NURSING MISC MAIN
VERSION PRIORITY ONE
EXAM QUESTIONS AND
ANSWERS BEST GRADED A+
NEWLY UPDATED 2022
A nurse is preparing to apply a transdermal nicotine patch
for a client. Which of the following actions should the nurse tak
e?
a. Shave hairy areas of skin prior to application (apply to
hairless, clean & dry areas to promote absorption; avoid oily or
broken skin)
b. Wear gloves to apply the patch to the client’s skin
c. Apply the patch within 1 hr of removing it from the
protective pouch (apply immediately)
d. Remove the previous patch and place it in a tissue (fold
patch in half with sticky sides pressed together)
Rationale
https://medlineplus.gov/druginfo/meds/a601084.html: How
to apply patch Rationale ATI Skills Module Medication
Administration: Topical medications include lotions, creams,
ointments, patches, and paste. Because topical medications are
absorbed by the skin, wear gloves when applying them to
protect yourself against accidental exposure
Shaving may cause skin irritation and change the absorption of
the drug.
NURSING MISC MAIN
VERSION PRIORITY ONE
EXAM QUESTIONS AND
ANSWERS BEST GRADED A+
NEWLY UPDATED 2022
, NURSING MISC MAIN
VERSION PRIORITY ONE
EXAM QUESTIONS AND
ANSWERS BEST GRADED A+
NEWLY UPDATED 2022
A nurse has just received change-of-shift report for
four clients. Which of the following clients should the
nurse assess first?
a. A client who was just given a glass of orange juice for a
low blood glucose level
b. A client who is schedule for a procedure in 1 hr (can wait)
c. A client who has 100 mL fluid remaining in his IV bag (can
wait)
d. A client who received a pain medication 30 min ago for
postoperative pain Rationale Med Surg ATI PDF p529: assess
for improvement or worsening of hypoglycemia. Repeat the
administration of carbohydrates if not within normal limits, and
recheck blood glucose in 15 min. Risk for seizure & coma if
condition worsens.
A nurse is caring for a client who is receiving
intermittent enteral tube feedings. Which of the following
places the client at risk for aspiration?
a. A history of gastroesophageal reflux disease
b. Receiving a high osmolarity formula
c. Sitting in a high-Fowler’s position during the feeding
NURSING MISC MAIN
VERSION PRIORITY ONE
EXAM QUESTIONS AND
ANSWERS BEST GRADED A+
NEWLY UPDATED 2022
, NURSING MISC MAIN
VERSION PRIORITY ONE
EXAM QUESTIONS AND
ANSWERS BEST GRADED A+
NEWLY UPDATED 2022
d. A residual of 65 mL 1hr postprandial
Rationale ATI MS p309: Complications: Aspiration of gastric
secretion Causes: Reflux of gastric fluids into the esophagus can
be aspirated into the trachea.
A nursing planning care for a school-age child who is 4 hr
postoperative following perforated appendicitis. Which of the
following actions should the nurse include in the plan of care?
a. Offer small amounts of clear liquids 6 hr following surgery
(assess for gag reflex first)
b. Give cromolyn nebulizer solution every 6 hr (for asthma)
c. Apply a warm compress to the operative site every 4 hr
d. Administer analgesics on a scheduled basis for the first
24 hr
Rationale Fundamentals ATI PDF p229: Managing acute
severe pain with short-term (24 to 48 hr) around-the-clock
administration of opioids is preferable to following a PRN
schedule.
ATI PEDS 144 Maintain NPO. Administer IV fluids and
antibiotics as prescribed. NO cromolyn nebulizer stated on ATI.
A nurse is receiving change-of-shift report for a group
NURSING MISC MAIN
VERSION PRIORITY ONE
EXAM QUESTIONS AND
ANSWERS BEST GRADED A+
NEWLY UPDATED 2022
, NURSING MISC MAIN
VERSION PRIORITY ONE
EXAM QUESTIONS AND
ANSWERS BEST GRADED A+
NEWLY UPDATED 2022
of clients. Which of the following clients should the nurse
plan to assess first?
a. A client who has sinus arrhythmia and is receiving cardiac
monitoring
b. A client who has diabetes mellitus and a hemoglobin A1C of
6.8%
c. A client who has epidural analgesia and weakness in
the lower extremities d. A client who has a hip
fracture and a new onset of tachypnea Rationale
Med Surg ATI PDF p457: s/s of fat embolism (dyspnea,
increased RR, decreased O2, headache, decreased LOC r/t
low O2 levels, respiratory distress,
tachycardia, confusion, chest pain), Hip and pelvis fractures are
common causes, can occur after injury usually within 12-48 hrs
A nurse is reviewing the laboratory results for a client who
has Cushing’s disease. The nurse should expect the client to
have an INCREASED in which of the following laboratory
values?
NURSING MISC MAIN
VERSION PRIORITY ONE
EXAM QUESTIONS AND
ANSWERS BEST GRADED A+
NEWLY UPDATED 2022
VERSION PRIORITY ONE
EXAM QUESTIONS AND
ANSWERS BEST GRADED A+
NEWLY UPDATED 2022
A nurse is preparing to apply a transdermal nicotine patch
for a client. Which of the following actions should the nurse tak
e?
a. Shave hairy areas of skin prior to application (apply to
hairless, clean & dry areas to promote absorption; avoid oily or
broken skin)
b. Wear gloves to apply the patch to the client’s skin
c. Apply the patch within 1 hr of removing it from the
protective pouch (apply immediately)
d. Remove the previous patch and place it in a tissue (fold
patch in half with sticky sides pressed together)
Rationale
https://medlineplus.gov/druginfo/meds/a601084.html: How
to apply patch Rationale ATI Skills Module Medication
Administration: Topical medications include lotions, creams,
ointments, patches, and paste. Because topical medications are
absorbed by the skin, wear gloves when applying them to
protect yourself against accidental exposure
Shaving may cause skin irritation and change the absorption of
the drug.
NURSING MISC MAIN
VERSION PRIORITY ONE
EXAM QUESTIONS AND
ANSWERS BEST GRADED A+
NEWLY UPDATED 2022
, NURSING MISC MAIN
VERSION PRIORITY ONE
EXAM QUESTIONS AND
ANSWERS BEST GRADED A+
NEWLY UPDATED 2022
A nurse has just received change-of-shift report for
four clients. Which of the following clients should the
nurse assess first?
a. A client who was just given a glass of orange juice for a
low blood glucose level
b. A client who is schedule for a procedure in 1 hr (can wait)
c. A client who has 100 mL fluid remaining in his IV bag (can
wait)
d. A client who received a pain medication 30 min ago for
postoperative pain Rationale Med Surg ATI PDF p529: assess
for improvement or worsening of hypoglycemia. Repeat the
administration of carbohydrates if not within normal limits, and
recheck blood glucose in 15 min. Risk for seizure & coma if
condition worsens.
A nurse is caring for a client who is receiving
intermittent enteral tube feedings. Which of the following
places the client at risk for aspiration?
a. A history of gastroesophageal reflux disease
b. Receiving a high osmolarity formula
c. Sitting in a high-Fowler’s position during the feeding
NURSING MISC MAIN
VERSION PRIORITY ONE
EXAM QUESTIONS AND
ANSWERS BEST GRADED A+
NEWLY UPDATED 2022
, NURSING MISC MAIN
VERSION PRIORITY ONE
EXAM QUESTIONS AND
ANSWERS BEST GRADED A+
NEWLY UPDATED 2022
d. A residual of 65 mL 1hr postprandial
Rationale ATI MS p309: Complications: Aspiration of gastric
secretion Causes: Reflux of gastric fluids into the esophagus can
be aspirated into the trachea.
A nursing planning care for a school-age child who is 4 hr
postoperative following perforated appendicitis. Which of the
following actions should the nurse include in the plan of care?
a. Offer small amounts of clear liquids 6 hr following surgery
(assess for gag reflex first)
b. Give cromolyn nebulizer solution every 6 hr (for asthma)
c. Apply a warm compress to the operative site every 4 hr
d. Administer analgesics on a scheduled basis for the first
24 hr
Rationale Fundamentals ATI PDF p229: Managing acute
severe pain with short-term (24 to 48 hr) around-the-clock
administration of opioids is preferable to following a PRN
schedule.
ATI PEDS 144 Maintain NPO. Administer IV fluids and
antibiotics as prescribed. NO cromolyn nebulizer stated on ATI.
A nurse is receiving change-of-shift report for a group
NURSING MISC MAIN
VERSION PRIORITY ONE
EXAM QUESTIONS AND
ANSWERS BEST GRADED A+
NEWLY UPDATED 2022
, NURSING MISC MAIN
VERSION PRIORITY ONE
EXAM QUESTIONS AND
ANSWERS BEST GRADED A+
NEWLY UPDATED 2022
of clients. Which of the following clients should the nurse
plan to assess first?
a. A client who has sinus arrhythmia and is receiving cardiac
monitoring
b. A client who has diabetes mellitus and a hemoglobin A1C of
6.8%
c. A client who has epidural analgesia and weakness in
the lower extremities d. A client who has a hip
fracture and a new onset of tachypnea Rationale
Med Surg ATI PDF p457: s/s of fat embolism (dyspnea,
increased RR, decreased O2, headache, decreased LOC r/t
low O2 levels, respiratory distress,
tachycardia, confusion, chest pain), Hip and pelvis fractures are
common causes, can occur after injury usually within 12-48 hrs
A nurse is reviewing the laboratory results for a client who
has Cushing’s disease. The nurse should expect the client to
have an INCREASED in which of the following laboratory
values?
NURSING MISC MAIN
VERSION PRIORITY ONE
EXAM QUESTIONS AND
ANSWERS BEST GRADED A+
NEWLY UPDATED 2022
