Health Assessment ATI Chapter Questions
With Correct Answers
By |the |second |postoperative |day, |a
client |has |not |achieved |satisfactory |pain
relief. |Based |on |this |evaluation, |which |of
the |following |actions |should |the |nurse
take, |according |to |the |nursing |process?
A. |Reassess |the |client |to
determine |the |reasons |for
inadequate |pain |relief.
B. |Wait |to |see |whether |the |pain
lessens |during |the |next |24 |hr.
C. |Change |the |plan |of |care
to |provide |different |pain
relief |interventions.
D. |Teach |the |client |about |the |plan
of |care |for |managing |his |pain. |- |CORRECT |ANSWER✔✔-A
A |charge |nurse |is |observing |newly |licensed |nurse |care |for |a |client |who |reports |pain. |The |nurse
|checked |the |client's |MAR |and |noted |the |last |dose |of |pain |medication |was |6 |hours |ago. |The |
prescription |reads |every |4hr |PRN |for |pain. |The |nurse |administered |the |medication |and |
checked |with |the |client |40 |min |later, |when |the |client |reported |improvement. |The |newly |
licensed |nurse |left |out |which |of |the |following |steps |of |the |nursing |process?
A. |Assessment
B. |Planning
C. |Intervention
,D. |Evaluation |- |CORRECT |ANSWER✔✔-A
A |charge |nurse |is |reviewing |the |steps |of |the |nursing |process |with |a |group |of |nurses. |Which |of |
the |following |data |should |the |charge |nurse |identify |as |objective |data? |(select |all |that |apply.)
A. |Respiratory |rate |is |22/min |with |even, |unlabored |respirations
B. |The |clients |partner |states, |"they |said |they |hurt |after |walking |about |10 |minutes".
C. |The |client's |pain |rating |is |3 |on |a |scale |from |0-10
D. |The |client's |skin |is |pink, |warm, |and |dry
E. |The |assistive |personnel |reports |that |the |client |walked |with |a |limp |- |CORRECT |ANSWER✔✔-
A,D,E
A |charge |nurse |is |talking |with |a |newly |licensed |nurse |and |is |reviewing |nursing |interventions |
that |do |not |require |a |provider's |prescription. |Which |of |the |following |interventions |should |the |
charge |nurse |include? |(Select |all |that |apply)
A. |writing |a |prescription |for |morphine
B. |inserting |a |nasogatric |(NG) |tube |to |relieve |gastric |distention
C. |Showing |a |client |how |to |use |progressive |muscle |relaxation
D. |Performing |a |daily |bath |after |the |evening |mail
E. |Repositioning |a |client |every |2 |hr |to |reduce |injury |risk |- |CORRECT |ANSWER✔✔-C,D,E
A |nurse |is |discussing |the |nursing |process |with |a |newly |licensed |nurse. |Which |of |the |following |
statements |by |the |newly |licensed |nurse |should |the |nurse |identify |as |appropriate |for |the |
planning |step |of |the |nursing |process?
A. |"I |will |determine |the |most |important |client |problems |that |we |should |address"
B. |"I |will |review |past |medical |history |on |the |client's |record |to |get |more |information."
C. |"I |will |carry |out |the |new |prescriptions |from |the |provider"
D. |"I |will |ask |the |client |if |their |nausea |has |resolved" |- |CORRECT |ANSWER✔✔-A
,A |nurse |is |caring |for |a |client |in |the |emergency |department |who |has |an |oral |body |temperature
|of |38.3 |C |(101 |F), |pulse |rate |114/min |and |respiratory |rate |22/min. |The |client |is |restless |with |
warm |skin. |Which |of |the |following |interventions |should |the |nurse |take? |Select |all |that |apply
A.Obtain |culture |specimens |before |initiating |antimicrobials
B. |Restrict |the |client's |oral |fluid |intake
C. |Encourage |the |client |to |rest |and |limit |activity
D. |Allow |the |client |to |shiver |to |dispel |excess |heat
E. |Assist |the |client |with |oral |hygiene |frequently |- |CORRECT |ANSWER✔✔-A,C,E
A |nurse |is |instructing |an |assistive |personnel |(AP) |about |caring |for |a |client |who |has |a |low |
platelet |count. |Which |of |the |following |instructions |is |the |priority |for |measuring |vital |signs |for |
this |client?
A. |" |Do |not |measure |the |client's |temperature |rectally"
B. |"Count |the |client's |radial |pulse |for |30 |seconds |and |multiply |it |by |2"
C. |"Do |not |let |the |client |know |you |are |counting |their |respirations"
D. |"Let |the |client |rest |for |5 |minutes |before |you |measure |their |blood |pressure" |- |CORRECT |
ANSWER✔✔-A
A |nurse |is |instructing |a |group |of |assistive |personnel |in |measuring |a |client's |respiratory |rate. |
which |of |the |following |guidelines |should |the |nurse |include? |(select |all |that |apply)
A. |place |the |client |in |semi-fowlers |position
B. |Have |the |client |rest |an |arm |across |the |abdomen
C. |Observe |one |full |respiratory |cycle |before |counting |the |rate
D. |Count |the |rate |for |30 |sec |if |it |is |irregular
E. |Count |and |report |any |signs |the |client |demonstrates |- |CORRECT |ANSWER✔✔-A,B,C
A |nurse |is |measuring |the |blood |pressure |of |a |client |who |has |a |fractured |femur. |The |blood |
pressure |reading |is |140/94, |and |the |client |denies |any |history |of |hypertension. |Which |of |the |
following |actions |should |the |nurse |take?
, A. |Request |the |prescription |for |an |antihypertensive |medication
B. |Ask |the |client |if |they |are |having |any |pain
C. |Request |a |prescription |for |an |antianxiety |medication
D. |Return |in |30 |mins |to |recheck |the |client's |blood |pressure |- |CORRECT |ANSWER✔✔-B
A |nurse |is |performing |an |admission |assessment |on |a |client. |The |nurse |determines |the |client's |
radial |pulse |rate |is |64/min |and |the |simultaneous |apical |pulse |rate |is |84/min. |What |is |the |
clients |pulse |deficit? |- |CORRECT |ANSWER✔✔-Apical |- |Radial
84 |- |16
= |16
a |nurse |is |caring |for |a |client |who |is |24 |hr |postoperative |following |an |inguinal |hernia |repair. |
The |client |is |tolerating |clear |liquids |well, |has |active |bowel |sounds, |and |is |expressing |a |desire |
for |"real |food". |The |nurse |is |tells |the |client, |"I |will |call |the |surgeon |and |ask |for |a |change |in |
diet". |The |surgeon |hears |the |nurse's |report |and |prescribes |a |full |liquid |diet. |The |nurse |used |
which |of |the |following |levels |of |critical |thinking?
A. |Basic
B. |Commitment
C. |Complex
D. |Integrity |- |CORRECT |ANSWER✔✔-A
A |nurse |receives |a |prescription |for |an |antibiotic |for |a |client |who |has |cellulitis. |The |nurse |
checks |the |client's |medical |record, |discovers |that |the |client |is |allergic |to |the |antibiotic, |and |
calls |the |provider |to |request |a |prescription |for |a |different |antibiotic. |Which |of |the |following |
critical |thinking |attitudes |did |the |nurse |demonstrate?
A. |Fairness
B. |Responsibility
C. |Risk-taking
D. |Creativity |- |CORRECT |ANSWER✔✔-B
With Correct Answers
By |the |second |postoperative |day, |a
client |has |not |achieved |satisfactory |pain
relief. |Based |on |this |evaluation, |which |of
the |following |actions |should |the |nurse
take, |according |to |the |nursing |process?
A. |Reassess |the |client |to
determine |the |reasons |for
inadequate |pain |relief.
B. |Wait |to |see |whether |the |pain
lessens |during |the |next |24 |hr.
C. |Change |the |plan |of |care
to |provide |different |pain
relief |interventions.
D. |Teach |the |client |about |the |plan
of |care |for |managing |his |pain. |- |CORRECT |ANSWER✔✔-A
A |charge |nurse |is |observing |newly |licensed |nurse |care |for |a |client |who |reports |pain. |The |nurse
|checked |the |client's |MAR |and |noted |the |last |dose |of |pain |medication |was |6 |hours |ago. |The |
prescription |reads |every |4hr |PRN |for |pain. |The |nurse |administered |the |medication |and |
checked |with |the |client |40 |min |later, |when |the |client |reported |improvement. |The |newly |
licensed |nurse |left |out |which |of |the |following |steps |of |the |nursing |process?
A. |Assessment
B. |Planning
C. |Intervention
,D. |Evaluation |- |CORRECT |ANSWER✔✔-A
A |charge |nurse |is |reviewing |the |steps |of |the |nursing |process |with |a |group |of |nurses. |Which |of |
the |following |data |should |the |charge |nurse |identify |as |objective |data? |(select |all |that |apply.)
A. |Respiratory |rate |is |22/min |with |even, |unlabored |respirations
B. |The |clients |partner |states, |"they |said |they |hurt |after |walking |about |10 |minutes".
C. |The |client's |pain |rating |is |3 |on |a |scale |from |0-10
D. |The |client's |skin |is |pink, |warm, |and |dry
E. |The |assistive |personnel |reports |that |the |client |walked |with |a |limp |- |CORRECT |ANSWER✔✔-
A,D,E
A |charge |nurse |is |talking |with |a |newly |licensed |nurse |and |is |reviewing |nursing |interventions |
that |do |not |require |a |provider's |prescription. |Which |of |the |following |interventions |should |the |
charge |nurse |include? |(Select |all |that |apply)
A. |writing |a |prescription |for |morphine
B. |inserting |a |nasogatric |(NG) |tube |to |relieve |gastric |distention
C. |Showing |a |client |how |to |use |progressive |muscle |relaxation
D. |Performing |a |daily |bath |after |the |evening |mail
E. |Repositioning |a |client |every |2 |hr |to |reduce |injury |risk |- |CORRECT |ANSWER✔✔-C,D,E
A |nurse |is |discussing |the |nursing |process |with |a |newly |licensed |nurse. |Which |of |the |following |
statements |by |the |newly |licensed |nurse |should |the |nurse |identify |as |appropriate |for |the |
planning |step |of |the |nursing |process?
A. |"I |will |determine |the |most |important |client |problems |that |we |should |address"
B. |"I |will |review |past |medical |history |on |the |client's |record |to |get |more |information."
C. |"I |will |carry |out |the |new |prescriptions |from |the |provider"
D. |"I |will |ask |the |client |if |their |nausea |has |resolved" |- |CORRECT |ANSWER✔✔-A
,A |nurse |is |caring |for |a |client |in |the |emergency |department |who |has |an |oral |body |temperature
|of |38.3 |C |(101 |F), |pulse |rate |114/min |and |respiratory |rate |22/min. |The |client |is |restless |with |
warm |skin. |Which |of |the |following |interventions |should |the |nurse |take? |Select |all |that |apply
A.Obtain |culture |specimens |before |initiating |antimicrobials
B. |Restrict |the |client's |oral |fluid |intake
C. |Encourage |the |client |to |rest |and |limit |activity
D. |Allow |the |client |to |shiver |to |dispel |excess |heat
E. |Assist |the |client |with |oral |hygiene |frequently |- |CORRECT |ANSWER✔✔-A,C,E
A |nurse |is |instructing |an |assistive |personnel |(AP) |about |caring |for |a |client |who |has |a |low |
platelet |count. |Which |of |the |following |instructions |is |the |priority |for |measuring |vital |signs |for |
this |client?
A. |" |Do |not |measure |the |client's |temperature |rectally"
B. |"Count |the |client's |radial |pulse |for |30 |seconds |and |multiply |it |by |2"
C. |"Do |not |let |the |client |know |you |are |counting |their |respirations"
D. |"Let |the |client |rest |for |5 |minutes |before |you |measure |their |blood |pressure" |- |CORRECT |
ANSWER✔✔-A
A |nurse |is |instructing |a |group |of |assistive |personnel |in |measuring |a |client's |respiratory |rate. |
which |of |the |following |guidelines |should |the |nurse |include? |(select |all |that |apply)
A. |place |the |client |in |semi-fowlers |position
B. |Have |the |client |rest |an |arm |across |the |abdomen
C. |Observe |one |full |respiratory |cycle |before |counting |the |rate
D. |Count |the |rate |for |30 |sec |if |it |is |irregular
E. |Count |and |report |any |signs |the |client |demonstrates |- |CORRECT |ANSWER✔✔-A,B,C
A |nurse |is |measuring |the |blood |pressure |of |a |client |who |has |a |fractured |femur. |The |blood |
pressure |reading |is |140/94, |and |the |client |denies |any |history |of |hypertension. |Which |of |the |
following |actions |should |the |nurse |take?
, A. |Request |the |prescription |for |an |antihypertensive |medication
B. |Ask |the |client |if |they |are |having |any |pain
C. |Request |a |prescription |for |an |antianxiety |medication
D. |Return |in |30 |mins |to |recheck |the |client's |blood |pressure |- |CORRECT |ANSWER✔✔-B
A |nurse |is |performing |an |admission |assessment |on |a |client. |The |nurse |determines |the |client's |
radial |pulse |rate |is |64/min |and |the |simultaneous |apical |pulse |rate |is |84/min. |What |is |the |
clients |pulse |deficit? |- |CORRECT |ANSWER✔✔-Apical |- |Radial
84 |- |16
= |16
a |nurse |is |caring |for |a |client |who |is |24 |hr |postoperative |following |an |inguinal |hernia |repair. |
The |client |is |tolerating |clear |liquids |well, |has |active |bowel |sounds, |and |is |expressing |a |desire |
for |"real |food". |The |nurse |is |tells |the |client, |"I |will |call |the |surgeon |and |ask |for |a |change |in |
diet". |The |surgeon |hears |the |nurse's |report |and |prescribes |a |full |liquid |diet. |The |nurse |used |
which |of |the |following |levels |of |critical |thinking?
A. |Basic
B. |Commitment
C. |Complex
D. |Integrity |- |CORRECT |ANSWER✔✔-A
A |nurse |receives |a |prescription |for |an |antibiotic |for |a |client |who |has |cellulitis. |The |nurse |
checks |the |client's |medical |record, |discovers |that |the |client |is |allergic |to |the |antibiotic, |and |
calls |the |provider |to |request |a |prescription |for |a |different |antibiotic. |Which |of |the |following |
critical |thinking |attitudes |did |the |nurse |demonstrate?
A. |Fairness
B. |Responsibility
C. |Risk-taking
D. |Creativity |- |CORRECT |ANSWER✔✔-B
