Ati test review bank 2022/2023 (Answered)
A nurse is providing discharge instructions to a Chinese client regarding
prescribed dietary modifications. During the teaching session the client
continually turns away from the nurse. Which of the following nursing actions is
most appropriate?
1.
Continue with the instructions, verifying client understanding.
2.
Identify the importance of the instructions for the maintenance of health care.
3.
Walk around the client so that the nurse continually faces the client.
4.
Give the client a dietary booklet and return later to continue with the instructions.
1
A nurse is assisting in preparing a plan of care for a client who is a Jehovah's
Witness. The client has been told that surgery is necessary. Considering the
client's religious preferences, the nurse documents that:
1.
Surgery is prohibited in this religious group.
2.
The administration of blood and blood products is forbidden.
3.
Medication administration is not allowed.
4.
Faith healing is primarily practiced.
2
A nurse is preparing to deliver a food tray to a client whose religion is Judaism.
The nurse checks the food on the tray and notes that the client has received a
roast beef dinner with whole milk as a beverage. Which of the following actions
will the nurse take?
1.
Deliver the food tray to the client.
2.
Call the dietary department and ask for a new meal tray.
3.
Replace the whole milk with fat-free milk.
4.
Ask the dietary department to replace the roast beef with pork.
2
A nurse educator is describing the yin and yang theory of the ancient Chinese
philosophy of Tao to a group of nursing students. The nurse explains that foods
are classified as hot and cold in this theory and are transformed into yin and yang
energy when metabolized by the body. The nursing student understands this
theory when the student verbalizes that a client who practices this belief:
,1.
Consumes cold foods when a "hot" illness is present
2.
Consumes hot foods when a "hot" illness is present
3.
Believes that yin foods are hot foods
4.
Believes that yang foods are cold foods
1
A nurse is planning to instruct the Hispanic-American client about nutrition and
dietary restrictions. When developing the plan for the instructions, the nurse is
aware that this ethnic group:
1.
Enjoys foods that lack color, flavor, and texture
2.
Primarily eats raw fish
3.
Enjoys eating red meat
4.
Views food as a primary form of socialization
4
A nursing student is discussing cultural issues in a clinical conference. The
nursing instructor asks the student to describe ethnocentrism. Which of the
following if stated by the student indicates a lack of understanding of the issue of
ethnocentrism?
1.
"It is a tendency to view one's own ways as best."
2.
"It is acting in a manner that is superior to other cultures."
3.
"It is believing that one's own ways are the only acceptable way."
4.
"It is imposing one's beliefs on individuals from another culture."
4
A nurse is assigned to collect data from a Hispanic-American client during the
hospital admission. On initial meeting of the client, the nurse should plan to:
1.
Greet the client with a handshake.
2.
Avoid touching the client.
3.
Avoid any affirmative nods during the conversations with the client.
4.
Smile and use humor throughout the entire admission process.
1
,A nurse is providing care to a Cuban-American client who is terminally ill.
Numerous family members are present most of the time, and many of the family
members are very emotional. The most appropriate nursing plan is to:
1.
Restrict the number of family members visiting at one time.
2.
Inform the family that emotional outbursts are to be avoided.
3.
Request permission to move the client to a private room, and allow the family
members to visit.
4.
Contact the physician to speak to the family regarding their behavior.
3
A nurse is instructing a Native-American client regarding the procedure for
collecting a urine sample. The nurse observes that the client continually stares at
the floor during the instructional session. The nurse interprets this behavior as:
1.
Rude
2.
Disinterest
3.
Embarrassment
4.
Indicative that the client is paying close attention
4
A nurse who works on the night shift enters the medication room and finds a co-
worker with a tourniquet wrapped around the upper arm. The co-worker is about
to insert a needle, attached to a syringe containing a clear liquid, into the
antecubital area. The appropriate initial action by the nurse is which of the
following?
1.
Call the police.
2.
Call security.
3.
Lock the co-worker in the medication room until help is obtained.
4.
Call the nursing supervisor.
4
A licensed practical nurse (LPN) is providing instructions to a nursing assistant
who is preparing to care for a deceased client whose eyes will be donated. The
nurse intervenes if the nursing assistant does which of the following?
1.
Elevates the head of the bed
2.
Closes the client's eyes
, 3.
Places wet saline gauze pads and an ice pack on the eyes
4.
Closes the client's eyes and places a dry sterile dressing over the eyes
4
A hospitalized client tells the nurse that a living will is being prepared and that
the lawyer will be bringing the will to the hospital today for witness signatures.
The client asks the nurse for assistance in obtaining a witness to the will. The
appropriate response to the client is which of the following?
1.
"I will sign as a witness to your signature."
2.
"You will need to find a witness on your own."
3.
"I will call the nursing supervisor to seek assistance regarding your request."
4.
"Whoever is available at the time will sign as a witness for you."
3
A nurse is assigned to care for a newly admitted client and is reviewing the
physician's orders. The nurse notes that the physician has prescribed a
medication dose that is twice the amount that the client reports taking prior to
admission. The appropriate nursing action is to:
1.
Question the client regarding the accuracy of the reported dosage.
2.
Consult with the registered nurse (RN).
3.
Administer the medication as prescribed.
4.
Administer half of the prescribed dose and then notify the RN.
2
A nurse is caring for a client with severe cardiac disease. While the nurse is
caring for the client, the client states, "If anything should happen to me, please
make sure that the doctors do not try to push on my chest and revive me." The
appropriate nursing action is to:
1.
Tell the client that this procedure cannot legally be refused by a client if the
physician feels that it is necessary to save the client's life.
2.
Tell the client that it is necessary to notify the physician of the client's request.
3.
Tell the client that the family must agree with the request.
4.
Plan a client conference with the nursing staff to share the client's request.
2
A nurse is providing discharge instructions to a Chinese client regarding
prescribed dietary modifications. During the teaching session the client
continually turns away from the nurse. Which of the following nursing actions is
most appropriate?
1.
Continue with the instructions, verifying client understanding.
2.
Identify the importance of the instructions for the maintenance of health care.
3.
Walk around the client so that the nurse continually faces the client.
4.
Give the client a dietary booklet and return later to continue with the instructions.
1
A nurse is assisting in preparing a plan of care for a client who is a Jehovah's
Witness. The client has been told that surgery is necessary. Considering the
client's religious preferences, the nurse documents that:
1.
Surgery is prohibited in this religious group.
2.
The administration of blood and blood products is forbidden.
3.
Medication administration is not allowed.
4.
Faith healing is primarily practiced.
2
A nurse is preparing to deliver a food tray to a client whose religion is Judaism.
The nurse checks the food on the tray and notes that the client has received a
roast beef dinner with whole milk as a beverage. Which of the following actions
will the nurse take?
1.
Deliver the food tray to the client.
2.
Call the dietary department and ask for a new meal tray.
3.
Replace the whole milk with fat-free milk.
4.
Ask the dietary department to replace the roast beef with pork.
2
A nurse educator is describing the yin and yang theory of the ancient Chinese
philosophy of Tao to a group of nursing students. The nurse explains that foods
are classified as hot and cold in this theory and are transformed into yin and yang
energy when metabolized by the body. The nursing student understands this
theory when the student verbalizes that a client who practices this belief:
,1.
Consumes cold foods when a "hot" illness is present
2.
Consumes hot foods when a "hot" illness is present
3.
Believes that yin foods are hot foods
4.
Believes that yang foods are cold foods
1
A nurse is planning to instruct the Hispanic-American client about nutrition and
dietary restrictions. When developing the plan for the instructions, the nurse is
aware that this ethnic group:
1.
Enjoys foods that lack color, flavor, and texture
2.
Primarily eats raw fish
3.
Enjoys eating red meat
4.
Views food as a primary form of socialization
4
A nursing student is discussing cultural issues in a clinical conference. The
nursing instructor asks the student to describe ethnocentrism. Which of the
following if stated by the student indicates a lack of understanding of the issue of
ethnocentrism?
1.
"It is a tendency to view one's own ways as best."
2.
"It is acting in a manner that is superior to other cultures."
3.
"It is believing that one's own ways are the only acceptable way."
4.
"It is imposing one's beliefs on individuals from another culture."
4
A nurse is assigned to collect data from a Hispanic-American client during the
hospital admission. On initial meeting of the client, the nurse should plan to:
1.
Greet the client with a handshake.
2.
Avoid touching the client.
3.
Avoid any affirmative nods during the conversations with the client.
4.
Smile and use humor throughout the entire admission process.
1
,A nurse is providing care to a Cuban-American client who is terminally ill.
Numerous family members are present most of the time, and many of the family
members are very emotional. The most appropriate nursing plan is to:
1.
Restrict the number of family members visiting at one time.
2.
Inform the family that emotional outbursts are to be avoided.
3.
Request permission to move the client to a private room, and allow the family
members to visit.
4.
Contact the physician to speak to the family regarding their behavior.
3
A nurse is instructing a Native-American client regarding the procedure for
collecting a urine sample. The nurse observes that the client continually stares at
the floor during the instructional session. The nurse interprets this behavior as:
1.
Rude
2.
Disinterest
3.
Embarrassment
4.
Indicative that the client is paying close attention
4
A nurse who works on the night shift enters the medication room and finds a co-
worker with a tourniquet wrapped around the upper arm. The co-worker is about
to insert a needle, attached to a syringe containing a clear liquid, into the
antecubital area. The appropriate initial action by the nurse is which of the
following?
1.
Call the police.
2.
Call security.
3.
Lock the co-worker in the medication room until help is obtained.
4.
Call the nursing supervisor.
4
A licensed practical nurse (LPN) is providing instructions to a nursing assistant
who is preparing to care for a deceased client whose eyes will be donated. The
nurse intervenes if the nursing assistant does which of the following?
1.
Elevates the head of the bed
2.
Closes the client's eyes
, 3.
Places wet saline gauze pads and an ice pack on the eyes
4.
Closes the client's eyes and places a dry sterile dressing over the eyes
4
A hospitalized client tells the nurse that a living will is being prepared and that
the lawyer will be bringing the will to the hospital today for witness signatures.
The client asks the nurse for assistance in obtaining a witness to the will. The
appropriate response to the client is which of the following?
1.
"I will sign as a witness to your signature."
2.
"You will need to find a witness on your own."
3.
"I will call the nursing supervisor to seek assistance regarding your request."
4.
"Whoever is available at the time will sign as a witness for you."
3
A nurse is assigned to care for a newly admitted client and is reviewing the
physician's orders. The nurse notes that the physician has prescribed a
medication dose that is twice the amount that the client reports taking prior to
admission. The appropriate nursing action is to:
1.
Question the client regarding the accuracy of the reported dosage.
2.
Consult with the registered nurse (RN).
3.
Administer the medication as prescribed.
4.
Administer half of the prescribed dose and then notify the RN.
2
A nurse is caring for a client with severe cardiac disease. While the nurse is
caring for the client, the client states, "If anything should happen to me, please
make sure that the doctors do not try to push on my chest and revive me." The
appropriate nursing action is to:
1.
Tell the client that this procedure cannot legally be refused by a client if the
physician feels that it is necessary to save the client's life.
2.
Tell the client that it is necessary to notify the physician of the client's request.
3.
Tell the client that the family must agree with the request.
4.
Plan a client conference with the nursing staff to share the client's request.
2
