ATI - Testing and Remediation Beginning Test Questions And Answers

A nurse is reinforcing teaching to a client who was recently prescribed a 2,000 mg sodium restricted diet. Which of the following nutritional selections by the client indicates a need for further teaching? - ANS Answer: ¾ cup of canned tomato juice. Rationale: Tomato juice= 820 mg of Na+ A nurse in a providers office is reinforcing teaching to the parents of a child who has allergies and is prescribed Benadryl 25mg every six hours as needed. Available is diphenhydramine (Benadryl) 12.5/5mL. How many teaspoons of medicine does the nurse need to instruct the parents to administer per dose? - ANS Answer: 2 tsp Rationale: 25 mg x 5 ml ÷ 12.5 mg = x ml; (125 ÷ 12.5 = 10 ml) 1 tsp = 5ml. 10 ml = 2 tsp. per dose. A nurse is caring for a client who has been prescribed a full liquid diet. Which of the following is appropriate to include in the clients diet? - ANS Answer: Grape Juice, Ice Cream Rationale: Liquids & food that turns to liquid @ room temp. (Unable to tolerate solid/semi-solid) Full liquid is low in iron (d/t constipation), protein (work on liver & kidneys), & calories. It is contra for long-term. Therefore it is safe enough for a client with a liquid diet to enjoy. A nurse is examining a client's lymphatic system. Identify the site nurse should palpate to assess the posterior cervical lymph nodes. - ANS Answer: Toward the back of the neck Rationale: Posterior = back Cervical = cervical spine A nurse is preparing to administer a tap water enema to a client. In which of the following positions should the nurse place the client? - ANS Answer: Sims Rationale: The proper position for a client who needs an enema is Sims. It allows for the most comfort and easy administration for the nurse. A nurse in a provider's office is caring for a client who has depression and is taking St. Johns Wort. The herbal supplement is thought to improve which of the following? - ANS Answer: Mood Rationale: The nurse would anticipate issues w/depression and that this supplement might improve mood. A nurse is caring for a client who is immobile and has developed a pressure ulcer. Which of the following characteristics is associated with a stage II pressure ulcer? - ANS Answer: Partial thickness skin loss Rationale: Characteristics for a stage II ulcer include partial thickness skin loss. (Typically presents as an abrasion or blister). A nurse on a pediatric unit is caring for an infant who is diagnosed with laryngotracheobronchitis. While performing a respiratory examination the nurse hears which sound? - ANS Answer: Stridor Rationale: You need to know breath sounds... ("musical" usually c/b blockage in the larynx)