100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
ATI NCLEX Questions 2023/2024 already graded A+ R186,58   Add to cart
Quickly navigate to
Preview
  2.  
  3. Rasmussen College
  4.  
  5. Rasmussen College

Exam (elaborations)

ATI NCLEX Questions 2023/2024 already graded A+
 9 views  0 purchase
  • Course
  • Rasmussen College
  • Institution
  • Rasmussen College

ATI NCLEX Questions 2023/2024 already graded A+

Preview 3 out of 30  pages

Document information

  • November 22, 2023
  • 30
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • rasmussen college
  • a client is exhibiting early signs of hemorrhage
  • an older adult client reports recurring calf pain
  • a client who has just been diagnosed with rheumato
  • a nurse prepares a staff in serv

Written for

  • Rasmussen College
  • Rasmussen College
All documents for this subject (65)

Seller

avatar-seller
Ashley96

Reviews received

Content preview

ATI NCLEX Questions

A client is exhibiting early signs of hemorrhage. Which findings should the nurse anticipate?
1. Cold, clammy skin
2. Heart rate 120/min
3. Weak, thready pulse
4. Blood pressure 80/60 - ANS2. Heart rate 120/min

An older adult client reports recurring calf pain after walking one to two blocks that disappears
with rest. The client has weak pedal pulses, and skin on the left lower leg is shiny and cool to
the touch. Which nursing intervention is appropriate at this time?
1. Position the left leg dependently
2. Elevate the left leg above the heart
3. Immobilize the left leg to prevent further injury
4. Assess dorsiflexion and extension of the left foot - ANS1. Position the left leg dependently

A client who has just been diagnosed with rheumatoid arthritis is required to receive 3 months of
methotrexate therapy. The nurse recognizes which of the following are adverse effects
associated with the therapy? SATA
1. WBC 1,200
2. Weight gain 2.27 kg (5 lbs.)
3. Oral temperature of 37.2 (99)
4. Urine Specific Gravity 1.003
5. Platelets 5,000 - ANS1. WBC 1,200
5. Platelets 5,000

A nurse prepares a staff in-service on incident reports. Which information should the nurse
include? SATA
1. Risk management investigates the incident
2. A copy of report is placed in client's health record
3. Reports include description of incident and actions taken
4. Reports are confidential and not shared with noninvolved staff
5. Completion of report should be documented in the nurses' notes - ANS1. Risk management
investigates the incident
3. Reports include description of incident and actions taken
4. Reports are confidential and not shared with noninvolved staff

A nurse is unsure of the proper technique when caring for a client who is prescribes enteral
feedings. Which action should the nurse take?
1. Ask the charge nurse for step-by-step directions
2. Call the provider for specific instructions
3. Consult the unit procedure manual for guidance

,4. Delegate task to a LPN to complete the feedings. - ANS3. Consult the unit procedure manual
for guidance

A nurse admits a client from a long-term care facility. Which action should be implemented?
SATA
1. Verify the admission medications prescribed by the provider
2. Review the current medication regimen with the client
3. Obtain the most recent list of mediations from the long-term care facility
4. Locate a list of discharge medications from the most recent hospitalization.
5. Discuss any discrepancies with the health care provider - ANS1. Verify the admission
medications prescribed by the provider
2. Review the current medication regimen with the client
3. Obtain the most recent list of medications from the long-term care facility
5. discuss any discrepancies with the health care provider

A nurse cares for a client with terminal lung cancer. Which action should be delegated to the
UAP? SATA
1. Encourage client to express feelings about the terminal diagnosis
2. Assist the client to ambulate to the bedside chair twice a day
3. Demonstrate to client the proper use of a bronchodilator inhaler
4. Complete vital signs that include oxygen saturation every 4 hours
5. Obtain a urine specimen from the client's indwelling bladder catheter - ANS2. Assist the client
to ambulate to the bedside chair twice a day
4. Complete vital signs that include oxygen saturation every 4 hours

A nurse cares for a group of clients on a med-surg unit. Which client should be delegated to the
LPN? SATA. A client with
1. Newly diagnosed DM2
2. Facial lacerations and a subdural hematoma
3. Bronchitis receiving bronchodilator treatments
4. Exacerbation of myasthenia gravis admitted three hours ago
5. Advanced regular diet two days post chole - ANS3. Bronchitis receiving bronchodilator
treatments
5. Advanced regular diet two days post chole

A nurse enters the room of a client who is at the foot of the bed lying on the floor. Which should
be the initial nursing action?
1. Examine the client for injuries
2. Obtain HR and BP
3. Assess vital signs and LOC
4. Determine intensity of pain with ROM - ANS3. Assess vital signs and LOC

, Four days after a ventral hernia repair, a client who is obese and has a history of COPD vomits
and reports severe abdominal pain. The oxygen saturation is 90%. Which action should the
nurse implement first?
1. Administer ondansetron hcl IV
2. Encourage pursed lip breathing
3. Assess the surgical incision site
4. Apply low dose oxygen via nasal cannula - ANS3. Assess the surgical incision site

A nurse arrives at a work site explosion. Which client should be triaged first? A client who has
1. Fixed pupils an agonal respirations
2. Burns to the face and respiratory stridor
3. Type 2 DM who is disoriented
4. A closed fracture reporting "a pain level of 3" - ANS2. Burns to the face and respiratory stridor

A home health nurse is performing an admission assessment on a client who has a knee
arthroplasty one week ago. Which client statement should concern the nurse the most?
1. "I am so glad to be of those blood thinners"
2. "I will keep a pillow under my knee when I am in bed"
3. "I am planning to use a wheelchair to help me get around"
4. "I plan to take ibuprofen instead of the prescribed hydrocodone with acetaminophen for pain
control" - ANS1. "I am so glad to be of those blood thinners"

A nurse provides care for a client who has a chest tube. The nurse notes the chest tube has
become disconnected from the chest drainage system. Which action should the nurse take?
1. Increase suction to the chest drainage system.
2. Reposition the client to a high-fowler's position
3. Apply to the client low-flow oxygen via nasal cannula
4. Immerse the end of the chest tube in a bottle of sterile water - ANS4. Immerse the end of the
chest tube in a bottle of sterile water

A client receives a transfusion of packed RBC's and tells the nurse "My IV site is painful and
looks like it is swollen" Which action should the nurse take?
1. Continue to monitor the site for signs of infection or infiltration
2. Double check the blood type of the unit of blood with another nurse
3. Start a new IV at another site and resume the transfusion at the new site
4. Discontinue the transfusion and send the remaining blood and tubing to the lab - ANS3. Start
a new IV at another site and resume the transfusion at the new site

A client who has recently undergone surgery for a tracheostomy is now at home. The nurse
recognizes a need for immediate intervention when the caregiver does which of the following?
1. Suctions intermittently for 15 seconds
2. Places an air humidifier at the bedside
3. Cuts a 4x4 gauze to put around the tracheostomy tube

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through EFT, credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying this summary from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Ashley96. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy this summary for R186,58. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

75632 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy summaries for 14 years now

Start selling
R186,58
  • (0)
  Buy now