Nursing 240 Nursing Ati Exam A And B Questions And
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A nurse is caring for a client who has a prescription for wound irrigation.
Which of the following actions should the nurse take?
Cleanse the wound from the center outward.
Prevent introduction of microorganisms from the outer skin surface.
A nurse is caring for a client who reports pain. When documenting the
quality of the client's pain on an initial pain assessment, the nurse should
report which of the following client statements?
"The pain is like a dull ache in my stomach."
Describing quality of pain
A nurse is caring for a client who is reporting difficulty falling asleep. Which
of the following measures should the nurse recommend?
Use progressive relaxation techniques at bedtime.
promotes sleep by decreasing stress & reducing muscle tension.
A nurse is caring for a client who is postoperative and refuses to use an
incentive spirometer following major abdominal surgery. Which of the
following is the nurse's priority action?
Determine the reasons why the client is refusing to use the incentive
spirometer. 1st Assess
A nurse is preparing to administer multiple medications to a client who has
an enteral feeding tube. Which of the following actions should the nurse
plan to take?
Flush the tube with 15 mL of sterile water.
Flush with 1530 mL of sterile water before administration and between each
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medication. Flush feeding tube with 3060 mL of sterile water following
administration of last medication.
A nurse is caring for a client who has terminal liver cancer. Which of the
following statements should the nurse identify as an indication that the client
is experiencing spiritual distress?
"What could I have done to deserve this illness?"
Review life & question its meaning.
A nurse is administering an otic medication to an older adult client. Which of
the following actions should the nurse take to ensure that the medication
reaches the inner ear?
Press gently on the tragus of the client's ear.
A nurse is performing a Romberg's test during the physical assessment of a
client. Which of the following techniques should the nurse use?
Have the client stand with her arms at her side and her feet together.
Roberg's test helps identify alterations in balance. Observe for swaying & loss of
balance.
A nurse is teaching an older adult client who is at risk for osteoporosis about
beginning a program of regular physical activity. Which of the following types
of activity should the nurse recommend?
Walking briskly.
Weightbearing exercises are essential for maintaining bone mass. Walking engages
older adult clients in preventive & therapeutic strategy.
A charge nurse is discussing the responsibility of nurses caring for clients who
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have a Clostridium difficile infection. Which of the following information
should the nurse include in the teaching?
Have family members wear a gown and gloves when visiting.
Nurses are responsible for ensuring family members wear gowns & gloves to
prevent transmission of C. diff spores.
A nurse is planning to improve selffeeding for a client who has vision loss.
Which of the following interventions should the nurse include in the plan of
care?
Use a clock pattern to describe food on the client's plate.
Describing the location of food using clock pattern allows client to have greater
independence during meals.
A nurse is planning an education session for an older adult client who has
just learned that she has type 2 diabetes mellitus. Which of the following
strategies should the nurse plan to use with this client?
Allow extra time for the client to respond to questions.
Older adults often process information at slower rate than younger clients allow
extra time to allow client to ask questions and absorb information
A nurse is caring for a client who has tuberculosis. Which of the following
actions should the nurse take? Select ALL that apply.
Place the client in a room with negativepressure airflow airborne precautions
Wear gloves when assisting the client with oral care standard precautions.
Use antimicrobial sanitizer for hand hygiene wash hands with soap & water
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when visibly soiled.
A nurse is caring for a client who has a prescription for 5 units of regular
insulin and 10 units of NPH insulin to mix together and administer
subcutaneously.
Determine the correct order of steps for this procedure.
Inject 10 units of air into the bottle of NPH insulin.
Inject 5 units of air into the bottle of regular insulin.
Withdraw the correct dose of regular insulin from the bottle.
Withdraw the correct dose of NPH insulin from the bottle.
A nurse is completing an admission assessment for a client who reports
vomiting and diarrhea for the past 3 days. Which of the following assessment
findings should the nurse expect?
Rapid heart rate
Tachycardia indicates fluidvolume deficit expected
Urine specific gravity would be > 1.030
Hypotension
A nurse is administering IV fluid to an older adult client. The nurse should
perform which priority assessment to monitor for adverse effects?
Auscultate lung sounds.
ABCs monitor for fluidvolume excess
Moist crackles in lungs, dyspnea, SOB
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A nurse is caring for a client who has a prescription for wound irrigation.
Which of the following actions should the nurse take?
Cleanse the wound from the center outward.
Prevent introduction of microorganisms from the outer skin surface.
A nurse is caring for a client who reports pain. When documenting the
quality of the client's pain on an initial pain assessment, the nurse should
report which of the following client statements?
"The pain is like a dull ache in my stomach."
Describing quality of pain
A nurse is caring for a client who is reporting difficulty falling asleep. Which
of the following measures should the nurse recommend?
Use progressive relaxation techniques at bedtime.
promotes sleep by decreasing stress & reducing muscle tension.
A nurse is caring for a client who is postoperative and refuses to use an
incentive spirometer following major abdominal surgery. Which of the
following is the nurse's priority action?
Determine the reasons why the client is refusing to use the incentive
spirometer. 1st Assess
A nurse is preparing to administer multiple medications to a client who has
an enteral feeding tube. Which of the following actions should the nurse
plan to take?
Flush the tube with 15 mL of sterile water.
Flush with 1530 mL of sterile water before administration and between each
Nursing 240 Nursing Ati Exam A And B Questions And
Answers 100%Correct/Verified Best Rated A+ Guaranteed
Success Latest Update 2022
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medication. Flush feeding tube with 3060 mL of sterile water following
administration of last medication.
A nurse is caring for a client who has terminal liver cancer. Which of the
following statements should the nurse identify as an indication that the client
is experiencing spiritual distress?
"What could I have done to deserve this illness?"
Review life & question its meaning.
A nurse is administering an otic medication to an older adult client. Which of
the following actions should the nurse take to ensure that the medication
reaches the inner ear?
Press gently on the tragus of the client's ear.
A nurse is performing a Romberg's test during the physical assessment of a
client. Which of the following techniques should the nurse use?
Have the client stand with her arms at her side and her feet together.
Roberg's test helps identify alterations in balance. Observe for swaying & loss of
balance.
A nurse is teaching an older adult client who is at risk for osteoporosis about
beginning a program of regular physical activity. Which of the following types
of activity should the nurse recommend?
Walking briskly.
Weightbearing exercises are essential for maintaining bone mass. Walking engages
older adult clients in preventive & therapeutic strategy.
A charge nurse is discussing the responsibility of nurses caring for clients who
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Answers 100%Correct/Verified Best Rated A+ Guaranteed
Success Latest Update 2022
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have a Clostridium difficile infection. Which of the following information
should the nurse include in the teaching?
Have family members wear a gown and gloves when visiting.
Nurses are responsible for ensuring family members wear gowns & gloves to
prevent transmission of C. diff spores.
A nurse is planning to improve selffeeding for a client who has vision loss.
Which of the following interventions should the nurse include in the plan of
care?
Use a clock pattern to describe food on the client's plate.
Describing the location of food using clock pattern allows client to have greater
independence during meals.
A nurse is planning an education session for an older adult client who has
just learned that she has type 2 diabetes mellitus. Which of the following
strategies should the nurse plan to use with this client?
Allow extra time for the client to respond to questions.
Older adults often process information at slower rate than younger clients allow
extra time to allow client to ask questions and absorb information
A nurse is caring for a client who has tuberculosis. Which of the following
actions should the nurse take? Select ALL that apply.
Place the client in a room with negativepressure airflow airborne precautions
Wear gloves when assisting the client with oral care standard precautions.
Use antimicrobial sanitizer for hand hygiene wash hands with soap & water
Nursing 240 Nursing Ati Exam A And B Questions And
Answers 100%Correct/Verified Best Rated A+ Guaranteed
Success Latest Update 2022
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when visibly soiled.
A nurse is caring for a client who has a prescription for 5 units of regular
insulin and 10 units of NPH insulin to mix together and administer
subcutaneously.
Determine the correct order of steps for this procedure.
Inject 10 units of air into the bottle of NPH insulin.
Inject 5 units of air into the bottle of regular insulin.
Withdraw the correct dose of regular insulin from the bottle.
Withdraw the correct dose of NPH insulin from the bottle.
A nurse is completing an admission assessment for a client who reports
vomiting and diarrhea for the past 3 days. Which of the following assessment
findings should the nurse expect?
Rapid heart rate
Tachycardia indicates fluidvolume deficit expected
Urine specific gravity would be > 1.030
Hypotension
A nurse is administering IV fluid to an older adult client. The nurse should
perform which priority assessment to monitor for adverse effects?
Auscultate lung sounds.
ABCs monitor for fluidvolume excess
Moist crackles in lungs, dyspnea, SOB
Nursing 240 Nursing Ati Exam A And B Questions And
Answers 100%Correct/Verified Best Rated A+ Guaranteed
Success Latest Update 2022
