2. A nurse is preparing to iniate intravenous 昀氀uids via pump for a client. which of the following
actions should the nurse take?
Obtain A surge protector that can accommodate the pump and several other appliances
3. A nurse is caring for a client who has an implanted venous access port. Which of the following
should the nurse use to assess the port?
a. An Angio catheter
b. A butterfly needle
c. A noncoring needle
d. A 25-gauge needle
4. A nurse is conducting an initial assessment of a client and notices a discrepancy Between the
clients current IV infusion and the information received during the shift report. Which of the
following actions should the nurse take?
compare the current infusion with the prescription and the clients medical record.
For #6 I’m kind of i昀昀y about the television because in mental health it says when a client has
hallucinations the tv or music helps during auditory hallucinations it can assist in limiting the e
昀昀ect the hallucinations have on the clients stress level. So, It may be as follows indicated,
indicated, indicated, indicated, and the last one contraindicated.
7.A nurse is caring for a client who is near the end of life and is on complete bed rest . The client
states that he needs to have a bowel movement and the nurse o昀昀ers a bed pan. The client
states “I've always used the bathroom” which of the following responses should the nurse
make?
a. Tell me what concerns you about the bedpan.
b. make sure to use nearby furniture to support yourself when walking to the bathroom.
c. I will have the physical therapist ambulate you to the bathroom.
d. you have to use the bedpan for your own safety
9.A nurse is providing an in service about client evacuation during the 昀椀re. Which of the following
clients should the nurse instruct the sta昀昀 to evacuate 昀椀rst?
a client who uses a wheelchair and is confused
a client who is bedridden and wears a hearing aid
a client who is ambulatory and receiving oxygen
a client who has a fracture and is in balance suspension traction
11. A nurse is assessing a client who has a possible right pneumothorax. Which of the following
昀椀ndings should the nurse expect?
a. Reduce right sided breath sounds
b. inter coastal retractions
c.high pitched strider
d.paradoxical chest movement
I say for this one it's 1,2,3 and 6 when I looked up in the ATI book it says Patients with COPD could be on 2-4L/m of
oxygen via the nasal cannula, we always want to continue to assess the clients breath sounds, chest percussions
and vibration is needed to help move the secretions, and diaphragmatic breathing is needed as well. ATI MEDSURG
PG.138
13. A nurse is caring for a client who is postoperative following a liver biopsy. In which
of the following positions should the nurse place the client immediately following the
procedure?
A. Trendelenburg
B. Prone
C. Right lateral
D. High-fowlers
14. A nurse is caring for a client who states he recently purchased lavender oil to use when he
gets the flu. The nurse should recognize which of the following findings as a potential
contraindication for using lavender?
a. The client has a history of asthma
b. The client takes furosemide twice daily
c. The client has a history of alcohol use disorder
d. The client takes vitamin C daily
15. A nurse is providing discharge teaching to a client following a total gastrectomy. The nurse should instruct
the client about which of the following medications?
a. Ranitidine
b. Vitamin B 12 PATIENTS WITH TOTAL GASTRECTOMY LACKS VIT B12 NEED TO SUPPLEMENT
c. Metoclopramide
d. Vitamin K
16. A nurse is teaching a newly licensed nurse about caring for clients in the emergency department. Which of
the following actions should the nurse include when teaching about interacting with a client who is aggravated,
pacing, and speaking loudly?
a. Initiate seclusion protocol.
c. Tell the client, “you seem to be very upset.”
17. A nurse is teaching a client about family planning using the basal body temperature method. Which of
the following instructions should the nurse include in the teaching?
take your temperature immediately after waking and before getting out of bed.
18. A nurse is reading a tuberculin skin test for a client who received a protein derivative test 72 hours ago.
Which of the following findings indicate a positive test?
An induration measuring 10mm
19. A nurse is providing teaching about home safety to adult child of an older adult client who is
postoperative following knee replacement surgery. Which of the following instructions should the nurse
include?
Mark the edges of the doorway to the house with tape
20. a nurse is caring for a client who has heart failure. Which of the following manifestations should the
nurse expect?
a. crackles in the lungs
b. decreased thirst
c. poor skin turgor
d. tachycardia
21. A nurse is assessing a client who received hydromorphone 4mg IV 15 min ago. the client has a respiratory
rate of 10/min. the nurse should prepare to administer which of the following medications?
naloxone
22. A nurse is planning care for a school-age child who is 4 hr postoperative following
perforated appendicitis. Which of the following actions should the nurse include in the plan
of care?
a. Offer small amounts of clear liquids 6 hr following surgery
b. Administer analgesics on a scheduled basis for the first 24 hr
c. Give cromolyn nebulized solution every 8 hr
d. Apply a warm compress to the operative site every 4 hr
23. A nurse is caring for a client whose child died from cancer. The client states “it's hard to go on
without him”. which of the following questions should the nurse ask the client first?
a. What has helped you through difficult times in the past?
b. Has anyone in your family committed suicide?
c. Is there anyone you would like involved in your care?
d. Are you thinking about ending your life?
24. A nurse is teaching a client about advanced directives. Which of the following statements by the
client indicate an understanding of the teaching?
a. A living will is a document that includes my wishes about health care decisions.
b. My provider will make my health care decisions if I complete advanced directives.
c. advanced directives outline who inherits my material possessions in the event of my death.
d. my partner needs to be present as a witness when I sign my living will
25. A nurse is providing teaching to a client who is 14 weeks of gestation about findings to
report to the provider. Which of the following findings should the nurse include in the
teaching?
A. Bleeding gums
B. Faintness upon rising
C. Swelling of the face
D. Urinary frequency
10 of 54 7/1/2024, 7:51
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