Ati Comprehensive
Predictor Study This
One Latest Update
A nurse is providing discharge instructions to a client who has a prescription for
the use of oxygen in
his home. Which of the following should the nurse teach the client about using
oxygen safely in his
home? (Select all that apply.)
A. Family members who smoke must be at least 10 ft from the client when oxygen
is in use.
B. Nail polish should not be used near a client who is receiving oxygen.
C. A "No Smoking" sign should be placed on the front door.
D. Cotton bedding and clothing should be replaced with items made from wool.
E. A fire extinguisher should be readily available in the home. - ✔✔✔ANSWER-B
C
E
,A nurse is providing home safety instructions to a group of older adult clients.
Match the safety risk
with the appropriate instruction.
____ Passive smoking
____ Carbon monoxide poisoning
____ Food poisoning
A. Have water heaters inspected on an annual
basis.
B. Cook all meat at an appropriate temperature.
C. Avoid enclosed areas with others who may be
smoking. - ✔✔✔ANSWER-C
A
B
A nurse is providing teaching about a clear liquid diet. Which of the following
should the nurse instruct the client to avoid?
a) lemon-lime sports drinks
b) ginger ale
c) black coffee
d) orange sherbet - ✔✔✔ANSWER-D
a nurse is reinforcing a teaching on a client who has a prescription for verapamil (
calan) which of the following statement by the client indicated need further
teaching - ✔✔✔ANSWER-i should decrease the amount of calcium in my diet
while taking the medication
,A nurse is reinforcing teaching regarding the use of a cane to a client who has left-
leg weakness. Which of the following should the nurse include in the teaching?
a) use the cane on the weak side of the body
b) advance the cane and the atrong leg simultaneously
c) maintain two points of support on the floor
d) advance the cane 30 to 45 cm (12-18 in) with each step - ✔✔✔ANSWER-C
If a client develops cor pulmonale (right-sided heart failure), the nurse
would expect to observe
1. increasing respiratory difficulty seen with exertion.
2. cough productive of a large amount of thick, yellow mucus.
3. peripheral edema and anorexia.
4. twitching of extremities. - ✔✔✔ANSWER-3
. The nursing team includes two RNs, one LPN/LVN, and one nursing
assistant. The nurse should consider the assignments appropriate if the
nursing assistant is assigned to care for
1. a client with Alzheimer's requiring assistance with feeding.
2. a client with osteoporosis complaining of burning on urination.
3. a client with scleroderma receiving a tube feeding.
4. a client with cancer who has Cheyne-Stokes respirations. - ✔✔✔ANSWER-1
A 23-year-old man is admitted with a subdural hematoma and cerebral
edema after a motorcycle accident. Which of the following symptoms should
, the nurse expect to see INITIALLY?
1. Unequal and dilated pupils.
2. Decerebrate posturing.
3. Grand mal seizures.
4. Decreased level of consciousness. - ✔✔✔ANSWER-4
A 23-year-old woman at 32-weeks gestation is seen in the outpatient
clinic. Which of the following findings, if assessed by the nurse, would
indicate a possible complication?
1. The client's urine test is positive for glucose and acetone.
2. The client has 1+ pedal edema in both feet at the end of the day.
3. The client complains of an increase in vaginal discharge.
4. The client says she feels pressure against her diaphragm when the baby moves. -
✔✔✔ANSWER-1
A 38-year-old woman is returned to her room after a subtotal
thyroidectomy for treatment of hyperthyroidism. Which of the following, if
found by the nurse at the patient's bedside, is nonessential?
1. Potassium chloride for IV administration.
2. Calcium gluconate for IV administration.
3. Tracheostomy set-up.
4. Suction equipment. - ✔✔✔ANSWER-1
A 59-year-old woman with bipolar disorder is receiving haloperidol
(Haldol) 2 mg PO tid. She tells the nurse, "Milk is coming out of my
Predictor Study This
One Latest Update
A nurse is providing discharge instructions to a client who has a prescription for
the use of oxygen in
his home. Which of the following should the nurse teach the client about using
oxygen safely in his
home? (Select all that apply.)
A. Family members who smoke must be at least 10 ft from the client when oxygen
is in use.
B. Nail polish should not be used near a client who is receiving oxygen.
C. A "No Smoking" sign should be placed on the front door.
D. Cotton bedding and clothing should be replaced with items made from wool.
E. A fire extinguisher should be readily available in the home. - ✔✔✔ANSWER-B
C
E
,A nurse is providing home safety instructions to a group of older adult clients.
Match the safety risk
with the appropriate instruction.
____ Passive smoking
____ Carbon monoxide poisoning
____ Food poisoning
A. Have water heaters inspected on an annual
basis.
B. Cook all meat at an appropriate temperature.
C. Avoid enclosed areas with others who may be
smoking. - ✔✔✔ANSWER-C
A
B
A nurse is providing teaching about a clear liquid diet. Which of the following
should the nurse instruct the client to avoid?
a) lemon-lime sports drinks
b) ginger ale
c) black coffee
d) orange sherbet - ✔✔✔ANSWER-D
a nurse is reinforcing a teaching on a client who has a prescription for verapamil (
calan) which of the following statement by the client indicated need further
teaching - ✔✔✔ANSWER-i should decrease the amount of calcium in my diet
while taking the medication
,A nurse is reinforcing teaching regarding the use of a cane to a client who has left-
leg weakness. Which of the following should the nurse include in the teaching?
a) use the cane on the weak side of the body
b) advance the cane and the atrong leg simultaneously
c) maintain two points of support on the floor
d) advance the cane 30 to 45 cm (12-18 in) with each step - ✔✔✔ANSWER-C
If a client develops cor pulmonale (right-sided heart failure), the nurse
would expect to observe
1. increasing respiratory difficulty seen with exertion.
2. cough productive of a large amount of thick, yellow mucus.
3. peripheral edema and anorexia.
4. twitching of extremities. - ✔✔✔ANSWER-3
. The nursing team includes two RNs, one LPN/LVN, and one nursing
assistant. The nurse should consider the assignments appropriate if the
nursing assistant is assigned to care for
1. a client with Alzheimer's requiring assistance with feeding.
2. a client with osteoporosis complaining of burning on urination.
3. a client with scleroderma receiving a tube feeding.
4. a client with cancer who has Cheyne-Stokes respirations. - ✔✔✔ANSWER-1
A 23-year-old man is admitted with a subdural hematoma and cerebral
edema after a motorcycle accident. Which of the following symptoms should
, the nurse expect to see INITIALLY?
1. Unequal and dilated pupils.
2. Decerebrate posturing.
3. Grand mal seizures.
4. Decreased level of consciousness. - ✔✔✔ANSWER-4
A 23-year-old woman at 32-weeks gestation is seen in the outpatient
clinic. Which of the following findings, if assessed by the nurse, would
indicate a possible complication?
1. The client's urine test is positive for glucose and acetone.
2. The client has 1+ pedal edema in both feet at the end of the day.
3. The client complains of an increase in vaginal discharge.
4. The client says she feels pressure against her diaphragm when the baby moves. -
✔✔✔ANSWER-1
A 38-year-old woman is returned to her room after a subtotal
thyroidectomy for treatment of hyperthyroidism. Which of the following, if
found by the nurse at the patient's bedside, is nonessential?
1. Potassium chloride for IV administration.
2. Calcium gluconate for IV administration.
3. Tracheostomy set-up.
4. Suction equipment. - ✔✔✔ANSWER-1
A 59-year-old woman with bipolar disorder is receiving haloperidol
(Haldol) 2 mg PO tid. She tells the nurse, "Milk is coming out of my
