MULTIPLE VERSIONS OF THE EXAM AND OTHER ATI EXAMS)
A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which
of the following findings should indicate to the nurse that the therapy has been
effective?
Answer:
Hemoglobin 14.9 g/dL
The nurse should identify that packed RBCs are administered to
clients who have a decreased level of hemoglobin or hematocrit. This
hemoglobin level is within the expected reference range of 14 to 18
g/dL for males and 12 to 16 g/dL for females, indicating the therapy
has been effective.
A nurse working in an emergency department is triaging four clients. Which of
the following clients should the nurse recommend for treatment first?
Answer:
A middle adult client who has unstable vital signs.
Using the stable vs unstable approach to client care, the nurse should
recommend priority treatment for the client who has unstable vital signs
because this client requires immediate treatment to reduce the risk of
further injury or possible death.
A nurse is caring for a client who has fluid volume overload. Which of the
following tasks should the nurse delegate to the CNA?
Answer:
Measure the client’s daily weight
It is within the CNAs range of function to measure a client’s daily weight, so
the nurse should delegate this task to them.
A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min as a test
dose to a client who has severe oliguria. The client weighs 198lb. What is the
amount in grams the nurse should administer?
Answer:
, 18 g
A nurse is conduction a physical examination for an adolescent and is assessing the
range of motion of the legs. Which of the following images indicates the adolescent
is abducting the hip joint?
Answer:
In the correct image, the adolescent is abduction the hip joint by moving
the leg away from the midline of the body.
A nurse is caring for a client who has hyperthyroidism. Which of the following
findings should the nurse expect?
Answer:
Tremors
Tremors are a manifestation of hyperthyroidism, along with tachycardia,
diaphoresis, weight loss, insomnia, and exophthalmia.
A nurse is assessing a school-aged child who has bacterial meningitis. Which of the
following findings should the nurse expect?
Answer:
Nuchal rigidity
This is a manifestation of bacterial meningitis.
A nurse is assessing a newborn’s heart rate. Which of the following actions
should the nurse take?
Answer:
Auscultate the apical pulse at least 1 min.
The nurse should auscultate the apical pulse to obtain an accurate
assessment of heart rate and rhythm. Auscultation of a newborn’s heart
sounds can be difficult because of the rapid rate and the transmission of
respiratory sounds.