DAVENPORT UNIVERSITY NURS217: Health Assessment
in Nursing / Fundamentals - ATI PRACTICE TEST B
Questions With Complete Solutions
A charge nurse is observing a newly licensed nurse prepare a
sterile field for a dressing change. Which of the following
actions by the newly licensed nurse requires intervention by the
charge nurse?
The newly licensed nurse places the cap of a bottle of sterile
saline solution on the sterile field.
The newly licensed nurse places sterile objects 2.5 cm (1 in)
within the border of the field.
The newly licensed nurse holds the bottle of sterile saline
outside the edge of the field when pouring.
The sterile field is positioned at the level of the newly licensed
nurse's waist. Correct Answers The newly licensed nurse
places the cap of a bottle of sterile saline solution on the sterile
field.
A client demonstrates anger when the nurse does not respond
within 5 min of ringing for the nurse. Which of the following is
an appropriate response by the nurse?
"I'm sorry, but another client needed my attention."
"I could not arrive any sooner. What can I do for you?"
"We had an emergency on the unit and that was a priority, but
now I'm here."
"That must be frustrating for you. How can I help you right
now?" Correct Answers "That must be frustrating for you. How
can I help you right now?"
,A home health nurse is completing an admission assessment of
an older adult client who has their caregiver present. Which of
the following findings should the nurse identify as a potential
indication of elder abuse?
The caregiver is the client's financial power of attorney.
The client is in a wheelchair with the wheels locked.
The client reports receiving a full bath twice each week.
The caregiver insists on remaining in the room. Correct
Answers The caregiver insists on remaining in the room.
A nurse in a clinic is caring for a middle adult client who states,
"The doctor says that, since I am at an average risk for colon
cancer, I should have a routine screening. What does that
involve?" Which of the following responses should the nurse
make?
"I'll get a blood sample from you and send it for a screening
test."
"Beginning at age 60, you should have a colonoscopy."
"You should have a fecal occult blood test every year."
"The recommendation is to have a sigmoidoscopy every 10
years." Correct Answers "You should have a fecal occult blood
test every year."
A nurse in a medical-surgical unit is caring for six clients.
Nurses' Notes
0800:
, Client 1: Client is admitted with a new diagnosis of rheumatoid
arthritis.
Client 2: Client has a history of hyperlipidemia. Atorvastatin 20
mg PO administered as prescribed.
Client 3: Client is 1 day postoperative. Reports pain as 8 on a
scale of 0 to 10. Morphine 5 mg subcutaneous administered as
prescribed.
Client 4: Client is admitted with a new diagnosis of heart failure.
Client 5: Client has a stage 2 pressure injury on the left heel.
Client 6: Client is admitted with a new diagnosis of diabetes
mellitus.
Complete the following sentence by using the lists of options.
The first client the nurse should assess is _____ followed by
_____. Correct Answers Client 3, Client 4
A nurse in the emergency department (ED) is caring for a client
who reports abdominal pain.
Nurses' Notes
1200:
Client arrives to ED and reports abdominal pain and no bowel
movement for the past 7 days. Client is undergoing
chemotherapy for pancreatic cancer and has been taking 40 mg
oxycodone extended-release tablets daily for the past 3 months...
Based on the client's clinical findings, which of the following
actions should the nurse take?
Select all that apply.
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