Most tested ATI Select all that apply QUESTIONS AND ANSWERS | GRADED A

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1 A nurse is teaching a client who is pregnant about the variables that are scored during a biophysical profile (BPP). Which of the following variables should the nurse include? (Select all that app... ly.) A. Fetal weight B. Fetal breathing movement C. Fetal tone D. Fetal station E. Amniotic fluid volume BCE 2 The nurse is caring for a new mother who is sensitive to certain foods. Knowing that certain foods can pass through the breast milk to the infant, the nurse advises the mother to avoid which foods that have a tendency to cause allergic reactions in infants? (Select all that apply). A. Beef B. Chicken C. Eggs D. Peanuts E. Shellfish CDE 3 A nurse is preparing to teach a group of clients who are pregnant about some of the common discomforts of pregnancy. Which of the following findings should the nurse include in the teaching? (Select all that apply). A. Breast tenderness B. Excessive salivation C. Epistaxis D. Dysuria E. Right upper quadrant pain ABC 4 A nurse is caring for a client who is pregnant and experiencing backaches. Which of the following measures should the nurse tell the client to take to help relieve backaches? (Select all that apply). A. Soak in a hot tub once a day. B. Perform Kegel exercises twice a day. C. Perform the pelvic rock exercise every day. Most tested ATI Select all that apply D. Position the knees higher than the hips when sitting. E. Sleep in a supine position C d 5 A nurse is caring for a client who is in labor and has HIV. Which of the following procedures should the nurse identify as being safe for this client? (Select all that apply.) A. Vacuum extraction B. Oxytocin infusion C. Use of forceps D. Cesarean birth E. Internal fetal monitoring B d 6 A nurse is caring for a client who suspects that she is pregnant and has presumptive signs of pregnancy. Which of the following findings should the nurse expect the client to report? (Select all that apply.) A. Amenorrhea B. Goodell sign C. Ballottement D. Nausea and vomiting E. Quickening ADE 7 A healthcare provider is caring for a woman with abruptio placentae (a placental abruption). Which of the following are risk factors for this condition? (Select all that apply). A. Fetal rump position B. Maternal hypertension C. Cocaine use D. Advanced maternal age E. Cigarette smoking BCDE 8 A nurse is caring for a client who is pregnant and scheduled for a contraction stress test (CST). Which of the following findings are indications for this procedure? (Select all that apply.) A. Decreased fetal movement B. Intrauterine growth restriction C. Postmaturity D. Placenta previa E. Preterm labor ABC 9 A nurse is caring for a client who has severe preeclampsia and is receiving a magnesium sulfate IV infusion. The nurse should monitor the client for which of the following manifestations as a sign of magnesium sulfate toxicity? (Select all that apply.) A. Respiratory rate less than 12/min B. Excessive urinary output C. Hyperreflexic deep tendon reflexes D. Decreased level of consciousness E. Flushing and sweating AD 10 The nurse knows that folic acid reduces the incidence of neural tube defects in a fetus. Which foods are high in this mineral? (Select all that apply). A. Strawberries B. Milk C. Dark leafy green vegetables D. Lentils ACD 11A nurse is caring for a client who is pregnant and has a TORCH infection. Which findings should the nurse expect? (Select all that apply). A. Joint pain B. Insomnia C. Rash D. Urinary frequency E. Decreased appetite ACE 12 A nurse is assessing a client at 26 weeks' gestation who complains of occasional contractions. Which of the following factors increases the client's risk of preterm labor? (Select all that apply). A. Urinary tract infection B. Multifetal pregnancy C. Maternal age of less than 30 years D. Diabetes mellitus E. Prepregnancy BMI of 20 ABD 13 A nurse is caring for a client with a nursing diagnosis of impaired skin integrity, related to decreased mobility and mechanical factors. Which of the following interventions would be appropriate for this client? (Select all that apply) A. Encourage food and fluid intake B. Encourage chair sitting to keep the client out of bed. C. Use talcum powder to keep skin dry D. Assist the client with ambulation and encourage mobility. E. Assist the client to change positions every four hours A D 14 A nurse is caring for an adult client who is being discharged after stapedectomy. Which of the following instructions should be given by the nurse to this client? (Select all that Apply) A. Resume all activities of daily living B. Restrict fluid intake. C. Rest and sleep on two or three pillows . D. Avoid blowing the nose C d 15 A nurse is caring for a client who is receiving parenteral therapy. What information should be documented when a client is receiving total parenteral nutrition? (Select all that apply) A. The amount of solution infused B. The type and location of the IV C. The condition of the insertion site D. The client’s position in bed E. The client’s daily oral intake A B C E 16 A nurse working in an outpatient clinic is caring for a client who has rheumatoid arthritis (RA) and reports increased joint tenderness and swelling. Which of the following findings should the nurse expect? (Select all that apply.) A. Recent viral infection B. Decreased range of motion C. Hypersalivation D. Increased blood pressure E. Pain at rest A b e 17 A nurse is reviewing the laboratory data of four clients. The nurse should understand that which of the following results indicates the client is at risk for heart disease? (Select all that apply). A. Total cholesterol 245 mg/dL B. HDL 90 mg/dL C. LDL 140 mg/dL D. Triglycerides 125 mg/dL E. C-reactive protein 0.5 mg/L A c 18 A client is receiving hemodialysis. After some time, the client develops dyspnea and chest pain. When the nurse assesses the patient finds that there is reduced oxygen saturation, tachypnea, and hypotension. Which are the best nursing actions? (SELECT ALL THAT APPLY) A. Administer oxygen B. Stop the hemodialysis C. Notify the physician D. Place the client in reverse Trendelenburg’s position Abc 19 The nurse is caring for a client in wrist restraints who has been attempting to extubate herself. Select all of the actions that are appropriate for the nurse to do for this client: (Select all that Apply) A. Secure the restraints to the side rails of the bed B. Check circulation in her arms every shift C. Verify that the order for the restraints has been signed by the physician within 24 hours D. Evaluate the need for restraints every 1 to 2 hours C D 20 A nurse is reviewing the medical history of a client who has Cushing's disease. The nurse should identify that clients who have Cushing's disease are at increased risk for which of the following conditions? (Select all that apply.) A. Infection B. Gastric ulcer C. Nephrolithiasis D. Bone fractures E. Dysphagia A B D 21 Which nursing actions are essential when finding a client experiencing a tonic-clonic seizure? Select all that apply. A. Calling out the clients name B. Holding the body during the seizure activity C. Placing an emesis basin close to the mouth D. Rolling the body to the side E. Removing environmental hazards to protect the client F. Calling the respiratory therapy department DEF 22 A nurse is providing information to a 45-year-old client about risk factors for coronary artery disease. Which of the following modifiable risk factors should the nurse discuss with the client? (Select all that apply) A. Age B. Family history of early heart disease C. Smoking D. Hypertension E. High HDL cholesterol C d 23 A client is admitted with rheumatoid arthritis. Which of the following signs should the nurse monitor in the client? (SELECT ALL THAT APPLY) A. Early morning pain and stiffness at joints B. Heberden’s nodes C. Elevated rheumatoid factor and erythrocyte sedimentation rate D. Swelling at the joints A c d 24 A nurse in an outpatient clinic is collecting data from a client who reports night sweats, fatigue, cough, nausea, and diarrhea. The client asks the nurse if it is possible he has HIV. Which of the following actions should the nurse take? (Select all that apply.) A. Measure vital signs. B. Determine when manifestations began. C. Obtain a weight. D. Reinforce teaching about HIV transmission. E. Obtain a sexual history from the client. A B C E 25 A nurse is caring for four clients. The nurse should identify which of the following clients is at risk for developing dysrhythmia? (Select all that apply.) A. A client who has metabolic alkalosis B. A client who has a total serum calcium level of 9.5 mg/dL C. A client who has an SaO2 of 96% D. A client who has COPD E. A client who had a stent placement in a coronary artery ADE 26 A client has asked you to explain the MCH (mean cell hemoglobin) test to her. While you council her to ask the attending physician for details, which of the following is an appropriate answer? (SELECT ALL THAT APPLY): A. It measures % volume of hemoglobin per red blood cell and a value lower than the normal range suggests microcytic anemia B. It measures the average mass of hemoglobin per red blood cell and an decreased score indicates hypochromic blood cell characteristics C. It means the total mass of hemoglobin in a volume of blood divided by the number of red blood cells D. Its normal value is found within 10-12 picograms/cell ABC 27 A nurse is reinforcing medication teaching with a client who has Addison's disease and has been prescribed hydrocortisone. Which of the following instructions should the nurse include? (Select all that apply.) A. "Take the medication before meals." B. "Notify the provider of any illness or stress." C. "Report any episodes of weakness or dizziness." D. "Do not discontinue the medication suddenly." E. "Eat a low-sodium diet." BCD 28 The client is receiving Clopidogrel following a cardiac stent placement. The nurse should ensure that the client understands which of the following? Select all that apply. A. Headache is a common side effect of the medication B. Clopidogrel can be stopped if symptoms become annoying C. Bleeding and bruising are likely to increase with the drug D. Clopidogrel can be taken with or without food ACD 29 A nurse is caring for a client who has an external fixation device for a bone fracture. Which of the following actions should the nurse take? (Select all that apply.) A. Keep the affected extremity above the level of the heart. B. Use a separate cotton swab for cleansing each pin. C. Report loosening of the pins to the provider. D. Lift the device in the middle to move the client's leg. E. Report increased redness at the pin sites ABCE 30 A 46-year-old client visits the outpatient clinic and is diagnosed with acute sinusitis. The nurse should instruct the client to do which of the following to promote sinus drainage? (Select all that apply). A. Apply a hot pack to the affected are [Show More]

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