ATI - Testing and Remediation Beginning Test
2)A nurse in a providers office is reinforcing teaching to the parents of a child who has allergies and is prescribed Benadryl 25mg every six hours as needed. Available is diphenhydramine (Benadryl) 12.5/5mL. How many teaspoons of medicine does the nurse need to instruct the parents to administer per dose?
Answer: 2 tsp Rationale: 12.5 x 2 = 25mg every 6 hours
19) A nurse is reinforcing a teaching to a client who has fractured ankle and is learning to walk up the stairs. Identify the sequence of the actions the client should be taught when using a modified 3-point crutch gait.
Answer: Bear weight on unaffected leg, transfer weight to crutches, advance unaffected leg, shift weight from crutches to unaffected leg, and go up stairs. Rationale the nurse would know that this is correct sequence of events for her client.
20) A nurse is collecting data on a newly admitted client who is reporting abdominal discomfort. When examining the abdomen, which of the following techniques should the nurse perform first?
Answer: Inspection Rationale: The nurse should know that this is proper thing to do first so she can assess any other problems
16) A nurse is preparing to transfer a client from a bed to a chair. The nurse should take which of the following actions to prevent a lift injury?
Answer: Stand close to the client Rationale: The nurse would know that this could provide adequate leverage in order to move the client smoothly.
13) A nurse is reinforcing teaching to a client who is newly diagnosed with Lyme disease. The nurse should indicate that the diseases could by transmitted in which of the following ways?
Answer: Vector Rationale: The nurse would know that the way Lyme disease is typically transmitted is through a tick, which is a life living thing. Therefore it would fall in the vector category.
15) A nurse is preparing to ausculate a clients heart. Which of the following positions is best for detecting a low pitched diastolic murmur?
Answer: lying on side Rationale: The nurse would know that this is the easiest way for the client to lie in order to have the most accurate reading on the test.
A nurse on a rehabilitation unit is caring for a client who was admitted 3 days ago. Upon review of the client's medical record, which of the following actions should the nurse take? (Click on the "Exhibit" button below for additional client information. There are three tabs that contain separate categories of data.) Exhibit 1 Serum Laboratory Results: Hemoglobin 15.4 g/dL Protein 7.2 g/dL BUN 8mg/dL Glucose 72mg/dL Exhibit 2 Physical Assessment: 2+ peripheral edema Blood pressure 144/96 mm Hg Increased urinary output Respiratory crackles bilaterally Exhibit 3 Health History: Total hip arthroplasty 10 days ago 15-year history of diabetes mellitus 32-year history of heart failure
Answer: restrict fluid intake Rationale: The nurse would know that by restricting fluid intake the client might become more active and want to go home.
