Science Medicine Nursing
ATI Final Exam ~ Review Questions
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Terms in this set (122)
A nurse is teaching a client and his family 2. Use tracheostomy covers when outdoors.
how to care for the client's tracheostomy
at home. Which of the following
instructions is appropriate for the client
and family?
1. Remove the outer cannula cautiously for
routine cleaning.
2. Use tracheostomy covers when
outdoors.
3. Use sterile technique when performing
tracheostomy care at home.
4. Cleanse irritated skin with full-strength
hydrogen peroxide.
A nurse is giving an end-of-shift report 4. Breath sounds
about a client admitted earlier that day
with pneumonia. Which of the following *ABCs*
pieces of information is most essential to
provide?
1. Admitting diagnosis
2. Diagnostic test results
3. Body temperature
4. Breath sounds
A nurse is checking blood pressures at a 2. A client who has an elevated LDL
community health screening. Which of the
following clients is at high risk for primary
hypertension?
1. A client who is pregnant
2. A client who has an elevated LDL
3. A client who takes oral contraceptives
4. A client who has kidney disease
,A nurse is planning care for a client who - Assist the client with a partial bed bath.
has had a stroke resulting in aphasia and - Measure the client's BP after the nurse administers an antihypertensive
dysphagia. Which of the following tasks medication.
should the nurse assign to an AP? (Select - Use a communication board to ask what the client wants for lunch.
all that apply.)
- Assist the client with a partial bed bath.
- Measure the client's BP after the nurse
administers an antihypertensive
medication.
- Test the client's swallowing ability by
providing thickened liquids.
- Use a communication board to ask what
the client wants for lunch.
- Irrigate the client's indwelling urinary
catheter.
A nurse is caring for a client who is 2. Remove each restraint one at a time every 2 hr.
combative in the emergency department.
The provider orders wrist restraints after *To perform ROM exercises and neurovascular checks*
the client attempts to assault the
admitting nurse. Which of the following
actions is appropriate for the nurse to
take?
1. Tie restraints to the lower edge of the
side rail.
2. Remove each restraint one at a time
every 2 hr.
3. Ensure 3 finger-widths of space
between the restraint and the client's
wrist.
4. Use a square knot to securely tie the
restraints to the bed.
A nurse is preparing to administer 3. Have a second nurse witness the disposal of remaining medication.
morphine 4 mg IV bolus to a client.
Available is morphine 5mg/mL. Which of
the following is an appropriate nursing
intervention?
1. Return the unused medication to the
automatic dispensing system.
2. Keep the remaining medication at the
client's bedside for later use.
3. Have a second nurse witness the
disposal of remaining medication.
4. Lock remaining medication in secure
cabinet.
, A nurse is caring for a client who asks 3. "It indicates the form of treatment a client is willing to accept in the event of a
about the purpose of advance directives. serious illness."
Which of the following is an appropriate
response by the nurse?
1. "It allows the court to overrule an adult
client's refusal of medical treatment."
2. "It permits a client to withhold medical
information from health care personnel."
3. "It indicates the form of treatment a
client is willing to accept in the event of a
serious illness."
4. "It allows health care personnel in the
emergency department to stabilize a
client's condition."
A nurse finds a client on the floor upon 3. Client found lying on floor.
entering the client's room. The roommate
reports that the client was trying to get *remember, be Objective in documentation*
out of bed and fell over the bedrail onto
the floor. Which of the following is
correct documentation of this incident?
1. Incident report completed.
2. Client climbed over the bedrails.
3. Client found lying on floor.
4. Client was trying to get out of bed.
A client who is postoperative is 3. "It may help me to listen to music while I'm lying in bed."
verbalizing pain as a 2 on a pain scale of
0 to 10. The nurse understands that the *nonpharmacological intervention to pain*
preoperative teaching regarding pain
control has been effective when the
client states which of the following?
1. "I think I should take my pain medication
more often, since it is not controlling my
pain."
2. "Breathing faster will help me keep my
mind off of the pain."
3. "It may help me to listen to music while
I'm lying in bed."
4. "I don't want to walk today, because I'm
experiencing some pain."
A client demonstrates anger when the 3. "It must be frustrating. I have a few minutes now."
nurse does not respond within 5 min of
ringing for the nurse. Which of the *therapeutic by acknowledging client's feelings*
following is an appropriate response by
the nurse?
1. "I'm sorry, but another client needed my
attention."
2. "I arrived as soon as I could. What can I
do for you?"
3. "It must be frustrating. I have a few
minutes now."
4. "We had an emergency on the unit, but
now I'm here."
ATI Final Exam ~ Review Questions
15 studiers today 3.8 (9 reviews)
Save
Students also studied
Health Assessment Practice Last Saturday quiz Legal issues for the registered nurse... Tex
8 terms 19 terms 30 terms 20
dari_steiner6 Preview lilianalizetnarvaez Preview kayleemoulton630 Preview
Terms in this set (122)
A nurse is teaching a client and his family 2. Use tracheostomy covers when outdoors.
how to care for the client's tracheostomy
at home. Which of the following
instructions is appropriate for the client
and family?
1. Remove the outer cannula cautiously for
routine cleaning.
2. Use tracheostomy covers when
outdoors.
3. Use sterile technique when performing
tracheostomy care at home.
4. Cleanse irritated skin with full-strength
hydrogen peroxide.
A nurse is giving an end-of-shift report 4. Breath sounds
about a client admitted earlier that day
with pneumonia. Which of the following *ABCs*
pieces of information is most essential to
provide?
1. Admitting diagnosis
2. Diagnostic test results
3. Body temperature
4. Breath sounds
A nurse is checking blood pressures at a 2. A client who has an elevated LDL
community health screening. Which of the
following clients is at high risk for primary
hypertension?
1. A client who is pregnant
2. A client who has an elevated LDL
3. A client who takes oral contraceptives
4. A client who has kidney disease
,A nurse is planning care for a client who - Assist the client with a partial bed bath.
has had a stroke resulting in aphasia and - Measure the client's BP after the nurse administers an antihypertensive
dysphagia. Which of the following tasks medication.
should the nurse assign to an AP? (Select - Use a communication board to ask what the client wants for lunch.
all that apply.)
- Assist the client with a partial bed bath.
- Measure the client's BP after the nurse
administers an antihypertensive
medication.
- Test the client's swallowing ability by
providing thickened liquids.
- Use a communication board to ask what
the client wants for lunch.
- Irrigate the client's indwelling urinary
catheter.
A nurse is caring for a client who is 2. Remove each restraint one at a time every 2 hr.
combative in the emergency department.
The provider orders wrist restraints after *To perform ROM exercises and neurovascular checks*
the client attempts to assault the
admitting nurse. Which of the following
actions is appropriate for the nurse to
take?
1. Tie restraints to the lower edge of the
side rail.
2. Remove each restraint one at a time
every 2 hr.
3. Ensure 3 finger-widths of space
between the restraint and the client's
wrist.
4. Use a square knot to securely tie the
restraints to the bed.
A nurse is preparing to administer 3. Have a second nurse witness the disposal of remaining medication.
morphine 4 mg IV bolus to a client.
Available is morphine 5mg/mL. Which of
the following is an appropriate nursing
intervention?
1. Return the unused medication to the
automatic dispensing system.
2. Keep the remaining medication at the
client's bedside for later use.
3. Have a second nurse witness the
disposal of remaining medication.
4. Lock remaining medication in secure
cabinet.
, A nurse is caring for a client who asks 3. "It indicates the form of treatment a client is willing to accept in the event of a
about the purpose of advance directives. serious illness."
Which of the following is an appropriate
response by the nurse?
1. "It allows the court to overrule an adult
client's refusal of medical treatment."
2. "It permits a client to withhold medical
information from health care personnel."
3. "It indicates the form of treatment a
client is willing to accept in the event of a
serious illness."
4. "It allows health care personnel in the
emergency department to stabilize a
client's condition."
A nurse finds a client on the floor upon 3. Client found lying on floor.
entering the client's room. The roommate
reports that the client was trying to get *remember, be Objective in documentation*
out of bed and fell over the bedrail onto
the floor. Which of the following is
correct documentation of this incident?
1. Incident report completed.
2. Client climbed over the bedrails.
3. Client found lying on floor.
4. Client was trying to get out of bed.
A client who is postoperative is 3. "It may help me to listen to music while I'm lying in bed."
verbalizing pain as a 2 on a pain scale of
0 to 10. The nurse understands that the *nonpharmacological intervention to pain*
preoperative teaching regarding pain
control has been effective when the
client states which of the following?
1. "I think I should take my pain medication
more often, since it is not controlling my
pain."
2. "Breathing faster will help me keep my
mind off of the pain."
3. "It may help me to listen to music while
I'm lying in bed."
4. "I don't want to walk today, because I'm
experiencing some pain."
A client demonstrates anger when the 3. "It must be frustrating. I have a few minutes now."
nurse does not respond within 5 min of
ringing for the nurse. Which of the *therapeutic by acknowledging client's feelings*
following is an appropriate response by
the nurse?
1. "I'm sorry, but another client needed my
attention."
2. "I arrived as soon as I could. What can I
do for you?"
3. "It must be frustrating. I have a few
minutes now."
4. "We had an emergency on the unit, but
now I'm here."
