ATI CBC Practice B 2023 with complete solution
A charge nurse is working on an acute care floor when a natural disaster occurs. Which
of the following emergency response actions should the nurse take?
prepare medically stable clients for early discharge
a nurse is performing mass casualty triage following a disaster. To which of the
following clients should the nurse assign a black tag
a client who has a penetrating head wound and agonal respirations
a nurse is teaching a group of clients about degenerative disk disease. Which of the
following information should the nurse include regarding the prevention of low back pain
and injury?
maintain weight within 10% of ideal body weight
a nurse is developing a plan of care for a toddler who has heart failure and is receiving
furosemide. which of the following actions should the nurse include in the plan
increase the toddler's intake of foods high in potassium
a public health nurse is participating in the recovery phase of emergency response to a
hurricane. Which of the following actions should the nurse take first?
Determine the needs of the community
A nurse is discussing hepatitis C with a newly licenses nurse. Which of the following
information should the nurse include?
Hepatitis C frequently results in a chronic infection
A nurse manager is conducting an in-service about hepatitis A for a group of nurses.
Which of the following information should the nurse manager include as a risk factor for
acquiring the hepatitis A virus
ingesting shellfish
a nurse is working at a community health center with clients who have limited
socioeconomic resources. Which of the following actions should the nurse take as a
primary prevention strategy to address health care disparities for these clients
provide free influenza immunizations
A charge nurse on a medical-surgical unit is working with a licensed practical nurse
(LPN). Which of the following tasks should the nurse assign to the LPN
Administer an IM pain medication to a postoperative client
A nurse is planning care for a client who is experiencing Addisonian crisis and has
hyperkalemia. According to research-based care, which of the following interventions
should the nurse include in the plan?
Initiate cardiac monitoring for the client
A nurse is reviewing the medical record of a client who had a myocardial infarction (MI)
and is to undergo a cardiac catheterization. Which of the following information should
the nurse report to the provider prior to the procedure
Allergies
A nurse is providing discharge teaching to the parent of a preschooler who experienced
a minor head injury after a fall. Which of the following statements by the parent indicates
an understanding of the teaching
I should notify the provider if my child develops a runny nose in the next several days
A charge nurse is supervising a group of staff on the unit. Which of the following actions
should the charge nurse identify as a potential professional liability
, A nurse requests to perform the narcotic count every shift
a nurse is updating the discharge plan for a client who is ventilator-dependent and will
be transferred to a long-term care facility. To facilitate the coordination of the transfer,
the nurse should contact which of the following members of the health care team?
case manager
a nurse is delegating client care to an assistive personnel (AP). Which of the following
tasks should the nurse assign to the AP
Performing chest compressions as a member of the CODE team
A public health nurse is leading an in-service about types of health care services in the
community. Which of the following should the nurse include as an example of
secondary care?
a client in a diagnostic center who is receiving a CT scan to check for a tumor
A nurse in the emergency department is caring for a client who sustained major burns in
a house fire. Which of the following interventions is the nurse's priority.
Check for singed nasal hairs
A nurse is assessing a client who has a brain tumor. The client has difficulty balancing
due to poor muscle coordination and the nurse detect nystagmus. The nurse should
recognize that the brain tumor is affecting which of the following areas of the brain?
A is correct, the green one, the cerebellum
A nurse is reviewing the medical record of a client who experienced a T5 spinal cord
injury (SCI) Which of the following findings should the nurse report to the provider
immediately
platelet count 50,000
a nurse in the emergency department is caring for a client who is experiencing an acute
myocardial infarction (MI) and reports chest pain that has an intensity of 8 on a scale of
0-10. Which of the following medications is the nurse's priority to administer to this client
Morphine
A nurse manager is conducting quality improvement audits for the unit. Which of the
following findings requires further evaluation
Increased client falls
A nurse is reviewing laboratory reports for a client who has sepsis and has been
receiving IV antibiotics for 2 days. Which of the following laboratory results should the
nurse report to the provider immediately
WBC 45,000
A nurse is reviewing the laboratory results for a client who sustained major burns after a
motor vehicle crash where a fuel spill ignited. Which of the following laboratory values
should the nurse expect during the resuscitation phase of care
potassium 6.2
a nurse is reviewing the medical record of a client. Which of the following findings
should the nurse identify as a risk factor for developing a deep-vein thrombosis
prescription of oral contraceptives
a nurse in an ICU is assessing a client who has cardiogenic shock resulting from post
myocardial infarction heart failure. Which of the following findings should the nurse
expect?
tachypnea
A charge nurse is working on an acute care floor when a natural disaster occurs. Which
of the following emergency response actions should the nurse take?
prepare medically stable clients for early discharge
a nurse is performing mass casualty triage following a disaster. To which of the
following clients should the nurse assign a black tag
a client who has a penetrating head wound and agonal respirations
a nurse is teaching a group of clients about degenerative disk disease. Which of the
following information should the nurse include regarding the prevention of low back pain
and injury?
maintain weight within 10% of ideal body weight
a nurse is developing a plan of care for a toddler who has heart failure and is receiving
furosemide. which of the following actions should the nurse include in the plan
increase the toddler's intake of foods high in potassium
a public health nurse is participating in the recovery phase of emergency response to a
hurricane. Which of the following actions should the nurse take first?
Determine the needs of the community
A nurse is discussing hepatitis C with a newly licenses nurse. Which of the following
information should the nurse include?
Hepatitis C frequently results in a chronic infection
A nurse manager is conducting an in-service about hepatitis A for a group of nurses.
Which of the following information should the nurse manager include as a risk factor for
acquiring the hepatitis A virus
ingesting shellfish
a nurse is working at a community health center with clients who have limited
socioeconomic resources. Which of the following actions should the nurse take as a
primary prevention strategy to address health care disparities for these clients
provide free influenza immunizations
A charge nurse on a medical-surgical unit is working with a licensed practical nurse
(LPN). Which of the following tasks should the nurse assign to the LPN
Administer an IM pain medication to a postoperative client
A nurse is planning care for a client who is experiencing Addisonian crisis and has
hyperkalemia. According to research-based care, which of the following interventions
should the nurse include in the plan?
Initiate cardiac monitoring for the client
A nurse is reviewing the medical record of a client who had a myocardial infarction (MI)
and is to undergo a cardiac catheterization. Which of the following information should
the nurse report to the provider prior to the procedure
Allergies
A nurse is providing discharge teaching to the parent of a preschooler who experienced
a minor head injury after a fall. Which of the following statements by the parent indicates
an understanding of the teaching
I should notify the provider if my child develops a runny nose in the next several days
A charge nurse is supervising a group of staff on the unit. Which of the following actions
should the charge nurse identify as a potential professional liability
, A nurse requests to perform the narcotic count every shift
a nurse is updating the discharge plan for a client who is ventilator-dependent and will
be transferred to a long-term care facility. To facilitate the coordination of the transfer,
the nurse should contact which of the following members of the health care team?
case manager
a nurse is delegating client care to an assistive personnel (AP). Which of the following
tasks should the nurse assign to the AP
Performing chest compressions as a member of the CODE team
A public health nurse is leading an in-service about types of health care services in the
community. Which of the following should the nurse include as an example of
secondary care?
a client in a diagnostic center who is receiving a CT scan to check for a tumor
A nurse in the emergency department is caring for a client who sustained major burns in
a house fire. Which of the following interventions is the nurse's priority.
Check for singed nasal hairs
A nurse is assessing a client who has a brain tumor. The client has difficulty balancing
due to poor muscle coordination and the nurse detect nystagmus. The nurse should
recognize that the brain tumor is affecting which of the following areas of the brain?
A is correct, the green one, the cerebellum
A nurse is reviewing the medical record of a client who experienced a T5 spinal cord
injury (SCI) Which of the following findings should the nurse report to the provider
immediately
platelet count 50,000
a nurse in the emergency department is caring for a client who is experiencing an acute
myocardial infarction (MI) and reports chest pain that has an intensity of 8 on a scale of
0-10. Which of the following medications is the nurse's priority to administer to this client
Morphine
A nurse manager is conducting quality improvement audits for the unit. Which of the
following findings requires further evaluation
Increased client falls
A nurse is reviewing laboratory reports for a client who has sepsis and has been
receiving IV antibiotics for 2 days. Which of the following laboratory results should the
nurse report to the provider immediately
WBC 45,000
A nurse is reviewing the laboratory results for a client who sustained major burns after a
motor vehicle crash where a fuel spill ignited. Which of the following laboratory values
should the nurse expect during the resuscitation phase of care
potassium 6.2
a nurse is reviewing the medical record of a client. Which of the following findings
should the nurse identify as a risk factor for developing a deep-vein thrombosis
prescription of oral contraceptives
a nurse in an ICU is assessing a client who has cardiogenic shock resulting from post
myocardial infarction heart failure. Which of the following findings should the nurse
expect?
tachypnea
