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NSG 345 -ATI EXAM STUDY SET WITH QUESTIONS AND VERIFIED ANSWERS
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NSG 345 -ATI EXAM STUDY SET WITHQUESTIONS AND VERIFIED ANSWERS
A nurse is reinforcing teaching with a client who has HIV and is being discharged
to home. Which of the following instructions should the nurse include in the
teaching?
a. Take temperature once a day
b. Wash the armpits and genitals with a gentle cleanser daily
c. Change the litter boxes while wearing gloves
d. Wash dishes in warm water - ANSWER a. Take temperature once a day
A nurse is caring for a client who is postoperative following a tracheostomy and
has copious and tenacious secretions. Which of the following is an acceptable
method for the nurse to use to thin this client's secretions?
a. Provide humidified oxygen
b. Perform chest physiotherapy prior to suctioning
c. Pre-lubricate the suction catheter tip with sterile saline when suctioning the
airway
d. Hyperventilate the client with 100% oxygen before suctioning the airway -
ANSWER a. Provide humidified oxygen
Following admission, a client with a vascular occlusion of the right lower extremity
calls the nurse and reports difficulty sleeping because of cold feet. Which of the
following nursing actions should the nurse take to promote the client's comfort?
a. Rub the client's feet briskly for several minutes
b. Obtain a pair of slipper socks for the client
,c. Increase the client's oral fluid intake
d. Place a moist heating pad under the client's feet - ANSWER b. Obtain a pair of
slipper socks for the client
A nurse is caring for a client who is 4 hr. post-op. following a transurethral
resection of the prostate (TURP). Which of the following is the priority finding for
the nurse to report to the provider?
a. Emesis of 100 mL
b. Oral temperature of 37.5 C (99.5 F)
c. Thick, red-colored urine
d. Pain level of 4 on a 0-10 rating scale - ANSWER c. Thick, red-colored urine
A nurse is caring for a client who has a temperature of 39.7 C (103.5 F) and has a
prescription for a hypothermia blanket. The nurse should monitor the client for
which of the following adverse effects of the hypothermia blanket?
a. Shivering
b. Infection
c. Burns
d. Hypervolemia - ANSWER a. Shivering
A nurse is reinforcing teaching about exercise with a client who has T1DM. Which
of the statements by the client indicates an understanding of the teaching?
a. "I will carry a complex carbohydrate snack with me when I exercise."
b. "I should exercise first thing in the morning before eating breakfast."
c. "I should avoid injecting insulin into my thigh if I am going to go running."
d. "I will not exercise if my urine is positive for ketones." - ANSWER d. "I will not
exercise if my urine is positive for ketones."
A nurse notes a small section of bowel protruding from the abdominal incision of a
client who is pot-op. After calling for assistance, which of the following actions
,should the nurse take first?
a. Cover the client's wound with a moist, sterile dressing.
b. Have the client lie supine knees flexed
c. Check the client's vital signs
d. Inform the client about the need to return to surgery - ANSWER a. Cover the
client's wound with a moist, sterile dressing.
A nurse is collecting data from a client who has alcohol use disorder and is
experiencing metabolic acidosis. Which of the following manifestations should the
nurse expect?
a. Cool, clammy skin
b. Hyperventilation
c. Increased BP
d. Bradycardia - ANSWER b. Hyperventilation
A nurse is reinforcing discharge teaching with a client following a cataract
extraction. Which of the following should the nurse include in the teaching?
a. Avoid bending at the waist
b. Remove the eye shield at bedtime
c. Limit the use of laxatives if constipated
d. Seeing flashes of light is an expected finding following extraction - ANSWER a.
Avoid bending at the waist
A nurse is caring for a client who has HF and has been taking Digoxin 0.25 mg
daily. The client refuses breakfast and reports nausea. Which of the following
actions should the nurse take first?
a. Suggest that the client rests before eating the meal
b. Request a dietary consult
c. Check the client's vital signs
, d. Request an order for an antiemetic - ANSWER c. Check the client's vital signs
A nurse is caring for a client who is 3 days post-op. following a cholecystectomy.
The nurse suspects the client's wound is infected because the drainage from the
dressing is yellow and thick. Which of the following findings should the nurse
report as the type of drainage found?
a. Sanguineous
b. Serous
c. Serosanguineous
d. Purulent - ANSWER d. Purulent
A nurse is reinforcing discharge teaching to a client following arthroscopic surgery.
To prevent post-op. complications which of the following actions should be
reinforced during the teaching?
a. Administer an opioid analgesic to the client 30 minutes prior to initiating CPM
exercises
b. Place the client's affected leg into the CPM machine with the machine in the
flexed position
c. Place the client into a high Fowler's position when initiating the CPM exercises
d. Align the joints of the CPM machine with the knee gatch in the client's bed -
ANSWER a. Administer an opioid analgesic to the client 30 minutes prior to
initiating CPM exercises
A nurse is collecting data from a client who has emphysema. Which of the
following findings should the nurse expect? (Select all that apply)
a. Dyspnea
b. Barrel chest
c. Clubbing of the fingers
d. Shallow respirations
e. Bradycardia - ANSWER a. Dyspnea
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