ATI Questions

A nurse is planning care for a group of clients who are receiving oxygen therapy. Which of the following clients should the nurse plan to see first? A. A client who has heart failure and is receiving 100% oxygen via a partial rebreather mask B. A client who has emphysema and is receiving oxygen at 3L/min via a transtracheal oxygen cannula C. A client who has an old tracheostomy and is receiving 40% humidified oxygen via tracheostomy collar D. A client who has COPD and is receiving oxygen at 2 L/min via nasal cannula.

A. A client who has heart failure and is receiving 100% oxygen via a partial rebreather mask

A nurse is replacing the surgical dressings on a client who had abdominal surgery. Which of the following actions should the nurse take? A. Don clean gloves to remove the old dressing. B. Loosen the dressing by pulling the tape away from the wound. C. Remove the entire old dressing at once. D. Open sterile supplies after applying sterile gloves.

A. Don clean gloves to remove the old dressing.

A nurse is helping a client change his hospital gown. The client has an IV infusion on an infusion pump. Which of the following actions should the nurse take first? A. Remove the sleeve of the gown from the arm without the IV line. B. Slow the infusion using the roller clamp. C. Disconnect the IV line from the pump. D. Bring the IV solution and tubing from the outside to the end side of the sleeve of the gown.

A. Remove the sleeve of the gown from the arm without the IV line.

A nurse is planning care for a client who is confused and requires a prescription for wrist restraints. Which of the following interventions should the nurse include in the plan of care? A. Renew the prescription for the use of restrains within 24 hr. B. Secure the restraint with the buckle side next to the client's skin. C. Ensure 4 fingers can be inserted under the secured restraint. D. Remove the restraint every 3 hr.

A. Renew the prescription for the use of restrains within 24 hr.