CBC Exam (ATI) Verified 2023 Questions and Answers
a nurse manager is developing a facility policy about the use of a fax machine to
communicate information from a clients electronic medical record. Which of the
following actions should the nurse include in the policy?
use a cover sheet when sending a fax from the health care unit
a nurse is caring for a client who is 2 days post operative following an above the knee
amputation. the client states he is experiencing a dull burning pain in the leg that was
amputated. which of the following actions should the nurse take to treat the clients
neuropathic pain?
administer a beta blocking medication to the client
a nurse is assessing a client who has fibromyalgia. which of the following treatment
modality prescriptions should the nurse expect for the clients mixed pain?
pregabalin PO twice daily
a nurse is planning the menu for a client who practices Seventh-Day Adventism. which
of the following food selections should the nurse make?
scrambled eggs
a nurse is providing teaching to a client who has chronic fatigue syndrome. which of the
following statements should the nurse make?
"take NSAIDs for body aches and pain"
a nurse is using therapeutic communication to attempt to de-escalation with a client who
is yelling at staff members. which of the following statement should the nurse make?
"tell me what is causing your anger at this moment"
a home health nurse manager is assisting in the implementation of an electronic
medical record (EMR) system for client care. which of the following actions should the
nurse manager take to promote interoperability?
recommend a single coding system for each department to use
a nurse is planning care for a client who has breast cancer and is scheduled for
chemotherapy. the client reports experiencing chemotherapy-induced nausea and
vomiting (CINV) during her previous round of treatment. which of the following
interventions should the nurse include in the client's plan of care?
administer ondansetron (zofran) to the client prior to chemotherapy administration
a nurse is teaching a client about strategies to prevent recurrent constipation. which of
the following instructions should the nurse include?
*perform moderate exercises daily
*add more whole grains to your diet
*increase your fluid intake
a nurse is documenting an assessment in a clients electronic health record when as
assistive personnel (AP) asks to enter the morning blood glucose for the client. which of
the following actions should the nurse take?
request that the AP use another computer to enter the data
a nurse is performing a focused assessment on a client who has chronic pain due to
fibromyalgia. which of the following questions should the nurse ask to assess the quality
of the clients pain?
"can you describe what the pain feels like?"
, a nurse is preparing to leave the room of a client who is on isolation precautions. which
of the following actions should the nurse take when removing a tied surgical mask?
remove the mask by securely holding the ties and moving it away from the face
a nurse is assessing for acute pain in a client who is postoperative. the client has
dementia and is nonverbal. which of the following findings should the nurse identify as a
need for administration of a PRN medication?
rapid breathing
a nurse is administering ophthalmic solution to a client who has bacterial conjunctivitis.
which of the following actions should the nurse take
have the client lie supine
a nurse is preparing a client for an elective vaginal hysterectomy when the client states
"my doctor said there are more conservative ways to treat my problem. I realize now
that I don't want this surgery, but I already singed the consent form." which of the
following responses should the nurse make?
"you have the right to refuse this and any other procedure, even after you have signed
the consent form."
a nurse in a mental health facility is preparing an educational program for a group of
staff nurses about the proper use of restraints. which of the following information should
the nurse plan to include?
an adult client may be in a mechanical restraint for up to 4 hours
the nurse is preparing to administer intermittent enteral nutrition via a clients NG tube. in
which order should the nurse take the following steps
1. assist the client into a high Fowler's position and raise the head of the bed at least 30
degrees to help prevent aspiration
2. the nurse should verify the tube's placement by aspirating 5 mL of gastric contents
3. the nurse should test the aspirate pH
4. then the nurse should check for gastric residual volume (GRV)
5. finally the nurse should flush the tubing with 30 mL of water to ensure the tube is
clear and patent
a nurse is planning a community health program about substance use disorders. which
of the following information should the nurse include when discussing the guidelines for
safe limits of alcohol consumption?
a healthy woman of any age should consume no more than 7 drinks in a week
a nurse in a mental health facility is caring for a client who is exhibiting violent behavior
and has been placed in seclusion. which of the following actions should the nurse take?
document the clients status every 15 minutes
a nurse is preparing to administer acetaminophen 120 mg PO to a toddler. available is
acetaminophen drops 80mg/0.8mL. how many mL should the nurse administer?
1.2 mL
a nurse is caring for an adolescent client who is in critical condition following a motor
vehicle crash in which he was the passenger. the clients parent shouts at the nurse,
asking why her son is dying instead of the driver. which of the following actions should
the nurse take to provide emotional support to the parent?
inform the parent that anger is a natural response when dealing with loss
a nurse manager is developing a facility policy about the use of a fax machine to
communicate information from a clients electronic medical record. Which of the
following actions should the nurse include in the policy?
use a cover sheet when sending a fax from the health care unit
a nurse is caring for a client who is 2 days post operative following an above the knee
amputation. the client states he is experiencing a dull burning pain in the leg that was
amputated. which of the following actions should the nurse take to treat the clients
neuropathic pain?
administer a beta blocking medication to the client
a nurse is assessing a client who has fibromyalgia. which of the following treatment
modality prescriptions should the nurse expect for the clients mixed pain?
pregabalin PO twice daily
a nurse is planning the menu for a client who practices Seventh-Day Adventism. which
of the following food selections should the nurse make?
scrambled eggs
a nurse is providing teaching to a client who has chronic fatigue syndrome. which of the
following statements should the nurse make?
"take NSAIDs for body aches and pain"
a nurse is using therapeutic communication to attempt to de-escalation with a client who
is yelling at staff members. which of the following statement should the nurse make?
"tell me what is causing your anger at this moment"
a home health nurse manager is assisting in the implementation of an electronic
medical record (EMR) system for client care. which of the following actions should the
nurse manager take to promote interoperability?
recommend a single coding system for each department to use
a nurse is planning care for a client who has breast cancer and is scheduled for
chemotherapy. the client reports experiencing chemotherapy-induced nausea and
vomiting (CINV) during her previous round of treatment. which of the following
interventions should the nurse include in the client's plan of care?
administer ondansetron (zofran) to the client prior to chemotherapy administration
a nurse is teaching a client about strategies to prevent recurrent constipation. which of
the following instructions should the nurse include?
*perform moderate exercises daily
*add more whole grains to your diet
*increase your fluid intake
a nurse is documenting an assessment in a clients electronic health record when as
assistive personnel (AP) asks to enter the morning blood glucose for the client. which of
the following actions should the nurse take?
request that the AP use another computer to enter the data
a nurse is performing a focused assessment on a client who has chronic pain due to
fibromyalgia. which of the following questions should the nurse ask to assess the quality
of the clients pain?
"can you describe what the pain feels like?"
, a nurse is preparing to leave the room of a client who is on isolation precautions. which
of the following actions should the nurse take when removing a tied surgical mask?
remove the mask by securely holding the ties and moving it away from the face
a nurse is assessing for acute pain in a client who is postoperative. the client has
dementia and is nonverbal. which of the following findings should the nurse identify as a
need for administration of a PRN medication?
rapid breathing
a nurse is administering ophthalmic solution to a client who has bacterial conjunctivitis.
which of the following actions should the nurse take
have the client lie supine
a nurse is preparing a client for an elective vaginal hysterectomy when the client states
"my doctor said there are more conservative ways to treat my problem. I realize now
that I don't want this surgery, but I already singed the consent form." which of the
following responses should the nurse make?
"you have the right to refuse this and any other procedure, even after you have signed
the consent form."
a nurse in a mental health facility is preparing an educational program for a group of
staff nurses about the proper use of restraints. which of the following information should
the nurse plan to include?
an adult client may be in a mechanical restraint for up to 4 hours
the nurse is preparing to administer intermittent enteral nutrition via a clients NG tube. in
which order should the nurse take the following steps
1. assist the client into a high Fowler's position and raise the head of the bed at least 30
degrees to help prevent aspiration
2. the nurse should verify the tube's placement by aspirating 5 mL of gastric contents
3. the nurse should test the aspirate pH
4. then the nurse should check for gastric residual volume (GRV)
5. finally the nurse should flush the tubing with 30 mL of water to ensure the tube is
clear and patent
a nurse is planning a community health program about substance use disorders. which
of the following information should the nurse include when discussing the guidelines for
safe limits of alcohol consumption?
a healthy woman of any age should consume no more than 7 drinks in a week
a nurse in a mental health facility is caring for a client who is exhibiting violent behavior
and has been placed in seclusion. which of the following actions should the nurse take?
document the clients status every 15 minutes
a nurse is preparing to administer acetaminophen 120 mg PO to a toddler. available is
acetaminophen drops 80mg/0.8mL. how many mL should the nurse administer?
1.2 mL
a nurse is caring for an adolescent client who is in critical condition following a motor
vehicle crash in which he was the passenger. the clients parent shouts at the nurse,
asking why her son is dying instead of the driver. which of the following actions should
the nurse take to provide emotional support to the parent?
inform the parent that anger is a natural response when dealing with loss
