ATI Book Questions and Answers

ATI Book Questions and Answers A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (select all that apply) A. home health care B. Rehabilitation Facilities C. Diagnostic centers D. Skilled nursing facilities E. Oncology centers A. Home health care B. Rehabilitation facilities D. Skilled nursing facilities A nurse is explaining the various types of health care coverage clients might have to a group of nursing students. Which of the following health care financing mechanisms are federally funded? (select all that apply) A. Preferred provider organization (PPO) B. Medicare C. Long-term care insurance D. Exclusive provider organization (EPO) E. Medicaid B. Medicare E. Medicaid A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as a primary health care strategy? A. Collaborating with providers to perform obesity screenings during routine office visits B. Ensuring the availability of specialized beds in rehabilitation centers for clients who have obesity C. Providing specialized intraoperative training regarding surgical treatments for obesity D. Educating acute care nurses on postoperative complications related to obesity A. Collaborating with providers to perform obesity screenings during routine office visits A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as the responsibility of state licensing boards? A. Monitoring evidence-based practice for clients who have a specific diagnosis B. Ensuring that health care providers comply with regulations C. Setting quality standards for accreditation of health care facilities D. Determining if medications are safe for administration to clients B. ensuring that health care providers comply with regulations A nurse is explaining the various levels of health care services to a group of newly licensed nurses. Which of the following examples of care or care settings should the nurse classify as tertiary care? (select all that apply) A. Intensive care unit B. Oncology treatment center C. Burn center D. Cardiac rehabilitation E. Home health care A. Intensive care unit B. Oncology treatment center C. Burn center A nurse is caring for a group of clients on a medical-surgical unit. For which of the following client care needs should the nurse initiate a referral for a social worker? (select all that apply) A. A client who has terminal cancer requests hospice care in her home B. A client asks about community resources available for older adults C. A client states that she wants her child baptized before surgery D. A client requests an electric wheelchair for use after discharge E. A client states that he does not understand how to use a nebulizer A. A client who has terminal caner requests hospice care in her home B. A client asks about community resources available for older adults D. A client request an electric wheelchair for use after discharge A goal for a client who has difficulty with self feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral to which of the following members of the interprofessional care team? A. Social worker B. Certified nursing assistant C. Registered dietitian D. Occupational therapist D. Occupational therapist A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the medication he is receiving for pain management. Which of the following members of the interprofessional care team can assist the client in understanding the medications effects? (select all that apply) A. Provider B. Certified nursing assistant C. Pharmacist D. Registered nurse E. Respiratory therapist A. Provider C. Pharmacist D. Registered nurse A client who has had a cerebrovascular accident has persistent problems with dysphagia. The nurse caring for the client should initiate a referral with which of the following members of the interprofessional care team? A. Social worker B. Certified nursing assistant C. Occupational therapist D. Speech-Language pathologist D. Speech-language pathologist A nurse is acquainting a group of newly licensed nurses with the roles of the various members of the health care team they will encounter on a medical-surgical unit. When she gives examples of the types of tasks certified nursing assistants (CNAs) may perform, which of the following client activities should she include? (select all that apply) A. Bathing B. Ambulating C. Toileting D. Determining pain level E. Measuring vital signs A. Bathing B. Ambulating C. Toileting E. Measuring vital signs A nurse is caring for a client who decides not to have surgery despite significant blockages in his coronary arteries. The nurse understands that this client's choice is an example of which of the following ethical principles? A. Fidelity B. Autonomy C. Justice D. Nonmaleficence B. Autonomy A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse understands that this aspect of care delivery is an example of which of the following ethical principles? A. Fidelity B. Autonomy C. Justice D. Beneficence D. Beneficence A nurse is instructing a group of nursing students about the responsibilities organ donation and procurement involve. When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, the students should understand that this aspect of care delivery is an example of which of the following ethical principles? A. Fidelity B. Autonomy C. Justice D. Nonmaleficence C. Justice A nurse questions a medication prescription as too extreme in light of the clients advanced age and unstable status. The nurse understands that this action is an example of which of the following ethical principles? A. Fidelity B. Autonomy C. Justice D. Nonmaleficence D. Nonmaleficence A nurse is instructing a group of nursing students about how to know and what to expect when ethical dilemmas arise. Which of the following situations should the students identify as an ethical dilemma? A. A nurse on a medical-surgical unit demonstrates signs of chemical impairment B. A nurse overhears another nurse telling an older adult client that if he doesnt stay in bed, she will have to apply restraints C. A family has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminally ill D. A client who is terminally ill hesitates to name her spouse on her durable power of attorney form C. A family has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminally ill A nurse observes an assistive personnel (AP) reprimanding a client for nut using the urinal properly. The AP tells him she will put a diaper on him if he does not use the urinal more carefully next time. Which of the following torts is the AP committing? A. Assault B. Battery C. False imprisonment D. Invasion of privacy A. Assault A nursing is caring for a competent adult client who tells the nurse that he is thinking about leaving the hospital against medical advice. The nurse believes that this is not in the client's best interest, so she prepares to administer a PRN sedative medication the client has not requested along with his usual medication. Which of the following types of tort is the nurse about the commit? A. Assault B. False imprisonment C. Negligence D. Breach of confidentiality B. False imprisonment A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery the following week. The client tells the nurse that he will prepare his advance directives before he goes to the hospital. Which of the following statements may by the client should indicate to the nurse an understanding of advance directives? A. "I'd ration have my brother make decision for me, but I know it has to be my wife" B "I know they won't go ahead with the surgery unless I prepare these forms" C "I plan to write that I don't want them to keep me on a breathing machine" D. "I will get my regular doctor to approve my plan before I hand it in at the hospital" C. "I plan to write that I don't want them to keep me on a breathing machine" A nurse is caring for a client who is about the undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent? (select all that apply) A. Make sure the surgeon obtained the client's consent B. Witness the clients signature on the consent form C. Explain the risks and benefits of the procedure D. Describe the consequences of choosing not to have surgery E. Tell the client about alternatives to having the surgery A. Make sure the surgeon obtained the client's consent B. Witness the client's signature on the consent form A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy and unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room when she was not on a break. Which of the following actions should the nurse take? A. Alert the American Nurses Association B. Fill out an incident report C. Report the observations to the nurse manager on the unit D. Leave the nurse alone to sleep C. Report the observations to the nurse manage on the unit A nurse is preparing information for change-of-shift report. which of the following information should the nurse include on the report? A. Input and output for the shift B Blood pressure from the previous day C. Bone scan schedules for today D. Medication routine from the medication administration record C. Bone scan scheduled for today A nurse is discussing the HIPAA Privacy Rule with nurses during new employee orientation. Which of the following information should the nurse include? (select all that apply) A. A single electronic records password is provided for nurses on the same unit B. Family members should provide a code prior to receiving health information C. Communication of client information can occur at the nurse's station D. A client can request a copy of her medical record E. A nurse may photocopy a client's medical record for transfer to another facility B. Family members should provide a code before receiving client health information C. Communication of client information can occur at the nurse's station D. A client can request a copy of her medical record E. A nurse may photocopy a client's medical record for transfer to another facility A nurse is reviewing documentation with a group of newly licensed nurses. Which of the following legal guidelines should be followed when documenting in a client's record? A. Cover errors with correction fluid, and write in the correct information B. Put the date and time on all entries C. Document objective data, leaving out opinions D. Use as many abbreviations as possible E. Wait until the end of the shift to document B. Put the date and time on all entries C. Document objective data, leaving out opinions A nurse is discussing occurrences that require completion of an incident report with a newly licensed nurse. Which of the following should the nurse include in the teaching? (select all that apply) A. Medication error B. Needlesticks C. Conflict with provider and nursing staff D. Omission of prescription E. Complaint from a client's family member A. Medication error B. Needlesticks D. Omission of prescription A nurse is receiving a provider's prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? (select all that apply) A. Repeat the details of the prescription back to the provider B. Have another nurse listen to the telephone prescription C. Obtain the provider's signature on the prescription within 24 hours D. Decline the verbal prescription because it is not an emergency situation E. Tell the charge nurse that the provider has prescribed morphine by telephone A. Repeat the details of the prescription back to the provider B. Have another nurse listen to the telephone prescription C. Obtain the provider's signature on the prescription within 24 hours A nurse on a medical-surgical unit has received change-of-shift report and will care for four client. Which of the following client's needs should the nurse assign to an AP? A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia B. Reinforcing teaching with a client who is learning to walk using a quad cane C. Reapplying a condom catheter for a client who has urinary incontinence D. Applying a sterile dressing to a pressure ulcer C. Reapplying a condom catheter for a client who has urinary incontinence A nurse manager of a medical-surgical unit is assigning care responsibilities for the oncoming shift. A client is awaiting transfer back to the unit from the PACU following thoracic surgery. To which of the following staff members should the nurse assign this client? A. Charge nurse B. RN C. Practical nurse (PN) D. Assistive personnel (AP) B. RN A nurse is delegate the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following information should the nurse share with the AP? (select all that apply) A. The roommate ambulates independently B. The client ambulates with his slippers on over is anti embolic stockings C. The client uses a front wheeled walker when ambulating D. the client had pain medication 30 min. ago E. the client is allergic to codeine F. The client ate 50% of his breakfast this morning B. The client ambulates with his slippers on over his anti embolic stockings C. The client uses a front wheeled walker when ambulating D. the client had pain medication 30 min. ago An RN is making assignments for a practical nurse (PN) at the beginning of the shift. Which of the following assignments should the PN question? A. Assisting a client who is 24-hr postoperative to use an incentive spirometer B. Collecting a clean-catch urine specimen from a client who has a wound infection C. Providing nasopharyngeal suctioning for a client who has pneumonia D. Teaching a client who has asthma to use a metered-dose inhaler D. Teaching a client who has asthma to use a metered-dose inhaler A nurse is preparing an in-service program about delegation. Which of the following elements should she identify when presenting the five rights of delegation? (select all that apply) A. Right client B. Right supervision and evaluation C. Right direction and communication D. Right time E. Right circumstances B. Right supervision and evaluation C. Right direction and communication E. Right circumstances By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this evaluation, which of the following actions should the nurse take, according to the nursing process? A. Reassess the client to determine the reasons for inadequate pain relief B. Wait to see whether the pain lessens during the next 24 hr. C. Change the plan of care to provide different pain relief interventions D. Teach the client about the plan of care for managing his pain A. Reassess the client to determine the reasons for inadequate pain relief A newly licensed nurse is reporting to the charge nurse about the care she gave to a client. She states, "the client said his leg pain was back, so i checked his medical record, and he last received his pain medication 6 hours ago. The prescription reads, every 4 hours PRN for pain, so I decided he needs it. I asked the unit nurse to observe me preparing and administering it. I check with the client 40 minutes later, and he said "his pain is going away". The charge nurse should inform the newly licensed nurse that she left out which of the following steps of the nursing process? A. Assessment B. Planning C. Intervention D. Evaluation A. Assessment A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the following data should the charge nurse identify as objective data? (select all that apply) A. Respiratory rate is 22/min with even, unlabored respirations B. The client's partner states, "he said he hurts after walking about 10 minutes" C. Pain rating is 3 on a scale of 0 to 10 D. Skin is pink, warm, and dry E. The assistive personnel reports the client walked with a limp A. Respiratory rate is 22/min with even, unlabored respirations D. Skin is pink, warm, and dry E. The assistive personnel reports the client walked with a limp A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that do not require a provider's prescription. Which of the following interventions should the charge nurse include? (select all that apply) A. Writing a prescription for morphine sulfate as needed for pain B. Inserting a nasogastric (NG) tube to relieve gastric distention C. Showing a client how to use progressive muscle relaxation D. Performing a daily bath after the evening meal E. Repositioning a client every 2 hr to reduce pressure ulcer risk C. Showing a client how to use progressive muscle relaxation D. Performing a daily bath after the evening meal E. Repositioning a client every 2 hr to reduce pressure ulcer risk A nurse is discussing the nursing process with a newly hired nurse. Which of the following statements by the newly hired nurse should the nurse identify as appropriate for the planing step of the nursing process? A, "I will determine the most important client problems that we should address" B. "I will review the past medical history on the client's record to get more information" C. "I will go carry out the new prescriptions from the provider" D. "I will ask the client if his nausea has resolved" A. "I will determine the most important client problems that we should address" A nurse is caring for a client who is 24 hr postoperative following inguinal hernia repair. The client is tolerating clear liquids well, has active bowel sounds, and is expressing desire for "real food". The nurse tells the client that she will call the surgeon and ask. The surgeon hears the nurse's report and prescribes a full liquid diet. The nurse used which of the following levels of critical thinking? A. Basic B. Commitment C. Complex D. Integrity A. Basic A nurse receives a prescription for an antibiotic for a client who has cellulitis. The nurse checks the client's medical record, discovers that she is allergic to the antibiotic, and calls the provider to request a prescription for a different antibiotic. Which of the following critical thinking attitudes did the nurse demonstrate? A. Fairness B. Responsibility C. Risk taking D. Creativity B. Responsibility A nurse is caring for a client who is 24 hr postoperative following abdominal surgery. The nurse suspects the clients pain management is inadequate. Which of the following data reinforce this suspicion? (select all that apply) A. The client seems easily agitated B. The client is nonadherent with coughing, deep breathing and dangling C. The client may have pain medication every 4 to 6hr but accepts it every 6 to 7 hr D. The client reports tenderness in his right lower leg E. The client's vital signs are heart rate 110/min, respiratory rate 20/min, temperature 98.6 F, and blood pressure 136/80 mmHg B. The client is nonadherent with coughing, deep breathing, and dangling C. The client may have pain medication every 4 to 6 hr but accepts it every 6 to 7 hr E. The clients vital signs are heart rate 110/min, respiratory rate 20/min, temperature 98.6 F, and blood pressure 136/80 mmHg A nurse is caring for a client who has a new prescription for antihypertensive medication. Prior to administering the medication, the nurse uses an electronic database to gather information about the medication and the effects i might have on this client. Which of the following components of critical thinking is the nurse using when he reviews the medication information? A. Knowledge B. Experience C. Intuition D. Competence A. Knowledge A nurse uses a head-to-toe approach to conduct a physical assessment of a client who will undergo surgery the following week. Which of the following critical thinking attitudes did the nurse demonstrate? A. Confidence B. Perseverance C. Integrity D. Discipline D. Discipline A nurse is performing an admission assessment for an older adult client. After gathering the assessment data and performing the review of systems, which of the following actions is a priority for the nurse? A. Orient the client to his room B. Conduct a client care conference C. Review medical prescriptions D. Develop a plan of care A. Orient the client to his room A nurse is admitting a client who has acute cholecystitis to a medical-surgical unit. Which of the following actions are essential steps fo the admission procedure? (select all that apply) A. Explain the roles of other care delivery staff B. Begin discharge planning C. Provide information about advance directives D. Document the client's wishes about organ donation E. Introduce the client to his roommate A. Explain the roles of other care delivery staff B. Begin discharge planning C. Provide information about advance directives E. Introduce the client to his roommate A nurse is caring for a client who had a stroke and is scheduled for transfer to a rehabilitation center. Which of the following tasks are the responsibility of the nurse at the transferring facility? (select all that apply) A. Ensure that the client has possession of his valuables B. Confirm that the rehabilitation center has a room available at the time of transfer C. Assess how the client tolerates the transfer D. Give a verbal transfer report via telephone E. Complete a transfer form for the receiving facility A. Ensure that the client has possession of his valuables B. Confirm that the rehabilitation center has a room available at the time of transfer D. Give a verbal transfer report via telephone E. Complete a transfer form for the receiving facility A nurse is preparing the discharge summary for a client who has had knee arthroplasty and is going home. Which of the following information about the client should the nurse include in the discharge summary? (select all that apply) A. Advance directive status B. Follow-up care C. Instructions for diet and medications D. Most recent vital sign data E. Contact information for the home health care agency B. Follow-up care C. Instructions for diet and medications E. Contact information for the home health care agency As part of the admission process, a nurse at a long-term care facility is gathering nutrition history for a client who has dementia. Which of the following components of the nutrition evaluation is the priority for the nurse to determine from the client's family? A. Body mass index B. Usual times for meals and snacks C. Favorite foods D. Any difficulty swallowing D. Any difficulty swallowing When entering a client's room to change a surgical dressing, a nurse notes that the client is coughing and sneezing. Which of the following actions should the nurse take when preparing the sterile field? A. Keep the sterile field at least 6ft away from the client's bedside B. Instruct the client to refrain from coughing and sneezing during the dressing change C. Place a mask on the client to limit the spread of micro-organisms into the surgical wound D. Keep a bow of facial tissues nearby for the client to use during the dressing change C. Place a mask on the client to limit the spread of micro-organisms into the surgical wound A nurse has removed a sterile pack from its outside cover and placed in on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first? A. The flap closest to the body B. The right side flap C. The left side flap D. The flap farthest from the body D. The flap farthest from the body A nurse is wearing sterile gloves in preparation for performing a sterile procedure. Which of the following objects can the nurse touch without breaching sterile technique? (select all that apply) A. A bottle contains a sterile solution B. The edge of a sterile drape at the base of the field C. The inner wrapping of an item on the sterile field D. An irrigation syringe on the sterile field E. One loved hand with the other gloved hand C. The inner wrapping of an item on the sterile field D. An irrigation syringe on the sterile field E. One gloved hand with the other gloved hand A nurse is reviewing hand hygiene techniques with a group of AP. Which of the following instructions should the nurse include when discussing hand washing? (select all that apply) A. Apply 3 to 5 mL of liquid soap to dry hands B. Wash the hands with soap and water for at least 15 seconds C. Rinse the hands with hot water D. Use a clean paper towel to turn off hand faucets E. Allow the hands to air dry after washing B. Wash the hands with soap and water for at least 15 seconds D. Use a clean paper towel to turn off hand faucets A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following events should the nurse recognize as contaminating the sterile field? (select all that apply) A. The provider drops a sterile instrument onto the near side of the sterile field B. The nurse moistens a cotton ball with sterile normal saline and places it on the sterile field C. The procedure is delayed 1 hr because the provider receives an emergency call D. The nurse turns to spell to someone who enters through the door behind the nurse E. The client's hand brushes against the outer edge of the sterile field B. The nurse moistens a cotton ball with sterile normal saline and places it on the sterile field C. The procedure is delayed 1 hr because the provider receives an emergency call D. The nurse turns to speak to someone who enters through the door behind the nurse A nurse is caring for a client diagnosed with severe acute respiratory syndrome (SARS). The nurse is aware that the health care professionals are required to report communicable and infectious disease. Which of the following illustrate the rationale for reporting? (Select all that apply) A. Planning and evaluating control and prevention strategies B. Determining public health priorities C. Ensuring proper medical treatment D. Identifying endemic disease E. Monitoring for common-source outbreaks A. Planning and evaluating control and prevention strategies B. Determining public health priorities C. Ensuring proper medical treatment E. Monitoring for common-source outbreaks A nurse is caring for a client who presents with linear clusters of fluid-containing vesicles with some crusting. The nurse should identify the client has manifestations of which of the following conditions? A. Allergic reaction B. Ringworm C. Systemic lupus erythematosus D. Herpes zoster D. Herpes zoster A nurse is caring for a client who reports a severe sore throat, pain when swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection? A. Prodromal B. Incubation C. Convalescence D. Illness D. Illness A nurse educator is reviewing with a newly hired nurse the difference in manifestations of a localized versus a systemic infection. The nurse indicates understanding when she states which of the following are manifestations of a systemic infection? (select all that apply) A. Fever B. Malaise C. Edema D. Pain or tenderness E. Increase in pulse and respiratory rate A. Fever B. Malaise E. Increase in pulse and respiratory rate A nurse is contributing to the plan of care for a client who is being admitted to the facility with a suspected diagnosis of pertussis. Which of the following interventions should the nurse include in the plan of care? (select all that apply) A. Place the client in a room that has negative air pressure of at least six exchanges per hour B. Wear a mask when providing care within 3ft of the client C. Place a surgical mask on the client if transportation to another department is unavoidable D. Use sterile gloves when handling soiled linens E. Wear a gown when performing care that might result in contamination from secretions B. Wear a mask when providing care within 3ft of the client C. Place a surgical mask on the client if transportation to another department is unavoidable E. Wear a gown when performing care that might result in contamination from secretions A nurse is caring for a client who fell at a nursing home. The client is oriented to person, place, and time and can follow directions. Which of the following actions should the nurse take to decrease the risk of another fall? (select all that apply) A. Place a belt restraint on the client when he is sitting on the bedside commode B. Keep the bed in the lowest position with all side rails up C. Make sure that the clients call light is within reach D. Provide the client with nonskid footwear E. Complete a fall-risk assessment C. Make sure that the clients call light is within reach D. Provide the client with nonskid footwear E. Complete a fall-risk assessment A nurse manager is reviewing with nurses on the unit the care of a client who has had a seizure. Which of the following statements by a nurse requires further instruction? A. "I will place the client on his side" B. "I will go to the nurses station for assistance" C. "I will administer his medications" D. "I will prepare to insert an airway" B. "I will go to the nurses station for assistance" A nurse observes smoke coming from under the door of the staff's lounge. Which of the following actions is the nurse's priority? A. Extinguish the fire B. Activate the fire alarm C. Move clients who are nearby D. Close all open doors C. Move clients who are nearby A nurse is caring for a client who has a history of falls. Which of the following actions is the nurse's priority? A. Complete a fall risk assessment B. Educate the client and family about fall risks C. Eliminate safety hazards from the client's environment D. Make sure the client uses assistive aids in his possession A. Complete a fall risk assessment A charge nurse is assigning rooms for the clients to be admitted to the unit. To prevent falls, which of the following clients should the nurse assigns to the room closest to the nurse's station? A. A middle adult who is postoperative following a laparoscopic cholecystectomy B. A middle adult who requires telemetry for a possible myocardial infarction C. A young adult who is postoperative following an open reduction internal fixation of the ankle D. An older adult who is postoperative following a below-the-knee amputation D. An older adult who is postoperative following a below-the-knee amputation A nurse is providing discharge instructions to a client who has a prescription for oxygen use at home. Which of the following information should the nurse include about home oxygen safety? (select all that apply) A. Family members who smoke must be at least 10 ft from the client when oxygen is in use B. Nail polish should not be used near a client receiving oxygen C. A "no smoking" sign should be placed on the front door D. Cotton bedding and clothing should be replaced with items made from wool E. A fire extinguisher should be readily available in the home B. Nail polish should not be used near a client receiving oxygen C. A "no smoking" sign should be placed on the front door E. A fire extinguisher should be readily available in the home A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who has heat stroke will have which of the following? A. Hypotension B. Bradycardia C. Clammy skin D. Bradypnea A. Hypotension A nurse educator is conducting a parenting class for new parents of infants. Which of the following statements made by a participant indicated understanding of the instructions? A. "I will set my water heater at 130 F" B. "Once my baby can sit up, he should be safe in the bathtub" C. "I will place my baby on his stomach to sleep" D. "Once my infant starts to push up, I will remove the mobile from over the crib" D. "Once my infant starts to push up, I will remove the mobile from over the crib" A home health nurse is discussing the dangers of carbon monoxide poisoning with a client. Which of the following information should the nurse include in her counseling? A. Carbone monoxide has a distinct odor B. Water heaters should be inspected every 5 years C. The lungs are damaged from carbon monoxide inhalation D. Carbon monoxide binds with hemoglobin in the body D. Carbon monoxide binds with hemoglobin in the body A home health nurse is discussing the dangers of food poisoning with a client. Which of the following information should the nurse include in her counseling? (select all that apply) A. Most food poisoning is caused by a virus B. Immunocompromised individuals are at risk for complications from food poisoning C. Clients who are at high risk should eat or drink only pasteurized dairy products D. Healthy individuals usually recover from the illness in a few weeks E. Handling raw and fresh food separately can prevent food poisoning B. Immunocompromised individuals are at risk for complications from food poisoning C. Clients who are at high risk should eat or drink only pasteurized dairy products E. Handling raw and fresh food separately can prevent food poisoning A nurse is caring for a client who is receiving enteral tube feedings due to dysphagia. Which of the following bed positions should the nurse use for safe care of this client? A. Supine B. Semi-Fowler's C. Semi-prone D. Trendelenburg B. Semi-Fowler's A nurse is caring for a client who is sitting in a chair and asks to return to bed. Which of the following actions is the nurse's priority at this time? A. Obtain a walker for the client to use to transfer back to bed B. Call for additional staff to assist with the transfer C. Use a transfer belt and assist the client back into bed D. Determine the client's ability to help with the transfer D. Determine the client's ability to help with the transfer A nurse is completing discharge instructions for a client who has COPD. The nurse should identify that the client understands the orthopneic position when she states that she will do which of the following when she has difficulty breathing at night? A. Lie on her back with her head and shoulders on a pillow B. Lie flat on her stomach with her head to one side C. Sit on the side of her bed and rest her arms over pillows on top of there bedside table D. Lie on her side with her weight on her hip and shoulder with her arm flexed in front of her C. Sit on the side of her bed and rest her arms over pillows on top of her bedside table A nurse manager is reviewing guidelines for preventing injury with staff nurses. Which of the following instructions should the nurse manager include? (Select all that apply) A. Request assistance when repositioning a client B. Avoid twisting your spine or bending at the waist C. Keep your knees slightly lower than your hips when sitting for long periods of time D. Use smooth movements when lifting and moving clients E. Take a break from repetitive movements every 2 to 3 hr to flex and stretch your joints and muscles A. Request assistance when repositioning a client B. Avoid twisting your spine or bending at the waist D. Use smooth movements when lifting and moving clients A nurse educator is reviewing proper body mechanics during employee orientation. Which of the following statements should the nurse identify as an indication that an attendee understands the teaching? (select all that apply) A. "My line of gravity should fall outside my base of support" B. "The lower my center of gravity, the more stability I have" C. "To broaden my base of support, I should spread my feet apart" D. "When I lift an object, I should hold it as close to my body as possible" E. "When pulling an object, I should move my front foot forward" B. "The lower my center of gravity the more stability I have" C. "To broaden my base of support, I should spread my feet apart" D. "When I lift an object, I should hold it as close to my body as possible" A nurse is caring for multiple clients during a mass casualty event. Which of the following client is the priority? A. A client who received crush injuries to the chest and abdomen and is expected to die B. A client who has a 4 inch laceration to the head C. A client who has partial-thickness and full-thickness burn to his face, neck, and chest D. A client who has a fractured fibula and tibia C. A client who has partial-thickness and full-thickness burns to his face, neck, and chest A nurse educator is discussing the facility protocol in the event of a tornado with the staff. Which of the following should the nurse include in the instructions? (select all that apply) A. Open doors to client rooms B. Place blankets over clients who are confined to beds C. Move beds away from the windows D. Draw shades and close drapes E. Instruct ambulatory clients in the hallways to return to their rooms B. Place blankets over clients who are confined to beds C. Move beds away form the windows D. Draw shades and close drapes An occupational health nurse is caring for an employee who was exposed to an unknown dry chemical, resulting in a chemical burn. Which of the following interventions should the nurse include in the plan of care? A. Irrigate the affected area with running water B. Wash the affected area with antibacterial soap C. Brush the chemical off the skin and clothing D. Leave the clothing in place until emergency personnel arrive C. Brush the chemical off the skin and clothing A security officer is reviewing actions to take in the event of a bomb threat by phone to a group of nurses. Which of the following statements by a nurse indicates understanding of proper procedure? A. "I will get the caller off the phone as soon as possible so I can alert the staff" B. "I will begin evacuating clients using the elevators" C. "I will not ask any questions and just let the caller talk" D. "I will listen for background noises" D. "I will listen for background noises" A nurse on a medical-surgical unit is informed that a mass casualty event occurred in the community an that it is necessary to discharge stable clients to make beds available for injury victims. Which of the following clients should the nurse recommend for discharge? (select all that apply) A. A client who is dehydrated and receiving IV fluid and electrolytes B. A client who has a nasogastric tube to treat a small bowel obstruction C. A client who is scheduled for elective surgery D. A client who has chronic hypertension and blood pressure 135/85 mm Hg E. A client who has acute appendicitis and is scheduled for an appendectomy C. A client who is scheduled for elective surgery D. A client who has chronic hypertension and blood pressure 135/85 mm Hg A nurse is caring for a 20 year old client who is sexually active and has come to the college health clinic for a first-time checkup. Which of the following interventions should the nurse perform first to determine the clients need for health promotion and disease prevention? A. Measure vital signs B. Encourage HIV screening C. Determine risk factors D. Instruct the client to use condoms C. Determine risk factors A nurse in a clinic is planning health promotion and disease prevention strategies for a client who has multiple risk factors for cardiovascular disease. Which of the following interventions should the nurse include? (select all that apply) A. Help the client see the benefits of her actions B. Identify the client's support systems C. Suggest and recommend community resources D. Devise and set goals for the client E. Teach stress management strategies A. Help the client see the benefits of her actions B. Identify the client's support systems C. Suggest and recommended community resources E. Teach stress management strategies A nurse in a health clinic is caring for a 21 year old who reports sore throat. The client tells the nurse that he has not seen a doctor since high school. Which of the following health screenings should the nurse expect the provider to perform for this client? A. Testicular examination B. Blood glucose C. Fecal occult blood D. Prostate-specific antigen A. Testicular examination A nurse is talking with a client who recently attended a cholesterol screening event and a heart-healthy nutrition presentation at a neighborhood center. The clients total cholesterol was 248 mg/dL. After seeing the provider, the client started taking medication to lower his cholesterol level. The client was later hospitalized for severe test pain, and subsequently enrolled in a cardiac rehabilitation program. Which of the following activities for the client is an example of primary prevention? A. Cholesterol screening B. Nutrition presentation C. Medication therapy D. Cardiac rehabilitation B. Nutrition presentation A nurse at a provider's office is asking about routine screenings with a 45 year old female client who has no specific family history of cancer or diabetes mellitus. Which of the following client statements indicates that the client understands how to proceed? A. "So I dont need the colon cancer procedure for another 2 or 3 years?" B. "For now, I should continue to have a mammogram each year" C. "Because the doctor just did a Pap smear, I'll come back next year for another one" D. "I had my blood glucose test last year, so I wont need it again till next year" B. "For now, I should continue to have a mammogram each year" A nurse is observing a client drawing up and mixing insulin. Which of the following findings should the nurse identify as an indication that psychomotor learning has taken place? A. The client is able to discuss the appropriate technique B. The client is able to demonstrate the appropriate technique C. The client states that he understands D. The clients is able to write the steps on a piece of paper B. The client is able to demonstrate the appropriate technique A nurse in a provider's office is collecting data from the mother of a 12 month old infant. The client states that her son is old enough for toilet training. Following an educational session with the nurse, the client now states that she will postpone toilet training until her son is older. Learning has occurred in which of the following domains? A. Cognitive B. Affective C. Psychomotor D. Kinesthetic B. Affective A nurse is providing postoperative education for a client who will undergo a mastectomy the next day. Which of the following statement should the nurse identify as an indication that the client is ready to learn? A. "I dont want my spouse to see my incision" B. "Will you give me pain medicine after the surgery?" C. "Can you tell me about how long the surgery will take?" D. "My roommate listens to everything I say" C. "Can you tell me about how long the surgery will take" A nurse is preparing an instructional session for an older adult about managing stress incontinence. Which of the following actions should the nurse take first when meeting with the client? A. Encourage the client to participate actively in learning B. Select instructional materials appropriate for the older adult C. Identify goals the nurse and the client agree are reasonable D. Determine what the client knows about stress incontinence D. Determine what the client knows about stress incontinence