ATI questions fundamentals
A nurse is teaching a group of older adults ab expected age-related changes. which of the following statements by a group member indicates that the teaching has been effective? A) "I should expect my heart rate to take longer to return to normal after exercises as I get older" B) "urinary incontinence is something I will have to live with as I get older" C) "I can expect to have less ear wax as I get older D) "my stomach will empty more quickly after meals as I grow older
A) "I should expect my heart rate to take longer to return to normal"
a nurse is performing a neurological assessment for a pt. By asking the pt to stick out his tongue, which of the following cranial nerves is the nurse testing? A) Cranial nerve XII B) cranial nerve X C) cranial nerve VIII D) cranial nerve V
A) cranial nerve XII
A nurse is providing oral care for a pt who is unconscious. which of the following actions should the nurse take? A) place the pt in a lateral position with the head turned to the side before beginning procedure B) use the thumb and index finger to keep the pt mouth open C) rinse the pt's mouth w an alcohol-based mouthwash following the procedure D) Cleanse the pt's mucous membranes with lemon-glycerin sponges
A) place pt in lateral position w head turned to side before beginning
a nurse is caring for a group of pt's. which of the following tasks should the nurse assign to an assistive personel? A) provide oral care to a client who cannot take oral fluids B) check a pt IV insertion site for manifestations of infiltration C) assess a pt's ability to ambulate D) demonstrate the use of a glucometer to a pt who has diabetes mellitus
A) provide oral care to pt
a nurse is caring for a pt w peripheral edema. the nurse should identify that which of the following nutrients regulates extracellular fluid volume? A) sodium B) calcium C) potassium D) magnesium
A) sodium
a nurse on an oncology unit receives report at the beginning of her shift about 4 pt's who are postoperative. which of the following should the nurse see first? A) a pt 1 day post following a lobectomy for small-cell carcinoma and has a chest tube w 35 mL/hr of bright red, bloody drainage B) pt day 2 postop following a colectomy r/t colorectal cancer and has an ostomy bag full of bright red, bloody drainage C) a pt 2 days postop following an excision of an abdominal mass and has a portable wound suction device w 20 mL/hr of serosanguinous drainage D) pt that is 1 day postop following an excision of a bladder wall tumor and prostate and has CBI with 300 mL/hr reddish-pink urine
B) 2 days postop following a colectomy r/t colorectal cancer
A nurse is caring for a pt who is scheduled to receive transcutaneous electric nerve stimulation (TENS) for pain management. The pt asks the nurse how a TENS unit helps relieve pain. Which of the following responses should the nurse make? A) "it provides a distraction from the ground" B) "it modulates the transmission of the pain impulse" C) "it promotes increased circulation to the painful area" D) "It elicits a relaxation response.
B) it modulates the transmission of the pain impulse
A nurse in an oncology clinic is assessing a pt undergoing tx for ovarian cancer. which of the following statements by the pt indicates that she is experiencing psychological distress? A) "my parents are retired, and they have come to help with our children" B) "I am going to ask my husband to go to counseling with me" C) "I keep having nightmares about my upcoming surgery" D) My girlfriend bought me a nice wig"
C) "I keep having nightmares about my upcoming surgery"
A nurse is preparing to assess the function of the pt's trigeminal nerve (cranial nerve V). which of the following items should the nurse gather for the test? A) sugar B) coffee C) cotton wisps D) snellen chart
C) cotton wisps
A nurse is assessing a pt who has a total calcium level of 12.7 mg/dL. which of the following findings should the nurse expect A) muscle tremors B) positive chvostek's sign C) depressed deep-tendon reflexes D) numbness around the mouth
C) depressed deep-tendon flexes
a nurse is preparing to remove an NG tube for a pt who had a partial colectomy. Which of the following actions should the nurse take? A) maintain suction while removing the NG tube B) instill 100 mL of air into the NG tube before removal C) pinch the NG tube while removing the tube D) instruct the pt to breathe in and out during the removal of the NG tube
C) pinch the NG while removing the tube to decrease risk of aspiration of gastric content
a nurse is caring for a pt with breast cancer. the pt has been receiving radiation therapy for several months and now refuses to undergo further tx. which of the following actions should the nurse take? A) suggest the client talk with someone who has survived breast cancer B) encourage pt not to give up C) support the pt's decision D) refer the pt to a counselor
C) support the pt's decision
A nurse is caring for a pt who has methicillin-resistant staphylococcus aureus (MRSA). Which of the following precautions should the nurse implement? A) Place the client in a semi-private room B) wear a mask when providing care C) wear a gown when in pt room D) dispose of all bed linens used by the pt
C) wear a gown
a nurse is caring for a pt who has major fecal incontinence and reports irritation in the perianal area. which of the following actions should the nurse take first? A) apply a fecal collection system B) apply a barrier cream C) cleanse and dry the area D) check the pt perineum
D) check pt perineum
a nurse is assessing the heart sounds of a pt who has developed chest pain that worsens upon inspiration. the nurse auscultates a high-pitched scratching sound during both systole and diastole with the diaphragm of the stethoscope positioned at the left sternal border. which of the following heart sounds should the nurse document? A) audible click B) murmur C) third heart sound D) pericardial friction rub
D) pericardial friction rub
