ATI Proctored Exam 200
A nurse is collecting data about a client's respiratory system. Which of the following breath sounds
should the nurse expect to hear over the periphery of the major lung fields? - Answer-Vesicular
(Vesicular sounds are soft and low-pitched)
A nurse employs a thorough, systematic method for obtaining OBJECTIVE data about a client. Which of
the following methods should the nurse us to collect this information? - Answer-Physical Examination
(Physical findings are objective and the nurse should collect this information in a systematic way.
A nurse is assisting a provider with performing thoracentesis to remove pleural fluid. How should the
nurse position the client? - Answer-Leaning forward over a pillow
A nurse is preparing to insert an NG tube for a client who requires enteral feedings. Which of the
following instructions should the nurse give the client before beginning the procedure? - Answer-"Raise
your index finger if you need to pause during the insertion."
A nurse is performing a mental-status exam for a client who has manifestations of dementia. Which of
the following directions should the nurse give the client when evaluating the client's ability to think
abstractly? - Answer-Discuss the meaning of a common proverb. (Evaluates clients ability to think
abstractly
A nurse is presenting an in-service session about nutrition. Which of the following simple sugars should
the nurse identify as the carb found in milk? - Answer-Lactose (Sugar found in milk)
A nurse is assisting with teaching a newly licensed nurse about pain management in clients age of 65
and older. Which of the following pieces of information should the nurse include? - Answer-Clients who
are 65 or older are reluctant to report pain. (Might not want to bother or anger caregivers and might
believe that pain is expected.)
,A nurse in an oncology clinic is collecting data for a client who is undergoing treatment for ovarian
cancer. Which of the following statements by the client indicate she is experiencing psychological
distress? - Answer-"I keep having nightmares about my upcoming surgeries."
A nurse is assisting with the admission of a client to the medical unit and asks if he has advance
directives. The client states "I have a document with me that names someone who can make health care
decisions for me if i am not able." The nurse should identify that the client is referring to which of the
following documents? - Answer-Durable Power of Attorney Document (names a surrogate who can
make health decisions or the client if the client is unable to do so)
A nurse is admitting a client who is experiencing an exacerbation of heart failure. At which of the
following times should the nurse initiate discharge planning? - Answer-During the admission process.
(Nurse should initiate discharge planning as soon as the client is admitted to the facility.)
A nurse discovers that a client received the wrong medication. Which of the following should the nurse
take first? - Answer-Collect data from the client. (For any side effects from either receiving the wrong
medication or not receiving the prescribed medication"
A nurse is performing eye irrigation for a client who was exposed to smoke and ash. Which of the
following actions should the nurse take? - Answer-Exert pressure on the bony prominences when
holding the eyelids open.
A nurse is measuring the blood pressure for several clients. Which of the following results is within the
expected reference range for blood pressure? - Answer-116/70 mmHg
A nurse is assisting a client who has dysphagia at mealtime. Which following actions should the nurse
take? - Answer-Advise the client to tuck his chin downward
A nurse is collecting data from a client who is experiencing stress and anxiety regarding a recent
diagnosis. Which of the following findings should the nurse expect? - Answer-Increased blood pressure
, A nurse is reinforcing teaching with a group of unit nurses about the experiences of clients who are
having surgery. Which phase of care begins with transferring the client to the surgical suite table and
ends with the transfer tp PACU? - Answer-Intraoperative
A nurse is examining a client's thyroid gland. Which of the following instructions should the nurse give
the client before inspecting and palpating this gland? - Answer-"Turn your head back and swallow."
A nurse is instructing an assistive personnel AP about proper hand hygiene. Which of the following
statements by the AP indicates an understanding of the teaching? - Answer-"Sometimes, i should use
soap and water rather than an alcohol-based rub to clean my hands."
A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error
was made during the previous shift in which the client received atenolol instead of allopurinol. Which of
the following interventions is the nurse's priority? - Answer-Measure the client's apical pulse
A nurse is collecting data about a client's peripheral pulses. Which of the following descriptions should
the nurse use to document the finding? - Answer-Peripheral pulses bilaterally symmetric, equal, and
strong in all 4 extremities.
A nurse is reinforcing teaching with a client who has heart failure about reducing his daily intake of
sodium. Which of the following factors is the most important in determining the client's ability to learn
new dietary habits? - Answer-The involvement of the client in planning the change
A nurse is supervising a newly licensed nurse who is administering a controlled substance. Which of the
following actions by the newly licensed nurse indicates an understanding of the procedure? - Answer-
Asking another nurse to observe disposal of an unused portion of the medication
A nurse is reinforcing teaching with a group of older adults about expected changes of aging. Which of
the following statements by a group member indicates that the teaching has been effective? - Answer-"I
should expect my heart to rate to take longer to return to normal after exercise as I get older."
A nurse is collecting data about a client's respiratory system. Which of the following breath sounds
should the nurse expect to hear over the periphery of the major lung fields? - Answer-Vesicular
(Vesicular sounds are soft and low-pitched)
A nurse employs a thorough, systematic method for obtaining OBJECTIVE data about a client. Which of
the following methods should the nurse us to collect this information? - Answer-Physical Examination
(Physical findings are objective and the nurse should collect this information in a systematic way.
A nurse is assisting a provider with performing thoracentesis to remove pleural fluid. How should the
nurse position the client? - Answer-Leaning forward over a pillow
A nurse is preparing to insert an NG tube for a client who requires enteral feedings. Which of the
following instructions should the nurse give the client before beginning the procedure? - Answer-"Raise
your index finger if you need to pause during the insertion."
A nurse is performing a mental-status exam for a client who has manifestations of dementia. Which of
the following directions should the nurse give the client when evaluating the client's ability to think
abstractly? - Answer-Discuss the meaning of a common proverb. (Evaluates clients ability to think
abstractly
A nurse is presenting an in-service session about nutrition. Which of the following simple sugars should
the nurse identify as the carb found in milk? - Answer-Lactose (Sugar found in milk)
A nurse is assisting with teaching a newly licensed nurse about pain management in clients age of 65
and older. Which of the following pieces of information should the nurse include? - Answer-Clients who
are 65 or older are reluctant to report pain. (Might not want to bother or anger caregivers and might
believe that pain is expected.)
,A nurse in an oncology clinic is collecting data for a client who is undergoing treatment for ovarian
cancer. Which of the following statements by the client indicate she is experiencing psychological
distress? - Answer-"I keep having nightmares about my upcoming surgeries."
A nurse is assisting with the admission of a client to the medical unit and asks if he has advance
directives. The client states "I have a document with me that names someone who can make health care
decisions for me if i am not able." The nurse should identify that the client is referring to which of the
following documents? - Answer-Durable Power of Attorney Document (names a surrogate who can
make health decisions or the client if the client is unable to do so)
A nurse is admitting a client who is experiencing an exacerbation of heart failure. At which of the
following times should the nurse initiate discharge planning? - Answer-During the admission process.
(Nurse should initiate discharge planning as soon as the client is admitted to the facility.)
A nurse discovers that a client received the wrong medication. Which of the following should the nurse
take first? - Answer-Collect data from the client. (For any side effects from either receiving the wrong
medication or not receiving the prescribed medication"
A nurse is performing eye irrigation for a client who was exposed to smoke and ash. Which of the
following actions should the nurse take? - Answer-Exert pressure on the bony prominences when
holding the eyelids open.
A nurse is measuring the blood pressure for several clients. Which of the following results is within the
expected reference range for blood pressure? - Answer-116/70 mmHg
A nurse is assisting a client who has dysphagia at mealtime. Which following actions should the nurse
take? - Answer-Advise the client to tuck his chin downward
A nurse is collecting data from a client who is experiencing stress and anxiety regarding a recent
diagnosis. Which of the following findings should the nurse expect? - Answer-Increased blood pressure
, A nurse is reinforcing teaching with a group of unit nurses about the experiences of clients who are
having surgery. Which phase of care begins with transferring the client to the surgical suite table and
ends with the transfer tp PACU? - Answer-Intraoperative
A nurse is examining a client's thyroid gland. Which of the following instructions should the nurse give
the client before inspecting and palpating this gland? - Answer-"Turn your head back and swallow."
A nurse is instructing an assistive personnel AP about proper hand hygiene. Which of the following
statements by the AP indicates an understanding of the teaching? - Answer-"Sometimes, i should use
soap and water rather than an alcohol-based rub to clean my hands."
A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error
was made during the previous shift in which the client received atenolol instead of allopurinol. Which of
the following interventions is the nurse's priority? - Answer-Measure the client's apical pulse
A nurse is collecting data about a client's peripheral pulses. Which of the following descriptions should
the nurse use to document the finding? - Answer-Peripheral pulses bilaterally symmetric, equal, and
strong in all 4 extremities.
A nurse is reinforcing teaching with a client who has heart failure about reducing his daily intake of
sodium. Which of the following factors is the most important in determining the client's ability to learn
new dietary habits? - Answer-The involvement of the client in planning the change
A nurse is supervising a newly licensed nurse who is administering a controlled substance. Which of the
following actions by the newly licensed nurse indicates an understanding of the procedure? - Answer-
Asking another nurse to observe disposal of an unused portion of the medication
A nurse is reinforcing teaching with a group of older adults about expected changes of aging. Which of
the following statements by a group member indicates that the teaching has been effective? - Answer-"I
should expect my heart to rate to take longer to return to normal after exercise as I get older."
