ATI quiz 2023
A nurse in a provider's clinic is teaching a female client about how to collect a clean-catch urine specimen at home. Which of the following information should the nurse include in the teaching? "Use sterile gloves when collecting your urine specimen." "You may refrigerate your urine specimen for up to 12 hours before bringing it to the laboratory." "Collect your urine specimen as soon as you start your stream." "Clean your vaginal area from the front to the back."
"Clean your vaginal area from the front to the back." *refrigerate for no more than 2 hours; collect after the first stream*
A nurse is performing a preoperative assessment on four clients. The nurse should identify that which of the following clients is at risk for a latex allergy? A client who has an allergy to walnuts A client who has spina bifida A client who has a family history of malignant hyperthermia A client who has a history of smoking
A client who has spina bifida A client who has spina bifida is at risk for a latex allergy because of their history of frequent contact with latex products, such as urinary catheters. The nurse should use latex-free products to reduce the risk for a hypersensitivity reaction.
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? An elevated HDL level An elevated LDL level A decreased C-reactive protein level A decreased alkaline phosphatase level
An elevated LDL level *C-reactive low risk for coronary artery disease; alkaline phosphatase level indicates malnutrition*
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? Locate the adolescent's partner to sign the form prior to the appendectomy. Document that consent is implied due to the urgency of the procedure. Tell the client that a general consent to treatment covers the surgical procedure. Ask the client if they understand the provider's plan for the appendectomy
Ask the client if they understand the provider's plan for the appendectomy To ensure informed consent, the nurse should ask the client if they understand the planned procedure. In most states, a married adolescent is considered emancipated and has the legal authority to provide their own consent.
A nurse is planning care to prevent plantar flexion for a client who is in a coma. Which of the following intervention should the nurse include in the plan of care? Internally rotate the client's ankles and feet. Place pillows under the client's ankles. Brace the client's feet with ankle-foot orthotics. Apply elastic wraps to prevent hyperextension of the client's ankles and feet.
Brace the client's feet with ankle-foot orthotics. *Placing pillows under the client's ankles can increase the risk of plantar flexion by allowing the toes of each foot to point downward; Applying elastic wraps can improve circulation and help to prevent edema of the lower extremities*
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. Use the client's dominant arm to start the IV. Select an insertion site at an area of flexion. Elevate the extremity prior to insertion.
Choose a vein that is palpable. *use nondominant arm; below the level of the client's heart*
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? Move each joint just beyond the point of resistance. Perform each exercise six times each session. Complete each session two times per day. Start with a different set of joints each session.
Complete each session two times per day. *use the same sequence of movements; perform each exercise 3x per day; move each joint to resistance, not beyond*
A nurse is caring for a client who reports experiencing chills and not feeling well. The nurse informs the client that they will need to have their temperature taken to monitor the manifestations. Which of the following terms describes that the nurse's action is grounded in research? Evidence-based practice Competencies Lifelong learning Change agent
Evidence-based practice
A nurse is reviewing historical nursing data and how it has impacted nursing care. The nurse should identify that which of the following nursing pioneers is credited with first using evidence-based practice in caring for clients? Clara Barton Dorthea Dix Eddie Bernice Johnson Florence Nightingale
Florence Nightingale
A nurse is caring for a client who tells the nurse they want to quit smoking. The nurse provides the client with information about smoking cessation and other ways to improve their health. Which of the following nursing roles is the nurse demonstrating? (Select all that apply.) Advocate Collaborator Change manager Health promotor Nurse educator
Health promotor Nurse educator
A nurse is teaching a group of nurses and asks which of the NLN integrating competencies is defined as having respect for diversity, holistic care, client-centered approach, and client advocacy. Which of the following competencies does this describe? Human flourishing Nursing judgment Patient-centered care Spirit of inquiry
Human flourishing
A nurse is teaching a client about health promotion and secondary prevention strategies. Which of the following recommendations should the nurse include? Influenza immunization Rehabilitation therapy Genetic screening Hypertension screening
Hypertension screening *Immunizations- primary prevention; Rehabilitation- tertiary prevention; Genetic screening- primary prevention*
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? Withdraw the regular insulin from the vial. Inject 15 units of air into the regular vial of insulin. Withdraw the NPH insulin from the vial. Inject 25 units of air into the NPH vial of insulin.
Inject 25 units of air into the NPH vial of insulin. According to evidence-based practice the nurse should first inject 25 units of air into the NPH vial of insulin to prevent contamination of the rapid-acting regular insulin with the intermediate-acting NPH insulin and to equalize the pressure in the vial when insulin is later removed.
A nurse is explaining to a newly licensed nurse that caring for clients involves lifelong learning by the nurse. The nurse should include which of the following as examples of learning opportunities for nurses? (Select all that apply) Nursing blogs or opinions Online continuing education journal articles Nursing skill refresher opportunities Continuing education presentations Participating in healthcare research
Online continuing education journal articles Nursing skill refresher opportunities Continuing education presentations Participating in healthcare research
A nurse is planning comfort measures to decrease painful stimuli for a client who has back pain. Which of the following interventions should the nurse include in the plan of care? Assist the client onto a regular bedpan by placing a hand under the client's shoulders. Move the client up in bed by pulling under the client's arms. Logroll the client every 4 hr. Place pillows between the client's legs when lying laterally.
Place pillows between the client's legs when lying laterally. *place a hand under the client's lower lumbar area when assisting the client onto a fracture bedpan to prevent further injury and discomfort; should lift with assistance rather than pull; reposition the client every 2 hr*
A nurse is teaching a class about home safety. Which of the following instructions should the nurse include in the teaching? Change smoke detector batteries every 2 years. Place toddlers in rear-facing car seats until they are 2 years old. Store toxic liquids in plastic soft drink bottles. Tape frayed electric cords before using them.
Place toddlers in rear-facing car seats until they are 2 years old. *smoke detector batteries- every year*
A nurse is evaluating the developmental motor skills of a 4-month-old infant. Which of the following findings should the nurse expect? Uses a spoon to feed themself Sits up with support Uses a pincher grasp Creeps on hands and knees
Sits up with support
A nurse manager is providing education to a group of newly licensed nurses about various nursing organizations. Which of the following information should the nurse manager include? The American Nurses Association's The Code of Ethics for Nurses with Interpretive Statements guides nurses through difficult decisions. The National Academy of Medicine developed the Healthy People campaign to improve the health of all Americans The American Academy of Nursing requires members to have a doctorate degree in nursing to join. The National Student Nurses' Association is an organization created to encourage students to enter nursing.
The American Nurses Association's The Code of Ethics for Nurses with Interpretive Statements guides nurses through difficult decisions.
A nurse is reviewing the Institute of Medicine (IOM) Future of Nursing report to better understand proposed educational requirements of nurses. Which of the following organizations is responsible for publishing this report? The American Nurses Association The National Academy of Medicine State Board of Nursing American Association of Colleges of Nursing
The National Academy of Medicine
A graduate nurse is offered a position in the emergency department upon the granting of initial licensure. Which of the following information should the graduate nurse identify as a requirement during the initial licensure process? (Select all that apply.) Verification of graduation Criminal background check in certain states Passing score on NCLEX examination Submitting continuing education hours with the application Self-disclosure of any substance use in the past 5 years
Verification of graduation Criminal background check in certain states Passing score on NCLEX examination Self-disclosure of any substance use in the past 5 years
A nurse at a provider's office is caring for a young adult client. Which of the following information should the nurse provide regarding health promotion strategies? "Have breast cancer screenings after 40 years of age." "Schedule a tuberculin skin test every 5 years." "Have your cholesterol checked every 10 years." "Schedule a baseline ECG at age 45."
"Have breast cancer screenings after 40 years of age." *TB test every 2 years; Cholesterol every 5 years; baseline ECG at 35 years*
A nurse is completing dietary teaching with a client who has heart failure and has a prescription for a 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." "I can eat processed foods as long as it has less than 500 mg of sodium per serving." "I can use baking soda when I bake." "I should season my foods with salt sparingly."
"I can have nonfat yogurt as a dessert." *baking soda is high in sodium; avoid using salt*
A nurse is reviewing the licensing laws in their state of residence. Which of the following statements should the nurse use to define licensure? "Licensure increases state revenue." "Licensure limits the number of practicing nurses." "Licensure protects the health and welfare of the public." "Licensure protects a nurse from a malpractice lawsuit."
"Licensure protects the health and welfare of the public."
A nurse is assessing an older adult client who has hemiparesis following a stroke. Which of the following findings should the nurse report to a nutritionist? "The client has a decrease in lean body mass." "The client reports living alone." "The client reports difficulty with dressing." "The client has dyspnea on exertion."
"The client has a decrease in lean body mass." A nutritionist educates clients about therapeutic diets and ensures that clients have resources for obtaining and preparing food. The nurse should report this information to the nutritionist who can assist the client meet their nutritional needs.
A nurse is discussing culturally competent care with another nurse. Which of the following statements should the nurse include? "Use a medical interpreter for a client who does not speak the same language." "Provide the client with information in print only so they can have it as a resource." "Provide standard educational materials to all clients for continuity." "Limit communication with the client if there is a language barrier."
"Use a medical interpreter for a client who does not speak the same language."
A nurse is preparing to administer an intermittent IV bolus of phenytoin to a client who is receiving a continuous IV infusion of dextrose 5% in water. The nurse is unfamiliar with the administration of phenytoin. Which of the following actions should the nurse take to ensure that the medication and the IV solution are compatible? Consult the facility's pharmacist. Access the facility policies and procedures. Check the client's medication administration record. Review the safety data sheets (SDSs).
Consult the facility's pharmacist.
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 residual of 50 mL Weight gain of 0.23 kg (0.5 lb) in 24 hr 2 loose stools in 48 hours Gastric aspirate pH of 7
Gastric aspirate pH of 7 The nurse should identify that a gastric pH of 7 is an indication the nasogastric tube is not in the stomach. Gastric pH is usually between 1 and 4 but can be up to 6, if the client receives a medication that alters gastric pH. The client is at risk for aspiration and the nurse should report this finding to the provider.
A nurse is caring for a client who asks about healthy choices to lose weight. The nurse shares information from Healthy People 2030 to address the client's questions. Which of the following describes the Healthy People initiative? It is a program for health care practitioners to get healthy. It is a social media platform for nurses. It is a set of objectives for improving the health of American lives. It is a rehabilitation program for clients who have substance use disorders.
It is a set of objectives for improving the health of American lives.
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 Tongue blade Sterile gloves Wire cutters
Oral-nasal suction The nurse should place oral-nasal suction equipment in the client's room to clear the client's airway, which reduces the risk for aspiration. *Tongue blade- risk for injury*
A nurse holds a single state nursing license and is preparing to move to another state. For the nurse to apply for reciprocity, which of the following actions should the nurse take? (Select all that apply.) Present a current and valid nursing license. Submit an application. Pay the fees for new license. Retake the NCLEX exam. Reapply for specialty nursing certifications held in their previous home state.
Present a current and valid nursing license. Submit an application. Pay the fees for new license.
A nurse is reviewing the contributions made by various nursing organizations that have impacted the nursing profession. The nurse should identify that which of the following are contributions made by The American Nurses Association (ANA)? (Select all that apply.) Providing a definition of nursing Lobbying for whistle blower protection Providing objective data to improve the health of society Providing all registered nurses with competency expectations Providing the nursing magazine Imprint
Providing a definition of nursing Lobbying for whistle blower protection Providing all registered nurses with competency expectations
A nurse who completed their shift realized they forgot to take a client's vital signs as frequently as prescribed. Which of the following actions should the nurse take to uphold the American Nurses Association's Code of Ethics for Nurses with Interpretive Statements? Take the client's vital signs now and document them as being completed 8 hr earlier. Document vital signs that are the same as those obtained earlier. Make a reminder note to be more diligent when returning the next day. Report this omission to the charge nurse and the nurse on the next shift.
Report this omission to the charge nurse and the nurse on the next shift.
A nurse is describing to another nurse how to use social media in client care. Which of the following examples should the nurse include as an acceptable use of social media? Posting a comment on social media about facility staffing shortages Accepting a social media friend request from a client Reviewing the use of a fitness application with a client Sharing client information with a coworker in a private social media message
Reviewing the use of a fitness application with a client
A nurse is reviewing the scope of nursing practice. Which of the following is the purpose of the nursing scope of practice? Provides recommendations for nursing practice Provides competencies for the nurse to achieve before receiving initial licensure Serves as a contractual document between the nurse and their employer Specifies the actions a nurse can perform
Specifies the actions a nurse can perform
A nurse is providing client care using the nursing process. The nurse should identify that which of the following standards or guidelines includes this criterion? Standards of care Clinical practice guidelines Standards of practice Standard to plan nursing care
Standards of practice
A nurse is providing education to a group of newly licensed nurses regarding the development of an identity as a nurse as well as the behavioral characteristics associated with nursing. Which of the following components of practice addresses the identity and characteristics of nursing? Standard to plan nursing care Standards of professional performance Standards of care Clinical practice guidelines
Standards of professional performance
A nurse receives a license renewal notification from the board of nursing. The nurse should identify that a license renewal requires the disclosure of which of the following? Medical history Substance use within the past 5 years Certifications received Current salary
Substance use within the past 5 years
A newly licensed nurse is reviewing information about the National Council of State Board of Nursing (NCSBN) Transition to Practice (TTP) program. Which of the following factors should the nurse expect? TTP programs increase job retention. TTP programs decrease the ability to provide safe client care. TTP programs increase stress in the workplace. TTP programs decrease competency.
TTP programs increase job retention.
A nurse is delivering client care in partnership with multidisciplinary members of the health care team. This is an example of which of the following QSEN competencies? Safety Patient-centered care Quality improvement Teamwork and collaboration
Teamwork and collaboration
A nurse is educating a group of nurses about the Nurse Practice Act (NPA). Which of the following statements should the nurse include? (Select all that apply.) The NPA contains current laws and regulations for nursing practice. The NPA is the same for all states. The NPA contains standards and scope of practice. The federal government enforces the NPA for each state. The nurse is responsible to know current roles and responsibilities as defined by the NPA.
The NPA contains current laws and regulations for nursing practice. The NPA contains standards and scope of practice. The nurse is responsible to know current roles and responsibilities as defined by the NPA.
A nursing student expresses a desire to become more involved with the nursing profession on a national level. Which of the following organizations should the student join? The National League for Nursing The National Student Nurses' Association The National Academy of Medicine The International Council of Nurses
The National Student Nurses' Association
A nurse is performing a skin assessment for a client using the Braden scale. Which of the following findings should the nurse identify as increasing the risk for skin breakdown? The client ambulates independently three times during the day. The client consumes 75% of each meal. The client is incontinent of urine and feces. The client reports pain in the right foot.
The client is incontinent of urine and feces.
A nurse is providing teaching to a client who has severe weakness in their right lower extremity and is learning to walk using a cane. Which of the following actions by the client indicates an understanding of the teaching? The client moves the cane forward before taking a step. The client holds the cane on their weaker side. The client moves their stronger leg before moving their weaker leg. The client keeps their elbow straight when holding on to the cane.
The client moves the cane forward before taking a step. *move the weaker leg before stronger leg*
A nurse is reviewing the health history of a client during a routine office visit. Which of the following observations by the nurse is an example of the client demonstrating health literacy? The client states they want to improve their current knowledge about their health. The client asks for information that will help them improve their eating habits. The client states they understand their health care information and treatments. The client requests a meeting with the nurse, the physical therapist, and the provider.
The client states they understand their health care information and treatments.
A newly licensed nurse is reviewing electronic information about the NCLEX® exam from the National Council of State Board of Nursing (NCSBN) website. Which of the following information should the nurse identify as passing criteria for the NCLEX computerized adaptive test (CAT)? The computer will stop giving items using the 95% confidence interval rule. The board of nursing for each state determines the passing grade for the NCLEX exam. The candidate receives the maximum number of items available. The candidate runs out of time before answering the minimum number of items.
The computer will stop giving items using the 95% confidence interval rule.
A newly licensed nurse is reviewing the standards of care when performing client care. Which of the following describes a standard of care? Explanatory statements that describe the competent level of care for all nurses to follow in practice A component of the nursing scope of practice that specifies the competent level of behavior expected in the professional role Part of the nursing scope of practice that specifies the nurse's role in alleviating client suffering and promoting client healing The level of care a nurse provides that is the same for all nurses who have comparable education, competency, and experience
The level of care a nurse provides that is the same for all nurses who have comparable education, competency, and experience
A nurse is working at a provider's office that uses various forms of electronic communication. Which of the following actions should the nurse take to protect client confidentiality? Delete email correspondences once a client's situation has been handled. Ensure that the computer system does not use encryption or firewall services. Verify that recipient contact information is correct before faxing information. Avoid including a cover sheet when sending a facsimile.
Verify that recipient contact information is correct before faxing information.
A nurse is planning to perform postmortem care for a client. Which of the following actions should the nurse plan to take? Request the family members leave the client's room. Remove dentures from the client's mouth. Verify whether the client requires an autopsy. Lower the head of the client's bed.
Verify whether the client requires an autopsy. *ask family if they wish to help; leave dentures in or put them in; elevate head of bed to prevent blood from discoloring client's face*
A nurse in a long-term care facility took a picture of a client and posted it on the internet. This action by the nurse is an example of which of the following? Serving as an advocate for the client Violating the code of ethics for nurses Participating in the Healthy People 2030 program Demonstrating collaboration
Violating the code of ethics for nurses
A nurse resides in a state that recently enacted the Nurse Licensure Compact (NLC). Which of the following information should the nurse identify as a part of the NLC? The NLC requires a nurse to obtain a license for each state in which they wish to practice. The NLC allows a nurse to practice across state lines with one license. The NLC allows a nurse to have a suspended license when practicing under a multistate license. The NLC is not a good option for telehealth nursing.
the NLC allows a nurse to practice across state lines with one license.