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ATI NUR265 EXAM – Questions With Verified
Solutions
Save Groups
Terms in this set (87)
A nurse is caring for a client who is 24 Maintain abduction of the affected extremity
hours postop following a total hip
arthroplasty. Which of the following
action should the nurse take?
A nurse is providing teaching to a "You will not be able to eat or drink after the
client who is scheduled for a procedure until you are able to cough."
bronchoscopy. Which of the following
statements should the nurse include in - A client who had a bronchoscopy received a local
the teaching? 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 Contact the provider who will be performing the
understanding of a surgical procedure 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?
A nurse is providing discharge Consume a diet that is high in calories
teaching to a client who has COPD.
Which of the following instruction
should the nurse include in the
teaching?
,A nurse is providing teaching about Select desserts, such as angel food cake
dietary options for a client who has
cholithiasis which of the following
statements should the nurse include in
the teaching
A nurse is monitoring a client who has Increase in blood pressure from 130/80 to 180/100
a traumatic brain injury, which of the
following findings should the nurse
identify as a manifestation of Cushing's
triad
A nurse is teaching a client who has a I am aware that my diabetes is caused by an auto
new diagnosis of type one diabetes immune disorder
mellitus, which of the following
statement by the client indicates an
understanding of the teaching
A nurse is caring for a client who has a Maintain low intermittent suction
small bowel obstruction and an NG
tube in place which of the following
action should the nurse take
A nurse is assessing a client who has a CONSTANT BUBBLING IN THE WATER SEAL
chest tube connected to a closed CHAMBER.
water seal drainage system which of
the following findings should the - Constant bubbling in the water seal chamber can
nurse report to the provider 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 I will avoid crowds, and I will take my temperature
client who has neutropenia and is daily
receiving chemotherapy, which of the
following client statements, indicates
an understanding of the teaching?
Select all that apply.
, I nurse is preparing to administer A client has a history of asthma
propranolol to several clients. For
which of the following clients to the
nurse clarify the prescription with the
provider before administration.
Nurses analyzing the ABG results of a Retention of carbon dioxide
client who is in respiratory acidosis,
which of the following mechanisms to
the nurse, identify as responsible for
this acid-base imbalance
A nurse is planning care for a client Airborne precautions
who is tuberculosis which of the
following precautions should the
nurse implement for this client
A nurse is caring for a client who is Rapid pulse rate
three hours, post operative, and
exhibiting signs of hypokalemia which
of the following findings. Should the
nurse identify as a manifestation of
hypovolemia.
A nurse is caring for a client who has a A urine specific gravity of 1.020
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
A nursing emergency department is Administer oxygen using a high concentration mask
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
payment. benefits now
ATI NUR265 EXAM – Questions With Verified
Solutions
Save Groups
Terms in this set (87)
A nurse is caring for a client who is 24 Maintain abduction of the affected extremity
hours postop following a total hip
arthroplasty. Which of the following
action should the nurse take?
A nurse is providing teaching to a "You will not be able to eat or drink after the
client who is scheduled for a procedure until you are able to cough."
bronchoscopy. Which of the following
statements should the nurse include in - A client who had a bronchoscopy received a local
the teaching? 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 Contact the provider who will be performing the
understanding of a surgical procedure 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?
A nurse is providing discharge Consume a diet that is high in calories
teaching to a client who has COPD.
Which of the following instruction
should the nurse include in the
teaching?
,A nurse is providing teaching about Select desserts, such as angel food cake
dietary options for a client who has
cholithiasis which of the following
statements should the nurse include in
the teaching
A nurse is monitoring a client who has Increase in blood pressure from 130/80 to 180/100
a traumatic brain injury, which of the
following findings should the nurse
identify as a manifestation of Cushing's
triad
A nurse is teaching a client who has a I am aware that my diabetes is caused by an auto
new diagnosis of type one diabetes immune disorder
mellitus, which of the following
statement by the client indicates an
understanding of the teaching
A nurse is caring for a client who has a Maintain low intermittent suction
small bowel obstruction and an NG
tube in place which of the following
action should the nurse take
A nurse is assessing a client who has a CONSTANT BUBBLING IN THE WATER SEAL
chest tube connected to a closed CHAMBER.
water seal drainage system which of
the following findings should the - Constant bubbling in the water seal chamber can
nurse report to the provider 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 I will avoid crowds, and I will take my temperature
client who has neutropenia and is daily
receiving chemotherapy, which of the
following client statements, indicates
an understanding of the teaching?
Select all that apply.
, I nurse is preparing to administer A client has a history of asthma
propranolol to several clients. For
which of the following clients to the
nurse clarify the prescription with the
provider before administration.
Nurses analyzing the ABG results of a Retention of carbon dioxide
client who is in respiratory acidosis,
which of the following mechanisms to
the nurse, identify as responsible for
this acid-base imbalance
A nurse is planning care for a client Airborne precautions
who is tuberculosis which of the
following precautions should the
nurse implement for this client
A nurse is caring for a client who is Rapid pulse rate
three hours, post operative, and
exhibiting signs of hypokalemia which
of the following findings. Should the
nurse identify as a manifestation of
hypovolemia.
A nurse is caring for a client who has a A urine specific gravity of 1.020
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
A nursing emergency department is Administer oxygen using a high concentration mask
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
