ATI Basic Care and Comfort questions with correct
answers
A nurse is completing the 8-hr I&O for a client who consumed 4 oz of
clear soda, 1 piece of toast, 12 oz of water, 1 cup of fruit-flavored
gelatin, and 1/2 cup of chicken broth. The client also received 300 mL of
0.9% sodium chloride IV. The nurse should record how many mL of
intake on the client's record? Correct Answer-1,140 mL
A nurse is administering a cold therapy application to a client. Which of
the following manifestations should the nurse identify as an indication
for discontinuing the application due to a systemic response? Correct
Answer-Shivering
A nurse is caring for a client who requires cold application with an ice
bag to reduce swelling and pain of an ankle injury. Which of the
following should the nurse take? Correct Answer-Apply the bag for 30
min at a time.
A change nurse observes a nurse administer intermittent tube feedings
via an NG tube to a client. Which of the following actions should
prompt the charge nurse to intervene? Correct Answer-The nurse allows
the client to rest in a supine position during feeding
A nurse is discharging a client who came to the outpatient clinic with an
ankle sprain. Which of the following statements should the nurse
identify as an indication that the client understands the discharge
instructions? Correct Answer-I'll apply ice to my ankle today and
tomorrow.
,A nurse is completing an 8-hr I&O record for a client who consumed 4
oz juice, 6 oz hot tea, 100 mL ice chips, an IV bolus of 150mL, and 8 oz
broth. The nurse should record how many mL of intake on the client's
record? Correct Answer-740mL
A nurse is teaching an older adult client who has left-sided weakness
about cane use. Which of the following instructions should the nurse
include? Correct Answer-When walking, move your left foot forward
first.
A nurse is calculating a client's intake and output for an 8-hr shift. The
client's intake included 1,00mL 0.9% sodium chloride IV, one 6-oz cup
of coffee, 6 oz of water, one 180-mL bowl of soup; 3 oz of flavored
gelatin, and 3 oz of ice cream. How many mL should the nurse
document as the client's total intake for the shift? Correct Answer-
1,720mL
A nurse on a medical unit is assessing four clients for urinary retention.
Which of the following clients have manifestations of urinary retention?
Correct Answer-A client who reports urinary frequency
A client tells the nurse that he suspects that he grinds his teeth at night.
The nurse should explain that the client should see a dentist for this
problem, which she should document as which of the follwing
disorders? Correct Answer-Bruxism
, A nurse is caring for a client who has urinary incontinence. Which of the
following actions should the nurse implement to prevent the
development of skin breakdown? Correct Answer-Apply a moisture
barrier ointment to the client's skin.
A nurse is preparing to instill 840mL of enteral nutrition via a client's
gastronomy tube over 24 hr using an infusion pump. The nurse should
set the infusion pump to deliver how many mLhr? Correct Answer-
35mL/hr
A nurse is teaching a client who has a new second-degree ankle sprain.
Which of the following instructions should the nurse include in the
teaching? Correct Answer--Elevate the affected ankle above the level of
the heart
-Apply a heating pad intermittently to the affected ankle after 48 hr
-Wrap the affected ankle with an elasticized compression bandage test
-Apply intermittent ice to the affected ankle for the first 48 hr
A nurse in a long-term care facility is caring for an older adult client
who has dementia and begins to have frequent episodes of urinary
incontinence. After the provider determines no medical cause for the
client's incontinence, which of the following interventions should the
nurse initiate to manage this behavior? Correct Answer-Take the client
to the bathroom every 2hr
A nurse is planning care for a client who is receiving enteral tube
feedings through an NG tube. Which of the following actions should the
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