ATI exit with ngn/ questions & correct
answers latest update 2024-2025
A nurse is caring for a client who requires seclusion to prevent harm to others on the
unit. Which of the following is an appropriate action for the nurse to take? - CORRECT
ANSWERS-Document the client's behavior prior to being placed in seclusion.
A nurse is caring for an adolescent who has hyperthermia. Which of the following
actions should the nurse take? - CORRECT ANSWERS-Initiate seizure precautions
A nurse is caring for a client who asks for information regarding organ donation. Which
of the following responses should the nurse make? - CORRECT ANSWERS-Your
desire to be an organ donor must be documented in writing.
A parish nurse is leading a support group for clients whose family members have
committed suicide. Which of the following strategies should the nurse plan to use during
the group session? - CORRECT ANSWERS-Initiate a discussion with clients about
ways to cope with changes in family dynamics
A nurse is developing a care plan for a client who is in Buck traction and is scheduled
for surgery for a fractured femur of the right leg. Which of the following interventions
should the nurse delegate to an assistive personnel? - CORRECT ANSWERS-Remind
the client to use the incentive spirometer
A nurse is caring for a client who repeatedly refuses meals. The nurse overhears an
assistive personnel telling the client, If you don't eat, I'll put restraints on your wrists and
feed you. The nurse should intervene and explain to the AP that this statement
constitutes which of the following torts? - CORRECT ANSWERS-Assault
A nurse is teaching a client who has a new diagnosis of diabetes mellitus about foot
care. Which of the following instructions should the nurse include in this teaching? -
CORRECT ANSWERS-Wear clean cotton socks every day
A nurse is preparing to feed a newly admitted client who has dysphagia. Which of the
following actions should the nurse plan to take? - CORRECT ANSWERS-Sit at or below
the client's eye level during feedings
A nurse is caring for a client who has acute glomerulonephritis. Which of the following
findings should the nurse expect? - CORRECT ANSWERS-Hematuria
A nurse is caring for a client whose partner recently died. The nurse sits with the client
to provide comfort. Which of the following ethical principles is the nurse demonstrating?
- CORRECT ANSWERS-Beneficence
, A nurse in an emergency department is caring for a child who reports being sexually
abused by a family member. Which of the following actions should the nurse take? -
CORRECT ANSWERS-Explain to the child what will happen when the abuse is
reported
a newly licensed nurse working at an HIV clinic is reviewing the responsibilities of her
position at the clinic. Which of the following tasks should the nurse identify as tertiary
prevention? - CORRECT ANSWERS-Using a electronic messaging system to remind
clients when to take medication
A nurse is caring for a client who has given informed consent for electroconvulsive
therapy. Just before the procedure, the client tells the nurse she is considering not
going forward with the treatment. Which of the following statements by the nurse is
appropriate? - CORRECT ANSWERS-You don't have to go through with the treatment
A nurse is teaching a new parent about breastfeeding her 2 week old infant. Which of
the following statements by the parent indicates an understanding of the teaching? -
CORRECT ANSWERS-The more my baby is at the breast sucking, the more milk I will
produce
A nurse is preparing to reposition a client who had a stroke. Which of the following
actions should the nurse take? - CORRECT ANSWERS-Evaluate the client's ability to
help with repositioning
a nurse is providing discharge teaching to a client who is postoperative following the
surgical repair of a detached retina. Which of the following statements by the client
indicates an understanding of the teaching? - CORRECT ANSWERS-I can lift objects
that are less than 10 pounds.
A nurse is providing discharge teaching about home care of a surgical incision to a
client who speaks different language from the nurse. The nurse is communicating with
the client using an interpreter. Which of the following actions should the nurse take? -
CORRECT ANSWERS-Speak directly to the client
A nurse is providing teaching to a client who has a new prescription for enoxaparin.
Which of the following medications for pain relief should the nurse include in the
teaching that can be taken concurrently with enoxaparin? - CORRECT ANSWERS-
Actaminophen
A nurse is receiving a change of shift report for a group of clients. Which of the following
clients should the nurse plan to assess first? - CORRECT ANSWERS-A client who has
a hip fracture and a new onset of tachypnea
A nurse is performing a skin assessment on a client who has dark skin. Which of the
following locations on the client's body should the nurse observe to assess for
cyanosis? - CORRECT ANSWERS-Palms of the hands
answers latest update 2024-2025
A nurse is caring for a client who requires seclusion to prevent harm to others on the
unit. Which of the following is an appropriate action for the nurse to take? - CORRECT
ANSWERS-Document the client's behavior prior to being placed in seclusion.
A nurse is caring for an adolescent who has hyperthermia. Which of the following
actions should the nurse take? - CORRECT ANSWERS-Initiate seizure precautions
A nurse is caring for a client who asks for information regarding organ donation. Which
of the following responses should the nurse make? - CORRECT ANSWERS-Your
desire to be an organ donor must be documented in writing.
A parish nurse is leading a support group for clients whose family members have
committed suicide. Which of the following strategies should the nurse plan to use during
the group session? - CORRECT ANSWERS-Initiate a discussion with clients about
ways to cope with changes in family dynamics
A nurse is developing a care plan for a client who is in Buck traction and is scheduled
for surgery for a fractured femur of the right leg. Which of the following interventions
should the nurse delegate to an assistive personnel? - CORRECT ANSWERS-Remind
the client to use the incentive spirometer
A nurse is caring for a client who repeatedly refuses meals. The nurse overhears an
assistive personnel telling the client, If you don't eat, I'll put restraints on your wrists and
feed you. The nurse should intervene and explain to the AP that this statement
constitutes which of the following torts? - CORRECT ANSWERS-Assault
A nurse is teaching a client who has a new diagnosis of diabetes mellitus about foot
care. Which of the following instructions should the nurse include in this teaching? -
CORRECT ANSWERS-Wear clean cotton socks every day
A nurse is preparing to feed a newly admitted client who has dysphagia. Which of the
following actions should the nurse plan to take? - CORRECT ANSWERS-Sit at or below
the client's eye level during feedings
A nurse is caring for a client who has acute glomerulonephritis. Which of the following
findings should the nurse expect? - CORRECT ANSWERS-Hematuria
A nurse is caring for a client whose partner recently died. The nurse sits with the client
to provide comfort. Which of the following ethical principles is the nurse demonstrating?
- CORRECT ANSWERS-Beneficence
, A nurse in an emergency department is caring for a child who reports being sexually
abused by a family member. Which of the following actions should the nurse take? -
CORRECT ANSWERS-Explain to the child what will happen when the abuse is
reported
a newly licensed nurse working at an HIV clinic is reviewing the responsibilities of her
position at the clinic. Which of the following tasks should the nurse identify as tertiary
prevention? - CORRECT ANSWERS-Using a electronic messaging system to remind
clients when to take medication
A nurse is caring for a client who has given informed consent for electroconvulsive
therapy. Just before the procedure, the client tells the nurse she is considering not
going forward with the treatment. Which of the following statements by the nurse is
appropriate? - CORRECT ANSWERS-You don't have to go through with the treatment
A nurse is teaching a new parent about breastfeeding her 2 week old infant. Which of
the following statements by the parent indicates an understanding of the teaching? -
CORRECT ANSWERS-The more my baby is at the breast sucking, the more milk I will
produce
A nurse is preparing to reposition a client who had a stroke. Which of the following
actions should the nurse take? - CORRECT ANSWERS-Evaluate the client's ability to
help with repositioning
a nurse is providing discharge teaching to a client who is postoperative following the
surgical repair of a detached retina. Which of the following statements by the client
indicates an understanding of the teaching? - CORRECT ANSWERS-I can lift objects
that are less than 10 pounds.
A nurse is providing discharge teaching about home care of a surgical incision to a
client who speaks different language from the nurse. The nurse is communicating with
the client using an interpreter. Which of the following actions should the nurse take? -
CORRECT ANSWERS-Speak directly to the client
A nurse is providing teaching to a client who has a new prescription for enoxaparin.
Which of the following medications for pain relief should the nurse include in the
teaching that can be taken concurrently with enoxaparin? - CORRECT ANSWERS-
Actaminophen
A nurse is receiving a change of shift report for a group of clients. Which of the following
clients should the nurse plan to assess first? - CORRECT ANSWERS-A client who has
a hip fracture and a new onset of tachypnea
A nurse is performing a skin assessment on a client who has dark skin. Which of the
following locations on the client's body should the nurse observe to assess for
cyanosis? - CORRECT ANSWERS-Palms of the hands
