ATI Comp B RN Comprehensive Online Practice 2023 B
Exam | Converted Verified Questions & Answers.
A nurse on a medical-surgical unit is caring for a client who has a new
diagnosis of terminal cancer. The client tells the nurse that they would
like to go home to be with family and loved ones. Which of the
following actions should the nurse take?
A. Contact the facility chaplain to visit with the client.
B. Explain the process of leaving the facility against medical advice.
C. Make a referral for social services.
D. Encourage the client to continue with inpatient care. - ANSWER-C.
Make a referral for social services.
As a client advocate, the nurse should support the client's decisions and
obtain a referral for social services to ensure that the client's needs at
home are met. Social services can set up home care or hospice care
services for the client if needed.
Incorrect:
The nurse should ask the client's permission before contacting the
facility chaplain to visit.
The nurse should identify that the client is not leaving the facility against
medical advice. Therefore, the nurse should notify the provider of the
client's wishes.
The nurse should recognize the client's autonomy and support the client's
wishes to go home.
A nurse is providing teaching to the guardians of a newborn about
measures to prevent sudden unexpected infant death (SUID). Which of
the following guardian statements indicates an understanding of the
teaching?
,A. "I will not allow anyone to smoke near my baby."
B. "I will place bumper pads in my baby's crib."
C. "My baby's head should be placed on a pillow for sleeping."
D. "My baby should sleep in a side-lying position." - ANSWER-A. "I
will not allow anyone to smoke near my baby."
This statement by the guardian indicates an understanding of the nurse's
instructions. Research indicates a strong correlation between exposure to
cigarette smoke and the occurrence of SUID.
Incorrect:
The guardians should not place bumper pads in the infant's crib because
they increase the risk for suffocation. Therefore, this is a risk factor for
SUID.
The guardians should not place the infant's head on a pillow for sleeping
because it increases the risk for suffocation. Therefore, this is a risk
factor for SUID.
The guardians should place the child in a supine position for sleeping to
prevent SUID.
The nurse is updating the plan of care for a client who is 48 hr
postoperative following a laryngectomy and is unable to speak. Which
of the following actions should the nurse plan to take first?
A. Determine the client's reading skills.
B. Instruct the client on esophageal speech technique.
C. Provide the client with an alphabet board.
D. Show the client how to use an artificial larynx. - ANSWER-A.
Determine the client's reading skills.
The first action the nurse should take when using the nursing process is
to assess the client. By determining the client's level of reading skills
and cognition, the nurse can best provide the client with a variety of
customized techniques to practice and use after verbal skills are lost.
,Incorrect
The nurse should instruct the client on the technique for esophageal
speech and allow time for the client to practice. However, there is
another action the nurse should take first.
The nurse should provide the client with an alphabet board and
demonstrate how to use it for communicating after verbal skills are lost.
However, there is another action the nurse should take first.
The nurse should show the client how to use an artificial larynx, called
an electrolarynx, for communicating after verbal skills are lost following
surgery. However, there is another action the nurse should take first.
A nurse is caring for an older adult client who is experiencing chronic
anorexia and is receiving enteral tube feedings. Which of the following
laboratory values indicates the client needs additional nutrients added to
the feeding?
A. Creatinine 1.1 mg/dL (0.5 to 1.3 mg/dL)
B. Albumin 2.8 g/dL (3.5 to 5 g/dL)
C. Triglycerides 100 mg/dL (35 to 135 mg/dL)
D. Alkaline phosphatase 118 units/L (30 to 120 units/L) - ANSWER-
Albumin 2.8 g/dL (3.5 to 5 g/dL)
The nurse should recognize that an albumin level of less than 3.5 g/dL
indicates malnutrition and a need for additional nutritional
supplementation.
Incorrect
A creatinine level of 1.1 mg/dL is within the expected reference range of
0.5 to 1.1 mg/dL for a female client, and 0.7 to 1.3 mg/dL for a male
client.
A triglyceride level of 100 mg/dL is within the expected reference range
of 35 to 135 mg/dL for a female client, and 40 to 160 mg/dL for a male
client.
, An alkaline phosphatase level of 118 units/L is within the expected
reference range of 30 to 120 units/L. An elevated alkaline phosphatase
level is an indication of liver or bone disorders, with a decreased level
indicating malnutrition.
A nurse is assessing a client after administering epinephrine for an
anaphylactic reaction. Which of the following findings should the nurse
identify as an adverse effect of this medication?
A. Hypotension
B. Report of tinnitus
C. Report of chest pain
D. Ecchymosis - ANSWER-Report of chest pain
The nurse should identify that a report of chest pain by the client can
indicate an adverse effect of the medication. Epinephrine increases
cardiac workload and oxygen demand, which can result in angina.
Incorrect
Hypertension is an adverse effect of epinephrine due to the
vasoconstrictive actions of epinephrine.
Tinnitus is not an adverse effect of epinephrine.
Ecchymosis is not an adverse effect of epinephrine.
A nurse is assessing a client who has skeletal traction for a femur
fracture. Which of the following findings should the nurse identify as the
priority?
A. Muscle spasms of the affected extremity
B. A pain rating of 6 on a scale from 0 to 10
C. Upper chest petechiae
D. Ecchymosis over the fractured area - ANSWER-Upper chest
petechiae
Exam | Converted Verified Questions & Answers.
A nurse on a medical-surgical unit is caring for a client who has a new
diagnosis of terminal cancer. The client tells the nurse that they would
like to go home to be with family and loved ones. Which of the
following actions should the nurse take?
A. Contact the facility chaplain to visit with the client.
B. Explain the process of leaving the facility against medical advice.
C. Make a referral for social services.
D. Encourage the client to continue with inpatient care. - ANSWER-C.
Make a referral for social services.
As a client advocate, the nurse should support the client's decisions and
obtain a referral for social services to ensure that the client's needs at
home are met. Social services can set up home care or hospice care
services for the client if needed.
Incorrect:
The nurse should ask the client's permission before contacting the
facility chaplain to visit.
The nurse should identify that the client is not leaving the facility against
medical advice. Therefore, the nurse should notify the provider of the
client's wishes.
The nurse should recognize the client's autonomy and support the client's
wishes to go home.
A nurse is providing teaching to the guardians of a newborn about
measures to prevent sudden unexpected infant death (SUID). Which of
the following guardian statements indicates an understanding of the
teaching?
,A. "I will not allow anyone to smoke near my baby."
B. "I will place bumper pads in my baby's crib."
C. "My baby's head should be placed on a pillow for sleeping."
D. "My baby should sleep in a side-lying position." - ANSWER-A. "I
will not allow anyone to smoke near my baby."
This statement by the guardian indicates an understanding of the nurse's
instructions. Research indicates a strong correlation between exposure to
cigarette smoke and the occurrence of SUID.
Incorrect:
The guardians should not place bumper pads in the infant's crib because
they increase the risk for suffocation. Therefore, this is a risk factor for
SUID.
The guardians should not place the infant's head on a pillow for sleeping
because it increases the risk for suffocation. Therefore, this is a risk
factor for SUID.
The guardians should place the child in a supine position for sleeping to
prevent SUID.
The nurse is updating the plan of care for a client who is 48 hr
postoperative following a laryngectomy and is unable to speak. Which
of the following actions should the nurse plan to take first?
A. Determine the client's reading skills.
B. Instruct the client on esophageal speech technique.
C. Provide the client with an alphabet board.
D. Show the client how to use an artificial larynx. - ANSWER-A.
Determine the client's reading skills.
The first action the nurse should take when using the nursing process is
to assess the client. By determining the client's level of reading skills
and cognition, the nurse can best provide the client with a variety of
customized techniques to practice and use after verbal skills are lost.
,Incorrect
The nurse should instruct the client on the technique for esophageal
speech and allow time for the client to practice. However, there is
another action the nurse should take first.
The nurse should provide the client with an alphabet board and
demonstrate how to use it for communicating after verbal skills are lost.
However, there is another action the nurse should take first.
The nurse should show the client how to use an artificial larynx, called
an electrolarynx, for communicating after verbal skills are lost following
surgery. However, there is another action the nurse should take first.
A nurse is caring for an older adult client who is experiencing chronic
anorexia and is receiving enteral tube feedings. Which of the following
laboratory values indicates the client needs additional nutrients added to
the feeding?
A. Creatinine 1.1 mg/dL (0.5 to 1.3 mg/dL)
B. Albumin 2.8 g/dL (3.5 to 5 g/dL)
C. Triglycerides 100 mg/dL (35 to 135 mg/dL)
D. Alkaline phosphatase 118 units/L (30 to 120 units/L) - ANSWER-
Albumin 2.8 g/dL (3.5 to 5 g/dL)
The nurse should recognize that an albumin level of less than 3.5 g/dL
indicates malnutrition and a need for additional nutritional
supplementation.
Incorrect
A creatinine level of 1.1 mg/dL is within the expected reference range of
0.5 to 1.1 mg/dL for a female client, and 0.7 to 1.3 mg/dL for a male
client.
A triglyceride level of 100 mg/dL is within the expected reference range
of 35 to 135 mg/dL for a female client, and 40 to 160 mg/dL for a male
client.
, An alkaline phosphatase level of 118 units/L is within the expected
reference range of 30 to 120 units/L. An elevated alkaline phosphatase
level is an indication of liver or bone disorders, with a decreased level
indicating malnutrition.
A nurse is assessing a client after administering epinephrine for an
anaphylactic reaction. Which of the following findings should the nurse
identify as an adverse effect of this medication?
A. Hypotension
B. Report of tinnitus
C. Report of chest pain
D. Ecchymosis - ANSWER-Report of chest pain
The nurse should identify that a report of chest pain by the client can
indicate an adverse effect of the medication. Epinephrine increases
cardiac workload and oxygen demand, which can result in angina.
Incorrect
Hypertension is an adverse effect of epinephrine due to the
vasoconstrictive actions of epinephrine.
Tinnitus is not an adverse effect of epinephrine.
Ecchymosis is not an adverse effect of epinephrine.
A nurse is assessing a client who has skeletal traction for a femur
fracture. Which of the following findings should the nurse identify as the
priority?
A. Muscle spasms of the affected extremity
B. A pain rating of 6 on a scale from 0 to 10
C. Upper chest petechiae
D. Ecchymosis over the fractured area - ANSWER-Upper chest
petechiae
