ATI NCLEX Remediation: Quiz 1 Exam QUESTIONS AND ANSWERS
(LATEST UPDATE 2024) ALREADY PASSED
A client is being discharged home after a routine hip replacement
surgery. The nurse is instructing the client on how to prevent
postoperative complications. What statements by the client would indicate
the need for further teaching? Select all that apply. - ✔✔✔-"Avoiding
pain medication will prevent constipation."
"I should drink plenty of liquids like iced tea or coffee."
"Limiting fiber is necessary to avoid diarrhea."
The nurse is caring for a Vietnamese client diagnosed with tuberculosis.
The client speaks limited English. What should the nurse do to ensure the
client and family receives the most accurate information? Select all that
apply. - ✔✔✔-Provide culturally sensitive education.
Encourage family members to obtain a tuberculosis skin test.
, Urge all family and close contact community members to seek and
complete treatment to enhance compliance.
Rationale: As always, the nurse must provide culturally sensitive
education. Because tuberculosis is highly contagious, all family members
and close community members should have a tuberculosis skin test, seek
treatment, and remain compliant. A full course of 6-9 months of
treatment is needed to prevent re-infection. Instructions written in
English are not helpful for the client with limited English skills. Washing
dishes by hand is not the best way to prevent infection; rather a
dishwasher should be used if available.
Test Taking Strategy: Focus on the strategic word most to select correct
options that relate to appropriate teaching for both the client and family
members. Also, focusing on the data in the question will assist in
answering. Review: Tuberculosis
The nurse educator is presenting a lecture on child neglect. Which
statement by one of the students indicates that the teaching has been
effective? Select all that apply. - ✔✔✔-"Neglected children often have
learning problems and low self-esteem."
"Neglect is parental failure to meet a child's basic needs."
,"A sign of neglect are bruises on the child's body."
"Neglect occurs when a parent does not seek medical attention for a sick
child."
The nurse is obtaining the medical history from an older client with a
black eye and bruising to the head. The nurse suspects that the client has
been abused, and that there may be a history of abuse. Which statement
by the client indicates the need for further questioning by a social
worker? Select all that apply. - ✔✔✔-"I tripped over a rug and now I
have a black eye."
"Sometimes my grandson becomes angry with me when I can't give him
money."
"Perhaps I somehow did this to myself."
"Well, I don't remember anything that would have caused the injuries."
Rationale: There are certain elements in the medical history that raise
concern for physical abuse. Perpetrators may provide a history of events
that are incomplete or inconsistent with injuries seen. Many individuals
who experience interpersonal violence are unable or afraid to provide an
accurate account of events. Often individuals will provide a history of
trauma that is inconsistent with the physical examination. It is unlikely
that these injuries were self-inflicted or the result of tripping over a rug.
, Having no recollection of how an injury occurred should be an alert to the
nurse, as well as statements that another person caused the injury. The
nurse should immediately report this to a health care provider and the
social worker so that proper intervention and follow-up can be arranged.
A car accident with air bag deployment could reasonably cause the
injuries to the client. The nurse should continue on with assessment,
treatment and arrange follow-up care for the client.
Test-Taking Strategy: Focus on the subject, "abuse to an older client".
Determine which statements made by the client would indicate that abuse
may be occurring. Abuse individuals often make statements that do not
correlate with injuries. Eliminate option 3, because air bag deployment
could have caused the client's injuries. Review: Signs of abuse in the older
client.
The nurse is meeting with an older client who was brought into the health
care facility for evaluation. According to the family member, the client has
lost a large amount of weight recently and does not eat much. Which
actions would be the most important for the nurse to take? Select all that
apply. - ✔✔✔-Assess the client's eyesight.
Assess the client for mental status changes.
Determine the fit of the client's dentures.
Obtain a list of the client's medications.
(LATEST UPDATE 2024) ALREADY PASSED
A client is being discharged home after a routine hip replacement
surgery. The nurse is instructing the client on how to prevent
postoperative complications. What statements by the client would indicate
the need for further teaching? Select all that apply. - ✔✔✔-"Avoiding
pain medication will prevent constipation."
"I should drink plenty of liquids like iced tea or coffee."
"Limiting fiber is necessary to avoid diarrhea."
The nurse is caring for a Vietnamese client diagnosed with tuberculosis.
The client speaks limited English. What should the nurse do to ensure the
client and family receives the most accurate information? Select all that
apply. - ✔✔✔-Provide culturally sensitive education.
Encourage family members to obtain a tuberculosis skin test.
, Urge all family and close contact community members to seek and
complete treatment to enhance compliance.
Rationale: As always, the nurse must provide culturally sensitive
education. Because tuberculosis is highly contagious, all family members
and close community members should have a tuberculosis skin test, seek
treatment, and remain compliant. A full course of 6-9 months of
treatment is needed to prevent re-infection. Instructions written in
English are not helpful for the client with limited English skills. Washing
dishes by hand is not the best way to prevent infection; rather a
dishwasher should be used if available.
Test Taking Strategy: Focus on the strategic word most to select correct
options that relate to appropriate teaching for both the client and family
members. Also, focusing on the data in the question will assist in
answering. Review: Tuberculosis
The nurse educator is presenting a lecture on child neglect. Which
statement by one of the students indicates that the teaching has been
effective? Select all that apply. - ✔✔✔-"Neglected children often have
learning problems and low self-esteem."
"Neglect is parental failure to meet a child's basic needs."
,"A sign of neglect are bruises on the child's body."
"Neglect occurs when a parent does not seek medical attention for a sick
child."
The nurse is obtaining the medical history from an older client with a
black eye and bruising to the head. The nurse suspects that the client has
been abused, and that there may be a history of abuse. Which statement
by the client indicates the need for further questioning by a social
worker? Select all that apply. - ✔✔✔-"I tripped over a rug and now I
have a black eye."
"Sometimes my grandson becomes angry with me when I can't give him
money."
"Perhaps I somehow did this to myself."
"Well, I don't remember anything that would have caused the injuries."
Rationale: There are certain elements in the medical history that raise
concern for physical abuse. Perpetrators may provide a history of events
that are incomplete or inconsistent with injuries seen. Many individuals
who experience interpersonal violence are unable or afraid to provide an
accurate account of events. Often individuals will provide a history of
trauma that is inconsistent with the physical examination. It is unlikely
that these injuries were self-inflicted or the result of tripping over a rug.
, Having no recollection of how an injury occurred should be an alert to the
nurse, as well as statements that another person caused the injury. The
nurse should immediately report this to a health care provider and the
social worker so that proper intervention and follow-up can be arranged.
A car accident with air bag deployment could reasonably cause the
injuries to the client. The nurse should continue on with assessment,
treatment and arrange follow-up care for the client.
Test-Taking Strategy: Focus on the subject, "abuse to an older client".
Determine which statements made by the client would indicate that abuse
may be occurring. Abuse individuals often make statements that do not
correlate with injuries. Eliminate option 3, because air bag deployment
could have caused the client's injuries. Review: Signs of abuse in the older
client.
The nurse is meeting with an older client who was brought into the health
care facility for evaluation. According to the family member, the client has
lost a large amount of weight recently and does not eat much. Which
actions would be the most important for the nurse to take? Select all that
apply. - ✔✔✔-Assess the client's eyesight.
Assess the client for mental status changes.
Determine the fit of the client's dentures.
Obtain a list of the client's medications.
