ATI Dynamic Quiz

A nurse in an oncology clinic is collecting data for a client who is undergoing treatment for ovarian cancer. Which of the following statements by the client indicates she is experiencing psychological distress?

"I keep having nightmares about my upcoming surgery"

a nurse is reinforcing teaching with a client about the use of a straight legged cane. which of the following client actions indicates an understanding of the teaching

A client holds the cane on the unaffected side.

A nurse is admitting a client who has measles. Which of the following types of transmission precautions should the nurse initiate

Airborne

A nurse is using a portable ultrasound bladder scanner to measure a clients postvoid residual. Which of the following actions should the nurse take.

Apply light pressure to the scanner head once it is in position

A nurse is reinforcing teaching with a client about lifestyle changes to manage a chronic illness, which of the following strategies should the nurse use first to help the client make a commitment to these lifestyle changes

Assist the client to identify ways that these changes will result in positive personal outcomes

A nurse is preparing to administer oral phenytoin to a client who has a seizure disorder. Before administering the medication, which of the following actions should the nurse take?

Check the medication dose and the clients identification

A nurse is caring for a client who is immobile. The nurse should recognize that immobility places the client at risk for which of the following health alterations

Decreased cardiac output

A nurse is caring for a client who has terminal cancer. The client is proceeding with plans to build a new house. This behavior would typically indicate which of the following stages of grief?

Denial

A nurse is caring for a client who is producing large amounts of urine. The nurse should document this finding as which of the following?

Diuresis

A nurse is caring for a client who has MRSA infection. A dietary assistant asks the nurse what precautions are necessary for entering the client's room with the lunch tray, which of the following instructions should the nurse give the dietary assistant?

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

A nurse is reinforcing preoperative teaching with a client who is scheduled for arthroplasty in the next month and might require a blood transfusion. the client expresses concern about the risk of acquiring an infection from the blood transfusion. which of the following suggestions should the nurse make?

Donate autologous blood before the surgery

A nurse is caring for an adult client who has an NG tube in place and prescription for continuous eternal feedings. which of the following actions should the nurse take to reduce the clients risk for aspiration

Elevate the head of the bed by 30 degrees to 45 degrees

A nurse is reviewing a clients 24 hour dietary recall. the client reports eating a slice of toasted white bread with butter, a banana, a glass of milk, and a cup of coffee for breakfast; grilled chicken, a baked potato. and a glass of milk for lunch; an apple and cheddar cheese for a snack; and a 2 servings of chicken. 2 cups of steamed broccoli, and a glass of milk for dinner, the nurse should identify that this client diet is deficient in which of the following food groups.

Grains

A nurse is administering a controlled substance to a client who is postoperative. The IM dosage requires the nurse to use only part of the amount of medication in the vial. Which of the following actions should the nurse take?

Have another nurse witness the disposal of the medication

A nurse is changing the bed linens for a client who is on bed rest. Which of the following actions should the nurse plan to take

Hold the linens away from the body and clothing

A nurse is collecting data from a client whose calicum level is 7.1 mg/dl. which of the following findings should the nurse expect?

Hyperactive reflexes

A nurse is caring for a client who has a tracheostomy and requires suctioning. Which of the following actions should the nurse take?

Hyperoxygenate the client before suctioning

A nurse is reviewing the use of side tails with an assistive personnel. Which of the following statements by the AP indicates that further instructions is required

IF the client seems confused, I'll raise all 4 rails to prevent injury"

A nurse is in an acute-care facility is assisting with planning care for a client who is alert but is temporarily immobile due to a total hip arthroplasty. Which of the following interventions should the nurse suggest to prevent a complication of immobility

Instruct the client to perform foot and leg exercises every 1 to 2 hours while awake to prevent thrombophlebitis

A nurse is caring for a client who is hospitalized and has a new tracheostomy which of the following actions should the nurse take when performing tracheostomy care for the client

Soak the inner cannula of the tracheostomy rube in the normal saline

A nurse is reinforcing teaching with a group of clients about nutrition. Which of the following definitions of the recommended dietary allowance (RDA) should the nurse include in the teaching?

The RDA defines the level of nutrient intake that meets the needs of healthy people in various groups

A nurse is preparing to administer an intramuscular injection to a client who is overweight. Which of the following sites should the nurse select for the injection?

The side hip between the iliac crest and anterior iliac spine

A nurse is reinforcing teaching about bladder retraining for a client who has urinary retention. which of the following instructions should the nurse include?

Try to block the urge to urinate until the next scheduled time.

A nurse observes an AP preparing to obtain blood pressure with a regular sized cuff for a client who is obese. which of the following explanations should the nurse give the AP

Using a cuff that is too small will result in an inaccurately high reading

A nurse is explaining Piaget's theory of cognitive development to a group of day care providers for employees' children at an acute care facility. which of the following activities should the nurse include as an example of concrete operational thinking?

collecting and trading game cards

At a well-child visit, a nurse is collecting data from a 6 month old infant. which of the following findings should the nurse report to the provider

head lagging when the parent pulls the infant up to sit

A nurse is caring a toddler at a well-child visit when the mother cries out, "help! my baby is choking on his food." which of the following findings indicates the toddler has an airway obstruction?

inability of the toddler to cry or speak