ATI NUR 265 EXAM 1 VERIFIED QUESTIONS &
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UPDATED 2025–2026 EDITION A+
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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? - ANSWER:
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? -
ANSWER: "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? - ANSWER: Contact the provider who
will be performing the procedure
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A nurse is providing discharge teaching to a client who has COPD. Which of the
following instruction should the nurse include in the teaching? - ANSWER:
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 - ANSWER: 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 -
ANSWER: 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 - ANSWER: 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 - ANSWER: 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
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provider - ANSWER: 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. - ANSWER: 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. - ANSWER: 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 - ANSWER: 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 - ANSWER: Airborne
precautions
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A nurse is caring for a client who is three hours, post operative, and exhibiting
signs of hypokalemia which of the following findings. Should the nurse identify as
a manifestation of hypovolemia. - ANSWER: Rapid pulse rate
A nurse is caring for a client who has a prescription for lactated ringers by
continuous IV infusion to replace output from an NG tube which of the following
findings should indicate to the nurse that this therapy is effective - ANSWER: A
urine specific gravity of 1.020
A nursing emergency department is caring for a client who's confused, has a
temperature of 104°F, a blood pressure of 74/52 and a diagnosis of exertional heat
stroke which of the following action should the nurse take first - ANSWER:
Administer oxygen using a high concentration mask
A nurse is caring for a client who has a chronic venous insufficiency, which of the
following areas should the nurse assessed for the presence of a venous ulcer -
ANSWER: A, is correct
A nurse is providing teaching to a client about strategies to manage menopausal
symptoms which of the following instruction should the nurse include in the
teaching - ANSWER: Use water based lubricant during intercourse to reduce
discomfort