ATI NUR265 Questions with Detailed Verified
Answers
A nurse is caring for a client who is 24 hours postop following a total hip arthroplasty.
Which of the following action should the nurse take?
Ans: Maintain abduction of the affected extremity
A nurse is providing teaching to a client who is scheduled for a bronchoscopy. Which
of the following statements should the nurse include in the teaching?
Ans: "You will not be able to eat or drink after the procedure until you are able to
cough."
- A client who had a bronchoscopy received a local anesthetic that can suppress the
cough reflex. The cough reflex protects the client from aspirating fluids or food.
Therefore, the client should not eat or drink until the cough reflex returns.
A nurse is assessing a clients understanding of a surgical procedure prior to witnessing
their signature on the informed consent form. The nurse determines that the client
does not understand what the procedure will involve. Which of the following action
should the nurse take?
Ans: Contact the provider who will be performing the procedure
A nurse is providing discharge teaching to a client who has COPD. Which of the
following instruction should the nurse include in the teaching?
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Ans: Consume a diet that is high in calories
A nurse is providing teaching about dietary options for a client who has cholithiasis
which of the following statements should the nurse include in the teaching
Ans: Select desserts, such as angel food cake
A nurse is monitoring a client who has a traumatic brain injury, which of the following
findings should the nurse identify as a manifestation of Cushing's triad
Ans: Increase in blood pressure from 130/80 to 180/100
A nurse is teaching a client who has a new diagnosis of type one diabetes mellitus,
which of the following statement by the client indicates an understanding of the
teaching
Ans: I am aware that my diabetes is caused by an auto immune disorder
A nurse is caring for a client who has a small bowel obstruction and an NG tube in
place which of the following action should the nurse take
Ans: Maintain low intermittent suction
A nurse is assessing a client who has a chest tube connected to a closed water seal
drainage system which of the following findings should the nurse report to the
provider
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Ans: CONSTANT BUBBLING IN THE WATER SEAL CHAMBER.
- Constant bubbling in the water seal chamber can be an indication of an air leak, which
is caused by a disruption in the system such as a loose connection. Pulmonary air leaks
create intermittent bubbling that is synchronous with respiration. This finding should
be reported to the provider immediately.
A nurse is providing teaching for a client who has neutropenia and is receiving
chemotherapy, which of the following client statements, indicates an understanding of
the teaching? Select all that apply.
Ans: I will avoid crowds, and I will take my temperature daily
I nurse is preparing to administer propranolol to several clients. For which of the
following clients to the nurse clarify the prescription with the provider before
administration.
Ans: A client has a history of asthma
Nurses analyzing the ABG results of a client who is in respiratory acidosis, which of
the following mechanisms to the nurse, identify as responsible for this acid-base
imbalance
Ans: Retention of carbon dioxide
A nurse is planning care for a client who is tuberculosis which of the following
precautions should the nurse implement for this client
Ans: Airborne precautions
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