ATI Test A Practice Questions

ATI Test A Practice Questions A nurse is planning care to improve self-feeding for a client who has vision loss. Which of the following interventions should the nurse include in the plan of care? Answer Choices: ...

ATI Test A Practice Questions A nurse is planning care to improve self-feeding for a client who has vision loss. Which of the following interventions should the nurse include in the plan of care? Answer Choices: Tell the client which food she should eat first Provide small-handled utensils for the client Thicken liquids on the client's tray Use a clock pattern to describe food on the client's plate Use a clock pattern to describe food on the client's plate A nurse is planning an education session for an older adult client who has just learned that she has type 2 diabetes mellitus. Which of the following strategies should the nurse plan to use with this client? Answer Choices: Allow extra time for the client to respond to questions Expect the client to have difficulty understanding the information Avoid references to the client's past experiences keep the learning session private and one-on-one Allow extra time for the client to respond to questions 00:27 01:08 A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take? (Select all that apply) Answer Choices: place the client in a room with negative-pressure airflow Wear gloves when assisting the client with oral care Limit each visitor to 2-hr incrememnts Wear a surgical mask when providing client care use antimicrobial sanitizer for hand hygiene. Place the client in a room with negative-pressure airflow wear gloves when assisting the client with oral care use antimicrobial sanitizer for hand hygiene (Should also wash hands with soap and water when hands have visible soiling) A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to mix together and administer subcutaneously. Determine the correct order of steps for this procedure. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) The nurse should first inject air into the vial of NPH without touching the needle to the solution. Next, the nurse should inject air into the vial of regular insulin, and then withdraw the correct amount of the regular insulin. Finally, the nurse should insert the needle into the NPH insulin vial and withdraw the correct amount of NPH insulin. The nurse should follow these steps to prevent contaminating the regular insulin with NPH insulin. A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following assessment findings should the nurse expect? Answer choices: Neck vein distention urine specific gravity 1.010 Rapid heart rate blood pressure 144/82 Rapid heart rate (tachycardia indicates fluid-volume deficit, which is an expected finding for a client who has had vomiting and diarrhea for 3 days) A nurse is administering IV fluids to an older adult client. The nurse should perform which priority assessment to monitor for adverse effects? Answer choices: Auscultate lung sounds measure urine output monitor blood pressure readings monitor serum electrolyte levels Auscultate lung sounds The priority assessment the nurse should make when using the airway, breathing, circulation approach to client care is auscultating lung sounds to monitor for fluid-volume excess, a complication of IV therapy. Manifestations of fluid volume excess include moist crackles heard in lung fields, dyspnea, and shortness of breath. A nurse is assessing a client's readiness to learn about insulin administration. Which of the following statements should the nurse identify as an indication that the client is ready to learn? Answer Choices: "I can concentrate best in the morning" "It is difficult to read the instructions because my glasses are at home" "I'm wondering why I need to learn this" "You will have to talk to my wife about this" "I can concentrate best in the morning" The client's statement indicates a readiness to learn because he is verbalizing the best time for him to learn A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the following types of transmission precautions should the nurse initiate? Answer Choices: Protective environment Airborne precautions droplet precautions contact precautions Contact Precautions Major wound infections require contact precautions, which mean the nurse should admit the client to a private room. All caregivers should wear a gown and gloves during direct contact with this client. A nurse is reviewing practice guidelines with a group of newly licensed nurses. Which of the following interventions should the nurse include that is within the RN scope of practice? Answer Choices: Insert an implanted port close a laceration with sutures place an endotracheal tube initiate an enteral feeding through a gastrostomy tube Initiate an enteral feeding through a gastrostomy tube. It is within the RN score of practice for nurses to initiate enteral feedings through nasoenteric, gastrostomy, and jejunostomy tubes A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take? Answer choices: wear sterile gloves when removing the old dressing warm the irrigation solution to 40.5 degrees C (105 F) Cleanse the wound for the center outward use a 20 mL syringe to irrigate the wound. Cleanse the wound from the center outward to prevent introduction of microorganisms from the outer skin surface. (Use a 20 mL syringe to irrigate the wound is incorrect because a 35mL syringe should be used to irrigate the wound. Syringes that hold 30 to 60 mL of fluid create a safe but effective amount of pressure for wound irrigation). A nurse is caring for a client who reports pain. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record which of the following client statements? Answer choices: "I'm having mild pain" "The pain is like a dull ache in my stomach" "I notice that the pain gets worse after I eat" "The pain makes me feel nauseous" "The pain is like a dull pain in my stomach" the client is describing the quality of the pain, which is how the pain feels in her own words" A nurse is caring for a client who is reporting difficulty falling asleep. Which of the following measures should the nurse recommend? Answer Choices: Drink a cup of hot coca before bedtime exercise 1 hour before going to bed use progressive relaxation techniques at bedtime reflect on the day's activities before going to bed Use of progressive relaxation techniques at bedtime. Progressive relaxation promotes sleep by decreasing stress and reducing muscle tensio