©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
ATI NUR 2241 LP4 Exam Questions With
Correct Answers
A nurse is caring for an older adult client who has a WBC count of 2000/mm³ after three rounds
of chemotherapy. Which of the following actions should the nurse take?
a. Humidify the client's room
b. Serve cooked fruit with meals
c. Clean dentures in a denture cup
d. Replace the water in flower vases with fresh water daily. - answer✔b. Serve cooked fruit with
meals
A nurse accidentally sticks her hand with a syringe needle after administering an IM injection to
a client. Which of the following actions should the nurse take first?
a. Report the incident to the charge nurse
b. Wash the area of the puncture thoroughly with soap and water
c. Complete an incident report
d. Go to employee health services - answer✔b. Wash the area of the puncture thoroughly with
soap and water
A nurse has completed care procedures for a client who requires airborne precautions. Which
of the following items of personal protective equipment (PPE) should the nurse remove first?
a. Mask
b. Gloves
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, ©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
c. Gown
d. Goggles - answer✔b. Gloves
A nurse is caring for a client who has a disposable three-chamber chest tube in place. Which of
the following findings should indicate to the nurse that the client is experiencing a
complication?
a. Continuous bubbling in the water-seal chamber
b. Occasional bubbling in the water-seal chamber
c. Constant bubbling in the suction-control chamber
d. Fluctuations in the fluid level in the water-seal chamber - answer✔a. Continuous bubbling in
the water-seal chamber
A nurse is assessing a client who has chronic respiratory insufficiency. Which of the following
findings should the nurse expect as result of the long-term inadequate oxygenation?
a. Restlessness
b. Retractions
c. Dependent edema
d. Clubbing of the fingers - answer✔d. Clubbing of the fingers
A nurse in the PACU is assessing a client who has an endotracheal (ET) tube in place and
observes the absence of left-sided chest wall expansion upon respiration. Which of the
following complications should the nurse suspect?
a. Blockage of the ET tube by the client's tongue
b. Passage of the ET tube into the esophagus
c. Movement of the ET tube into the right main bronchus
d. Infection of the vocal cords - answer✔c. Movement of the ET tube into the right main
bronchus
2|Page
11/16/2024 10:16 AM
ATI NUR 2241 LP4 Exam Questions With
Correct Answers
A nurse is caring for an older adult client who has a WBC count of 2000/mm³ after three rounds
of chemotherapy. Which of the following actions should the nurse take?
a. Humidify the client's room
b. Serve cooked fruit with meals
c. Clean dentures in a denture cup
d. Replace the water in flower vases with fresh water daily. - answer✔b. Serve cooked fruit with
meals
A nurse accidentally sticks her hand with a syringe needle after administering an IM injection to
a client. Which of the following actions should the nurse take first?
a. Report the incident to the charge nurse
b. Wash the area of the puncture thoroughly with soap and water
c. Complete an incident report
d. Go to employee health services - answer✔b. Wash the area of the puncture thoroughly with
soap and water
A nurse has completed care procedures for a client who requires airborne precautions. Which
of the following items of personal protective equipment (PPE) should the nurse remove first?
a. Mask
b. Gloves
1|Page
, ©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
c. Gown
d. Goggles - answer✔b. Gloves
A nurse is caring for a client who has a disposable three-chamber chest tube in place. Which of
the following findings should indicate to the nurse that the client is experiencing a
complication?
a. Continuous bubbling in the water-seal chamber
b. Occasional bubbling in the water-seal chamber
c. Constant bubbling in the suction-control chamber
d. Fluctuations in the fluid level in the water-seal chamber - answer✔a. Continuous bubbling in
the water-seal chamber
A nurse is assessing a client who has chronic respiratory insufficiency. Which of the following
findings should the nurse expect as result of the long-term inadequate oxygenation?
a. Restlessness
b. Retractions
c. Dependent edema
d. Clubbing of the fingers - answer✔d. Clubbing of the fingers
A nurse in the PACU is assessing a client who has an endotracheal (ET) tube in place and
observes the absence of left-sided chest wall expansion upon respiration. Which of the
following complications should the nurse suspect?
a. Blockage of the ET tube by the client's tongue
b. Passage of the ET tube into the esophagus
c. Movement of the ET tube into the right main bronchus
d. Infection of the vocal cords - answer✔c. Movement of the ET tube into the right main
bronchus
2|Page
