ATI test

A nurse is collecting data from a client who has a long leg cast on his left leg. Which of the following findings is the priority?

Diminished pulses on the affected extremity

A nurse caring for the family of a client who recently died. Which of the following actions should the nurse take?

Encourage the family to express their feelings of loss.

A nurse is supervising assistive personnel (AP) who is applying ant embolic stockings for a client. Which of the following actions by the AP requires intervention by the nurse?

Ensuring that creases in the stockings are on the front of the client's legs.

A home health nurse is reinforcing teaching with a client who has diabetes mellitus. Which of the following statements should the nurse make to evaluate the client's use of a glucometer?

I Would like to observe you using your glucometer.

A nurse is assisting with the care of a preschooler who has manifestations of respiratory syncytial virus. Which of the following actions should the nurse take?

Initiate droplet precautions.

A nurse is reviewing the plan of care for a group of clients. The nurse should identify that informed consent is required for which of the following procedures?

Insertion of a nasogastric tube

A nurse is collecting data from a client who is 18 hr. postpartum. The nurse notes that the client is in the "taking-in phase" of maternal adjustment. Which of the following manifestations should the nurse expect?

Is eager to review the birth experience.

A nurse is collecting data from a client who has hyponatremia. Which of the following findings should the nurse expect?

Muscle cramps

A nurse is reinforcing teaching with a new parent about bathing her newborn. Which of the following statements should the nurse include?

Perform sponge baths until the baby's umbilical cord falls off.

A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse should identify which of the following as an indication of hopelessness?

The client has a decreased energy level.