ATI Testing and Remediation Beginning |
Exhibit Test| Correct and Verified End-
Year Exam| 2025
1) A nurse is reinforcing teaching to a client who was recently prescribed a 2,000 mg sodium
restricted diet. Which of the following nutritional selections by the client indicates a need for
further teaching? ¾ cup of canned tomato juice
The nurse would recognize that the client didn't understand because tomato juice has a lot of
sodium in it.
A nurse is caring for a client who is recovering from abdominal surgery. The client’s
postoperative blood pressure readings are consistently low, and the nurse notes cool, clammy
skin. Which action should the nurse take first?
Notify the provider immediately
A student nurse is reviewing lab results for a client receiving chemotherapy. The client's absolute
neutrophil count (ANC) is 400/mm³. Which action should the student anticipate?
Place the client on neutropenic precautions
A nurse in an outpatient clinic is caring for a client who reports shortness of breath and fatigue.
Upon assessment, the nurse notes jugular vein distension and bilateral lower extremity edema.
Which condition should the nurse suspect?
Heart failure
, 2
A nurse is reviewing the plan of care for a client with a newly placed chest tube following a
pneumothorax. Which finding should the nurse report to the provider immediately?
Continuous bubbling in the water seal chamber
A nurse in a long-term care facility is assessing a client who has late-stage dementia. The client
is increasingly restless and agitated at night. Which intervention should the nurse implement?
Implement a consistent bedtime routine
A nurse is preparing to administer digoxin to a client with heart failure. Which assessment should
the nurse perform before administering the medication?
Measure the client's apical pulse
A nurse is educating a client newly diagnosed with type 2 diabetes mellitus about foot care.
Which instruction should the nurse include?
Inspect your feet daily for cuts or blisters
A nurse is reinforcing teaching to a client who is prescribed warfarin for atrial fibrillation. Which
dietary instruction should the nurse provide?
Maintain a consistent intake of green leafy vegetables
A nurse in the emergency department is caring for a client with a head injury after a motor
vehicle crash. The client’s Glasgow Coma Scale (GCS) score is 6. Which action should the nurse
take first?
Prepare the client for intubation
A nurse is caring for a client who has pneumonia and is receiving oxygen therapy. Which of the
following findings should the nurse recognize as a complication of oxygen toxicity?
Substernal chest pain