ATI MS Tutorial Final Latest 2022
1. A nurse is caring for a client with a history of congestive heart failure at risk
for development of fluid volume excess. The nurse should monitor for which
of the following that is a manifestation of left sided heart failure?
- Dyspnea with a cough that is worse at night
2. Which client problem should receive highest priority when a client is
admitted with an acute exacerbation of rheumatoid arthritis?
- Impaired physical mobility
3. A nurse is caring for a client with hypoparathyroidism. Because of the
potential electrolyte disturbance associated with this diagnosis, the nurse
should observe the client for evidence of which of the following?
- Involuntary muscle spasms
4. A client with glaucoma is admitted for surgery the following day. The client
is to continue treating the glaucoma with pilocarpine (Pilocar) 2% 1 drop 4
ties a day. While instilling this medication, an appropriate nursing action is
which of the following?
- Place the medication in the conjunctival sac applying pressure to the
puncta for 1 to 2 min.
5. A client has sprained an ankle while playing soccer. For the first 24 hr
following the injury, the nurse should instruct the client to do which of the
following?
- Keep ice on the ankle to prevent edema
6. A nurse is assisting with the discharge of a client newly diagnosed with
diabetes. When reviewing information about proper foot care, which of the
following would be appropriate to include?
- Wear clean cotton socks daily
7. Following a transient ischemic attack (TIA), a client is alert, slightly
confused, and has a blood pressure of 204/102 mm Hg. The client is also
incontinent of urine, When contributing to the client's plan of care, which
nursing action would be appropriate?
- Offer the client a bedpan every 2 hr
, 8. A nurse is reinforcing teaching to a client recently diagnosed with systemic
lupus erythematosus (SLE). Which statement made by the client indicates to
the nurse an accurate understanding of the home management of SLE?
- "I will need to take prednisone when I am having an exacerbation of the
disease."
9. A nurse is caring for a client who has undergone a hip arthroplasty. The
nurse reminds the client that the purpose of an abduction pillow following
arthroplasty is to do which of the following?
- Prevent dislocation of the hip during position changes or movement
10.A client who is admitted to the hospital after experiencing a tonic clonic
seizure is scheduled for a routine electroencephalogram (EEG). In preparing
the client for the EEG, the nurse should explain that the client will undergo
which of the following?
- Receive a thorough shampoo prior to the EEG
11.A client if experiencing stomatitis as a result of chemotherapy and radiation
therapy. Which statement made by the client indicates to the nurse that
reinforcement of teaching is necessary?
- "I will use lemon and glycerine swabs after meals."
12.A client returning from surgery with a radium implant for the treatment of
endometrial cancer. In planning the client's care, which action would be
consistent with the client's diagnosis?
- Keeping forceps and lead container in room
13.A client who works in carpentry is seen by the triage nurse. The client
complains of severe right eye pain with a gritty sensation. When obtaining a
history from this client, which question has the highest priority?
- "Did you flush your eye out at work?"
14.A client who had a craniotomy is sitting in a chair with the nurse present in
the room. While the client is sitting, he begins to experience a grand mal
seizure. At this time, the most important nursing intervention is which of the
following?
- Lower the client to the floor
15.A client has a platelet count of 18,000 cells/mL. An appropriate nursing
intervention is to d which of the following?
1. A nurse is caring for a client with a history of congestive heart failure at risk
for development of fluid volume excess. The nurse should monitor for which
of the following that is a manifestation of left sided heart failure?
- Dyspnea with a cough that is worse at night
2. Which client problem should receive highest priority when a client is
admitted with an acute exacerbation of rheumatoid arthritis?
- Impaired physical mobility
3. A nurse is caring for a client with hypoparathyroidism. Because of the
potential electrolyte disturbance associated with this diagnosis, the nurse
should observe the client for evidence of which of the following?
- Involuntary muscle spasms
4. A client with glaucoma is admitted for surgery the following day. The client
is to continue treating the glaucoma with pilocarpine (Pilocar) 2% 1 drop 4
ties a day. While instilling this medication, an appropriate nursing action is
which of the following?
- Place the medication in the conjunctival sac applying pressure to the
puncta for 1 to 2 min.
5. A client has sprained an ankle while playing soccer. For the first 24 hr
following the injury, the nurse should instruct the client to do which of the
following?
- Keep ice on the ankle to prevent edema
6. A nurse is assisting with the discharge of a client newly diagnosed with
diabetes. When reviewing information about proper foot care, which of the
following would be appropriate to include?
- Wear clean cotton socks daily
7. Following a transient ischemic attack (TIA), a client is alert, slightly
confused, and has a blood pressure of 204/102 mm Hg. The client is also
incontinent of urine, When contributing to the client's plan of care, which
nursing action would be appropriate?
- Offer the client a bedpan every 2 hr
, 8. A nurse is reinforcing teaching to a client recently diagnosed with systemic
lupus erythematosus (SLE). Which statement made by the client indicates to
the nurse an accurate understanding of the home management of SLE?
- "I will need to take prednisone when I am having an exacerbation of the
disease."
9. A nurse is caring for a client who has undergone a hip arthroplasty. The
nurse reminds the client that the purpose of an abduction pillow following
arthroplasty is to do which of the following?
- Prevent dislocation of the hip during position changes or movement
10.A client who is admitted to the hospital after experiencing a tonic clonic
seizure is scheduled for a routine electroencephalogram (EEG). In preparing
the client for the EEG, the nurse should explain that the client will undergo
which of the following?
- Receive a thorough shampoo prior to the EEG
11.A client if experiencing stomatitis as a result of chemotherapy and radiation
therapy. Which statement made by the client indicates to the nurse that
reinforcement of teaching is necessary?
- "I will use lemon and glycerine swabs after meals."
12.A client returning from surgery with a radium implant for the treatment of
endometrial cancer. In planning the client's care, which action would be
consistent with the client's diagnosis?
- Keeping forceps and lead container in room
13.A client who works in carpentry is seen by the triage nurse. The client
complains of severe right eye pain with a gritty sensation. When obtaining a
history from this client, which question has the highest priority?
- "Did you flush your eye out at work?"
14.A client who had a craniotomy is sitting in a chair with the nurse present in
the room. While the client is sitting, he begins to experience a grand mal
seizure. At this time, the most important nursing intervention is which of the
following?
- Lower the client to the floor
15.A client has a platelet count of 18,000 cells/mL. An appropriate nursing
intervention is to d which of the following?
