ATI Funds Proctor Adaptive Quizzes

A nurse is caring for an older adult client who has dysphagia following a cerebrovascular accident. Which of the following actions should the nurse take when assisting the client at mealtime? A. Encourage the client to drink fluids before swallowing food B. Offer the client tart or sour foods first. C. Tilt the client's head backward when swallowing D. Turn on the television

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

A nurse is caring for a client who has xerostomia with a lack of saliva. Which nutrient will be affected by the lack of salivary amylase? A. Fat B. Protein C. Startch D. Fiber

Starch Salivary amylase begins the process of digestion in the mouth with the initial breakdown of starches. The majority of starch breakdown occurs in the small intestine with pancreatic amylase. Additional info.: - Lipase breaks down fats - Pepsin breaks down proteins

A nurse is planning care for a group of clients who are receiving oxygen therapy. Which of the following clients should the nurse plan to see first? A. A client who has heart failure and is receiving 100% O2 via partial rebreather B. A client who has emphysema and is receiving at 3L/min via a transtracheal oxygen cannula C. A client with old tracheostomy, receiving 40% humidified oxygen via trach collar D. A client with COPD that is receiving oxygen at 2L/min via nasal cannula A client who has heart failure and is receiving 100% O2 via partial rebreather

A. A client who has heart failure and is receiving 100% O2 via partial rebreather

A nurse is caring for a client who is receiving a blood transfusion. The client reports flank pain and the nurse notes reddish-brown urine in the client's urinary catheter bag. The nurse recognizes these manifestations as which of the following types of transfusion reactions? A. Hemolytic B. Febrile C. Circulatory Overload D. Sepsis

A. Hemolytic A hemolytic reaction occurs when the client's blood is incompatible with the donor's blood. Chills, low back pain, hypotension, and tachycardia are indications of a hemolytic transfusion reaction.

A nurse is caring for a group of clients. Which of the following tasks should the nurse assign to an assistive personnel (AP)? A. Provide oral care to a client who cannot take oral fluids B. Check a client's IV insertion site for manifestations of infiltration C. Assess a client's ability to ambulate D. Demonstrate the use of a glucometer to a client who has diabetes mellitus

A. Provide oral care to a client who cannot take oral fluids

A nurse is performing a neurological assessment of a client. To promote safety during the examination, the nurse stands nearby as the client follows the instructions for which of the following tests? A. Romberg B. Kinesthetic Sensation C. 2 Point Discrimination D. Weber

A. Romberg A Romberg test evaluates standing balance, first with the client's eyes open and then with them closed. The nurse should remain nearby because the client could fall during this test

A nurse is performing a mental-status examination on a client who has manifestations of dementia. Which of the following directions should the nurse give the client when evaluating the client's ability to think abstractly? A. Subtract by 7 serially, starting at 100 B. Describe a previous illness C. Explain what to do if a fire happened in his bedroom D. Discuss the meaning of a common proverb

D. Discuss the meaning of a common proverb This part of the mental-status examination evaluates the client's ability to think abstractly.

A nurse is obtaining a capillary blood sample to determine a client's blood glucose level. The nurse prepares and punctures the client's finger for the procedure but does not obtain an adequate amount of blood. Which of the following actions should the nurse take next? A. Smear the small amount of blood onto the testing strip B. Hold the finger above heart level C. Massage the client's fingertip D. Wrap the client's finger in a warm washcloth

D. Wrap the client's finger in a warm washcloth Warmth helps increase the blood flow to the client's finger.

A nurse is administering a cleansing enema to a client who is scheduled for a diagnostic procedure. Which of the following actions should the nurse take? A. Lubricate up to 3.2 cm of the tip of the rectal tube B. Position the client on the right side C. Insert the tip of the tubing 8 cm D. Hold the enema container 61cm above the rectum.

C. Insert the tip of the tubing 8 cm The nurse should insert the tip of the tubing 7 to 10 cm along the rectal wall to prevent dislodging of the tube during the procedure and avoid injury to the rectal mucosa.

A nurse is assessing a client's peripheral pulses. Which of the following descriptions should the nurse use to document the findings? A. Peripheral pulses equal bilaterally at a rate of 60/min B. Radial, brachial, and pedal pulses bilaterally weak C. Peripheral pulses bilaterally symmetric, equal, and strong in all 4 extremities D. Brachial, radial, popliteal and dorsalis pedis pulses regular, 58, and bilaterally palpable.

C. Peripheral pulses bilaterally symmetric, equal, and strong in all 4 extremities The nurse does not evaluate the peripheral pulses routinely when measuring VS. Peripheral pulse evaluation is for specific clinical indications such as circulatory impairment to an extremity or during a comprehensive physical examination. A full evaluation of peripheral pulses typically includes palpation of the radial, brachial, ulnar, femoral, popliteal, tibial, and dosalis pedal pulses. Documentation of peripheral pulse evaluation should include the strength of pulsations as well as their equality and symmetry in all 4 extremities.