of the teaching? a. "I should keep feeding my son whole milk until he is 3 yo" b. "its okay for me to give my son a cup of apple juice with each meal" c. "I'll give my son about 2 tablespoons of each food at mealtimes" d. "my son loves popcorn, and I know it is better for him than sweets" - CORRECT ANSWER c. "I'll give my son about 2 tablespoons of each food at mealtimes" ch. 20 a nurse is talking w/ the guardian of a 4 yo child who reports that the child is waking up at night with nightmares. which of the following interventions should the nurse suggest? a. offer the child a large snack at bedtime b. allow the child to watch an extra 30 min of TV in the evening c. have the child go to bed at a consistent time every day d. increase physical activity before bedtime - CORRECT ANSWER c. have the child go to bed at a consistent time every day ch. 20 a nurse is planning diversionary activities for preschoolers on an inpatient unit. which of the following activities should the nurse include? a. assembling puzzles b. pulling wheeled toys c. using musical toys ng with puppets e. coloring with crayons - CORRECT ANSWER a. assembling puzzles c. using musical toys ng with puppets e. coloring with crayons