EXAM ATI CMS
A nurse is making ready an in-provider for an annual capabilities fair at a community medical
facility approximately fire safety. Place the stairs within the order wherein they have to be
completed within the case of a fire emergency. (Move the stairs into the container on the
right, setting them within the selected order of overall performance. Use all of the steps.)
A. Pull the fire alarm.
B. Confine the fire.
C. Extinguish the hearth.
D. Rescue the clients.
D. Rescue the customers.
A. Pull the fire alarm.
B. Confine the hearth.
C. Extinguish the hearth.
A nurse is worrying for a consumer who is demise of metastatic breast cancer. She has a
prescription for an opioid pain remedy PRN. The nurse is concerned that administering a
dose of ache medicinal drug may hasten the purchaser's death. Which of the subsequent
ethical principles should the nurse use to guide the selection not to administer the
medication?
A. Utilitarianism
B. Nonmaleficence
C. Fidelity
D. Veracity
B. Nonmaleficence
A price nurse is reviewing the listing of duties that have been delegated to the assistive
personnel (AP) through the staff nurse. Which of the following tasks ought to the price nurse
reassign to a licensed nurse?
A. Transporting a purchaser who experienced a stroke seventy two hr ago to the radiology
department
B. Providing a returned rub to a customer who has proper-sided paralysis
C. Removing and cleansing the cannula of a patron who has a brand new tracheostomy
D. Performing oral hygiene for a client who is 1 day postoperative following an amputation of
the proper arm
C. Removing and cleaning the cannula of a patron who has a new tracheostomy
A nurse operating in an emergency department is worrying for a consumer who has been
exposed to sarin gas following a bioterrorism attack. Which of the following interventions
have to the nurse plan to take?
A. Vigorously rub the pores and skin following a decontamination bathe.
,B. Initiate seizure precautions.
C. Provide respiratory support with a plastic oral airway.
D. Prepare to manage amyl nitrate.
B. Initiate seizure precautions.
.A nurse in the emergency branch is triaging clients following a mass casualty occasion. The
nurse should become aware of which of the subsequent customers as emergent?
A. A purchaser who has a punctured femoral artery
B. A customer who has multiple fractures
C. A consumer who has a purple rash over his abdomen
D. A customer who reports excessive flank ache radiating to the groin
A. A purchaser who has a punctured femoral artery
A nurse supervisor acquired a purchaser request now not to have a particular staff nurse
care for her even as at the acute care facility. Which of the subsequent is the appropriate
action by way of the nurse supervisor?
A. Ask other group of workers nurses approximately the extent of care the precise body of
workers nurse gives.
B. Address the concern with the precise personnel nurse.
C. Recommend the specific staff nurse be transferred to every other unit.
D. Notify the human resources branch about the request.
B. Address the concern with the precise group of workers nurse.
A nurse finds that a customer did not get hold of a scheduled dose of furosemide (Lasix).
Which of the subsequent must the nurse encompass within the incident/variance report?
(Select all that observe.)
A. The date of the incident
B. The call of the company who prescribed the drugs
C. The potential unfavorable outcomes of the drugs
D. The time the client changed into to obtain the medicine
E. The client's important signs
A. The date of the incident
D. The time the client was to acquire the medicine
E. The purchaser's essential signs and symptoms
A nurse is caring for a customer who has a history of dementia. The purchaser is alert and
oriented to character, place, and time, and has develop directives. The customer is
scheduled for a manner that calls for knowledgeable consent. Which of the following men
and women must sign the informed consent?
A. The patron's accomplice
B. The patron
C. The purchaser's daughter, who is the primary caregiver
D. The patron's son, who has a long lasting electricity of legal professional
B. The customer
,A nurse supervisor is looking at the care furnished by means of a nurse who's in orientation
to the unit. Which of the subsequent movements via the nurse suggests the nurse manager
ought to intrude?
A. The nurse uses easy gloves whilst discontinuing a client's intravenous infusion.
B. The nurse empties a customer's drainable colostomy pouch when it's miles one-third full.
C. The nurse makes use of the patron's phone range as one shape of identity whilst
administering medicines to a patron.
D. The nurse opens the pinnacle flap of a sterile tray in the direction of the frame while
supporting the issuer with a thoracentesis.
D. The nurse opens the pinnacle flap of a sterile tray towards the frame when helping the
provider with a thoracentesis.
A nurse is worrying for four customers who are postoperative from surgery 24 hr in the past.
At 1200 the nurse assesses the clients. Which of the following clients is the nurse's
precedence?
A. A client who has a prescription for insulin and his pre-meal capillary blood glucose turned
into one hundred ten mg/dL and his publish-meal capillary blood glucose is now a hundred
and sixty mg/dL
B. A customer whose wound drainage at 0800 became sanguineous and now it is
serosanguineous
C. A purchaser who reports pain as four on a scale of one to 10 at 0800 now reports pain as
6
D. A purchaser whose blood stress at 0800 changed into 138/86 mm Hg and at 1200 is
106/60 mm Hg
D. A client whose blood stress at 0800 become 138/86 mm Hg and at 1200 is 106/60 mm
Hg
A nurse is being concerned for an older person client who's disoriented and has a history of
falls. Which of the following movements ought to the nurse take? (Select all that apply.)
A. Raise all facet rails at the purchaser's mattress.
B. Obtain a prescription to restrain the patron PRN.
C. Check at the purchaser hourly.
D. Instruct the patron in the use of the decision mild.
E. Apply an ambulation alarm to the purchaser's leg.
C. Check on the client hourly.
D. Instruct the consumer in the use of the call mild.
E. Apply an ambulation alarm to the customer's leg.
A nurse has received morning document on the subsequent four customers. Which of the
subsequent customers should the nurse check first?
A. A purchaser who became administered adalimumab for Crohn's disease, has a serum
calcium stage of 10 mg/dL, and reports a headache
, B. A consumer who become administered glipizide for type 2 diabetes mellitus and has a
blood glucose of 68 mg/dL
C. A patron who become administered erythromycin for acute glomerulonephritis and
reviews reddish-brown urinary output
D. A customer who became administered acyclovir for cellulitis reports ache in the affected
leg
B. A patron who turned into administered glipizide for type 2 diabetes mellitus and has a
blood glucose of 68 mg/dL
A nurse is preparing to manage a prescribed remedy to a purchaser. Which of the following
movements must the nurse plan to take to illustrate purchaser advocacy?
A. Encourage the client to verbalize questions.
B. Insist the consumer take prescribed medicines.
C. Inform the customer that the drugs is the same as taken at home.
D. Tell the patron that refusal of the drugs is considered noncompliance
A. Encourage the client to verbalize questions.
.A nurse notes a issuer often arrives to the unit with bloodshot eyes and scents like alcohol
after lunch. Which of the subsequent actions have to the nurse take?
A. Counsel the company to decide the reason of the substance abuse.
B. Encourage clients to exchange to a one of a kind company.
C. Inform the state medical board for a direct research.
D. Notify the nursing manager of the worries.
D. Notify the nursing manager of the worries.
A domestic health nurse is making plans take care of a patron who has Alzheimer's ailment.
The client's companion is her number one caregiver and reviews not having enough time to
complete his errands. Which of the subsequent referrals need to the nurse plan to make?
A. Hospice care
B. Restorative care
C. Mental health care
D. Respite care
D. Respite care
A nurse is getting ready to witness knowledgeable consent for a purchaser who is
preoperative. The consumer asks the nurse, "Are there different alternatives except
surgery?" Which of the subsequent responses need to the nurse make?
A. "It is time to signal the consent so your treatment can begin."
B. "I could now not have this type of surgical procedure if I had been you."
C. "Have you mentioned other remedies together with your issuer?"
D. "I can inform the surgeon you do not need the surgery."
C. "Have you mentioned other remedies along with your provider?"
A nurse is making ready an in-provider for an annual capabilities fair at a community medical
facility approximately fire safety. Place the stairs within the order wherein they have to be
completed within the case of a fire emergency. (Move the stairs into the container on the
right, setting them within the selected order of overall performance. Use all of the steps.)
A. Pull the fire alarm.
B. Confine the fire.
C. Extinguish the hearth.
D. Rescue the clients.
D. Rescue the customers.
A. Pull the fire alarm.
B. Confine the hearth.
C. Extinguish the hearth.
A nurse is worrying for a consumer who is demise of metastatic breast cancer. She has a
prescription for an opioid pain remedy PRN. The nurse is concerned that administering a
dose of ache medicinal drug may hasten the purchaser's death. Which of the subsequent
ethical principles should the nurse use to guide the selection not to administer the
medication?
A. Utilitarianism
B. Nonmaleficence
C. Fidelity
D. Veracity
B. Nonmaleficence
A price nurse is reviewing the listing of duties that have been delegated to the assistive
personnel (AP) through the staff nurse. Which of the following tasks ought to the price nurse
reassign to a licensed nurse?
A. Transporting a purchaser who experienced a stroke seventy two hr ago to the radiology
department
B. Providing a returned rub to a customer who has proper-sided paralysis
C. Removing and cleansing the cannula of a patron who has a brand new tracheostomy
D. Performing oral hygiene for a client who is 1 day postoperative following an amputation of
the proper arm
C. Removing and cleaning the cannula of a patron who has a new tracheostomy
A nurse operating in an emergency department is worrying for a consumer who has been
exposed to sarin gas following a bioterrorism attack. Which of the following interventions
have to the nurse plan to take?
A. Vigorously rub the pores and skin following a decontamination bathe.
,B. Initiate seizure precautions.
C. Provide respiratory support with a plastic oral airway.
D. Prepare to manage amyl nitrate.
B. Initiate seizure precautions.
.A nurse in the emergency branch is triaging clients following a mass casualty occasion. The
nurse should become aware of which of the subsequent customers as emergent?
A. A purchaser who has a punctured femoral artery
B. A customer who has multiple fractures
C. A consumer who has a purple rash over his abdomen
D. A customer who reports excessive flank ache radiating to the groin
A. A purchaser who has a punctured femoral artery
A nurse supervisor acquired a purchaser request now not to have a particular staff nurse
care for her even as at the acute care facility. Which of the subsequent is the appropriate
action by way of the nurse supervisor?
A. Ask other group of workers nurses approximately the extent of care the precise body of
workers nurse gives.
B. Address the concern with the precise personnel nurse.
C. Recommend the specific staff nurse be transferred to every other unit.
D. Notify the human resources branch about the request.
B. Address the concern with the precise group of workers nurse.
A nurse finds that a customer did not get hold of a scheduled dose of furosemide (Lasix).
Which of the subsequent must the nurse encompass within the incident/variance report?
(Select all that observe.)
A. The date of the incident
B. The call of the company who prescribed the drugs
C. The potential unfavorable outcomes of the drugs
D. The time the client changed into to obtain the medicine
E. The client's important signs
A. The date of the incident
D. The time the client was to acquire the medicine
E. The purchaser's essential signs and symptoms
A nurse is caring for a customer who has a history of dementia. The purchaser is alert and
oriented to character, place, and time, and has develop directives. The customer is
scheduled for a manner that calls for knowledgeable consent. Which of the following men
and women must sign the informed consent?
A. The patron's accomplice
B. The patron
C. The purchaser's daughter, who is the primary caregiver
D. The patron's son, who has a long lasting electricity of legal professional
B. The customer
,A nurse supervisor is looking at the care furnished by means of a nurse who's in orientation
to the unit. Which of the subsequent movements via the nurse suggests the nurse manager
ought to intrude?
A. The nurse uses easy gloves whilst discontinuing a client's intravenous infusion.
B. The nurse empties a customer's drainable colostomy pouch when it's miles one-third full.
C. The nurse makes use of the patron's phone range as one shape of identity whilst
administering medicines to a patron.
D. The nurse opens the pinnacle flap of a sterile tray in the direction of the frame while
supporting the issuer with a thoracentesis.
D. The nurse opens the pinnacle flap of a sterile tray towards the frame when helping the
provider with a thoracentesis.
A nurse is worrying for four customers who are postoperative from surgery 24 hr in the past.
At 1200 the nurse assesses the clients. Which of the following clients is the nurse's
precedence?
A. A client who has a prescription for insulin and his pre-meal capillary blood glucose turned
into one hundred ten mg/dL and his publish-meal capillary blood glucose is now a hundred
and sixty mg/dL
B. A customer whose wound drainage at 0800 became sanguineous and now it is
serosanguineous
C. A purchaser who reports pain as four on a scale of one to 10 at 0800 now reports pain as
6
D. A purchaser whose blood stress at 0800 changed into 138/86 mm Hg and at 1200 is
106/60 mm Hg
D. A client whose blood stress at 0800 become 138/86 mm Hg and at 1200 is 106/60 mm
Hg
A nurse is being concerned for an older person client who's disoriented and has a history of
falls. Which of the following movements ought to the nurse take? (Select all that apply.)
A. Raise all facet rails at the purchaser's mattress.
B. Obtain a prescription to restrain the patron PRN.
C. Check at the purchaser hourly.
D. Instruct the patron in the use of the decision mild.
E. Apply an ambulation alarm to the purchaser's leg.
C. Check on the client hourly.
D. Instruct the consumer in the use of the call mild.
E. Apply an ambulation alarm to the customer's leg.
A nurse has received morning document on the subsequent four customers. Which of the
subsequent customers should the nurse check first?
A. A purchaser who became administered adalimumab for Crohn's disease, has a serum
calcium stage of 10 mg/dL, and reports a headache
, B. A consumer who become administered glipizide for type 2 diabetes mellitus and has a
blood glucose of 68 mg/dL
C. A patron who become administered erythromycin for acute glomerulonephritis and
reviews reddish-brown urinary output
D. A customer who became administered acyclovir for cellulitis reports ache in the affected
leg
B. A patron who turned into administered glipizide for type 2 diabetes mellitus and has a
blood glucose of 68 mg/dL
A nurse is preparing to manage a prescribed remedy to a purchaser. Which of the following
movements must the nurse plan to take to illustrate purchaser advocacy?
A. Encourage the client to verbalize questions.
B. Insist the consumer take prescribed medicines.
C. Inform the customer that the drugs is the same as taken at home.
D. Tell the patron that refusal of the drugs is considered noncompliance
A. Encourage the client to verbalize questions.
.A nurse notes a issuer often arrives to the unit with bloodshot eyes and scents like alcohol
after lunch. Which of the subsequent actions have to the nurse take?
A. Counsel the company to decide the reason of the substance abuse.
B. Encourage clients to exchange to a one of a kind company.
C. Inform the state medical board for a direct research.
D. Notify the nursing manager of the worries.
D. Notify the nursing manager of the worries.
A domestic health nurse is making plans take care of a patron who has Alzheimer's ailment.
The client's companion is her number one caregiver and reviews not having enough time to
complete his errands. Which of the subsequent referrals need to the nurse plan to make?
A. Hospice care
B. Restorative care
C. Mental health care
D. Respite care
D. Respite care
A nurse is getting ready to witness knowledgeable consent for a purchaser who is
preoperative. The consumer asks the nurse, "Are there different alternatives except
surgery?" Which of the subsequent responses need to the nurse make?
A. "It is time to signal the consent so your treatment can begin."
B. "I could now not have this type of surgical procedure if I had been you."
C. "Have you mentioned other remedies together with your issuer?"
D. "I can inform the surgeon you do not need the surgery."
C. "Have you mentioned other remedies along with your provider?"
