Swift River- ATI Questions and Answers
Latest Version Already Passed
What is the first action a nurse should take when a client reports chest pain during ambulation?
✔✔Stop the activity and assess the client's vital signs.
What is the appropriate nursing response when a postoperative client refuses to use the incentive
spirometer?
✔✔Educate the client on the importance of lung expansion and preventing pneumonia.
What is the priority intervention for a client experiencing shortness of breath and low oxygen
saturation?
✔✔Raise the head of the bed and apply oxygen as prescribed.
What is the most effective way to prevent infection in a client with an indwelling urinary
catheter?
✔✔Perform hand hygiene before and after catheter care.
What should a nurse do when a client with diabetes is diaphoretic and confused?
1
,✔✔Check the client’s blood glucose level immediately.
How should a nurse respond when a client states, "I don’t want to live anymore"?
✔✔Stay with the client and notify the healthcare provider immediately.
What is the first step in medication administration safety?
✔✔Verify the client’s identity using two identifiers.
What is the correct nursing action when a client is found lying on the floor?
✔✔Assess the client for injuries before moving them.
What is a priority nursing action when a confused client tries to remove their IV line?
✔✔Place mitt restraints and reorient the client frequently.
What is the best way to ensure a client understands discharge instructions?
✔✔Ask the client to repeat the instructions in their own words.
What should the nurse do when a client starts having a seizure?
2
,✔✔Protect the client’s head and turn them to the side.
How should a nurse assist a client who is at risk of falls when walking to the bathroom?
✔✔Use a gait belt and walk on the weaker side of the client.
What is the first intervention when a client develops hives after starting a new medication?
✔✔Stop the medication and notify the healthcare provider.
What should a nurse do when a client's IV site is red and swollen?
✔✔Stop the infusion and remove the IV catheter.
What is the most important nursing action for preventing pressure ulcers in an immobile client?
✔✔Reposition the client every two hours.
What should a nurse do when a client on oxygen complains of a dry nose?
✔✔Use a humidifier with the oxygen delivery system.
What is the nurse's next step if a client refuses a prescribed treatment?
3
, ✔✔Respect the client's decision and notify the healthcare provider.
What should a nurse do when a client’s pain is not relieved by medication?
✔✔Reassess the pain and report to the provider for alternative measures.
What is the best way to assess fluid balance in a client with heart failure?
✔✔Weigh the client daily at the same time.
What is the appropriate action if a client’s IV pump starts beeping during medication
administration?
✔✔Pause the pump and assess the IV site and tubing.
What is the best method to confirm correct placement of a nasogastric tube before feeding?
✔✔Check the pH of the gastric aspirate.
How should a nurse communicate with a hearing-impaired client?
✔✔Face the client and speak clearly without shouting.
4
Latest Version Already Passed
What is the first action a nurse should take when a client reports chest pain during ambulation?
✔✔Stop the activity and assess the client's vital signs.
What is the appropriate nursing response when a postoperative client refuses to use the incentive
spirometer?
✔✔Educate the client on the importance of lung expansion and preventing pneumonia.
What is the priority intervention for a client experiencing shortness of breath and low oxygen
saturation?
✔✔Raise the head of the bed and apply oxygen as prescribed.
What is the most effective way to prevent infection in a client with an indwelling urinary
catheter?
✔✔Perform hand hygiene before and after catheter care.
What should a nurse do when a client with diabetes is diaphoretic and confused?
1
,✔✔Check the client’s blood glucose level immediately.
How should a nurse respond when a client states, "I don’t want to live anymore"?
✔✔Stay with the client and notify the healthcare provider immediately.
What is the first step in medication administration safety?
✔✔Verify the client’s identity using two identifiers.
What is the correct nursing action when a client is found lying on the floor?
✔✔Assess the client for injuries before moving them.
What is a priority nursing action when a confused client tries to remove their IV line?
✔✔Place mitt restraints and reorient the client frequently.
What is the best way to ensure a client understands discharge instructions?
✔✔Ask the client to repeat the instructions in their own words.
What should the nurse do when a client starts having a seizure?
2
,✔✔Protect the client’s head and turn them to the side.
How should a nurse assist a client who is at risk of falls when walking to the bathroom?
✔✔Use a gait belt and walk on the weaker side of the client.
What is the first intervention when a client develops hives after starting a new medication?
✔✔Stop the medication and notify the healthcare provider.
What should a nurse do when a client's IV site is red and swollen?
✔✔Stop the infusion and remove the IV catheter.
What is the most important nursing action for preventing pressure ulcers in an immobile client?
✔✔Reposition the client every two hours.
What should a nurse do when a client on oxygen complains of a dry nose?
✔✔Use a humidifier with the oxygen delivery system.
What is the nurse's next step if a client refuses a prescribed treatment?
3
, ✔✔Respect the client's decision and notify the healthcare provider.
What should a nurse do when a client’s pain is not relieved by medication?
✔✔Reassess the pain and report to the provider for alternative measures.
What is the best way to assess fluid balance in a client with heart failure?
✔✔Weigh the client daily at the same time.
What is the appropriate action if a client’s IV pump starts beeping during medication
administration?
✔✔Pause the pump and assess the IV site and tubing.
What is the best method to confirm correct placement of a nasogastric tube before feeding?
✔✔Check the pH of the gastric aspirate.
How should a nurse communicate with a hearing-impaired client?
✔✔Face the client and speak clearly without shouting.
4
