Section 4 ATI Practice Test
A nurse is teaching a client about foods that are included on a clear liquid diet. Which of the following food choices made by the client indicates the need for further teaching? A) Yogurt B) Popsicle C) Gelatin D) Broth
A) Yogurt
A nurse is teaching a client about snacks that are appropriate on a low-fat, low-sodium, and low-colesterol diet. Which of the following foodchoices by the client indicates the need for further teaching? A) A slice of cheese B) jam sandwich C) A cup of plain popcorn D) A small container of applesauce
A) A slice of cheese
A nurse is planning care for a client who is receiving enteral feedings through an NG tube. Which of the following actions should the nurse plan totake first? A) Aspirate the client's stomach contents. B) Hang the feeding bag 30 cm (12 in) above the client. C) Label the feeding bag with the date and time of the start of the feeding. D) Warm the feeding to room temperature.
A) Aspirate the client's stomach contents.
A nurse in an emergency department is assessing a client who has traumatic injuries following an assault. The client sits quietly and calmly in theexamination room and states, "I'm fine." The nurse should recognize the client's behavior as which of the following reactions? A) Denial B) Displacement C) Projection D) Undoing
A) Denial
A nurse is completing discharge teaching with a client. Of the following barriers to learning the nurse identifies with this client, which should thenurse interpret as a need to postpone the session? A) Pain B) Hearing loss C) The client's culture D) Motor impairment
A) Pain
A nurse is educating a group of older adults in a community center on jveight management using the BMI scale. Using the client's height andweight to calculate BMI, which of the following clients has a healthy BMI? A) A client with a weight of 128 lb and height of 70 inches B) A client with a weight of 150 Ib and height of 68 inches C) A client with a weight of 200 lb and height of 72 inches D) A client with a weight of 133 lb and a height of 60 inches
B) A client with a weight of 150 Ib and height of 68 inches
A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse understands the purpose of the test is to check the stool for which of the following substances? A) Steatorrhea B) Blood C) Bacteria D) Parasites
B) Blood
A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The student spends thesession berating the teacher and the course. The nurse should recognize this behavior as which of the following defense mechanisms? A) Conversion B) Projection C) Undoing D) Regression
B) Projection
A nurse is assessing a client and discovers the infusion pump with the client's total parenteral nutrition (TPN) solution is not infusing. The nurseshould monitor the client for which of the following conditions? A) Excessive thirst and urination B) Shakiness and diaphoresis C) Fever and chills D) Hypertension and crackles
B) Shakiness and diaphoresis
A nurse is instructing a group of clients about nutrition. The nurse's teaching plan should state that in order to limit saturated fat intake, client should limit total fat intake to what percentage of total calories per day? A) 20% B) 25% C) 30% D) 33%
C) 30%
A nurse prepares to replace the nearly empty container of total parenteral nutrition (TPN) for a client when she finds that there has been a delayin receiving the new container of solution from the pharmacy. Which of the following solutions should the nurse infuse until the next container of TPN solution becomes available? A) Lactated Ringer's B) 3% sodium chloride C) Dextrose 10% in water D) 0.9% sodium chloride
C) Dextrose 10% in water
A nurse is instructing a group of clients about nutrition. The nurse should include that which of the following is a trigger for the formation of vitamin D in the body? A) Calcium B) Vitamin A depletion C) Exposure to sunlight D) Weight-bearing exercise
C) Exposure to sunlight
A nurse is admitting a client to an alcohol abuse program. The client states, "I'm here because of my boss. It was part of my job to go to partiesand drink with clients." The client's statement is an example of which of the following defense mechanisms? A) Reaction-formation B) Compensation C) Rationalization D) Suppression
C) Rationalization
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number ofmedication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first? A) Provide an inservice on medication administration to all the nurses. B) Require staff nurses to demonstrate competency by passing a medication administration examination. C) Review the events leading up to each medication administration error. D) Develop a quality improvement program for nurses involved in medication administration errors
C) Review the events leading up to each medication administration error.
A nurse is instructing a group of clients regarding nutrition. The teaching should state that which of the following groups of foods contains the highest level of carbohydrates? A) Milk, eggs, and cheese B) Butter, oil and avocados C) Rice, potatoes, and oranges D) Chicken, green beans, and apples
C) Rice, potatoes, and oranges
A nurse is instructing a group of clients about nutrition and eating foods high in iron. The nurse should include that which of the following aids in the absorption of iron? A) Fiber B) Vitamin A C) Vitamin C D) Oxalates
C) Vitamin C
A nurse is assessing four clients for indications of general adaptation syndrome (GAS). Which of the following clients should the nurse monitorclosely for GAS? A) A 68-year-old client who has viral pneumonia. B) A 22-year-old client who has type 1 diabetes mellitus. C) A 59-year-old client who has Stage I Alzheimer's disease. D) A 40-year-old client who has ulcerative colitis
D) A 40-year-old client who has ulcerative colitis
A nurse is instructing a young adult client about healthful sleep habits. Which of the following statements should the nurse identify as an indication that the client needs further teaching? A) "I don't take naps throughout the day." B) "I go to bed and get up routinely at the same time each day." C) "I have a small snack and take a bath before going to bed each day." D) "I watch television until I fall asleep at night."
D) "I watch television until I fall asleep at night."
A nurse is teaching à client's adult son about how to position the client when administering enteral feedings at home. Which of the followingstatements by the son indicates an understanding of the teaching? A) "I will allow him to be in the position where he is most comfortable during the feeding. B) "I will elevate the head of the bed 10 degrees during the feeding. C) "I will turn him on his left side during the feeding.' D) "I will have him sit in his chair during the feeding."
D) "I will have him sit in his chair during the feeding."
A nurse is admitting a client who reports anorexia and is experiencing malnutrition. Which of the following findings should the nurse expect to be altered? A) Creatine kinase B) Troponin C) Total bilirubin D) Albumin
D) Albumin
A nurse is caring for a client who is prescribed bedrest. The plan of care indicates that the client should perform isometric exercises every 2 hr.Which of the following actions should the nurse take as directed by the plan of care? A) Ask the client to move her arms and legs while applying slight resistance. B) Move the client's limbs through their complete range of motion. C0 Have the client move each limb independently through its complete range of motion. D) Instruct the client to tighten muscle groups for a short period, and then relax.
D) Instruct the client to tighten muscle groups for a short period, and then relax.
A nurse is caring for a client who has a new prescription for a low-sodium diet. The client's family has requested to bring in some of the client'sfavorite foods. Which of the following food items should the nurse tell the family members to omit? A) Boiled rice B) Flat bread C) Broiled fish fillet D) Pickled vegetables
D) Pickled vegetables