Nursing 109 Most Tested ATI Select all that Apply Questions and Answers

1 A nurse is teaching a client who is pregnant about the variables that are scored during a
biophysical profile (BPP). Which
of the following variables should the nurse include? (Select all that apply.)
A. Fetal weight
B. Fetal breathing movement
C. Fetal tone
D. Fetal station
E. Amniotic fluid volume

BCE


2 The nurse is caring for a new mother who is sensitive to certain foods. Knowing that certain
foods can pass through the
breast milk to the infant, the nurse advises the mother to avoid which foods that have a
tendency to cause allergic
reactions in infants? (Select all that apply).
A. Beef
B. Chicken
C. Eggs
D. Peanuts
E. Shellfish


CDE

3 A nurse is preparing to teach a group of clients who are pregnant about some of the common
discomforts of pregnancy. Which of the following findings should the nurse include in the
teaching? (Select all that apply).
A. Breast tenderness
B. Excessive salivation
C. Epistaxis
D. Dysuria
E. Right upper quadrant pain

ABC


4 A nurse is caring for a client who is pregnant and experiencing backaches. Which of the
following measures should the nurse tell the client to take to help relieve backaches? (Select all
that apply).
A. Soak in a hot tub once a day.
B. Perform Kegel exercises twice a day.
C. Perform the pelvic rock exercise every day.

,D. Position the knees higher than the hips when sitting.
E. Sleep in a supine position

Cd

5 A nurse is caring for a client who is in labor and has HIV. Which of the following procedures
should the nurse identify as
being safe for this client? (Select all that apply.)
A. Vacuum extraction
B. Oxytocin infusion
C. Use of forceps
D. Cesarean birth
E. Internal fetal monitoring

Bd

6 A nurse is caring for a client who suspects that she is pregnant and has presumptive signs of
pregnancy. Which of the
following findings should the nurse expect the client to report? (Select all that apply.)
A. Amenorrhea
B. Goodell sign
C. Ballottement
D. Nausea and vomiting
E. Quickening

ADE
7 A healthcare provider is caring for a woman with abruptio placentae (a placental abruption).
Which of the following are risk
factors for this condition? (Select all that apply).
A. Fetal rump position
B. Maternal hypertension
C. Cocaine use
D. Advanced maternal age
E. Cigarette smoking

BCDE

8 A nurse is caring for a client who is pregnant and scheduled for a contraction stress test
(CST). Which of the following
findings are indications for this procedure? (Select all that apply.)
A. Decreased fetal movement
B. Intrauterine growth restriction
C. Postmaturity
D. Placenta previa

,E. Preterm labor

ABC

9 A nurse is caring for a client who has severe preeclampsia and is receiving a magnesium
sulfate IV infusion. The nurse should monitor the client for which of the following manifestations
as a sign of magnesium sulfate toxicity? (Select all that apply.)
A. Respiratory rate less than 12/min
B. Excessive urinary output
C. Hyperreflexic deep tendon reflexes
D. Decreased level of consciousness
E. Flushing and sweating


AD

10 The nurse knows that folic acid reduces the incidence of neural tube defects in a fetus.
Which foods are high in this
mineral? (Select all that apply).
A. Strawberries
B. Milk
C. Dark leafy green vegetables
D. Lentils

ACD
11A nurse is caring for a client who is pregnant and has a TORCH infection. Which findings
should the nurse expect? (Select
all that apply).
A. Joint pain
B. Insomnia
C. Rash
D. Urinary frequency
E. Decreased appetite


ACE

12 A nurse is assessing a client at 26 weeks' gestation who complains of occasional
contractions. Which of the following factors increases the client's risk of preterm labor? (Select
all that apply).
A. Urinary tract infection
B. Multifetal pregnancy
C. Maternal age of less than 30 years
D. Diabetes mellitus

, E. Prepregnancy BMI of 20

ABD




13 A nurse is caring for a client with a nursing diagnosis of impaired skin integrity, related to
decreased mobility and
mechanical factors. Which of the following interventions would be appropriate for this client?
(Select all that apply)
A. Encourage food and fluid intake
B. Encourage chair sitting to keep the client out of bed.
C. Use talcum powder to keep skin dry
D. Assist the client with ambulation and encourage mobility.
E. Assist the client to change positions every four hours

AD

14 A nurse is caring for an adult client who is being discharged after stapedectomy. Which of the
following instructions should
be given by the nurse to this client? (Select all that Apply)
A. Resume all activities of daily living
B. Restrict fluid intake.
C. Rest and sleep on two or three pillows .
D. Avoid blowing the nose

Cd

15 A nurse is caring for a client who is receiving parenteral therapy. What information should be
documented when a client is
receiving total parenteral nutrition? (Select all that apply)
A. The amount of solution infused
B. The type and location of the IV
C. The condition of the insertion site
D. The client’s position in bed
E. The client’s daily oral intake

ABCE

16 A nurse working in an outpatient clinic is caring for a client who has rheumatoid arthritis (RA)
and reports increased joint tenderness and swelling. Which of the following findings should the
nurse expect? (Select all that apply.)
A. Recent viral infection