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1. A nurse is caring for a client who requests pain medica- c- determine the location
tion. Which of the following actions should the nurse of the pain
perform first?
a- reposition the client
b- administer the medication
c- determine the location of the pain
d- review the effects of the pain medication
2. A nurse is giving change- of -shift report using the c- History of the injury
SBAR technique about a client who has a traumatic
brain injury. When reporting information about the
client, which of the following should the nurse include
in the situation segment of SBAR?
a- Glasgow come scale result
b- Intracranial pressure readings
c- History of the injury
d-Medication during the next shift
3. A nurse is collecting data for a newly admitted client. c- documenting the clients
Which of the following actions should the nurse take allergies in the electronic
next? medical records
a- reviewing the providers prescriptions
b- ordering an appropriate meal tray
c- documenting the clients allergies in the electronic
medical records
d- requesting that an assistive personnel obtain admis-
sion weight
4. A nurse is collecting data from a client who has had
paraplegia for several years. Which of the following
, ATI practice exam 1
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physiologic changes due to immobility should the c- muscle atrophy
nurse consider when evaluating this clients overall sta- d- venous pooling
tus? (SATA) e- urinary stasis
a- increased metabolic rate
b- increased depth of respirations
c- muscle atrophy
d- venous pooling
e- urinary stasis
5. A nurse is collecting data on a clients ability to ambu- c- the client advances the
late with crutches using a three- point gait. Which of weaker leg first
the following actions should the nurse identify as a risk
to the clients safety?
a- the client pushes downward on the handgrips
b- the client stands in a tripod position prior to walking
c- the client advances the weaker leg first
d- the client keeps the elbow in a flexed position
6. A nurse is reinforcing preoperative teaching with a c-they'll improve your cir-
client who will undergo abdominal surgery. The nurse culation to keep blood
explains that the client will wear anti-embolism stock- from pooling in your legs
ings after the procedure. When the client asks what the
stockings do, which of the following responses should
the nurse make?
a- they'll protect your legs and heels from skin break-
down
b- they'll help keep you warm immediately after your
surgery
c-they'll improve your circulation to keep blood from
pooling in your legs
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d- they'll make it easier for you to do leg exercises after
your surgery
7. A nurse is reinforcing teaching with a group of CNA d- performing hand hy-
about infection control measures on the unit. The giene frequently and con-
nurse should remind the CNA that which of the follow- sistently
ing is the most effective way to prevent the spread of
pathogens during client care?
a- properly disposing of contaminated equipment
b- discarding used syringes in appropriate containers
c- changing soiled linens daily for clients with draining
wounds
d- performing hand hygiene frequently and consis-
tently
8. A nurse has completed morning care for a client who b- Gloves
requires airborne precautions. Which of the following
items of personal protective equipment (PPE) should
the nurse remove first?
a- N95 mask
b- Gloves
c- Gown
d- Goggles
9. A nurse is assisting a client who has received crutches d- i have a set of my broth-
in an urgent care center following a foot injury. Which ers crutches in my base-
of the following statements should the nurse identify ment that i can also use
as an indication that the client needs further reinforce-
ment of teaching?
a- i will keep spare crutch tips handy