NUR 220: ATI Practice Exam A
with complete verified
solutions
A nurse at an extended-care facility is instructing a class of
assistive personnel (AP) about the use of assistive devices during
ambulation. Which of the following should the nurse give the AP's
about the clients' use of a cane?
A. "When the client moves, he should move the cane forward first."
B. "The client should hole the cane on the weak side of his body."
C. "The grip should be level with the client's waist."
D. "The client should move the strong leg, then the weak one."
D. "The client should first move the strong leg, then the weak one."
A charge nurse is anticipating the admission of four client and
planning their room assignments. Which of the following clients
should the nurse assign to the room closest to the nurse's station?
A. A client who sustained a head injury and is having periods of
confusion
B. A client who reports a severe migraine headache
C. A client who has a suspected diagnosis of tuberculosis (TB)
D. A client who has a history of atrial fibrillation and is on
continuous ECG monitoring.
A. A client who sustained a head injury and is having periods of
confuson.
A nurse is caring for a client who needs a stool specimen collected.
Which of the following actions should the nurse take when obtaining
the specimen?
A. Use a sterile swab to obtain the specimen
B. Place the specimen in a sterile container
C. Label the paper bag in which specimen container is placed.
D. Send specimen container immediately to the lab
D. Send specimen container immediately to the lab
, A nurse is caring for a client who has a prescription for a stool test
for guaiac. The nurse understands the purpose of the test is to
check the stool for which of the following substances?
A. Steatorrhea
B. Blood
C. Bacteria
D. Parasites
B. Blood
Rationale: A guaiac test detects the presence of occult or hidden
blood in the stool. The guaiac test is an extremely useful diagnostic
screening test for the presence of colon cancer and gastrointestinal
ulcers.
A nurse is assessing a client's cranial nerves as part of a
neurological examination. Which of the following actions should the
nurse take to assess cranial nerve III?
A. Testing visual acuity
B. Observing for facial symmetry
C. Eliciting the gag reflex
D. Checking the pupillary response to light
D. Checking the pupillary response to light
A nurse is caring for a client who has peripheral vascular disease
and reports difficulty sleeping because of cold feet. Which of the
following nursing actions should the nurse take to promote the
client's comfort?
A. Obtain a pair of slipper-socks for the client.
B. Rub the client's feet briskly for several minutes.
C. Increase the client's fluid intake.
D. Place a moist heating pad under the client's feet.
A. Obtain a pair of slipper-socks for the client.
A nurse is providing preoperative teaching by demonstrating
diaphragmatic breathing to a client who is scheduled for surgery in
the morning. Which of the following actions should the nurse
include in the demonstration?
A. Place her hands on the sides of her rib cage.
B. Inhale slowly and evenly through her nose.
C. Hold her breath for at least 10 seconds.
D. Exhale forcefully through the nose.
A. Place her hands on the sides of her rib cage.
with complete verified
solutions
A nurse at an extended-care facility is instructing a class of
assistive personnel (AP) about the use of assistive devices during
ambulation. Which of the following should the nurse give the AP's
about the clients' use of a cane?
A. "When the client moves, he should move the cane forward first."
B. "The client should hole the cane on the weak side of his body."
C. "The grip should be level with the client's waist."
D. "The client should move the strong leg, then the weak one."
D. "The client should first move the strong leg, then the weak one."
A charge nurse is anticipating the admission of four client and
planning their room assignments. Which of the following clients
should the nurse assign to the room closest to the nurse's station?
A. A client who sustained a head injury and is having periods of
confusion
B. A client who reports a severe migraine headache
C. A client who has a suspected diagnosis of tuberculosis (TB)
D. A client who has a history of atrial fibrillation and is on
continuous ECG monitoring.
A. A client who sustained a head injury and is having periods of
confuson.
A nurse is caring for a client who needs a stool specimen collected.
Which of the following actions should the nurse take when obtaining
the specimen?
A. Use a sterile swab to obtain the specimen
B. Place the specimen in a sterile container
C. Label the paper bag in which specimen container is placed.
D. Send specimen container immediately to the lab
D. Send specimen container immediately to the lab
, A nurse is caring for a client who has a prescription for a stool test
for guaiac. The nurse understands the purpose of the test is to
check the stool for which of the following substances?
A. Steatorrhea
B. Blood
C. Bacteria
D. Parasites
B. Blood
Rationale: A guaiac test detects the presence of occult or hidden
blood in the stool. The guaiac test is an extremely useful diagnostic
screening test for the presence of colon cancer and gastrointestinal
ulcers.
A nurse is assessing a client's cranial nerves as part of a
neurological examination. Which of the following actions should the
nurse take to assess cranial nerve III?
A. Testing visual acuity
B. Observing for facial symmetry
C. Eliciting the gag reflex
D. Checking the pupillary response to light
D. Checking the pupillary response to light
A nurse is caring for a client who has peripheral vascular disease
and reports difficulty sleeping because of cold feet. Which of the
following nursing actions should the nurse take to promote the
client's comfort?
A. Obtain a pair of slipper-socks for the client.
B. Rub the client's feet briskly for several minutes.
C. Increase the client's fluid intake.
D. Place a moist heating pad under the client's feet.
A. Obtain a pair of slipper-socks for the client.
A nurse is providing preoperative teaching by demonstrating
diaphragmatic breathing to a client who is scheduled for surgery in
the morning. Which of the following actions should the nurse
include in the demonstration?
A. Place her hands on the sides of her rib cage.
B. Inhale slowly and evenly through her nose.
C. Hold her breath for at least 10 seconds.
D. Exhale forcefully through the nose.
A. Place her hands on the sides of her rib cage.
