ATI NUR265 QUESTIONS WITH
CORRECT ANSWERS
A nurse is caring for a client who is 24 hours postop following a total hip arthroplasty.
Which of the following action should the nurse take? - ANSWERSMaintain abduction of
the affected extremity
A nurse is providing teaching to a client who is scheduled for a bronchoscopy. Which of
the following statements should the nurse include in the teaching? - ANSWERS"You will
not be able to eat or drink after the procedure until you are able to cough."
- A client who had a bronchoscopy received a local anesthetic that can suppress the
cough reflex. The cough reflex protects the client from aspirating fluids or food.
Therefore, the client should not eat or drink until the cough reflex returns.
A nurse is assessing a clients understanding of a surgical procedure prior to witnessing
their signature on the informed consent form. The nurse determines that the client does
not understand what the procedure will involve. Which of the following action should the
nurse take? - ANSWERSContact the provider who will be performing the procedure
A nurse is providing discharge teaching to a client who has COPD. Which of the
following instruction should the nurse include in the teaching? - ANSWERSConsume a
diet that is high in calories
A nurse is providing teaching about dietary options for a client who has cholithiasis
which of the following statements should the nurse include in the teaching -
ANSWERSSelect desserts, such as angel food cake
A nurse is monitoring a client who has a traumatic brain injury, which of the following
findings should the nurse identify as a manifestation of Cushing's triad -
ANSWERSIncrease in blood pressure from 130/80 to 180/100
A nurse is teaching a client who has a new diagnosis of type one diabetes mellitus,
which of the following statement by the client indicates an understanding of the teaching
- ANSWERSI am aware that my diabetes is caused by an auto immune disorder
A nurse is caring for a client who has a small bowel obstruction and an NG tube in place
which of the following action should the nurse take - ANSWERSMaintain low
intermittent suction
A nurse is assessing a client who has a chest tube connected to a closed water seal
drainage system which of the following findings should the nurse report to the provider -
ANSWERSCONSTANT BUBBLING IN THE WATER SEAL CHAMBER.
, - Constant bubbling in the water seal chamber can be an indication of an air leak, which
is caused by a disruption in the system such as a loose connection. Pulmonary air leaks
create intermittent bubbling that is synchronous with respiration. This finding should be
reported to the provider immediately.
A nurse is providing teaching for a client who has neutropenia and is receiving
chemotherapy, which of the following client statements, indicates an understanding of
the teaching? Select all that apply. - ANSWERSI will avoid crowds, and I will take my
temperature daily
I nurse is preparing to administer propranolol to several clients. For which of the
following clients to the nurse clarify the prescription with the provider before
administration. - ANSWERSA client has a history of asthma
Nurses analyzing the ABG results of a client who is in respiratory acidosis, which of the
following mechanisms to the nurse, identify as responsible for this acid-base imbalance
- ANSWERSRetention of carbon dioxide
A nurse is planning care for a client who is tuberculosis which of the following
precautions should the nurse implement for this client - ANSWERSAirborne precautions
A nurse is caring for a client who is three hours, post operative, and exhibiting signs of
hypokalemia which of the following findings. Should the nurse identify as a
manifestation of hypovolemia. - ANSWERSRapid pulse rate
A nurse is caring for a client who has a prescription for lactated ringers by continuous IV
infusion to replace output from an NG tube which of the following findings should
indicate to the nurse that this therapy is effective - ANSWERSA urine specific gravity of
1.020
A nursing emergency department is caring for a client who's confused, has a
temperature of 104°F, a blood pressure of 74/52 and a diagnosis of exertional heat
stroke which of the following action should the nurse take first - ANSWERSAdminister
oxygen using a high concentration mask
A nurse is caring for a client who has a chronic venous insufficiency, which of the
following areas should the nurse assessed for the presence of a venous ulcer -
ANSWERSA, is correct
A nurse is providing teaching to a client about strategies to manage menopausal
symptoms which of the following instruction should the nurse include in the teaching -
ANSWERSUse water based lubricant during intercourse to reduce discomfort
CORRECT ANSWERS
A nurse is caring for a client who is 24 hours postop following a total hip arthroplasty.
Which of the following action should the nurse take? - ANSWERSMaintain abduction of
the affected extremity
A nurse is providing teaching to a client who is scheduled for a bronchoscopy. Which of
the following statements should the nurse include in the teaching? - ANSWERS"You will
not be able to eat or drink after the procedure until you are able to cough."
- A client who had a bronchoscopy received a local anesthetic that can suppress the
cough reflex. The cough reflex protects the client from aspirating fluids or food.
Therefore, the client should not eat or drink until the cough reflex returns.
A nurse is assessing a clients understanding of a surgical procedure prior to witnessing
their signature on the informed consent form. The nurse determines that the client does
not understand what the procedure will involve. Which of the following action should the
nurse take? - ANSWERSContact the provider who will be performing the procedure
A nurse is providing discharge teaching to a client who has COPD. Which of the
following instruction should the nurse include in the teaching? - ANSWERSConsume a
diet that is high in calories
A nurse is providing teaching about dietary options for a client who has cholithiasis
which of the following statements should the nurse include in the teaching -
ANSWERSSelect desserts, such as angel food cake
A nurse is monitoring a client who has a traumatic brain injury, which of the following
findings should the nurse identify as a manifestation of Cushing's triad -
ANSWERSIncrease in blood pressure from 130/80 to 180/100
A nurse is teaching a client who has a new diagnosis of type one diabetes mellitus,
which of the following statement by the client indicates an understanding of the teaching
- ANSWERSI am aware that my diabetes is caused by an auto immune disorder
A nurse is caring for a client who has a small bowel obstruction and an NG tube in place
which of the following action should the nurse take - ANSWERSMaintain low
intermittent suction
A nurse is assessing a client who has a chest tube connected to a closed water seal
drainage system which of the following findings should the nurse report to the provider -
ANSWERSCONSTANT BUBBLING IN THE WATER SEAL CHAMBER.
, - Constant bubbling in the water seal chamber can be an indication of an air leak, which
is caused by a disruption in the system such as a loose connection. Pulmonary air leaks
create intermittent bubbling that is synchronous with respiration. This finding should be
reported to the provider immediately.
A nurse is providing teaching for a client who has neutropenia and is receiving
chemotherapy, which of the following client statements, indicates an understanding of
the teaching? Select all that apply. - ANSWERSI will avoid crowds, and I will take my
temperature daily
I nurse is preparing to administer propranolol to several clients. For which of the
following clients to the nurse clarify the prescription with the provider before
administration. - ANSWERSA client has a history of asthma
Nurses analyzing the ABG results of a client who is in respiratory acidosis, which of the
following mechanisms to the nurse, identify as responsible for this acid-base imbalance
- ANSWERSRetention of carbon dioxide
A nurse is planning care for a client who is tuberculosis which of the following
precautions should the nurse implement for this client - ANSWERSAirborne precautions
A nurse is caring for a client who is three hours, post operative, and exhibiting signs of
hypokalemia which of the following findings. Should the nurse identify as a
manifestation of hypovolemia. - ANSWERSRapid pulse rate
A nurse is caring for a client who has a prescription for lactated ringers by continuous IV
infusion to replace output from an NG tube which of the following findings should
indicate to the nurse that this therapy is effective - ANSWERSA urine specific gravity of
1.020
A nursing emergency department is caring for a client who's confused, has a
temperature of 104°F, a blood pressure of 74/52 and a diagnosis of exertional heat
stroke which of the following action should the nurse take first - ANSWERSAdminister
oxygen using a high concentration mask
A nurse is caring for a client who has a chronic venous insufficiency, which of the
following areas should the nurse assessed for the presence of a venous ulcer -
ANSWERSA, is correct
A nurse is providing teaching to a client about strategies to manage menopausal
symptoms which of the following instruction should the nurse include in the teaching -
ANSWERSUse water based lubricant during intercourse to reduce discomfort
