ATI Funds Questions

A nurse uses a head-to-toe approach to conduct a physical assessment of a client who will undergo surgery the following week. Which of the following critical thinking attitudes did the nurse demonstrate?

Discipline

A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy the next day. Which of the following client statements indicates that the client is ready to learn?

"Can you tell me about how long the surgery will take?"

A nurse at a provider's office is talking about routine screenings with a 45 year old female client who has no specific family history of cancer or diabetes mellitus. Which of the following client statements indicates that the client understands how to proceed?

"For now, I should continue to have a mammogram each year."

A nurse is instructing a client with COPD about using the orthopneic position to relieve shortness of breath. Which of the following statements should the nurse make?

"Have a table beside your bed so you can sit on the bedside and rest your arms on the table."

A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery the following week. The client tells the nurse that he will prepare his advance directives before he goes to the hospital. Which of the following statements made by the client should indicate to the nurse an understanding of advance directives?

"I plan to write that I don't want them to keep me on a breathing machine."

A nurse is discussing the nursing process with a newly hired nurse. Which of the following statements by the newly hired nurse should the nurse identify as appropriate for the planning steps of the nursing process?

"I will determine the most important client problems that we should address."

A nurse manager is reviewing with nurses on the unit the care of a client who has had a seizure. Which of the following statements by a nurse requires further instruction?

"I will go to the nurses station for assistance."

A security officer is reviewing actions to take in the event of a bomb threat by phone to a group of nurses. Which of the following statements by a nurse indicates understanding of proper procedure?

"I will listen for background noises."

A nurse is reviewing nutritional guidelines with the parents of a 2-year-old toddler. Which of the following aren't statements should indicate to the nurse an understanding of the teaching?

"I'll give my son about 2 tablespoons of each food at mealtimes."

The mother of a 7-month-old infant tells the nurse at the pediatric clinical that her baby has been funny with occasional loose stool once she started feeding him fruits and vegetables. Which of the following response should the nurse make?

"Lets make a list of the foods he is eating so we can spot any problems." "Did the change begin after you started one particular food?" "Has he been vomiting since he started these new foods?"

A nurse is reviewing safety measures with the parent of an 8-month-old infant. Which of the following statements by the parents indicates an understanding of safety for the infant?

"My baby loved to play with the crib gym, but I took it out of th crib."

A nurse is talking with guardians who are concerned about several issues with their preschooler. Which of the following issues should the nurse identify as the priority?

"My child has temper tantrums every time we tell them to do something they don't want to do."

A nurse educator its conducting a parenting class for new parents of infants. which of the following statements made by a participant indicates understanding of the instructions ?

"Once my infant starts to push up, i will remove the mobile from over the crib."

A nurse educator is reviewing proper body mechanics during employee orientation. Which of the following statements should the nurse identify as an indication that an attendee understands the teaching? (Select all that apply.)

"The lower my center of gravity, the more stability I have." "To broaden my base of support, I should spread my feet apart." "When I lift an object, I should hold it close to my body as possible."

A nurse is caring for multiple clients during a mass casualty event. Which of the following clients is the highest priority?

A client who has partial-thickness and full-thickness burns to his face, neck, and chest

A nurse is caring for a group of clients on a medical-surgical unit. For which of the following client care needs should the nurse initiate a referral for a social workers? (Select all that apply.)

A client who has terminate cancer requests hospice care in the home. A client asks about community resources available for older adults. A client requests an electric wheelchair for use after discharge.

A nurse on a medical-surgical unit is informed that a mass casualty event occurred in the community and that it is necessary to discharge clients to make beds available for injury victims. Which of the following clients can be safely discharged? (Select all that apply.)

A client who is scheduled for elective surgery. A client who has chronic hypertension and blood pressure 135/85 mm Hg.

A nurse is instruction a group of newly licensed nurses about how to know and what to expect when ethical dilemmas arise. Which of the following situations should the newly licensed nurse identify as an ethical dilemma?

A family has conflicting feeling about the initiation of enteral tube feedings for their father, who is terminally ill.

A nurse in a provider's office is collecting data from the mother of a 12-month-old child. The client states that her child is old enough for toilet training. Following an educational session by the nurse, the client now states that her earlier ideas have changed. She is now willing to postpone toilet training until the child is older. Learning has occurred in which of the following domains of learning?

Affective

As part of the admission process, a nurse at a long‑term care facility is gathering a nutrition history for a client who has dementia. Which of the following components of the nutrition evaluation is the priority for the nurse to determine from the client's family?

Any difficulty swallowing

A nurse is evaluating how well a client learned the information presented in an instructional session about following a heart-healthy diet. The client states that she understands what to do now. Which of the following actions by the nurse should assist the nurse in evaluating the clients learning?

Ask the client to explain how to select or prepare meals.

A nurse observes an assistive personal (AP) reprimanding a client for not using the urinal properly. The AP tells the client that diapers will be used next time the urinal is used improperly. Which of the following torts is the AP committing?

Assault

A nurse is planning diversionary activities for preschoolers on an inpatient pediatric unit. Which of the following activities should the nurse include? (Select all the apply)

Assembling puzzles Using musical toys Playing with puppets

A charge nurse is observing a newly licensed nurse care for a client who reports pain. The nurse checked the client's MAR and noted the last dose of pain medication was 6 hr ago. The prescription reads every 4 hr PRN for pain. The nurse administered the medication and checked with the client 40 mins later, when the client reported improvement. The newly licensed nurse left out which of the following steps of the nursing process.

Assessment

A nurse is caring for a client who decides not to have surgery despite significant blockages of the coronary arteries. The nurse understands that this client's choice is an example of which of the following ethical principles?

Autonomy

A nurse is caring for a client who is 24 hr postoperative following an inguinal hernia repair. The client is tolerating clear liquids well, has active bowel sounds, and is expressing a desire for "real food." The nurse tells the client that she will call the surgeon and ask. The surgeon hears the nurse's report and prescribes a full liquid diet. The nurse used which of the following levels of critical thinking?

Basic

A nurse is acquainting a group of newly licensed nurses with the roles of the various members of the health care team they will encounter on a medical‑surgical unit. When she gives examples of the types of tasks certified nursing assistants (CNAs) may perform, which of the following client activities should she include? (Select all that apply.)

Bathing Ambulating Toileting Measuring vital signs

A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse understands that this aspect of care delivery is an example of which of the following principles?

Beneficence

A nurse is preparing information for a change-of-shift report. Which of the following information should the nurse include in the report?

Bone scan scheduled for today.

An occupational health nurse is caring for an employee who was exposed to an unknown dry chemical,resulting in a chemical burn. Which of the following interventions should the nurse include in the plan of care?

Brush the chemical off the skin and clothing.

A home health nurse is discussing the dangers of carbon monoxide poisoning with a client. which of the following information should the nurse include in her counseling?

Carbon Monoxide binds with hemoglobin in the body.

A nurse manager is developing strategies to care for the increasing number of clients who has obesity. What of the following actions should the nurse include as a primary health care strategy?

Collaborating with providers to perform obesity screenings during routine office visits

A nurse is caring for a client who has a history of falls. Which of the following actions is the nurses priority?

Complete a fall-risk assessment.

A nurse is caring for a young adult at a college health clinic. Which of the following actions should the nurse take first?

Determine the client's health risks.

A nurse is caring for a client who is sitting in a chair and asks to return to bed. Which of the following actions is the nurses priority at this time?

Determine the clients ability to help with the transfer.

A nurse is preparing an instructional session about managing stress incontinence for an older adult. Which of the following actions should the nurse take first when meeting with the client?

Determine what the client knows about stress incontinence.

A nurse is caring for a client who had a stroke and is scheduled for transfer to a rehabilitation center. Which of the following tasks are the responsibility of the nurse at the transferring facility? (select all that apply.)

Ensure that the client has possession of his valuables. Confirm that the rehabilitation center has a room available at the time of transfer. Give a verbal transfer report via telephone. Complete a transfer form for the receiving facility.

A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as the responsibility of state licensing boards?

Ensuring that health care providers comply with regulations

A nurse is teaching the parents of a toddler about discipline. Which of the following actions should the nurse suggest?

Establish consistent boundaries for the toddler.

A nurse is admitting a client who has acute cholecystitis to a medical‑surgical unit. Which of the following actions are essential steps of the admission procedure? (select all that apply.)

Explain the roles of other care delivery staff. Begin discharge planning. Document the client's wishes about organ donation. Introduce the client to his roommate

A nurse is caring for a competent adult client who tells the nurse, "I am leaving the hospital this morning whether the doctor discharges me or not." The nurse believes that this is not in the client's best interest, and prepares to administer a PRN sedative medication the client has not requested along with the scheduled morning medication. Which of the following types of tort is the nurse about to commit?

False imprisonment

A nurse manager is discussing the HIPPA Privacy Rule with a group of newly hired nurses during orientation. Which of the following information should the nurse manager include? (Select all that apply.)

Family members should provide a code prior to receiving client health information. Communication of client information can occur at the nurses' station. A client can request a copy of their medical record. A nurse can photocopy a client's medical record for transfer to another facility.

A charge nurse is reviewing with a newly hired nurse the difference in manifestations of a localized versus a systemic infection. Which of the following are manifestations of a systemic infection? (Select all that apply.)

Fever Malaise Increase in pulses and respiratory rate

A nurse is planning diversionary activities for toddlers on an inpatient unit. Which of the following activities should the nurse include? (Select all that apply)

Filling and emptying containers Playing with blocks Looking at books

A newly licensed nurse is considering strategies to improve critical thinking. Which of the following actions should the nurse take?

Find a mentor. Use a journal to write about the outcomes of clinical judgments. Review articles about evidence-based practice.

A nurse is preparing the discharge summary for a client who has had knee arthroplasty and is going home. Which of the following information about the client should the nurse include in the discharge summary? (select all that apply.)

Follow‑up care Instructions for diet and medications Contact information for the home health care agency

A nurse is talking with the guardian of a four year old child who reports that the child is waking up at night with nightmares, which of the following interventions should the nurse suggest?

Have the child go to bed at a consistent time every day.

A nurse is preparing to administer medications to a preschooler. Which of the following strategies should the nurse implement to increase the child's cooperation in taking medications? (Select all that apply)

Have the guardians bring in a favorite toy from home. Engage the child in pretend play with a toy medical kit.

A nurse in a clinic is planning health promotion and disease prevention strategies for a client who has multiple risk factors for cardiovascular disease. Which of the following interventions should the nurse include? (Select all that apply.)

Help the client see the benefits of their actions. Identify the clients support systems. Suggest and recommend community resources. Teach stress management strategies.

A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include? (Select all that apply.)

Home health care Rehabilitation facilities Skilled nursing facilities

A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who has heat stroke will have which of the following?

Hypotension

A nurse is caring for a client who reports a severe sore throat, pain when swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection?

Illness

A home health nurse is discussing the dangers of food poisoning with a client. Which of the following information should the nurse include in her counseling?

Immunocompromised individuals are at risk for complications from food poisoning. Clients who are at high risk should only eat or drink pasteurized dairy products. Handling raw and fresh food separately can prevent food poisoning.

A nurse is explaining the various levels of health care services to a group of newly licensed nurses. Which of the following examples of care or care settings should the nurse classify as tertiary care? (Select all that apply.)

Intensive care unit Oncology treatment center Burn center

A nurse is instructing a group of newly licensed nurses about the responsibilities organ donation and procurement involve. When the nurse explains that all clients awaiting for a kidney transplant have to meet the same qualifications, the newly licensed nurse should understand that this aspect of care delivery is an example of which of the following ethical principles?

Justice

A nurse is caring for a client who has a new prescription for antihypertensive medication. Prior to administering the the medication, the nurse uses an electronic database to gather information about the medication and the effects it might have on this client. Which of the following components of critical thinking is the nurse using when he reviews the medication information?

Knowledge

A nurse is caring for a client who fell at a nursing home. The client is oriented to person, place, and time and can follow directions. Which of the following actions should the nurse take to decrease the risk of a fall?(select all the apply)

Make sure that the clients call light is within reach Proved the client with nonskid footwear Complete a fall-risk assessment

A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent? (Select all that apply.)

Make sure the surgeon obtained the client's consent. Witness the client's signature on the consent form.

A nurse is explaining the various types of health care coverage clients might have to a group of nurses. Which of the following health care financing mechanisms should the nurse include as federally funded? (Select all that apply.)

Medicare Medicaid

A nurse is discussing occurrences that require completion of an incident report with a newly licensed nurse. Which of the following should the nurse include in the teaching? (Select all that apply.)

Medication error Needlesticks Omission of prescription

A nurse observes smoke coming from under the door of the staffs lounge. Which of the following actions is the nurses priority?

Move clients who are nearby.

A nurse is providing discharge instructions to a client who has a prescription for oxygen use at home. Which of the following information should the nurse include about home oxygen safety?

Nail polish should not be used near a patient who is receiving oxygen A "no smoking" sign should be placed on the front door A fire extinguisher should be readily available in the home

A nurse questions a medication prescription as too extreme in light of the client's advanced age and unstable status. The nurse understands that this action is an example of which of the following ethical principles?

Nonmaleficence

A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse is caring for the client should initiate a referral to which of the following members of the interprofessional care team?

Occupational therapist

A nurse is performing an admission assessment for an older adult client. After gathering the assessment data and performing the review of systems, which of the following actions is a priority for the nurse?

Orient the client to their room.

When entering a client's room to change a surgical dressing, a nurse notes that the client is coughing and sneezing. Which of the following actions should the nurse take when preparing the sterile field?

Place a mask on the client to limit the spread of micro-organisms into the surgical wound.

A nurse educator is teaching staff members about facility protocol in the events of a tornado. Which of the following should the nurse include? (Select all that apply.)

Place blankets over clients who are confined to beds. Move beds away from the windows. Draw shades and close drapes.

A nurse discovers a small paper fire in a trash can in a client's bathroom. The client has been taken to safety and the alarm has been activated. Which of the following actions should the nurse take?

Place wet towels along the base of the door to the client's room.

A nurse is caring for a client who has severe acute respiratory syndrome (SARS). The nurse knows that health care professionals are required to report communicable and infectious diseases. Which of the following illustrates the rationale for reporting? (Select all that apply.)

Planning and evaluating control and preventing strategies. Determinging public health priorities. Ensuring proper medical treatment. Monitoring common source outbreaks.

A nurse is reviewing car seat safety with the parents of a 1-month-old infant. When reviewing car seat use, which of the following instructions should the nurse include?

Position the care seat so that the infant is rear-facing.

A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the medication prescribed for pain management. Which of the following members of the interprofessional care team can assist the client in understanding the medication's effects? (Select all that apply.)

Provider Pharmacist Registered nurse

A charge nurse is assigning client care for four clients. Which of the following tasks should the nurse assign to a PN?

Providing nasopharyngeal suctioning for a client who has pneumonia

A charge nurse is reviewing documentation with a group of newly licensed nurses. Which of the following legal guidelines should be followed when documenting in a client's record? (Select all that apply.)

Put the date and time on all entries. Document objective data, leaving out opinions.

A nurse on a medical-surgical unit has received change-of-shift report and will care for four clients. Which of the following client's needs may the nurse assign to an assistive personnel (AP)?

Reapplying a condom catheter for a client who has urinary incontinence.

By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this evaluation, what should the nurse do next according to the nursing process?

Reassess the client to determine the reasons for unsatisfactory pain relief.

A nurse manager of a medical‑surgical unit is assigning care responsibilities for the oncoming shift. a client is awaiting transfer back to the unit from the PACU following thoracic surgery. to which of the following staff members should the nurse assign this client?

Registered Nurse (RN)

A nurse is receiving a provider's prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? (Select all that apply.)

Repeat the details of the prescription back to the provider. Have another nurse listen to the telephone prescription. Obtain the provider's signature on the prescription within 24 hr.

A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy and unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room when she was not on a break. Which of the following actions should the nurse take?

Report the observations to the nurse manager on the unit.

A nurse manager is reviewing guidelines for preventing injury with staff nurses. Which of the following instructions should the nurse manager include? (Select all that apply.)

Request assistance when repositioning a client. Avoid twisting your spine or bending at the waist. Use smooth movements when lifting and moving clients

A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the following data should the charge nurse identify as objective data? (Select all that apply.)

Respiratory rate is 22/min with even, unlabored respirations. The client's skin is pink, warm, and dry. The assistive personnel reports that the client walked with a limp.

A nurse receives a prescription for an antibiotic for a client who has cellulitis. The nurse checks the client's medical record, discovers that she is allergic to the antibiotic, and calls the provider to request a prescription for a different antibiotic. Which of the following critical thinking attitudes did the nurse demonstrate?

Responsibility

A nurse is preparing an in-service program about delegation. Which of the following are components of the five rights of delegation? (Select all that apply.)

Right place Right supervision and evaluation Right circumstances

A nurse is talking with a parent of a 6 month old infant about gross motor development. Which of the following gross motor skills are expected finding in the next 3 months? (Select all that apply.)

Rolls from back to front Bears weight on legs Sits unsupported

A nurse is caring for a client who is receiving enteral tube feedings due to dysphagia. Which of the following bed positions should the nurse use for safe care of this client?

Semi-Fowler's

A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that do not require a provider's prescription. Which of the following interventions should the charge nurse include? (Select all that apply.)

Showing a client how to use progressive muscle relaxation. Performing a daily bath after the evening meal. Repositioning a client every 2 hr to reduce pressure injury risk.

A nurse is assessing from a 2-week-old newborn during a routine check up. Which of the following findings should the nurse expect? (Select all that apply.)

Sleeps 14 to 16 hr each day Hands remain in a closed position Current weight same as the birth weight

A client who has a cerebrovascular accident has persistent problems with dysphagia. The nurse caring for the client should initiate a referral with which of the following members of the interprofessional care team?

Speech-language pathologist

A nurse is giving a presentation about accident prevention to a group of parents of toddlers. which of the following accident-prevention strategies should the nurse include? (Select all that apply.)

Store toxic agents in locked cabinets Turn pot handles towards back of stove Place safety gates across stairways

A nurse at a health department is planning strategies related to heart disease. Which of the following activities should the nurse include as part of primary prevention?

Teaching about a healthy diet

A nurse in a health clinic is caring for a 21-year-old client who reports a sore throat. The client tells the nurse that he has not seen a doctor since high school. Which of the following health screenings should the nurse expect the provider to perform for this client?

Testicular examination

A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following information should the nurse share with the AP? (Select all that apply.)

The client ambulates with his slippers on over his antiembolic stockings. The client uses a front‑wheeled walker when ambulating. The client had pain medication 30 min ago.

When a nurse is observing a client drawing up and mixing insulin injections, which of the following best demonstrates that psychomotor learning has taken place?

The client is able to demonstrate the appropriate technique.

A nurse has removed a sterile pack from its outside cover and placed it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first?

The flap farthest away from the body

A nurse is wearing sterile gloves in preparation for performing a sterile procedure. Which of the following objects may the nurse touch without breaching sterile technique? (Select all that apply.)

The inner wrapping of an item on the sterile field An irrigation syringe on the sterile field One gloved hand with the other gloved hand

A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following events should the nurse recognize as contaminating the sterile field? (Select all that apply.)

The nurse moistens a cotton ball with sterile normal saline and places it on the sterile field. The procedure is delayed 1 hr because the provider receives an emergency call. The nurse turns to speak to someone who enters through the door behind the nurse.

A mother tells the nurse that her 2-year-old toddler has temper tantrums and says "no" every time the mother tries to help her get dressed. The nurse should recognize, the toddler is manifesting which of the following stages of development?

Trying to increase her independence

A nurse is caring for a client who has had a cough for 3 weeks and is beginning to cough up blood. The client has manifestations of which of the following conditions?

Tuberculosis

A nurse is reviewing the centers for disease control and preventions (CDC) immunization recommendations with the guardians of preschoolers. Which of the following vaccines should the nurse include in this discussion? (Select all that apply.)

Varicella Pollo Seasonal influenza

A nurse is reviewing hand hygiene techniques with a group of assistive personnel (AP). Which of the following instructions should the nurse include when discussing handwashing? (Select all that apply.)

Wash the hands with soap and water for at least 15 seconds. Use a clean paper towel to turn off hand faucets.

A nurse is contributing to the plan of care for a client who is being admitted to the facility with a suspected diagnosis of pertussis. Which of the following interventions should the nurse include? (Select all that apply.)

Wear a mask when providing care within 3ft of the client. Place a surgical mask on the client if transportation to another department is unavoidable. Wear a gown when performing care that might result in contamination from secretions.