ATI CAT Quiz Practice questions

a nurse is preparing to administer an afternoon dose of ampicillin to a client. the client appears upset and refuses to take the medication before throwing the pill on the floor. which of the following entries should the nurse enter into the client's medical record? a. the client refused to take the medication today b. the client stated I will not take this pill c. the client seemed angry and hostile d. the client threw the medication on the floor

the client threw the medication on the floor the nurse should document exactly what took place to provide an accurate, factual account of the events. thus the nurse should document the client's action in the medical record.

a nurse is preparing to irrigate a client's wound. which of the following actions should the nurse take? a. use a 10mL syringe b. attach a 22-gauge catheter to the syringe c. warm the irrigation solution to 37c d. admin an analgesic 10m before irrigation

warm solution to 37c to minimize discomfort and vascular constriction

a nurse is caring for a client who has a gastric ulcer. the nurse should explain that prolonged exposure of the body to stress can also cause which of the following to occur? a. hyperglycemia b. hypotension c. heightened immune response d. bleeding tendencies

hyperglycemia stress causes an increased secretion of cortisol which can lead to hypertension and hyperglycemia

a nurse is caring for a client who has MRSA. a dietary assistant as soon as what precautions are necessary for entering the client's room with lunch train. which of the following instructions should the nurse give to the dietary assistant? a. don a gown before entering the room and remove it before exiting. b. wear a mask while in the client's room c. Don gloves when entering the room and use hand sanitizer when exiting d. take no special precautions and less engaging in direct contact with the client

Don gloves when entering the room and use hand sanitizer when exiting contact precautions

a nurse is changing the dressing for a client who has two Penrose drains near an abdominal incision. which of the following adhering devices is the best choice for the nurse to use to decrease skin irritation? a. abdominal binder b. Montgomery strips c. hypoallergenic tape d. plastic tape

Montgomery straps

a nurse is teaching an AP how to obtain a capillary finger stick blood sample. which of the following actions by the AP requires the nurse to INTERVENE? a. elevating the finger above the heart b. rubbing the fingertip with an alcohol pad c. puncturing the side of the fingertip d. wrapping the finger in a warm cloth

a. elevating the finger above heart level

a community health nurse is conducting a class about body mechanics for county office workers. which of the following instructions should the nursing include? SATA a. sit with your back supported b. keep your knees at hip level c. use an ergonomically designed computer keyboard d. keep your elbows away from your body e. adjust the monitor screen so that you have to tilt your head slightly to look at it ​

a. sit with your back supported b. keep your knees and hip level c. use an ergonomically designed computer keyboard

a nurse is teaching a client how to perform range of motion exercises of the wrist. to perform adduction, which of the following instructions should the nurse include? a. with your palm facing down, move your wrist sideways toward your thumb b. move your palm toward the inner part of your forearm c. with your palm facing down, move your wrist sideways towards your little finger d. bring the back of your hand as far back towards the wrist as you can

a. with your palm facing down move your wrist sideways towards your thumb other options would be flexing, abducting, hyperextending.

a nurse is assessing a client. which of the following findings should the nurse identify as an indication of protein-calorie malnourishment SATA a. gingivitis b. dry, brittle hair c. edema d. spoon-shaped nails e. poor wound healing

b. dry brittle nails c. edema e. poor wound healing

a nurse is teaching a client who is recovering from gallbladder surgery how to use an incentive spirometer. which of the following pieces of information should the nurse include in the teaching? a. exhale slowly to reach the goal volume b. hold the breath for 5 seconds after go volume is reached c. continue to breathe deeply between each cycle d. limit the repeat pattern of breathing to five breaths

b. hold the breath for 5 seconds after go volume is reached the nurse should instruct the client to hold the breath for 3 to 5 seconds after reaching maximum inspiratory volume. this decreases the collapse of alveoli, which helps prevent the risk of atelectasis and pneumonia.

a nurse is caring for a client with dehydration who has developed hypovolemic shock. which of the following laboratory values should the nurse expect for this client? a. BUN 18 mg per deciliter b. capillary refill 1.5 sec c. HCT 55% d. urine specific gravity 1.001

hematocrit 55% an elevated hematocrit indicates hypovolemia. other indications of hypovolemia are a weak pulse, tachycardia, hypotension, tachypnea, slow capillary refill, elevated bun, increased urine specific gravity, and decreased urine output.

a nurse is caring for a client who requires a peripheral IV insertion period when choosing the site which of the following sites to the nurse select? a. select a vein in the client's dominant arm b. choose the most proximal vein in the extremity c. choose a vein that is soft on palpation d. select a site distal to previous venipuncture attempts

c. choose a vein that is soft on palpation

a nurse is assessing a client 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

depressed DTR manifestations of hypercalcemia include depressed dtr, nausea, vomiting, bone pain, lethargy, and weakness.

a nurse is removing PPE after performing a procedure for a client who requires isolation precautions. which of the following items of PPE should the nurse remove first? a. gloves b. gown c. eyewear d. mask

gloves remove PPE beginning with the most contaminated piece first.

a nurse is caring for an older adult client who has dysphagia following a cva. which of the following actions should the nurse take when assisting the client at meal time? a. encourage the client to drink fluids before swallowing food b. offer the client tart or sour foods first c. tilt the clients head backwards when swallowing d. turn on the television

offer the client tart or sour foods first a client who has impaired pharyngeal swallowing should consume tart or sour foods at the beginning of the meal to stimulate saliva production, which aids chewing and swallowing.

a nurse is leading an education session about disposing of biohazardous materials. which of the following instructions should the nurse include in the teaching? a. use isopropyl alcohol to clean blood spills b. discard empty blood bags in a bedside trash can c. break use needles before discarding d. play soiled linen in a single linen bag

place soiled linen in a single linen bag chlorine bleach should be used to clean blood spills to reduce the risk of transmission of microorganisms. empty blood bags should be returned to the blood bank in case of transfusion reaction occurs and to reduce the risk of transmission of microorganisms. to reduce the risk of injury use needles should not be broken or bent.

a nurse is obtaining the blood pressure in a client's lower extremity. which of the following actions should the nurse take? a. auscultate the blood pressure at the dorsalis pedis artery b. measure the blood pressure with the client sitting on the side of the bed c. place the cuff 3 in above the popliteal artery d. place the bladder of the cuff over the posterior aspect of the thigh

place the bladder of the cuff over the posterior aspect of the thigh

a nurse is providing teaching to an older adult client who has constipation. which of the following statements should the nurse include in the teaching? a. drink a minimum of 1L of fluid daily b. increase your intake of refined fiber foods c. sit on the toilet 30 minutes after eating a meal d. take a laxative everyday to maintain regularity

sit on the toilet 30 minutes after eating a meal increased peristalsis occurs after food and her systemic. sitting on the toilet 30 minutes after eating a meal, regardless of feeling the urge to defecate, is a recommended method of bowel retraining to treat constipation.