ATI Final Exam review questions and aswers

A nurse is teaching a client and his family how to care for the client's tracheostomy at home. Which of the following instructions is appropriate for the client and family? 1. Remove the outer cannula cautiously for routine cleaning. 2. Use tracheostomy covers when outdoors. 3. Use sterile technique when performing tracheostomy care at home. 4. Cleanse irritated skin with full-strength hydrogen peroxide. - 2. Use tracheostomy covers when outdoors. A nurse is giving an end-of-shift report about a client admitted earlier that day with pneumonia. Which of the following pieces of information is most essential to provide? 1. Admitting diagnosis 2. Diagnostic test results 3. Body temperature 4. Breath sounds - 4. Breath sounds **ABCs** A nurse is checking blood pressures at a community health screening. Which of the following clients is at high risk for primary hypertension? 1. A client who is pregnant 2. A client who has an elevated LDL 3. A client who takes oral contraceptives 4. A client who has kidney disease - 2. A client who has an elevated LDL A nurse is planning care for a client who has had a stroke resulting in aphasia and dysphagia. Which of the following tasks should the nurse assign to an AP? (Select all that apply.) - Assist the client with a partial bed bath. - Measure the client's BP after the nurse administers an antihypertensive medication. - Test the client's swallowing ability by providing thickened liquids. - Use a communication board to ask what the client wants for lunch. - Irrigate the client's indwelling urinary catheter. - - Assist the client with a partial bed bath. - Measure the client's BP after the nurse administers an antihypertensive medication. - Use a communication board to ask what the client wants for lunch. A nurse is caring for a client who is combative in the emergency department. The provider orders wrist restraints after the client attempts to assault the admitting nurse. Which of the following actions is appropriate for the nurse to take? 1. Tie restraints to the lower edge of the side rail. 2. Remove each restraint one at a time every 2 hr. 3. Ensure 3 finger-widths of space