2024 ATI Proctored Exam Practice verified A+

2024 ATI Proctored Exam Practice
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A nurse in an urgent care center is caring for a 15 year old client whose symptoms suggest a sexual
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ly transmitted infection (STI). The client's parent is unavailable, but the client's grandmother acco
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mpanied the client to the clinic. Which of the following actions should the nurse take?
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Have the adolescent sign the consent form
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A nurse is assisting with the administration of a client who will undergo a craniotomy. During the
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physical planning phase of the nursing process, to which of the following areas should the nurse co
ntribute?
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Establish client outcomes
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A nurse is reviewing adult cardiopulmonary resuscitation (CPR) with a newly licensed nurse. Whi
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ch of the following steps should the nurse identify as the first response when performing CPR?
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Confirm unresponsiveness
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A nurse is preparing a client who is scheduled for a hysterectomy for transport to the operating roo
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m. The client states she no longer wants the surgery. Which of the following actions should the nur
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se take?
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Notify the provider about the client's decision
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A nurse is reinforcing teaching with a client about a surgical procedure that she will undergo later i
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n the day. The client states that no one has spoken to her about this procedure before. Which of the
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following should the nurse take?
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Stop reinforcing the teaching and check with the surgeon about informed consent
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A nurse is contributing to the plan of care for a client who had a stroke and is scheduled to receive
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feeding via a gastrostomy tube. Which of the following should the nurse recommend prior to initia
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ting each feeding?
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Elevate the head of the bed
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A nurse is assisting with preparing a client for discharge and providing instructions about performi
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ng dressing changes at home. Which of the following statements indicates that the client understan
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ds medical asepsis?
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"I'll wash my hands before I remove the old dressing and again before putting on the new one."
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A nurse on a medical surgical unit is washing her hands prior to assisting with a surgical procedure
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. Which of the following actions by the nurse demonstrates proper surgical hand washing techniqu
e?
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The nurse washes her hands held higher than her elbows
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A nurse is caring for a client who requires a chest x-
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ray. Prior to the client being transported for the procedure,which of the following actions should th
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e nurse take first?
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Identify the client using 2 identifiers
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A nurse is instructing an assistive personnel (AP) about proper hand hygiene. Which of the followi
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ng statements by the AP indicates an understanding of the teaching?
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"Sometimes, I should use soap and water rather than hand-rub to clean my hands."
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A nurse is preparing to change the bed linens of a client who has AIDS and is incontinent of stool.
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Which of the following personnel protective equipment (PPE) items should the nurse don prior to
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providing client care?

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Gown, gloves
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A nurse is discussing fire safety with newly hired nurses. Which of the following actions is the pri
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ority if a fire occurs in the healthcare facility?
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Evacuate clients from the unit
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A nurse is beginning her shift and reviewing the medication administration records (MAR's) for he
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r clients. She notes a medication dosage above the safe range and sees that another nurse administe
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red that dosage during the previous shift. Which of the following actions should the nurse take?
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Call the provider to clarify the dosage
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A nurse is reviewing the use of side rails with an assistive personnel (AP). Which of the following
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statements by the AP indicates that further instruction is required?
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"If the client seems confused, I'll raise all 4 side rails to prevent injury."
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A nurse enters a client's room and finds smoke coming from under the bed. What sequence of actio
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ns should the nurse take in this situation?
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1) Move the client out of the room
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2) Pull the fire alarm
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3) Shut all surrounding windows and doors
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4) Attempt to put out the smoke with a fire extinguisher
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A nurse is supervising a newly licensed nurse who is caring for a client with streptococcal pharyng
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itis on transmission based precautions. Which of the following actions by the newly licensed nurse
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indicates an understanding of droplet precautions?
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Assigning another client with the same infection to share the room with the client.
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A nurse is removing personal protective equipment (PPE) after performing a procedure for a client
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who requires isolation precautions. Which of the following items of PPE should the nurse remove
first?
Gloves
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A nurse is measuring vital signs for a client and notices an irregularity in the pulse. Which of the fo
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llowing actions should the nurse take?
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Count the apical pulse rate for 1 full minute and describe the rhythm in the chart
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A nurse is collecting data for a client who has had diarrhea and decreased urination for several day
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s. Which of the following actions should the nurse take to determine if the client is dehydrated?
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Grasp a skinfold on the chest under the clavicle, release it, and note whether it springs back
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A nurse on a medical-
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surgical unit is caring for a client. Which of the following actions should the nurse perform first w
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hen using the nursing process?
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Obtain client information
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A nurse in a provider's office is caring for a client who has blepharitis. Which of the following acti
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ons should the nurse take first?
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Inspect the eyes for drainage or redness
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A nurse is assisting with the screening of a client who has an S-
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shaped spinal column with unequal shoulder heights. The nurse should identify these findings as
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manifestations of which of the following abnormalities?
Scoliosis
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A nurse is assisting with the admission interview for a client. Which of the following items of data
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should the nurse collect during the introduction phase of the interview?
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Client's comfort and ability to participate in the interview