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ATI FINAL EXAM - REVIEW QUESTIONS WITH VERIFIED ANSWERS
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ATI FINAL EXAM - REVIEW QUESTIONS WITH VERIFIED ANSWERS
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ATI FINAL EXAM ~ REVIEW QUESTIONSWITH VERIFIED ANSWERS
A ssnurse ssis ssteaching ssa ssclient ssand sshis ssfamily sshow ssto sscare ssfor ssthe
ssclient's sstracheostomy ssat sshome. ssWhich ssof ssthe ssfollowing ssinstructions ssis
ssappropriate ssfor ssthe ssclient ssand ssfamily?
1. ssRemove ssthe ssouter sscannula sscautiously ssfor ssroutine sscleaning.
2. ssUse sstracheostomy sscovers sswhen ssoutdoors.
3. ssUse sssterile sstechnique sswhen ssperforming sstracheostomy sscare ssat sshome.
4. ssCleanse ssirritated ssskin sswith ssfull-strength sshydrogen ssperoxide. ss- ssAnswer
ss2. ssUse sstracheostomy sscovers sswhen ssoutdoors.
A ssnurse ssis ssgiving ssan ssend-of-shift ssreport ssabout ssa ssclient ssadmitted ssearlier
ssthat ssday sswith sspneumonia. ssWhich ssof ssthe ssfollowing sspieces ssof ssinformation
ssis ssmost ssessential ssto ssprovide?
1. ssAdmitting ssdiagnosis
2. ssDiagnostic sstest ssresults
3. ssBody sstemperature
4. ssBreath sssounds ss- ssAnswer ss4. ssBreath sssounds
**ABCs**
A ssnurse ssis sschecking ssblood sspressures ssat ssa sscommunity sshealth ssscreening.
ssWhich ssof ssthe ssfollowing ssclients ssis ssat sshigh ssrisk ssfor ssprimary
sshypertension?
1. ssA ssclient sswho ssis sspregnant
2. ssA ssclient sswho sshas ssan sselevated ssLDL
3. ssA ssclient sswho sstakes ssoral sscontraceptives
4. ssA ssclient sswho sshas sskidney ssdisease ss- ssAnswer ss2. ssA ssclient sswho sshas
ssan sselevated ssLDL
A ssnurse ssis ssplanning sscare ssfor ssa ssclient sswho sshas sshad ssa ssstroke
ssresulting ssin ssaphasia ssand ssdysphagia. ssWhich ssof ssthe ssfollowing sstasks
ssshould ssthe ssnurse ssassign ssto ssan ssAP? ss(Select ssall ssthat ssapply.)
- ssAssist ssthe ssclient sswith ssa sspartial ssbed ssbath.
,- ssMeasure ssthe ssclient's ssBP ssafter ssthe ssnurse ssadministers ssan
ssantihypertensive ssmedication.
- ssTest ssthe ssclient's ssswallowing ssability ssby ssproviding ssthickened ssliquids.
- ssUse ssa sscommunication ssboard ssto ssask sswhat ssthe ssclient sswants ssfor
sslunch.
- ssIrrigate ssthe ssclient's ssindwelling ssurinary sscatheter. ss- ssAnswer ss- ssAssist ssthe
ssclient sswith ssa sspartial ssbed ssbath.
- ssMeasure ssthe ssclient's ssBP ssafter ssthe ssnurse ssadministers ssan
ssantihypertensive ssmedication.
- ssUse ssa sscommunication ssboard ssto ssask sswhat ssthe ssclient sswants ssfor
sslunch.
A ssnurse ssis sscaring ssfor ssa ssclient sswho ssis sscombative ssin ssthe ssemergency
ssdepartment. ssThe ssprovider ssorders sswrist ssrestraints ssafter ssthe ssclient
ssattempts ssto ssassault ssthe ssadmitting ssnurse. ssWhich ssof ssthe ssfollowing
ssactions ssis ssappropriate ssfor ssthe ssnurse ssto sstake?
1. ssTie ssrestraints ssto ssthe sslower ssedge ssof ssthe ssside ssrail.
2. ssRemove sseach ssrestraint ssone ssat ssa sstime ssevery ss2 sshr.
3. ssEnsure ss3 ssfinger-widths ssof ssspace ssbetween ssthe ssrestraint ssand ssthe
ssclient's sswrist.
4. ssUse ssa sssquare ssknot ssto sssecurely sstie ssthe ssrestraints ssto ssthe ssbed. ss-
ssAnswer ss2. ssRemove sseach ssrestraint ssone ssat ssa sstime ssevery ss2 sshr.
**To ssperform ssROM ssexercises ssand ssneurovascular sschecks**
A ssnurse ssis sspreparing ssto ssadminister ssmorphine ss4 ssmg ssIV ssbolus ssto ssa
ssclient. ssAvailable ssis ssmorphine ss5mg/mL. ssWhich ssof ssthe ssfollowing ssis ssan
ssappropriate ssnursing ssintervention?
1. ssReturn ssthe ssunused ssmedication ssto ssthe ssautomatic ssdispensing sssystem.
2. ssKeep ssthe ssremaining ssmedication ssat ssthe ssclient's ssbedside ssfor sslater ssuse.
3. ssHave ssa sssecond ssnurse sswitness ssthe ssdisposal ssof ssremaining ssmedication.
4. ssLock ssremaining ssmedication ssin sssecure sscabinet. ss- ssAnswer ss3. ssHave ssa
sssecond ssnurse sswitness ssthe ssdisposal ssof ssremaining ssmedication.
A ssnurse ssis sscaring ssfor ssa ssclient sswho ssasks ssabout ssthe sspurpose ssof
ssadvance ssdirectives. ssWhich ssof ssthe ssfollowing ssis ssan ssappropriate ssresponse
ssby ssthe ssnurse?
1. ss"It ssallows ssthe sscourt ssto ssoverrule ssan ssadult ssclient's ssrefusal ssof ssmedical
sstreatment."
2. ss"It sspermits ssa ssclient ssto sswithhold ssmedical ssinformation ssfrom sshealth sscare
sspersonnel."
3. ss"It ssindicates ssthe ssform ssof sstreatment ssa ssclient ssis sswilling ssto ssaccept ssin
ssthe ssevent ssof ssa ssserious ssillness."
,4. ss"It ssallows sshealth sscare sspersonnel ssin ssthe ssemergency ssdepartment ssto
ssstabilize ssa ssclient's sscondition." ss- ssAnswer ss3. ss"It ssindicates ssthe ssform ssof
sstreatment ssa ssclient ssis sswilling ssto ssaccept ssin ssthe ssevent ssof ssa ssserious
ssillness."
A ssnurse ssfinds ssa ssclient sson ssthe ssfloor ssupon ssentering ssthe ssclient's ssroom.
ssThe ssroommate ssreports ssthat ssthe ssclient sswas sstrying ssto ssget ssout ssof ssbed
ssand ssfell ssover ssthe ssbedrail ssonto ssthe ssfloor. ssWhich ssof ssthe ssfollowing ssis
sscorrect ssdocumentation ssof ssthis ssincident?
1. ssIncident ssreport sscompleted.
2. ssClient ssclimbed ssover ssthe ssbedrails.
3. ssClient ssfound sslying sson ssfloor.
4. ssClient sswas sstrying ssto ssget ssout ssof ssbed. ss- ssAnswer ss3. ssClient ssfound
sslying sson ssfloor.
**remember, ssbe ssObjective ssin ssdocumentation**
A ssclient sswho ssis sspostoperative ssis ssverbalizing sspain ssas ssa ss2 sson ssa sspain
ssscale ssof ss0 ssto ss10. ssThe ssnurse ssunderstands ssthat ssthe sspreoperative
ssteaching ssregarding sspain sscontrol sshas ssbeen sseffective sswhen ssthe ssclient
ssstates sswhich ssof ssthe ssfollowing?
1. ss"I ssthink ssI ssshould sstake ssmy sspain ssmedication ssmore ssoften, sssince ssit ssis
ssnot sscontrolling ssmy sspain."
2. ss"Breathing ssfaster sswill sshelp ssme sskeep ssmy ssmind ssoff ssof ssthe sspain."
3. ss"It ssmay sshelp ssme ssto sslisten ssto ssmusic sswhile ssI'm sslying ssin ssbed."
4. ss"I ssdon't sswant ssto sswalk sstoday, ssbecause ssI'm ssexperiencing sssome sspain."
ss- ssAnswer ss3. ss"It ssmay sshelp ssme ssto sslisten ssto ssmusic sswhile ssI'm sslying ssin
ssbed."
**nonpharmacological ssintervention ssto sspain**
A ssclient ssdemonstrates ssanger sswhen ssthe ssnurse ssdoes ssnot ssrespond sswithin
ss5 ssmin ssof ssringing ssfor ssthe ssnurse. ssWhich ssof ssthe ssfollowing ssis ssan
ssappropriate ssresponse ssby ssthe ssnurse?
1. ss"I'm sssorry, ssbut ssanother ssclient ssneeded ssmy ssattention."
2. ss"I ssarrived ssas sssoon ssas ssI sscould. ssWhat sscan ssI ssdo ssfor ssyou?"
3. ss"It ssmust ssbe ssfrustrating. ssI sshave ssa ssfew ssminutes ssnow."
4. ss"We sshad ssan ssemergency sson ssthe ssunit, ssbut ssnow ssI'm sshere." ss-
ssAnswer ss3. ss"It ssmust ssbe ssfrustrating. ssI sshave ssa ssfew ssminutes ssnow."
**therapeutic ssby ssacknowledging ssclient's ssfeelings**
, A ssnurse ssis ssadmitting ssa ssclient sswho ssis sshaving ssan ssexacerbation ssof ssheart
ssfailure. ssIn ssplanning ssthis ssclient's sscare, sswhen ssshould ssthe ssnurse ssinitiate
ssdischarge ssplanning?
1. ssDuring ssthe ssadmission ssprocess
2. ssAs sssoon ssas ssthe ssclient's sscondition ssis ssstable
3. ssDuring ssthe ssinitial ssteam ssconference
4. ssAfter ssconsulting sswith ssthe ssclient's ssfamily ss- ssAnswer ss1. ssDuring ssthe
ssadmission ssprocess
**discharge ssplanning ssstarts ssat ssadmission ss(patient ssneeds ssfor ssduring ssand
ssafter sshospital)**
A ssnurse ssmanager ssis ssoverseeing ssthe sscare ssof ssa ssunit. ssWhich ssof ssthe
ssfollowing ssshould ssthe ssnurse ssmanager ssidentify ssas ssa ssviolation ssof ssHIPPA
ssguidelines?
1. ssThe ssassigned ssnurse ssreviews ssthe ssmedical sschart sswith ssa ssnursing
ssstudent.
2. ssA ssnursing ssstudent ssdiscusses ssa ssclient's ssstatus sswith ssthe ssassigned
ssnurse ssat ssthe ssbedside.
3. ssThe ssassigned ssnurse ssreturns ssa sscall ssto ssa ssclient's ssPower ssof ssAttorney
ssto ssdiscuss ssthe ssclient's sscare.
4. ssA ssnursing ssstudent ssconsults ssa ssformer ssclassmate ssto ssassist sswith ssher
ssdocumentation. ss- ssAnswer ss4. ssA ssnursing ssstudent ssconsults ssa ssformer
ssclassmate ssto ssassist sswith ssher ssdocumentation.
**only ssthose ssin ssdirect sscare**
A ssnurse ssis ssteaching ssa ssclient ssabout ssself-administering ssNPH ssinsulin.
ssWhich ssof ssthe ssfollowing ssactions ssby ssthe ssclient ssindicates ssa ssneed ssfor
ssfurther ssteaching?
1. ssThe ssclient ssinserts ssthe ssneedle ssat ssa ss30°-angle.
2. ssThe ssclient ssrolls ssthe ssvial ssbetween ssboth sshands.
3. ssThe ssclient ssholds ssthe sssyringe ssin ssplace ssfor ss5 ssseconds ssfollowing
ssinjection.
4. ssThe ssclient ssuses ssher ssanterior ssthigh ssas ssthe ssinjection sssite. ss- ssAnswer
ss1. ssThe ssclient ssinserts ssthe ssneedle ssat ssa ss30°-angle.
**Insert ssneedle ssat ss45° ssto ss90° ss(depending sson ssadipose/fat sstissue)**
A ssnurse ssis ssreviewing ssa ssclient's ssfluid ssand sselectrolyte ssstatus. ssWhich ssof
ssthe ssfollowing ssfindings ssshould ssthe ssnurse ssreport ssto ssthe ssprovider?
1. ssBUN ss15 ssmg/dL
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