ATI practice exam a 2022 questions and answers

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ATI practice exam a A nurse is preparing to administer an injection of an opioid medication to a client. the nurse draws out 1ml from a 2ml vile. which of the following actions should the nurse tak... e? a. ask another nurse to observe the medication wastage b. notify the pharm. when wasting the med. c. lock the remaining medication in the controlled substances cabinet d. dispose of the vial with the remaining medication in the sharps container. a. ask another nurse to observe the medication wastage. a second nurse must witness the disposal of any portion of a dose of a controlled substance A nurse is preparing to administer 0.9% sodium chloride 750ml IV to infuse over 7 hours period. the nurse should set the infusion pump to deliver how many ml/hr? 107 ml/hr a nurse is educating a client who has a terminal illness about declining resuscitation in a living will. the client asks, "what would happen if i arrived at the emergency department and i had difficulty breathing?" which of the following responses should the nurse make? a. " we would consult the person appointed by your health care proxy to make decisions" b. " we would give you oxygen through a tube in your nose" c. "you would be unable to change your previous wishes about your care" d. " we would insert a breathing tube while we evaluate your condition" b. we would give you oxygen through a tube in your nose oxygen can provide comfort and is not considered a resuscitative measure when the nurse delivers it via nasal cannula. A nurse is caring for a client who is post-op and refuses to use an incentive spirometer following major abdominal surgery. which of the following is the nurses priority? a. request the respiratory therapist to discuss the technique for incentive spirometry with the client b. determine what the reasons are to refuse to use the spirometer c. document the clients refusal to participate in health restorative activities d. administer a pain medication to a client b. determine what the reasons are to refuse the use of the spirometer A nurse on the med-surg unit is caring for a client who has new perscription for wrist restraints. which of the following actions should the nurse take? a. pad the clients wrists before applying the restraints b. evaluate the clients circulation every 8 hours after application c. remove the restraints every 4 hours to evaluate clients status d. secure the restraint ties to the bedside rails a. pad the clients wrists before applying the restraints A nurse is talking to an older adult client who is considereing retirement. the client states " i keep thinking about how much i enjoy my job. im not sure i want to retire" which of the following responses should the nurse make. a. you would have so much more time to spend with your family b. you should consider getting apart-time job or volunteer work c. lets talk about how the change in your job status will affect you d. why wouldnt you want to retire and relax c. lets talk about how the change in your job status will affect you a nurse is caring for a client who has pharyngeal diphtheria. which of the following transmission precautions should the nurse initiate? a. contact b. droplet c. airborne d. protective b. droplet A nurse is caring for a group of clients. which of the following actions should the nurse take to prevent the spread of infection? a. Carry a clients soiled linens out of the room in a mesh linen bag b. place a client who had tb in a negative pressure airflow c. provide disposable plates and utensils for a client who is HIV + d. dispose of a clients blood in a trash bag, inside of a second trash bag b. place a client who had tb in a negative pressure room A nurse is assessing an older adult client who is at risk for falls. which of the following assessments should the nurse use to identify the clients safety needs? select all that apply a. lacrimal apparatus b. pupil clarity c. appearance of bulbar conjunctivae d. visual fields e. visual acuity b,d,e A nurse in a long-term care facility is caring for a client who dies during a nurses shift. identify the sequence in which the nurse should perform the following steps. a. place a name tag on the body b. obtain the pronouncement of dead from the provider c. remove tubes and indwelling lines from the body d, wash the body e. ask the clients family member if they would like to view the body b, c, d, e, a A client who is post-op is verbalizing pain as a 2 on a pain scale. which of the following statement should the nurse identify as an indication that the client understands the preoperative teaching she received. a. " i think i should take my pain medication more often since it is not controlling my pain" b. breathing faster will help me keep my mind of the pain c. it might help me to listen to music while im lying in bed d. i dont want to walk today because i have some c. it might help me to listen to music while im laying in bed A Nurse is teaching a client and his family how to care for the clients tracheostomy at home. which of the following instructions should the nurse include in the teaching? a. remove the outer cannula cautiously for routine cleaning b. use tracheostomy covers when outdoors c. use sterile technique when performing tracheostomy care at home d. cleanse irritated skin with full strength hydrogen peroxide b. use tracheostomy covers when outdoors A nurse is admitting a client who is having an exacerbation of heart failure. in planning the clients care, when should the nurse initiate discharge planning? during the administration process A nurse is assessing a client who reports increasing pain following pt. which of the following q's should the nurse ask when assessing the quality of the client's pain. a. is the pain constant or intermittent? b. what would you rate it on a scale of 0-10 c. does the pain radiate d. is your pain sharp or dull d. is your pain sharp or dull, because of the quality of pain A nurse is caring for a child who has a prescription for a blood transfusion. the childs parents have refused the treatment, due to thier religious beliefs. a. examine personal values about the issue b. tell the parents this is a necessary procedure c. inform the parents that the staff does not require their consent d. contact the spiritual support person to explain the importance of the procedure. a. examine personal values about the issue a nurse is receiving a client fluid and electrolyte status. which of the following findings should the nurse report to the provider. a. BUN 15mg/dl b. Creatinine 0.8 mg/dl c. sodium 143 meq/l d. potassium 5.4 meq/l D. potassium (3.5-5) BUN- 10-20 Creatinine- 0.5-1.3 Sodium- 136-145 A nurse is caring for a client who has a respiratory infection, which of the following techniques should the nurse use when performing naso-tracheal suction to the client a. insert the suction the suction catheter while the client is swallowing b. apply intermitted suction when withdrawing the catheter c. place the catheter in a clean and dry location for later use d. hold the suction catheter with the clean non-dominate hand b. apply the intermitted suction when withdrawn the catheter a nurse is caring for a client who has sodium level of 125meq/l. which of the following findings should she expect. a. numbness of the extremities b. bradycardia c. positive chvosteks sign d. abdominal cramping d. abdominal cramping A nurse si assessing a clients readinees learn about insulin self-administration. wof statements should the nurse identify that the client is ready to learn a. i can concentrate best in the morning b. it is difficult to read the instructions because my glasses are at home c. im wondering why i need to learn this d. you'll have to talk to my wife about this [Show More]

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