ATI Basic Care and Comfort Exam Questions and Answers

ATI Basic Care and Comfort Exam Questions and Answers A nurse is completing the 8-hr I&O for a client who consumed 4 oz of clear soda, 1 piece of toast, 12 oz of water, 1 cup of fruit-flavored gelatin, and 1/2 cup of chicken broth. The client also received 300 mL of 0.9% sodium chloride IV. The nurse should record how many mL of intake on the client's record? - Answer-1,140 mL A nurse is administering a cold therapy application to a client. Which of the following manifestations should the nurse identify as an indication for discontinuing the application due to a systemic response? - Answer-Shivering A nurse is caring for a client who requires cold application with an ice bag to reduce swelling and pain of an ankle injury. Which of the following should the nurse take? - Answer-Apply the bag for 30 min at a time. A change nurse observes a nurse administer intermittent tube feedings via an NG tube to a client. Which of the following actions should prompt the charge nurse to intervene? - Answer-The nurse allows the client to rest in a supine position during feeding A nurse is discharging a client who came to the outpatient clinic with an ankle sprain. Which of the following statements should the nurse identify as an indication that the client understands the discharge instructions? - Answer-I'll apply ice to my ankle today and tomorrow. A nurse is completing an 8-hr I&O record for a client who consumed 4 oz juice, 6 oz hot tea, 100 mL ice chips, an IV bolus of 150mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record? - Answer-740mL A nurse is teaching an older adult client who has left-sided weakness about cane use. Which of the following instructions should the nurse include? - Answer-When walking, move your left foot forward first. A nurse is calculating a client's intake and output for an 8-hr shift. The client's intake included 1,00mL 0.9% sodium chloride IV, one 6-oz cup of coffee, 6 oz of water, one 180-mL bowl of soup; 3 oz of flavored gelatin, and 3 oz of ice cream. How many mL should the nurse document as the client's total intake for the shift? - Answer-1,720mL A nurse on a medical unit is assessing four clients for urinary retention. Which of the following clients have manifestations of urinary retention? - Answer-A client who reports urinary frequency A client tells the nurse that he suspects that he grinds his teeth at night. The nurse should explain that the client should see a dentist for this problem, which she should document as which of the follwing disorders? - Answer-Bruxism A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse implement to prevent the development of skin breakdown? - Answer-Apply a moisture barrier ointment to the client's skin. A nurse is preparing to instill 840mL of enteral nutrition via a client's gastronomy tube over 24 hr using an infusion pump. The nurse should set the infusion pump to deliver how many mLhr? - Answer-35mL/hr A nurse is teaching a client who has a new second-degree ankle sprain. Which of the following instructions should the nurse include in the teaching? - Answer--Elevate the affected ankle above the level of the heart -Apply a heating pad intermittently to the affected ankle after 48 hr -Wrap the affected ankle with an elasticized compression bandage test -Apply intermittent ice to the affected ankle for the first 48 hr A nurse in a long-term care facility is caring for an older adult client who has dementia and begins to have frequent episodes of urinary incontinence. After the provider determines no medical cause for the client's incontinence, which of the following interventions should the nurse initiate to manage this behavior? - Answer-Take the client to the bathroom every 2hr A nurse is planning care for a client who is receiving enteral tube feedings through an NG tube. Which of the following actions should the nurse plan to take first? - Answer- Aspirate the client's stomach contents A nurse is teaching a client about foods that are included on a clear liquid diet. Which of the following food choices made by the client indicates the need for further teaching? - Answer-Yogurt A nurse is measuring a client for knee-high antiembolic stockings to help prevent venous statis. Which of the following actions should the nurse take? - Answer-Measure from the heel to the popliteal space A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? - Answer-Use a transfer device to lift the client up in bed