ATI NURSE LOGIC NURSING CONCEPTS
1. A nurse on the coronary care unit is caring for a client who was transferredfrom the medical
floor after experiencing a myocardial infarction. After the client is stabilized, she asks the
nurse why she had to be transferred to a unit where her family will be unable to stay with her
all the time. Which of thefollowing responses is appropriate?
A. "I know this must be frightening, but you are going to be fine."
B. "Let's talk for a minute about your concerns."
C. "You were transferred because it is in your best interest."
D. "Why do you feel a family member should be with you?": "Let's talk for aminute about
your concerns."
2. A nurse is reinforcing teaching about HIV with a group of high school students. Which of
the following information is appropriate for the nurse toinclude?
A. Medications will eliminate HIV in most clients
B. Adolescents are at a lower risk for developing HIV
C. Initial HIV symptoms are often similar to the flu
D. Using condoms ensures the prevention of HIV during sexual intercourse: -
Initial HIV symptoms are often similar to the flu
3. A nurse is caring for a client who has nausea and a prescription for promethazine
(Phenergan) 25 mg IM. Which of the following is appropriatewhen preparing a medication for
administration from an ampule?
A. Use a filter needle to administer to promethazine
B. Expel air bubbles back into the ampule
C. Set the ampule on a flat surface to withdraw the promethazine
D. Break the ampule toward the body: Set the ampule on a flat surface twowithdraw the
promethazine
4. A nurse is caring for a client who is diagnosed with active pulmonary tuberculosis and is
taking isoniazid (INH) and ethambutol (Myambutol). Whichof the following manifestations
reported by the client necessitate the discontinuation of ethambutol?
A. Loss of color discrimination
B. Nausea and vomiting
C. Red-orange discoloration to body fluids
D. Edema of feet and hands: Loss of color discrimination
5. A nurse is caring for a client who has been admitted to the medical unit withvomiting and
possible dehydration. Which of the following findings requires immediate intervention?
A. Blood glucose 150mg/dL
B. Potassium 2.5 mEq/L
C. Total protein 5.2 g/dL
, D. Urine specific gravity 1.040: Potassium 2.5 mEq/L
6. A nurse is reviewing the documentation of a newly licensed nurse. Which of the following
actions by the newly licensed nurse while documenting requires the nurse preceptor to
intervene?
A. Including in a client's nurses' note that an incident report was completedafter a medication
error
B. Drawing horizontal lines through blank spaces left in the nurses' notesfollowed by a
signature
C. Refusing to chart the vital signs taken by another nurse on a client's graphicflow sheet
D. Documenting the provider was contacted to clarify a questionable prescription: Including in a
client's nurses' note that an incident report was completed aftera medication error
7. A nurse is caring for a client who has cancer. The client has decided to stop treatment and
requests a referral to hospice. By making the referral as requested, the nurse is illustrating
which of the following ethical principles?
A. Justice
B. Autonomy
C. Veracity
D. Fidelity: Autonomy
8. A nurse in a local clinic is caring for a female client who is 35 years old. Which of the
following screenings should the nurse recommend to the client?
A. Mammogram every year to detect breast cancer
B. Colonoscopy every 10 years to detect colon cancer
C. Dermatologist evaluation every 3 years to detect skin cancer
D. Complete eye examination every year to detect eye disorders: Dermatologist evaluation
every 3 years to detect skin cancer
9. A nurse working in a provider's office is reinforcing teaching with a client who is 14
weeks of gestation. The nurse should instruct the client to immediately notify the provider if
she experiences which of the following?
A. Facial edema
B. Urinary frequency
C. Acid indigestion
D. Breast leakage: Facial edema
10. A nurse working in a hospice facility is talking to a client's son who is distressed because
his mother cries frequently and says she wants to die.Which of the following responses by the
nurse is appropriate?
A. "I know this must be difficult, but your mother will calm down soon."
B. "Let's discuss some strategies you can use when this happens again."
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