ATI Practice questions

A nurse is caring for a client who reports pain. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record which of the following client's statements?

"The pain is like a dull ache in my stomach"

A nurse is planning an educational program for a group of older adults at a senior living center. Which of the following recommendations should the nurse include?

"You should receive a pneumococcal immunization every 10 years."

Insulin administration

-Inject air into cloudy first (NPH) without touching the solution. -inject air into clear regular insulin and withdrawal correct amount -withdrawal correct amount of cloudy insulin

R.A.C.E.

-Rescue -Alarm -Contain -Evacuate

A nurse is preparing to obtain a lower extremity blood pressure from a client and no longer palpated the popliteal pulse after 92mm Hg. Which mm Hg should the nurse inflate the cuff to?

30 mm Hg above the pulse rate that was no longer palpable.

A nurse is caring for a group of clients on a medical surgical unit. In which of the following situations does the nurse demonstrate the ethical principle of veracity?

A client who is unaware of her recent cancer diagnosis asks the nurse if she has cancer. the nurse responds affirmatively

A nurse has just inserted an NG tube for a client. Which of the following findings should the nurse expect to confirm tube placement?

An x-ray shows the end of the tube above the pylorus

A nurse is preparing to transfer a client who can bear weight on one leg from the bed to a chair. After securing a safe environment, which of the following actions should the nurse take next?

Assess the client for orthostatic hypotension

A nurse is administering IV fluids to a client. When monitoring for adverse effects, which of the following assessments should the nurse identify as the priority?

Auscultate lung sounds

Narrowed atrial lumen

Blowing sounds resulting from blood flowing through occluded or narrowed arteries are known as a bruit

A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take?

Cleanse the wound from the center outward

A nurse on a medical unit is preparing to discharge a client to home. Which of the following actions should the nurse take as part of the medication reconciliation process?

Compare prescriptions with medications the client received while at the facility

A nurse in an acute care facility is preparing a discharge summary for a client who is transferring to a long-term care facility. Which of the following documentation should the nurse include?

Current medications

A nurse is assessing a client who received an IV fluid bolus for dehydration. Which of the following findings should the nurse identify as an indication of fluid volume excess?

Distended neck veins

A nurse is admitting a client how has rubella. Which of the following types of transmission-based precautions should the nurse initiate?

Droplet precautions

A nurse is assessing an adult client who has been immobile for past 3 weeks. For which of the following findings should the nurse intervene?

Erythema on pressure points

A nurse is preparing to administer 0.5 ml of oral single-dose liquid medication to a client. Which of the following actions should the nurse take?

Gently shake the container of medication prior to administration.

Insulin administration

Inject air into cloudy first (NPH) without

Colon cancer

Patients at average risk have fecal occult blood tests done once per year

A nurse is planning teaching for a group of adolescents who each recently had surgical placement of an ostomy. Which of the following methods should the nurse use as a psychomotor approach to learning?

Practice sessions

A nurse is caring for a client who his receiving fluid through a peripheral IV catheter. Which of the following findings at the Iv site should the nurse identify as indicating infiltration?

Skin blanching, edema, and coolness at the IV indicate infiltration.

A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through an open system. Which of the following actions should the nurse take first?

Tell the client to keep the head of the bed elevated at least 30 degrees.

A nurse in a surgical suite notes documentation on a client's medical record that he has a latex allergy. In preparation for the client's procedure which of the following precautions should the nurse take?

Wrap the monitoring cords with stockinette and tape them in place