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ATI Final Exam ~ Review Questions With 100% ALL SURE ANSWERS
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JACKLINEATI Final Exam ~ Review Questions With 100% ALL SURE ANSWERS
Terms in this set (122)
A nurse is teaching a client and his family how to 2. Use tracheostomy covers when outdoors.
care for the client's tracheostomy at home. Which
of the following instructions is appropriate for the
client and family?
1. Remove the outer cannula cautiously for routine
cleaning.
2. Use tracheostomy covers when outdoors.
3. Use sterile technique when performing
tracheostomy care at home.
4. Cleanse irritated skin with full-strength
hydrogen peroxide.
ATI Final Exam ~ Review Questions
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,A nurse is giving an end-of-shift report about a 4. Breath sounds
client admitted earlier that day with pneumonia.
Which of the following pieces of information is *ABCs*
most essential to provide?
1. Admitting diagnosis
2. Diagnostic test results
3. Body temperature
4. Breath sounds
We have an expert-written solution to this problem!
A nurse is checking blood pressures at a 2. A client who has an elevated LDL
community health screening. Which of the
following clients is at high risk for primary
hypertension?
1. A client who is pregnant
2. A client who has an elevated LDL
3. A client who takes oral contraceptives
4. A client who has kidney disease
A nurse is planning care for a client who has had a - Assist the client with a partial bed bath.
stroke resulting in aphasia and dysphagia. Which - Measure the client's BP after the nurse administers an antihypertensive medication.
of the following tasks should the nurse assign to - Use a communication board to ask what the client wants for lunch.
an AP? (Select all that apply.)
- Assist the client with a partial bed bath.
- Measure the client's BP after the nurse
administers an antihypertensive medication.
- Test the client's swallowing ability by providing
thickened liquids.
- Use a communication board to ask what the
client wants for lunch.
- Irrigate the client's indwelling urinary catheter.
ATI Final Exam ~ Review Questions
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,9/5/24, 8:04 AM
A nurse is caring for a client who is combative in 2. Remove each restraint one at a time every 2 hr.
the emergency department. The provider orders
wrist restraints after the client attempts to assault *To perform ROM exercises and neurovascular checks*
the admitting nurse. Which of the following actions
is appropriate for the nurse to take?
1. Tie restraints to the lower edge of the side rail.
2. Remove each restraint one at a time every 2 hr.
3. Ensure 3 finger-widths of space between the
restraint and the client's wrist.
4. Use a square knot to securely tie the restraints
to the bed.
A nurse is preparing to administer morphine 4 mg 3. Have a second nurse witness the disposal of remaining medication.
IV bolus to a client. Available is morphine 5mg/mL.
Which of the following is an appropriate nursing
intervention?
1. Return the unused medication to the automatic
dispensing system.
2. Keep the remaining medication at the client's
bedside for later use.
3. Have a second nurse witness the disposal of
remaining medication.
4. Lock remaining medication in secure cabinet.
A nurse is caring for a client who asks about the 3. "It indicates the form of treatment a client is willing to accept in the event of a serious illness."
purpose of advance directives. Which of the
following is an appropriate response by the
nurse?
1. "It allows the court to overrule an adult client's
refusal of medical treatment."
2. "It permits a client to withhold medical
information from health care personnel."
3. "It indicates the form of treatment a client is
willing to accept in the event of a serious illness."
4. "It allows health care personnel in the
emergency department to stabilize a client's
condition."
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, 9/5/24, 8:04 AM
A nurse finds a client on the floor upon entering 3. Client found lying on floor.
the client's room. The roommate reports that the
client was trying to get out of bed and fell over *remember, be Objective in documentation*
the bedrail onto the floor. Which of the following
is correct documentation of this incident?
1. Incident report completed.
2. Client climbed over the bedrails.
3. Client found lying on floor.
4. Client was trying to get out of bed.
A client who is postoperative is verbalizing pain as 3. "It may help me to listen to music while I'm lying in bed."
a 2 on a pain scale of 0 to 10. The nurse
understands that the preoperative teaching *nonpharmacological intervention to pain*
regarding pain control has been effective when
the client states which of the following?
1. "I think I should take my pain medication more
often, since it is not controlling my pain."
2. "Breathing faster will help me keep my mind off
of the pain."
3. "It may help me to listen to music while I'm lying
in bed."
4. "I don't want to walk today, because I'm
experiencing some pain."
A client demonstrates anger when the nurse does 3. "It must be frustrating. I have a few minutes now."
not respond within 5 min of ringing for the nurse.
Which of the following is an appropriate response *therapeutic by acknowledging client's feelings*
by the nurse?
1. "I'm sorry, but another client needed my
attention."
2. "I arrived as soon as I could. What can I do for
you?"
3. "It must be frustrating. I have a few minutes
now."
4. "We had an emergency on the unit, but now I'm
here."
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