NUR 220: ATI PRACTICE EXAM A
QUESTIONS WITH CORRECT ANSWERS.
1 of 35
Term
A nurse is performing tracheostomy care for a client and suctioning
to remove copious secretions. which of the following actions should
the nurse take?
A. Suction two to three times with 60-second pause between passes.
B.Perform chest physiotherapy prior to suctioning
C. Lubricate the suction catheter tip with sterile saline.
D.Hyperventilate the client on 100% oxygen prior to suctioning.
Give this one a try later!
, C. Leave a nightlight on in the client's room.
Rationale: Walking to the bathroom at night with a nightlight on can protect
the elderly from falling.
B. Negligence
Rationale: Negligence is failure to provide the expected standard of care. The
expected standard of care was strict bedrest.
B. Perform chest physiotherapy prior to suctioning.
Rationale: Physiotherapy before suctioning will make the copious
secretions soft so it can be easily removed.
B. Witness the client's signature
Rationale: It is the nurse's responsibility to witness the client's signing of the
consent form, and to verify that the client is consenting voluntarily and
appears to be competent to do so.
Don't know?
2 of 35
Term
A nurse is providing oral care for a client who is immobile. Which of
the following actions should the nurse take?
A. Use a stiff toothbrush to clean the client's teeth.
B.Use the thumb and index finger to keep the client's mouth open.
C. Turn the client on his side before starting oral care.
D.Apply petroleum jelly to the client's lip after oral care.
Give this one a try later!
, C. Turn the client on his B. Move the client to a room closer
side before starting oral to the nurse's station.
care.
D. The client who has a B. Lock the wheels of the bed and
nasogastric (NG) tube to suction. the wheelchair.
Don't know?
3 of 35
Term
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
Give this one a try later!
D. Send specimen container
immediately to the lab D. "The provider was notified."
A. Obtain a pair of slipper-socks for B. Lock the wheels of the bed and
the client. the wheelchair.
Don't know?
, 4 of 35
Term
A nurse is caring for an older adult client who states, "I am afraid
that I may fall while walking to the bathroom during the night."
Which of the following actions should the nurse take?
A. Limit the client's fluid intake in the evening.
B.Obtain a bedside commode for the client's use.
C. Leave a nightlight on in the client's room.
D.Put the side rails up and tell the client to call the nurse
before voiding.
Give this one a try later!
B. Witness the client's signature
Rationale: It is the nurse's responsibility to witness the client's signing of the
consent form, and to verify that the client is consenting voluntarily and
appears to be competent to do so.
B. Perform chest physiotherapy prior to suctioning.
Rationale: Physiotherapy before suctioning will make the copious secretions
soft so it can be easily removed.
C. Atelectasis
Rationale: Atelectasis is the collapse of part or all of a lung by blockage of air
passage. Prolonged bedrest with few changes in position, ineffective
coughing, and underlying lung disease are risk factors for the development of
atelectasis.
C. Leave a nightlight on in the client's room.
Rationale: Walking to the bathroom at night with a nightlight on can
protect the elderly from falling.
QUESTIONS WITH CORRECT ANSWERS.
1 of 35
Term
A nurse is performing tracheostomy care for a client and suctioning
to remove copious secretions. which of the following actions should
the nurse take?
A. Suction two to three times with 60-second pause between passes.
B.Perform chest physiotherapy prior to suctioning
C. Lubricate the suction catheter tip with sterile saline.
D.Hyperventilate the client on 100% oxygen prior to suctioning.
Give this one a try later!
, C. Leave a nightlight on in the client's room.
Rationale: Walking to the bathroom at night with a nightlight on can protect
the elderly from falling.
B. Negligence
Rationale: Negligence is failure to provide the expected standard of care. The
expected standard of care was strict bedrest.
B. Perform chest physiotherapy prior to suctioning.
Rationale: Physiotherapy before suctioning will make the copious
secretions soft so it can be easily removed.
B. Witness the client's signature
Rationale: It is the nurse's responsibility to witness the client's signing of the
consent form, and to verify that the client is consenting voluntarily and
appears to be competent to do so.
Don't know?
2 of 35
Term
A nurse is providing oral care for a client who is immobile. Which of
the following actions should the nurse take?
A. Use a stiff toothbrush to clean the client's teeth.
B.Use the thumb and index finger to keep the client's mouth open.
C. Turn the client on his side before starting oral care.
D.Apply petroleum jelly to the client's lip after oral care.
Give this one a try later!
, C. Turn the client on his B. Move the client to a room closer
side before starting oral to the nurse's station.
care.
D. The client who has a B. Lock the wheels of the bed and
nasogastric (NG) tube to suction. the wheelchair.
Don't know?
3 of 35
Term
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
Give this one a try later!
D. Send specimen container
immediately to the lab D. "The provider was notified."
A. Obtain a pair of slipper-socks for B. Lock the wheels of the bed and
the client. the wheelchair.
Don't know?
, 4 of 35
Term
A nurse is caring for an older adult client who states, "I am afraid
that I may fall while walking to the bathroom during the night."
Which of the following actions should the nurse take?
A. Limit the client's fluid intake in the evening.
B.Obtain a bedside commode for the client's use.
C. Leave a nightlight on in the client's room.
D.Put the side rails up and tell the client to call the nurse
before voiding.
Give this one a try later!
B. Witness the client's signature
Rationale: It is the nurse's responsibility to witness the client's signing of the
consent form, and to verify that the client is consenting voluntarily and
appears to be competent to do so.
B. Perform chest physiotherapy prior to suctioning.
Rationale: Physiotherapy before suctioning will make the copious secretions
soft so it can be easily removed.
C. Atelectasis
Rationale: Atelectasis is the collapse of part or all of a lung by blockage of air
passage. Prolonged bedrest with few changes in position, ineffective
coughing, and underlying lung disease are risk factors for the development of
atelectasis.
C. Leave a nightlight on in the client's room.
Rationale: Walking to the bathroom at night with a nightlight on can
protect the elderly from falling.
