ATI EXAM 2 with correct correct answers latest
3. A nurse is preparing a client for surgery. The
1. A nurse is reviewing the laboratory results
client tells the nurse that he is concerned about the
for a client who is at 32 gestation. For
safety of a large sum of money in his wallet. Which
which of the following results should the
of the following actions is appropriate for the nurse
nurse notify the provider?
to take?
a. Hgb 12 g/dL
a. Place the money in an envelope and lock it in
b. Platelet count 90,000/mm2
the client’s medication drawer
c. Hematocrit 37%
b. Contact security personnel to place the
d. Creatinine 0.7 mg/dL
money in the facility safe
c. Hold the money for the client until he
2. After receiving change-of-shift report, which
returns from surgery
of the following clients should the nurse collect
d. Label the money and leave it with the unit
data from first?
secretary.
a. A client who has a history of
pancreatitis and reports severe
4. A nurse is preparing to instill an otic suspension
abdominal pain
into an adult client’ ear. Which of the following
b. A client who has heart failure and
methods should the nurse plan to use?
reports severe dyspnea
a. Pull the auricle upward and outward.
c. A client who is scheduled for
b. Pull the auricle downward and backward.
abdominal surgery in 1 hrs
c. Pull the auricle upward and backward.
d. A postoperative client who has
d. Pull the auricle downward an outward.
diabetes mellitus and a blood glucose
of 280 mg/dK
,5. A nurse is caring for an older adult 7. A nurse is reinforcing teaching with the
client who has pneumonia. When client who is about to undergo a thoracentesis.
reinforcing teaching about the Which if the following statements by the client
diagnosis age- related changes with indicates an understanding of the information?
the client’s family, which of the a. “I will have general anesthesia during
following alterations should the nurse the procedure.”
include? b. “I will lie flat for 6 hours before
a. Increased inflation of the basilar lungs the procedure.”
b. Increased elasticity of the thoracic cage c. “I will have the chest x-ray following the
c. Hypertrophy of the bronchial mucous procedure.”
gland d. “I will breathe deeply through my
nose during the procedure.”
d. Hyperactive cough reflex
8. A nurse is reviewing the medical record of
6. A client is participating in an anger
a client who is requesting an oral
management session explain that his
contraceptive. Which of the following
recent behavior are related to his job
findings should the nurse identify as a
loss. Which of the following
contraindication to the use of oral
mechanism is the client using?
contraceptive?
a. Projection
a. History of renal calculi
b. Rationalism
b. Migraines with aura
c. Repression
c. BMI of 26
d. Sublimation
d. History of cholecystectomy
,9. A nurse is reinforcing discharge teaching c. Dispose of the used needle immediately in a
about transmission precautions with a client puncture proof sharps container.
a.
who has Hepatitis C. Which of the following d. Detach and dispose of the use needle
information should the nurse include? promptly following injection.
Avoid sharing razors with other family
members. 11. A nurse is reinforcing teaching with a client
b. Clean toilet surfaces with bleach after who has new prescription for levothyroxine.
each use Which of the following statements indicates
c. Advice family members to understanding of the instructions?
receive a hepatitis c a. “I should take this medication with meals.”
immunization b. This medication will take 2 weeks to reach fu
d. Do not prepare food for other effectiveness.”
family member s while infectious. c. “I need to take this medication for the rest
of my life.”
10. A nurse is preparing to administer an IM d. “If I forget to take the medication, I can
injection to a client. To reduce the risk of a double the next dose.”
needle stick injury, the nurse should take
which of the following actions? 12. A nurse is caring for a client who is receiving
a. Place a cap hold securely on the used prazosin. The client’s blood pressure is 100/60 mm
needle a before disposal. Hg. which of the following actions should the nurse
b. Recap the needle using a one-handed take?
scoop approach before proper a. Administer a reversal agent
disposal. b. Initiate cardiac monitoring
, c. Instruct the client to stand up slowly 13. A nurse is reinforcing teaching about
d. Inform the client to report urinary colostomy care with a client. Which of the
retention following client statements indicate an
understanding of how to care for the
colostomy?
a. I will cleanse the stoma site gently with
an antiseptic solution.
b. I will contact my doctor right away if
my stoma is red
c. I will cut the water opening 1 inch
bigger than my stoma.
d. I will empty the colostomy bag when
is I one half full.
14. A nurse is reinforcing teaching with a client
who has a permanent pacemaker in place.
Which of the following statements by the client
indicates an understanding of the teaching?
a. “I should have my doctor replace the
battery in the pacemaker in a year.”
b. “I need to record my pulse rate daily.”
c. “I should avoid taking tub baths.”
d. “I will remove my microwave oven from
3. A nurse is preparing a client for surgery. The
1. A nurse is reviewing the laboratory results
client tells the nurse that he is concerned about the
for a client who is at 32 gestation. For
safety of a large sum of money in his wallet. Which
which of the following results should the
of the following actions is appropriate for the nurse
nurse notify the provider?
to take?
a. Hgb 12 g/dL
a. Place the money in an envelope and lock it in
b. Platelet count 90,000/mm2
the client’s medication drawer
c. Hematocrit 37%
b. Contact security personnel to place the
d. Creatinine 0.7 mg/dL
money in the facility safe
c. Hold the money for the client until he
2. After receiving change-of-shift report, which
returns from surgery
of the following clients should the nurse collect
d. Label the money and leave it with the unit
data from first?
secretary.
a. A client who has a history of
pancreatitis and reports severe
4. A nurse is preparing to instill an otic suspension
abdominal pain
into an adult client’ ear. Which of the following
b. A client who has heart failure and
methods should the nurse plan to use?
reports severe dyspnea
a. Pull the auricle upward and outward.
c. A client who is scheduled for
b. Pull the auricle downward and backward.
abdominal surgery in 1 hrs
c. Pull the auricle upward and backward.
d. A postoperative client who has
d. Pull the auricle downward an outward.
diabetes mellitus and a blood glucose
of 280 mg/dK
,5. A nurse is caring for an older adult 7. A nurse is reinforcing teaching with the
client who has pneumonia. When client who is about to undergo a thoracentesis.
reinforcing teaching about the Which if the following statements by the client
diagnosis age- related changes with indicates an understanding of the information?
the client’s family, which of the a. “I will have general anesthesia during
following alterations should the nurse the procedure.”
include? b. “I will lie flat for 6 hours before
a. Increased inflation of the basilar lungs the procedure.”
b. Increased elasticity of the thoracic cage c. “I will have the chest x-ray following the
c. Hypertrophy of the bronchial mucous procedure.”
gland d. “I will breathe deeply through my
nose during the procedure.”
d. Hyperactive cough reflex
8. A nurse is reviewing the medical record of
6. A client is participating in an anger
a client who is requesting an oral
management session explain that his
contraceptive. Which of the following
recent behavior are related to his job
findings should the nurse identify as a
loss. Which of the following
contraindication to the use of oral
mechanism is the client using?
contraceptive?
a. Projection
a. History of renal calculi
b. Rationalism
b. Migraines with aura
c. Repression
c. BMI of 26
d. Sublimation
d. History of cholecystectomy
,9. A nurse is reinforcing discharge teaching c. Dispose of the used needle immediately in a
about transmission precautions with a client puncture proof sharps container.
a.
who has Hepatitis C. Which of the following d. Detach and dispose of the use needle
information should the nurse include? promptly following injection.
Avoid sharing razors with other family
members. 11. A nurse is reinforcing teaching with a client
b. Clean toilet surfaces with bleach after who has new prescription for levothyroxine.
each use Which of the following statements indicates
c. Advice family members to understanding of the instructions?
receive a hepatitis c a. “I should take this medication with meals.”
immunization b. This medication will take 2 weeks to reach fu
d. Do not prepare food for other effectiveness.”
family member s while infectious. c. “I need to take this medication for the rest
of my life.”
10. A nurse is preparing to administer an IM d. “If I forget to take the medication, I can
injection to a client. To reduce the risk of a double the next dose.”
needle stick injury, the nurse should take
which of the following actions? 12. A nurse is caring for a client who is receiving
a. Place a cap hold securely on the used prazosin. The client’s blood pressure is 100/60 mm
needle a before disposal. Hg. which of the following actions should the nurse
b. Recap the needle using a one-handed take?
scoop approach before proper a. Administer a reversal agent
disposal. b. Initiate cardiac monitoring
, c. Instruct the client to stand up slowly 13. A nurse is reinforcing teaching about
d. Inform the client to report urinary colostomy care with a client. Which of the
retention following client statements indicate an
understanding of how to care for the
colostomy?
a. I will cleanse the stoma site gently with
an antiseptic solution.
b. I will contact my doctor right away if
my stoma is red
c. I will cut the water opening 1 inch
bigger than my stoma.
d. I will empty the colostomy bag when
is I one half full.
14. A nurse is reinforcing teaching with a client
who has a permanent pacemaker in place.
Which of the following statements by the client
indicates an understanding of the teaching?
a. “I should have my doctor replace the
battery in the pacemaker in a year.”
b. “I need to record my pulse rate daily.”
c. “I should avoid taking tub baths.”
d. “I will remove my microwave oven from
