ATI practice A (19)
A nurse in a provider's office is reviewing the laboratory reports for a client who is at risk for heart disease. Which of the following results should the nurse report to the provider?
LDL 170 mg/dL
A nurse is planning care for four clients. Which of the following clients should the nurse see first?
A client who has pneumonia and expiratory wheezing
A nurse is performing medication reconciliation with a client. Which of the following actions should the nurse take first?
Ask the client if she takes any over-the-counter medications
A nurse is preparing to insert a new IV catheter for a client. Which of the following actions should the nurse plan to take?
Choose a vein that is palpable
A nurse is completing dietary teaching with a client who has heart failure and has a prescription for 2 g sodium diet. Which of the following statements made by the client indicates an understanding of the teaching?
I can have nonfat yogurt as a dessert
A nurse is teaching a client who has a new hearing aid. Which of the following statements by the client indicates to the nurse an understanding of the teaching?
I will reinsert the hearing aid if I hear a whistling sound
A nurse is preparing to administer 15 units of regular insulin along with 25 units of NPH insulin. Which of the following actions should the nurse take first when mixing the insulin?
Inject 25 units of air into the NPH vial of insulin
A nurse is planning care for a client who is postoperative. Which of the following interventions should the nurse include in the plan to decrease the client's risk for venous stasis?
Instruct the client to elevate her legs when sitting in a chair
A nurse is performing a preoperative assessment of four clients. The nurse should identify that which of the following clients is at risk for a latex allergy?
A client who has spina bifida
A nurse is reviewing the medical record for a client who is receiving continuous enteral feedings. Which of the following findings should the nurse report to the provider?
gastric aspirate pH of 7
A nurse is completing an informed consent document for a 16 year old adolescent who is married and is scheduled for an emergency appendectomy. Which of the following actions should the nurse take?
Ask the client if they understand the provider's plan for the appendectomy
A nurse is preparing to administer an intermittent tube feeding to a client who has a gastrostomy tube. Which of the following actions should the nurse take first?
Check the pH of the client's stomach contents.
A charge nurse is teaching a newly hired nurse about the facility's computerized documentation system. Which of the following actions should the nurse take?
Instruct the newly hired nurse to use direct quotes when recording client statements
A nurse is reviewing a client's ABG laboratory results. Which of the following ABG results should the nurse report to the provider?
PaCO2 32 mm HG
A nurse is admitting a client to an acute care facility. Which of the following actions by the nurse promotes client self-determination?
Providing the client with information about end-of-life decision making
A nurse is performing gauiac testing for a client to screen for colon cancer. The nurse should identify that ingestion of which of the following foods can cause a false negative result?
citrus fruits
A nurse is teaching a client how to perform active range-of-motion exercises of the lower extremities to improve mobility. Which of the following instructions should the nurse include in the teaching?
complete each session two times per day
A nurse is preparing the room for a client who is transferring from the emergency department and is on seizure precautions. Which of the following items should the nurse place in the client's room?
oral-nasal suction
A nurse is preparing to perform a sterile procedure for a client. Which of the following actions should the nurse include in the plan?
position a bedside table so the sterile field can be seen continuously throughout the procedure
A charge nurse is delegating tasks for four clients. Which of the following tasks should the nurse delegate to the assistive personnel (AP)?
prepare the room for a client who requires seizure precautions
A nurse is caring for a client who is recovering from a stroke and tells the nurse he is concerned about paying his medical bills. The nurse should refer the client to which of the following members of the interprofessional health care team?
social worker
A nurse is repositioning a client in bed. Which of the following actions should the nurse take when using ergonomic principles to move the client?
tighten the abdominal muscles
A nurse is planning to perform postmortem care for a client. Which of the following actions should the nurse plan to take?
verify whether the client requires an autopsy
A nurse is caring for a client who has Clostridium difficile (C. difficile) infection. Which of the following actions should the nurse take?
wear a cover gown when caring for the client
