ATI - Testing and Remediation Beginning Test question 100% correct 2023

ATI - Testing and Remediation Beginning Test question 100% correct 20231) A nurse is reinforcing teaching to a client who was recently prescribed a 2,000 mg sodium restricted diet. Which of the following nutritional selections by the client indicates a need for further teaching? Answer: ¾ cup of canned tomato juice Rationale: The nurse would recognize that the client didn't understand because tomato juice has a lot of sodium in it. 2)A nurse in a providers office is reinforcing teaching to the parents of a child who has allergies and is prescribed Benadryl 25mg every six hours as needed. Available is diphenhydramine (Benadryl) 12.5/5mL. How many teaspoons of medicine does the nurse need to instruct the parents to administer per dose? Answer: 2 tsp Rationale: 12.5 x 2 = 25mg every 6 hours 3) A nurse is caring for a client who has been prescribed a full liquid diet. Which of the following is appropriate to include in the clients diet? Answer: Grape Juice, Ice Cream Rationale: Both of these items have a liquid consistency. Therefore it is safe enough for a client with a liquid diet to enjoy. 4)A nurse is examining a client's lymphatic system. Identify the site nurse should palpate to assess the posterior cervical lymph nodes. Answer: Toward the back of the neck Rationale: With proper understanding of the lymphatic system the nurse would know that this would be the correct place to check for a problem. 5) A nurse is preparing to administer a tap water enema to a client. In which of the following positions should the nurse place the client? Answer: Sims Rationale: The proper position for a client who needs an enema is Sims. It allows for the most comfort and easy administration for the nurse. 6) A nurse in a provider's office is caring for a client who has depression and is taking St. Johns Wort. The herbal supplement is thought to improve which of the following? Answer: Mood Rationale: The nurse would know that the client is depressed and that taking a supplement that might improve mood might help him with his issues. 7) A nurse is caring for a client who is immobile and has developed a pressure ulcer. Which of the following characteristics is associated with a stage II pressure ulcer? Answer: partial thickness skin loss Rationale: Characteristics for a stage II ulcer include partial thickness skin loss. The nurse would know this because she is familiar with the stages of pressure ulcers. 8) A nurse on a pediatric unit is caring for an infant who is diagnosed with larynotrachebronchitis. While performing a respiratory examination the nurse hears which sound? Answer: Stridor Rationale: The nurse would know that the sound she is hearing is Stridor. This would mean she was familiar with her breath sounds. 9) A nurse is performing a respiratory examination on a client who has pneumonia. Which of the following sounds should the client be elected over areas if consolidation during percussion? Answer: Dullness Rationale: The nurse would know that a client with pneumonia likely would have a dullness sound in his lungs. 10) A nurse is preparing to measure the blood pressure of a client who has hypertension. Which of the following actions by the nurse when taking blood pressure can result in an inaccurately low reading? Answer: Using a cuff that is too wide. Rationale: By using a cuff that is too wide the nurse would know that the time may not be recorded accurately and may result in a low reading,