ATI practice tests a & b questions and solutions
a nurse is evaluating a client's use of a cane. which of the following actions should the nurse identify as an indication of
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
correct use? - answersthe client holds the cane on the stronger side of her body
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse receives report about a client who has 0.9% sodium chloride infusing IV at 125 mL/hr. when the nurse performs t
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
initial assessment, he notes that the client has received only 80 mL over the last 2 hr. which of the following actions shou
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the nurse take first? - answerscheck the IV tubing for obstruction
mi mi mi mi mi mi mi mi mi mi mi
a nurse is caring for a client who requires an NG tube for stomach decompression. which of the following actions should
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the nurse take when inserting the NG tube? - answershave the client take sips of water to promote insertion of the NG tu
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
into the esophagus
mi mi mi
a nurse is reviewing a client's fluid and electrolyte status. which of the following findings should the nurse report to the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
provider? - answerspotassium 5.4 mEq/L
mi mi mi mi mi
a nurse is providing discharge instructions to a client who will be using a walker. which of the following client statements
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
indicates an understanding of the teaching? - answers"I will hire someone to trim the tree that hangs low over the stairs o
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
my front porch"
mi mi mi
a nurse is planning care for a client who has had a stroke, resulting in aphasia and dysphagia. which of the following task
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
should the nurse assign to an assistive personnel (AP)? select all that apply: - answers- assist the client with a partial be
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
bath
mi mi
- measure the client's BP after the nurse administers and antihypertensive medication
mi mi mi mi mi mi mi mi mi mi mi
- use a communication board to ask what the client wants for lunch
mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. which of the following
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
actions should the nurse take? - answersreassure the client that this is an expected response to grief
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury. which of the following types of
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
dressing should the nurse use? - answershydrocolloid
mi mi mi mi mi mi mi
a nurse is administering an otic medication to an older adult client. which of the following actions should the nurse take to
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
ensure that the medication reaches the inner ear? - answerspress gently on the tragus of the client's ear
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. which of the following action
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
should the nurse take? - answerssubtract the amount of irritant used from the client's urine output
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. which of the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
following precautions should the nurse plan for this client? - answersmake sure the client wears a mask when outside he
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
room if there is construction in the area
mi mi mi mi mi mi mi mi
a nurse is auscultating the anterior chest of a client who was newly admitted to a medical-surgical unit. listen to the audio
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
clip of what the nurse auscultates through the stethoscope and identify the type of breath sounds. (listen) -
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
answersnormal breath sounds
mi mi mi
1 / mimimimimimimimimimimimimimimimi
9
mimimimimimimimimimimimimimimimi
,a nurse is planning strategies to manage time effectively for client care. which of the following strategies should the nurs
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
implement? - answersuse the planning step of the nursing process to prioritize client care delivery
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of thigh-length
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
sequential compression sleeves. which of the following actions should the nurse take? - answersmake sure two fingers
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
can fit under the sleeves
mi mi mi mi mi
a nurse is caring for a client who has a respiratory infection. which of the following techniques should the nurse use when
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
performing nasotracheal suctioning for the client? - answersapply intermittent suction when withdrawing the catheter
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is assessing a client who reports increased pain following physical therapy. which of the following questions
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
should the nurse ask when assessing the quality of the client's pain? - answers"is your pain sharp or dull?"
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is providing discharge teaching to a client about self-administering heparin. which of the following instructions
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
should the nurse include in the teaching? - answersadminister the medication into the abdomen
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse in a long-term care facility is caring for a client who dies during the nurse's shift. identify the sequence in which th
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
nurse should perform the following steps - answers1. obtain the pronouncement of death from the provider
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
2. remove tubes and indwelling lines
mi mi mi mi mi mi
3. wash the client's body
mi mi mi mi mi
4. ask the client's family members if they would like to view the body
mi mi mi mi mi mi mi mi mi mi mi mi mi
5. place a name tag on the body
mi mi mi mi mi mi mi
a nurse is teaching a client and his family how to care for the client's tracheostomy at home. which of the following
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
instructions should the nurse include in the teaching? - answersuse tracheostomy covers when outdoors
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is caring for a client who has a terminal illness and is approaching death. the client is short of breath and has nois
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
respirations from secretions in their airway. which of the following actions should the nurse take? - answersturn the clien
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
every 2 hr
mi mi mi
a nurse is caring for a child who has a prescription for a blood transfusion. the child's parents have refused the treatment
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
due to their religious beliefs. which of the following actions should the nurse take? - answersexamine personal values
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
about the issue
mi mi mi
a nurse is preparing to administer enoxaparin subcutaneously to a client. which of the following actions should the nurse
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
take? - answersadminister the medication with the needle at a 45 degree angle
mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is admitting a client who is having an exacerbation of heart failure. in planning this client's care, when should the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
nurse initiate discharge planning? - answersduring the admission process
mi mi mi mi mi mi mi mi mi
a nurse is assessing a client who has required bed rest for the past month. which of the following findings should the nurs
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
identify as an indication that the client has developed thrombophlebitis? - answerscalf swelling
mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is caring for a client who has dementia. which of the following interventions should the nurse take to minimize the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
risk for injury to the client? - answersuse a bed exit alarm system
mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is assessing an older adult client's risk for falls. which of the following assessments should the nurse use to ident
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the client's safety needs? (select all that apply) - answers- pupil clarity
mi mi mi mi mi mi mi mi mi mi mi mi
- visual fields
mi mi
- visual acuity
mi mi
2 / mimimimimimimimimimimimimimimimi
9
mimimimimimimimimimimimimimimimi
a nurse is evaluating a client's use of a cane. which of the following actions should the nurse identify as an indication of
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
correct use? - answersthe client holds the cane on the stronger side of her body
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse receives report about a client who has 0.9% sodium chloride infusing IV at 125 mL/hr. when the nurse performs t
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
initial assessment, he notes that the client has received only 80 mL over the last 2 hr. which of the following actions shou
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the nurse take first? - answerscheck the IV tubing for obstruction
mi mi mi mi mi mi mi mi mi mi mi
a nurse is caring for a client who requires an NG tube for stomach decompression. which of the following actions should
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the nurse take when inserting the NG tube? - answershave the client take sips of water to promote insertion of the NG tu
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
into the esophagus
mi mi mi
a nurse is reviewing a client's fluid and electrolyte status. which of the following findings should the nurse report to the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
provider? - answerspotassium 5.4 mEq/L
mi mi mi mi mi
a nurse is providing discharge instructions to a client who will be using a walker. which of the following client statements
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
indicates an understanding of the teaching? - answers"I will hire someone to trim the tree that hangs low over the stairs o
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
my front porch"
mi mi mi
a nurse is planning care for a client who has had a stroke, resulting in aphasia and dysphagia. which of the following task
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
should the nurse assign to an assistive personnel (AP)? select all that apply: - answers- assist the client with a partial be
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
bath
mi mi
- measure the client's BP after the nurse administers and antihypertensive medication
mi mi mi mi mi mi mi mi mi mi mi
- use a communication board to ask what the client wants for lunch
mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. which of the following
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
actions should the nurse take? - answersreassure the client that this is an expected response to grief
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury. which of the following types of
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
dressing should the nurse use? - answershydrocolloid
mi mi mi mi mi mi mi
a nurse is administering an otic medication to an older adult client. which of the following actions should the nurse take to
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
ensure that the medication reaches the inner ear? - answerspress gently on the tragus of the client's ear
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. which of the following action
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
should the nurse take? - answerssubtract the amount of irritant used from the client's urine output
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. which of the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
following precautions should the nurse plan for this client? - answersmake sure the client wears a mask when outside he
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
room if there is construction in the area
mi mi mi mi mi mi mi mi
a nurse is auscultating the anterior chest of a client who was newly admitted to a medical-surgical unit. listen to the audio
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
clip of what the nurse auscultates through the stethoscope and identify the type of breath sounds. (listen) -
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
answersnormal breath sounds
mi mi mi
1 / mimimimimimimimimimimimimimimimi
9
mimimimimimimimimimimimimimimimi
,a nurse is planning strategies to manage time effectively for client care. which of the following strategies should the nurs
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
implement? - answersuse the planning step of the nursing process to prioritize client care delivery
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of thigh-length
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
sequential compression sleeves. which of the following actions should the nurse take? - answersmake sure two fingers
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
can fit under the sleeves
mi mi mi mi mi
a nurse is caring for a client who has a respiratory infection. which of the following techniques should the nurse use when
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
performing nasotracheal suctioning for the client? - answersapply intermittent suction when withdrawing the catheter
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is assessing a client who reports increased pain following physical therapy. which of the following questions
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
should the nurse ask when assessing the quality of the client's pain? - answers"is your pain sharp or dull?"
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is providing discharge teaching to a client about self-administering heparin. which of the following instructions
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
should the nurse include in the teaching? - answersadminister the medication into the abdomen
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse in a long-term care facility is caring for a client who dies during the nurse's shift. identify the sequence in which th
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
nurse should perform the following steps - answers1. obtain the pronouncement of death from the provider
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
2. remove tubes and indwelling lines
mi mi mi mi mi mi
3. wash the client's body
mi mi mi mi mi
4. ask the client's family members if they would like to view the body
mi mi mi mi mi mi mi mi mi mi mi mi mi
5. place a name tag on the body
mi mi mi mi mi mi mi
a nurse is teaching a client and his family how to care for the client's tracheostomy at home. which of the following
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
instructions should the nurse include in the teaching? - answersuse tracheostomy covers when outdoors
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is caring for a client who has a terminal illness and is approaching death. the client is short of breath and has nois
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
respirations from secretions in their airway. which of the following actions should the nurse take? - answersturn the clien
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
every 2 hr
mi mi mi
a nurse is caring for a child who has a prescription for a blood transfusion. the child's parents have refused the treatment
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
due to their religious beliefs. which of the following actions should the nurse take? - answersexamine personal values
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
about the issue
mi mi mi
a nurse is preparing to administer enoxaparin subcutaneously to a client. which of the following actions should the nurse
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
take? - answersadminister the medication with the needle at a 45 degree angle
mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is admitting a client who is having an exacerbation of heart failure. in planning this client's care, when should the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
nurse initiate discharge planning? - answersduring the admission process
mi mi mi mi mi mi mi mi mi
a nurse is assessing a client who has required bed rest for the past month. which of the following findings should the nurs
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
identify as an indication that the client has developed thrombophlebitis? - answerscalf swelling
mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is caring for a client who has dementia. which of the following interventions should the nurse take to minimize the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
risk for injury to the client? - answersuse a bed exit alarm system
mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is assessing an older adult client's risk for falls. which of the following assessments should the nurse use to ident
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the client's safety needs? (select all that apply) - answers- pupil clarity
mi mi mi mi mi mi mi mi mi mi mi mi
- visual fields
mi mi
- visual acuity
mi mi
2 / mimimimimimimimimimimimimimimimi
9
mimimimimimimimimimimimimimimimi
