STUVIA 2024/2025
ATI NCLEX Challenge 5
- check peripheral pulses in the affected extremity
- keep the client's hip and leg extended
-have the client remain in bed up to 6 hr - ✔✔A nurse is caring for a client who just had a cardiac
catherization. Which of the following nursing interventions should the nurse include in the client's plan
of care? (Select all that apply).
"I am going to take a stress management class" - ✔✔A nurse is reviewing discharge instructions with
a client who has Raynaud's disease. Which of the following client statements indicates an
understanding of the teaching?
"I eat two eggs for breakfast each morning" - ✔✔A nurse is reviewing the laboratory results for a
client who has a history of atherosclerosis and notes elevated cholesterol levels. Which of the
following statements by the client indicates the nurse should plan follow-up teaching on a
low-cholesterol diet?
"I feel nauseated and have no appetite" - ✔✔A nurse is caring for a client who has heart failure and
a prescription for digoxin. Which of the following statements by the client indicates an adverse effect
of the medication?
%
"I may eat 10 ounces of lean protein each day" - ✔✔A nurse is providing teaching about a heart
healthy diet to a group of clients with hypertension. Which of the following statements by one of the
clients indicates a need for further teaching?
"I plan to slow down if I am tired the day after exercising" - ✔✔A nurse is providing discharge
instructions for a client who has congestive heart failure. Which of the following client statements
indicates to the nurse that the teaching was effective?
"I will take my medications at the first sign of an attack" - ✔✔A nurse is instructing a client who has a
new diagnosis of Raynaud's disease about preventing the onset of manifestations. Which of the
following client statements should indicate to the nurse the need for additional teaching?
"I'll take my heart medications the morning of my test." - ✔✔A nurse is caring for a client who is
scheduled for an exercise stress test. Which of the following comments made by the client should
indicate to the nurse that the client requires further testing?
"Increasing my intake of foods containing trans-fatty acids can lower my risk." - ✔✔A nurse is
providing teaching to a client about interventions to reduce the risk of developing cardiovascular
stuvia
, STUVIA 2024/2025
disease. Which of the following statements by the client should indicate to the nurse the need for
further teaching?
"Monitor for leg cramps" - ✔✔A client is teaching a client who has a new prescription for
hydrochlorothiazide for management of hypertension. Which of the following instructions should the
nurse include?
"Use elastic stockings" - ✔✔A nurse is teaching a client who has a new diagnosis of venous
insufficiency. Which of the following instructions should the nurse include?
"You seem upset about taking your blood pressure medication" - ✔✔A nurse is caring for a client
who has hypertension and is afraid to take his blood pressure medication. Which of the following
nursing statements is an example of therapeutic communication response of reflection?
5th intercostal space and to the left of the sternum. - ✔✔A nurse is performing a cardiac
assessment. Identify where the nurse should place the stethoscope to auscultate the client's apical
pulse.
A slice of cheese - ✔✔A nurse is teaching a client about snacks that are appropriate on a low-fat,
low-sodium, and low-cholesterol diet. Which of the following food choices by the client indicates the
%
need for further teaching?
Adjust the thermostat so the environment is warm. - ✔✔A nurse is providing discharge teaching to a
client who has a peripheral arterial disease (PAD). Which of the following instructions should the
nurse include in the teaching?
Asthma - ✔✔A nurse is caring for a client who has hypertension and asks the nurse about a
prescription for propranolol. The nurse should inform the client that this medication is contraindicated
in clients who have a history of which of the following conditions?
breath sounds, weight, oxygen saturation, blood pressure - ✔✔A nurse is caring for a client who has
heart failure. A nurse is reviewing the assessment finding for the client on day 4. Which of the
following findings requires further action?
Breathlessness - ✔✔A nurse is caring for a client who has valvular heart disease and is at risk for
developing left-sided heart failure. Which of the following manifestations should alert the nurse the
client is developing this condition?
stuvia
ATI NCLEX Challenge 5
- check peripheral pulses in the affected extremity
- keep the client's hip and leg extended
-have the client remain in bed up to 6 hr - ✔✔A nurse is caring for a client who just had a cardiac
catherization. Which of the following nursing interventions should the nurse include in the client's plan
of care? (Select all that apply).
"I am going to take a stress management class" - ✔✔A nurse is reviewing discharge instructions with
a client who has Raynaud's disease. Which of the following client statements indicates an
understanding of the teaching?
"I eat two eggs for breakfast each morning" - ✔✔A nurse is reviewing the laboratory results for a
client who has a history of atherosclerosis and notes elevated cholesterol levels. Which of the
following statements by the client indicates the nurse should plan follow-up teaching on a
low-cholesterol diet?
"I feel nauseated and have no appetite" - ✔✔A nurse is caring for a client who has heart failure and
a prescription for digoxin. Which of the following statements by the client indicates an adverse effect
of the medication?
%
"I may eat 10 ounces of lean protein each day" - ✔✔A nurse is providing teaching about a heart
healthy diet to a group of clients with hypertension. Which of the following statements by one of the
clients indicates a need for further teaching?
"I plan to slow down if I am tired the day after exercising" - ✔✔A nurse is providing discharge
instructions for a client who has congestive heart failure. Which of the following client statements
indicates to the nurse that the teaching was effective?
"I will take my medications at the first sign of an attack" - ✔✔A nurse is instructing a client who has a
new diagnosis of Raynaud's disease about preventing the onset of manifestations. Which of the
following client statements should indicate to the nurse the need for additional teaching?
"I'll take my heart medications the morning of my test." - ✔✔A nurse is caring for a client who is
scheduled for an exercise stress test. Which of the following comments made by the client should
indicate to the nurse that the client requires further testing?
"Increasing my intake of foods containing trans-fatty acids can lower my risk." - ✔✔A nurse is
providing teaching to a client about interventions to reduce the risk of developing cardiovascular
stuvia
, STUVIA 2024/2025
disease. Which of the following statements by the client should indicate to the nurse the need for
further teaching?
"Monitor for leg cramps" - ✔✔A client is teaching a client who has a new prescription for
hydrochlorothiazide for management of hypertension. Which of the following instructions should the
nurse include?
"Use elastic stockings" - ✔✔A nurse is teaching a client who has a new diagnosis of venous
insufficiency. Which of the following instructions should the nurse include?
"You seem upset about taking your blood pressure medication" - ✔✔A nurse is caring for a client
who has hypertension and is afraid to take his blood pressure medication. Which of the following
nursing statements is an example of therapeutic communication response of reflection?
5th intercostal space and to the left of the sternum. - ✔✔A nurse is performing a cardiac
assessment. Identify where the nurse should place the stethoscope to auscultate the client's apical
pulse.
A slice of cheese - ✔✔A nurse is teaching a client about snacks that are appropriate on a low-fat,
low-sodium, and low-cholesterol diet. Which of the following food choices by the client indicates the
%
need for further teaching?
Adjust the thermostat so the environment is warm. - ✔✔A nurse is providing discharge teaching to a
client who has a peripheral arterial disease (PAD). Which of the following instructions should the
nurse include in the teaching?
Asthma - ✔✔A nurse is caring for a client who has hypertension and asks the nurse about a
prescription for propranolol. The nurse should inform the client that this medication is contraindicated
in clients who have a history of which of the following conditions?
breath sounds, weight, oxygen saturation, blood pressure - ✔✔A nurse is caring for a client who has
heart failure. A nurse is reviewing the assessment finding for the client on day 4. Which of the
following findings requires further action?
Breathlessness - ✔✔A nurse is caring for a client who has valvular heart disease and is at risk for
developing left-sided heart failure. Which of the following manifestations should alert the nurse the
client is developing this condition?
stuvia
