ATI & NCLEX REVIEW/ TEST 1
A charge nurse is assigning rooms for the clients to be admitted to the unit. To
prevent falls, which of the following clients should the nurse assign to the room
closest to the nurses' station?
A. A middle adult who is postoperative following laparoscopic cholecystectomy.
B. A middle adult who requires telemetry for a possible myocardial infarction
C. A young adult who is postoperative following an open reduction internal
fixation of the ankle
D. An older adult who is postoperative following a below the knee amputation. -
ANS - D. An older adult who is postoperative following a below the knee
amputation.
\A client has been diagnosed with a terminal illness and is crying. What statement
made by the nurse is a barrier for further communication?
A. Everything will be okay. It's out of your hands.
B. I am here if you would like to talk
C. Is there anything that I can do for you or questions that I can answer.
D.This must be difficult for you - ANS - A. Everything will be okay. Its out of your
hands.
\A client has been involved in a motor vehicle crash and has multiple injuries.
What guiding principle of Florence Nightingale would assist this client's
recuperation and health maintenance? Select all that apply.
A. Clean air and water
B. Cleanliness
C. Blood administration
D. Light
E. Efficient drainage - ANS - Clean air and water
Cleanliness
Light
Efficient Drainage
\A client is admitted to the acute care facility with a suspected case of malaria.
What question is priority?
A. Have you had unprotected sex?
B. Have you recently traveled out of the country?
,C. What medications are you taking?
D. Do you take any street drugs? - ANS - B. Have you recently traveled outside of
the country
\A client is going to have a surgical procedure. What intervention provided by the
nurse can help the client feel safe and aid in postoperative recovery?
A. Explain the procedure before surgery
B. Inform the client that they will be alright
C. Call a family member prior to the client entering the surgical suite
D. Make sure all insurance information has been obtained. - ANS - A. Explain the
procedure before surgery
\A client is having abdominal pain. What open-ended statement can the nurse use
to find out more about the clients condition?
A. Tell me more about how you feel
B. Rate your pain on a scale of 1 to 10
C. Point with one finger where your pain is located
D. What medication are you taking? - ANS - A. Tell me more about how you feel?
\A client is suspected to be infected with methicillin-resistant Staphylococcus
aureus (MRSA) in a sacral wound. What precautions should the nurse be sure are
followed during wound care?
A. Droplet
B. Contact
C. Airborne
D. Standard - ANS - B. Contact
\A client no longer requires care in the coronary intensive care unit after coronary
artery bypass graft surgery. Where should the nure prepare to transfer the client?
A. Sub-acute or Step-down unit
B. Skilled care unit
C. Medical Floor
D. Long-Term care - ANS - A. Sub-acute or Step-down unit
\A client that is home bound requires long-term intravenous antibiotic therapy.
The insurance company refuses to keep the client in the hospital during this
treatment regimen. What services would best meet the needs of the client?
A. Hospice
B. Respite Care
, C. Home healthcare
D. Telehealth - ANS - C. home healthcare
\A client with diabetes asks the nurse, "If i can't do heavy exercise, what's the
point in exercising?" What response by the nurse can encourage the client to
perform moderate exercise? Select all that apply.
A. It will prevent the use of insulin.
B. It will prevent cancer.
C. It will enhance energy levels.
D. It will reduce stress.
E. It will provide relaxation. - ANS - It will enhance energy levels
It will reduce stress
It will provide relaxation
\A high school student interested in becoming a nurse asks the nursing
instructor what the role of the LPN/LVN is. What is the BEST response by the
instructor?
A. The LPN/LVN provides bedside car.
B. The LPN/LVN develops the plan of care for clients.
C. The LPN/LVN performs wound care.
D. The LPN/LVN supervises registered nurses (RNs).
E. The LPN/LVN administration prescribed medications to clients. - ANS - A. The
LPN/LVN provides bedside care.
\A muslim-arab female client is in the clinic for a gynecologic procedure. The
client does not directly look at the nurse or physician in the eye when speaking.
What does the nurse interpret this behavior to mean?
A. The client does not trust the caregivers
B. The client is demonstrating modesty
C. The client believes she has a sexually transmitted infection
D. The client has been sexually abused. - ANS - B. The client is demonstrating
modesty.
\A nurse caring for a 20 year old client who is sexually active and has come to
college health clinic for a first time check up. Which of the following interventions
should the nurse perform first to determine the clients need for health promotion
and disease?
A. Measure vital signs
B. Encourage HIV screening.
C. Determine risk factors
A charge nurse is assigning rooms for the clients to be admitted to the unit. To
prevent falls, which of the following clients should the nurse assign to the room
closest to the nurses' station?
A. A middle adult who is postoperative following laparoscopic cholecystectomy.
B. A middle adult who requires telemetry for a possible myocardial infarction
C. A young adult who is postoperative following an open reduction internal
fixation of the ankle
D. An older adult who is postoperative following a below the knee amputation. -
ANS - D. An older adult who is postoperative following a below the knee
amputation.
\A client has been diagnosed with a terminal illness and is crying. What statement
made by the nurse is a barrier for further communication?
A. Everything will be okay. It's out of your hands.
B. I am here if you would like to talk
C. Is there anything that I can do for you or questions that I can answer.
D.This must be difficult for you - ANS - A. Everything will be okay. Its out of your
hands.
\A client has been involved in a motor vehicle crash and has multiple injuries.
What guiding principle of Florence Nightingale would assist this client's
recuperation and health maintenance? Select all that apply.
A. Clean air and water
B. Cleanliness
C. Blood administration
D. Light
E. Efficient drainage - ANS - Clean air and water
Cleanliness
Light
Efficient Drainage
\A client is admitted to the acute care facility with a suspected case of malaria.
What question is priority?
A. Have you had unprotected sex?
B. Have you recently traveled out of the country?
,C. What medications are you taking?
D. Do you take any street drugs? - ANS - B. Have you recently traveled outside of
the country
\A client is going to have a surgical procedure. What intervention provided by the
nurse can help the client feel safe and aid in postoperative recovery?
A. Explain the procedure before surgery
B. Inform the client that they will be alright
C. Call a family member prior to the client entering the surgical suite
D. Make sure all insurance information has been obtained. - ANS - A. Explain the
procedure before surgery
\A client is having abdominal pain. What open-ended statement can the nurse use
to find out more about the clients condition?
A. Tell me more about how you feel
B. Rate your pain on a scale of 1 to 10
C. Point with one finger where your pain is located
D. What medication are you taking? - ANS - A. Tell me more about how you feel?
\A client is suspected to be infected with methicillin-resistant Staphylococcus
aureus (MRSA) in a sacral wound. What precautions should the nurse be sure are
followed during wound care?
A. Droplet
B. Contact
C. Airborne
D. Standard - ANS - B. Contact
\A client no longer requires care in the coronary intensive care unit after coronary
artery bypass graft surgery. Where should the nure prepare to transfer the client?
A. Sub-acute or Step-down unit
B. Skilled care unit
C. Medical Floor
D. Long-Term care - ANS - A. Sub-acute or Step-down unit
\A client that is home bound requires long-term intravenous antibiotic therapy.
The insurance company refuses to keep the client in the hospital during this
treatment regimen. What services would best meet the needs of the client?
A. Hospice
B. Respite Care
, C. Home healthcare
D. Telehealth - ANS - C. home healthcare
\A client with diabetes asks the nurse, "If i can't do heavy exercise, what's the
point in exercising?" What response by the nurse can encourage the client to
perform moderate exercise? Select all that apply.
A. It will prevent the use of insulin.
B. It will prevent cancer.
C. It will enhance energy levels.
D. It will reduce stress.
E. It will provide relaxation. - ANS - It will enhance energy levels
It will reduce stress
It will provide relaxation
\A high school student interested in becoming a nurse asks the nursing
instructor what the role of the LPN/LVN is. What is the BEST response by the
instructor?
A. The LPN/LVN provides bedside car.
B. The LPN/LVN develops the plan of care for clients.
C. The LPN/LVN performs wound care.
D. The LPN/LVN supervises registered nurses (RNs).
E. The LPN/LVN administration prescribed medications to clients. - ANS - A. The
LPN/LVN provides bedside care.
\A muslim-arab female client is in the clinic for a gynecologic procedure. The
client does not directly look at the nurse or physician in the eye when speaking.
What does the nurse interpret this behavior to mean?
A. The client does not trust the caregivers
B. The client is demonstrating modesty
C. The client believes she has a sexually transmitted infection
D. The client has been sexually abused. - ANS - B. The client is demonstrating
modesty.
\A nurse caring for a 20 year old client who is sexually active and has come to
college health clinic for a first time check up. Which of the following interventions
should the nurse perform first to determine the clients need for health promotion
and disease?
A. Measure vital signs
B. Encourage HIV screening.
C. Determine risk factors
