Nurs ati exam graded a+ 2022
update questions with answers
A. A client who has a prescription for warfarin and states "I will need to limit
how much spinach I eat".
B. A client who has gout and states, "I can continue to eat anchovies on my
pizza."
C. A client who has a prescription for spironolactone and states "I will
reduce my intake of foods that contain potassium".
D. A client who has (Unable to read) and states "I'll plan to take my
calcium carbonate with a full glass of water" - ANSWER B. A client who has
gout and states, "I can continue to eat anchovies on my pizza."
A nurse is assessing a child who is being treated for bacterial pneumonia.
The nurse notes an increase in the child's glucose. The nurse should
identify this finding as an adverse effect of which of the following
medications?
A.
Methylprednisolone.
B. Ondansetron.
C. Guaifenesin.
D. Amoxicillin - ANSWER A. Methylprednisolone.
A nurse is reviewing the medical record of a client who has schizophrenia.
Which of the following should the nurse report to the provider?
Exhibit 1
Blood pressure: 102/56 mm
Hg. Heart rate: 95/min
Respiratory rate: 18/min
Temperature: 37.4C
(99.3F)
Exhibit 2
Medication Administration Record Clozapine 150 mg PO
twice daily Benztropine 0.5 mg PO twice daily as needed
for tremors.
Exhibit 3
Nurse's notes: Client reports feeling dizzy when changing positions, Reports
weight gain of 1kg (2.2 lb.) in the past month. Also reports a sore throat for
the past 3 days and dry mouth. Client ate 75% of breakfast and reports
slightly nauseous.
A. Dietary
intake B.
Heart rate.
C. Sore throat.
D. Blood pressure - ANSWER C. Sore throat.
A nurse is planning care for a client who has bipolar disorder and is
, Nurs ati exam graded a+ 2022
update questions with answers
experiencing mania. Which of the following interventions should the nurse
include in the plan?
A. Encourage the client to spend time in the day room
B. Withdraw the client's TV privileges is the does not attend
group therapy C. Encourage the client to take frequent rest
periods
D. Place the client in seclusion when he exhibits signs of anxiety -
ANSWER C. Encourage the client to take frequent rest periods
A nurse is providing discharge teaching for a client who has an implantable
cardioverter defibrillator which of the following statements demonstrates
understanding of the teaching?
A. "I will soak in the tub rather and
showering" B. "I will wear loose clothing
around my ICD"
C. "I will stop using my microwave oven at home because of my ICD"
D. "I can hold my cellphone on the same side of my body as the ICD" -
ANSWER B. "I will wear loose clothing around my ICD"
A nurse is caring for a client who is at 14 weeks gestation and reports
feelings of ambivalence about being pregnant. Which of the following
responses should the nurse make?
A. "Describe your feelings to me about being pregnant"
B. "You should discuss your feelings about being pregnant with your
provider" C. "Have you discussed these feelings with your partner?"
D. "When did you start having these feelings?" - ANSWER A. "Describe your
feelings to me about being pregnant"
A nurse in an emergency department is performing triage for multiple clients
following a disaster in the community. To which of the following types of
injuries should the nurse assign the highest priority?
A. Below-the knee
amputation B. Fractured
tibia
C. 95% full-thickness body burn
D. 10cm (4in) laceration to the forearm - ANSWER A. Below-the knee
amputation
A nurse manager is updating protocols for the use of belt restraints.
Which of the following guidelines should the nurse include?
A. Remove the client's restraint every 4hr
B. Document the client's condition every
15 min C. Attach the restrain to the bed's
side rails
, Nurs ati exam graded a+ 2022
update questions with answers
C. Request a PRN restrain prescription for clients who are aggressive -
ANSWER B. Document the client's condition every 15 min
A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-
old. Which of the following actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure. - ANSWER
B. Tell the child they will feel discomfort during the catheter insertion.
A nurse in a provider's office is reviewing the laboratory results of a group of
clients. The nurse should identify that which of the following sexually
transmitted infections is a nationally notifiable infectious disease that should
be reported to the state health department?
A. Chlamydia
B. Human
papillomavirus C.
Candidiasis
D. Herps simplex virus - ANSWER A. Chlamydia
A nurse is working on a surgical unit is developing a care plan for a client
who has paraplegia. The client has an area of no blanchable erythema over
his ischium. Which of the following interventions should the nurse include
in the care plan?
A. Place the client upright on a donut-shaped cushion
B. Teach the client to shift his weight every 15 min
while sitting C. Turn and reposition the client every 3
hr while in bed
D. Assess pressure points every - ANSWER B. Teach the client to shift his
weight every 15 min while sitting
A charge nurse is teaching a newly licensed nurse about clients designating
a health care proxy in situations that require a durable power of attorney for
heal care (DPSHC). Which of the following information should the charge
nurse include?
A. "The proxy should make health care decisions for the client regardless of
the client's ability to do so."
B. "The proxy can make financial decisions if the need arises."
C. "The proxy can make treatment decisions if the client is under anesthesia."
D. "The proxy should manage legal issues for the client." - ANSWER C. "The
proxy can make treatment decisions if the client is under anesthesia."
, Nurs ati exam graded a+ 2022
update questions with answers
A nurse is caring for a client who is dilated to 10 cm and pushing. Which of
the following pain-management (Unable to read) a safe option for the client?
A. Naloxone
hydrochloride. B. Spinal
anesthesia.
C. Pudendal block.
D. Butorphanol tartrate - ANSWER C. Pudendal block.
A nurse is providing discharge teaching for a group of clients. The nurse
should recommend a referral to a dietitian
A nurse is caring for a client who is 24 hr. postpartum and is breast feeding
her newborns. The client asks the nurse to warm up seaweed soup that the
client's partner brought for her. Which of the following responses should the
nurse make?
A. "Does the doctor know you are eating
that?" B. "Why are you eating seaweed
soup?"
C. "Of course, I will heat that up for you"
D. "The hospital good is more nutritious" - ANSWER C. "Of course, I will heat
that up for you"
A nurse is preparing an in-service for a group of nurses about malpractice
issues in nursing. Which of the following examples should the nurse include in
the teaching?
A. Leaving a nasogastric tube clamped after administering oral medication
B. Documenting communication with a provider in the progress notes of
the client's medical records
C. Administering potassium via IV bolus
D. Placing a yellow bracelet on a client who is at risk for falls -
ANSWER C. Administering potassium via IV bolus
A charge nurse is teaching a group of newly licensed nurses about the
correct use of restraints. Which of the following should the nurse include
in the teaching?
A. Placing a belt restraint on a school-age child who has
seizures. B. Securing wrist restraints to the bed rails for
an adolescent.
C. Applying elbow immobilizers of an infant receiving cleft lip injury
D. Keeping the side rails of a toddler's crib elevated. - ANSWER C. Applying
elbow immobilizers of an infant receiving cleft lip injury
A nurse in a pediatric clinic is teaching a newly hired nurse about the varicella
zoster. Which of the following information should the nurse include?
update questions with answers
A. A client who has a prescription for warfarin and states "I will need to limit
how much spinach I eat".
B. A client who has gout and states, "I can continue to eat anchovies on my
pizza."
C. A client who has a prescription for spironolactone and states "I will
reduce my intake of foods that contain potassium".
D. A client who has (Unable to read) and states "I'll plan to take my
calcium carbonate with a full glass of water" - ANSWER B. A client who has
gout and states, "I can continue to eat anchovies on my pizza."
A nurse is assessing a child who is being treated for bacterial pneumonia.
The nurse notes an increase in the child's glucose. The nurse should
identify this finding as an adverse effect of which of the following
medications?
A.
Methylprednisolone.
B. Ondansetron.
C. Guaifenesin.
D. Amoxicillin - ANSWER A. Methylprednisolone.
A nurse is reviewing the medical record of a client who has schizophrenia.
Which of the following should the nurse report to the provider?
Exhibit 1
Blood pressure: 102/56 mm
Hg. Heart rate: 95/min
Respiratory rate: 18/min
Temperature: 37.4C
(99.3F)
Exhibit 2
Medication Administration Record Clozapine 150 mg PO
twice daily Benztropine 0.5 mg PO twice daily as needed
for tremors.
Exhibit 3
Nurse's notes: Client reports feeling dizzy when changing positions, Reports
weight gain of 1kg (2.2 lb.) in the past month. Also reports a sore throat for
the past 3 days and dry mouth. Client ate 75% of breakfast and reports
slightly nauseous.
A. Dietary
intake B.
Heart rate.
C. Sore throat.
D. Blood pressure - ANSWER C. Sore throat.
A nurse is planning care for a client who has bipolar disorder and is
, Nurs ati exam graded a+ 2022
update questions with answers
experiencing mania. Which of the following interventions should the nurse
include in the plan?
A. Encourage the client to spend time in the day room
B. Withdraw the client's TV privileges is the does not attend
group therapy C. Encourage the client to take frequent rest
periods
D. Place the client in seclusion when he exhibits signs of anxiety -
ANSWER C. Encourage the client to take frequent rest periods
A nurse is providing discharge teaching for a client who has an implantable
cardioverter defibrillator which of the following statements demonstrates
understanding of the teaching?
A. "I will soak in the tub rather and
showering" B. "I will wear loose clothing
around my ICD"
C. "I will stop using my microwave oven at home because of my ICD"
D. "I can hold my cellphone on the same side of my body as the ICD" -
ANSWER B. "I will wear loose clothing around my ICD"
A nurse is caring for a client who is at 14 weeks gestation and reports
feelings of ambivalence about being pregnant. Which of the following
responses should the nurse make?
A. "Describe your feelings to me about being pregnant"
B. "You should discuss your feelings about being pregnant with your
provider" C. "Have you discussed these feelings with your partner?"
D. "When did you start having these feelings?" - ANSWER A. "Describe your
feelings to me about being pregnant"
A nurse in an emergency department is performing triage for multiple clients
following a disaster in the community. To which of the following types of
injuries should the nurse assign the highest priority?
A. Below-the knee
amputation B. Fractured
tibia
C. 95% full-thickness body burn
D. 10cm (4in) laceration to the forearm - ANSWER A. Below-the knee
amputation
A nurse manager is updating protocols for the use of belt restraints.
Which of the following guidelines should the nurse include?
A. Remove the client's restraint every 4hr
B. Document the client's condition every
15 min C. Attach the restrain to the bed's
side rails
, Nurs ati exam graded a+ 2022
update questions with answers
C. Request a PRN restrain prescription for clients who are aggressive -
ANSWER B. Document the client's condition every 15 min
A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-
old. Which of the following actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure. - ANSWER
B. Tell the child they will feel discomfort during the catheter insertion.
A nurse in a provider's office is reviewing the laboratory results of a group of
clients. The nurse should identify that which of the following sexually
transmitted infections is a nationally notifiable infectious disease that should
be reported to the state health department?
A. Chlamydia
B. Human
papillomavirus C.
Candidiasis
D. Herps simplex virus - ANSWER A. Chlamydia
A nurse is working on a surgical unit is developing a care plan for a client
who has paraplegia. The client has an area of no blanchable erythema over
his ischium. Which of the following interventions should the nurse include
in the care plan?
A. Place the client upright on a donut-shaped cushion
B. Teach the client to shift his weight every 15 min
while sitting C. Turn and reposition the client every 3
hr while in bed
D. Assess pressure points every - ANSWER B. Teach the client to shift his
weight every 15 min while sitting
A charge nurse is teaching a newly licensed nurse about clients designating
a health care proxy in situations that require a durable power of attorney for
heal care (DPSHC). Which of the following information should the charge
nurse include?
A. "The proxy should make health care decisions for the client regardless of
the client's ability to do so."
B. "The proxy can make financial decisions if the need arises."
C. "The proxy can make treatment decisions if the client is under anesthesia."
D. "The proxy should manage legal issues for the client." - ANSWER C. "The
proxy can make treatment decisions if the client is under anesthesia."
, Nurs ati exam graded a+ 2022
update questions with answers
A nurse is caring for a client who is dilated to 10 cm and pushing. Which of
the following pain-management (Unable to read) a safe option for the client?
A. Naloxone
hydrochloride. B. Spinal
anesthesia.
C. Pudendal block.
D. Butorphanol tartrate - ANSWER C. Pudendal block.
A nurse is providing discharge teaching for a group of clients. The nurse
should recommend a referral to a dietitian
A nurse is caring for a client who is 24 hr. postpartum and is breast feeding
her newborns. The client asks the nurse to warm up seaweed soup that the
client's partner brought for her. Which of the following responses should the
nurse make?
A. "Does the doctor know you are eating
that?" B. "Why are you eating seaweed
soup?"
C. "Of course, I will heat that up for you"
D. "The hospital good is more nutritious" - ANSWER C. "Of course, I will heat
that up for you"
A nurse is preparing an in-service for a group of nurses about malpractice
issues in nursing. Which of the following examples should the nurse include in
the teaching?
A. Leaving a nasogastric tube clamped after administering oral medication
B. Documenting communication with a provider in the progress notes of
the client's medical records
C. Administering potassium via IV bolus
D. Placing a yellow bracelet on a client who is at risk for falls -
ANSWER C. Administering potassium via IV bolus
A charge nurse is teaching a group of newly licensed nurses about the
correct use of restraints. Which of the following should the nurse include
in the teaching?
A. Placing a belt restraint on a school-age child who has
seizures. B. Securing wrist restraints to the bed rails for
an adolescent.
C. Applying elbow immobilizers of an infant receiving cleft lip injury
D. Keeping the side rails of a toddler's crib elevated. - ANSWER C. Applying
elbow immobilizers of an infant receiving cleft lip injury
A nurse in a pediatric clinic is teaching a newly hired nurse about the varicella
zoster. Which of the following information should the nurse include?
