MEDICAL AND NURSING, ATI (0001-0348)
QUESTIONS AND ANSWERS, A+ GURANTEED.
1
Q
A client newly diagnosed with type 2 diabetes mellitus has returned for a 6-week follow-
up visit. The nurse should know that which of the following behaviors indicates that the
client has adapted successfully to a situational role change?
A
Monitors blood glucose once a day
2
Q
After a client views a video on an operative procedure, the best practice for the nurse is
to
A
Give the client a handout outlining information relayed in the video.
3
Q
Which of the following nursing actions best promotes client safety when transcribing
providers’ orders?
A
Verify the order sheet contains the correct client identification
4
Q
A nurse is caring for a client who has a nursing diagnosis of impaired swallowing
following a cerebrovascular accident (stroke). Which of the following nursing
interventions is appropriate for this client?
,A
Restrict fluid intake.
5
Q
A nurse is caring for a client who gave birth 10 hr. earlier. The client is in the taking in
phase of psychosocial and maternal adaptation. Which of the following is the most
appropriate nursing intervention at this time?
A
Listen to the mother’s verbalization of her pregnancy and birth experience.
6
Q
A nurse is caring for a client following a thyroidectomy. For which of the following
complications should the nurse assess the client?
A
Laryngeal stridor
7
Q
A nurse is assessing a client who has a nasogastric feeding tube in place. Which of the
following actions should the nurse take to prevent aspiration?
A
Keep the head of the client’s bed elevated at least 30° at all times.
8
Q
A nurse is teaching a client how to perform Kegel exercises. Which of the following
client statements indicates understanding of the teaching?
A
,I will determine which muscles to contract by stopping and starting my stream of urine
9
Q
A nurse is caring for a client with a terminal illness. The nurse recognizes that the
family’s priority need for support will most likely occur when
A
Making decisions about measures to prolong life and provide comfort.
10
Q
A nurse is developing a discharge plan of care for an older adult client on a
rehabilitation unit following a cerebrovascular accident. Which of the following has the
highest priority when planning care to facilitate a timely discharge?
A
Arranging for transportation
11
Q
A client with HIV is admitted to the medical-surgical unit with a respiratory infection. The
client’s family member requests that fresh flowers be placed in the room every day.
Which of the following is the appropriate nursing action?
A
Teach the family that fresh plants of any type are prohibited.
12
Q
Which of the following is the highest priority for the circulating nurse in maintaining a
safe operating room environment?
A
, Reviewing the preoperative assessment
13
Q
A client with a tracheostomy is being sent home to be cared for by the spouse. The
nurse should include which of the following information in discharge teaching?
A
How to properly operate the portable suction machine
14
Q
During the first 24 hr. following a soft-tissue injury to the right ankle, which of the
following nursing interventions will help reduce the client’s discomfort?
A
Apply an ice pack to the ankle for 20 to 30 min at a time.
15
Q
A nurse is caring for a client with a mental health disorder. The client is agitated, and
the nurse is concerned that the client may become aggressive. Fearful for his own
safety, the nurse escorts the client to a room and locks her inside against her will. This
action
A
Could result in charges of false imprisonment for the nurse.
16
Q
When instructing a client with an L1-2 spinal cord injury regarding self-care adaptations,
which of the following is an appropriate recommendation?
A
QUESTIONS AND ANSWERS, A+ GURANTEED.
1
Q
A client newly diagnosed with type 2 diabetes mellitus has returned for a 6-week follow-
up visit. The nurse should know that which of the following behaviors indicates that the
client has adapted successfully to a situational role change?
A
Monitors blood glucose once a day
2
Q
After a client views a video on an operative procedure, the best practice for the nurse is
to
A
Give the client a handout outlining information relayed in the video.
3
Q
Which of the following nursing actions best promotes client safety when transcribing
providers’ orders?
A
Verify the order sheet contains the correct client identification
4
Q
A nurse is caring for a client who has a nursing diagnosis of impaired swallowing
following a cerebrovascular accident (stroke). Which of the following nursing
interventions is appropriate for this client?
,A
Restrict fluid intake.
5
Q
A nurse is caring for a client who gave birth 10 hr. earlier. The client is in the taking in
phase of psychosocial and maternal adaptation. Which of the following is the most
appropriate nursing intervention at this time?
A
Listen to the mother’s verbalization of her pregnancy and birth experience.
6
Q
A nurse is caring for a client following a thyroidectomy. For which of the following
complications should the nurse assess the client?
A
Laryngeal stridor
7
Q
A nurse is assessing a client who has a nasogastric feeding tube in place. Which of the
following actions should the nurse take to prevent aspiration?
A
Keep the head of the client’s bed elevated at least 30° at all times.
8
Q
A nurse is teaching a client how to perform Kegel exercises. Which of the following
client statements indicates understanding of the teaching?
A
,I will determine which muscles to contract by stopping and starting my stream of urine
9
Q
A nurse is caring for a client with a terminal illness. The nurse recognizes that the
family’s priority need for support will most likely occur when
A
Making decisions about measures to prolong life and provide comfort.
10
Q
A nurse is developing a discharge plan of care for an older adult client on a
rehabilitation unit following a cerebrovascular accident. Which of the following has the
highest priority when planning care to facilitate a timely discharge?
A
Arranging for transportation
11
Q
A client with HIV is admitted to the medical-surgical unit with a respiratory infection. The
client’s family member requests that fresh flowers be placed in the room every day.
Which of the following is the appropriate nursing action?
A
Teach the family that fresh plants of any type are prohibited.
12
Q
Which of the following is the highest priority for the circulating nurse in maintaining a
safe operating room environment?
A
, Reviewing the preoperative assessment
13
Q
A client with a tracheostomy is being sent home to be cared for by the spouse. The
nurse should include which of the following information in discharge teaching?
A
How to properly operate the portable suction machine
14
Q
During the first 24 hr. following a soft-tissue injury to the right ankle, which of the
following nursing interventions will help reduce the client’s discomfort?
A
Apply an ice pack to the ankle for 20 to 30 min at a time.
15
Q
A nurse is caring for a client with a mental health disorder. The client is agitated, and
the nurse is concerned that the client may become aggressive. Fearful for his own
safety, the nurse escorts the client to a room and locks her inside against her will. This
action
A
Could result in charges of false imprisonment for the nurse.
16
Q
When instructing a client with an L1-2 spinal cord injury regarding self-care adaptations,
which of the following is an appropriate recommendation?
A
