MDC 1 ATI (QUESTIONS AND ANSWERS) VERIFIED
100% CORRECT!!
A nurse is performing a skin assessment for a client who expresses concern
about skin cancer. Which of the following findings should the nurse identify as a
potential indication of skin malignancy?
A mole with asymmetrical appearance
A nurse is assessing a client who reports increased pain following physical
therapy. Which of the following questions should the nurse ask when assessing
the quality of the client's pain?
"is your pain sharp or dull"- allows to determine quality of pain
A nurse is admitting a new client. Which of the following actions should the nurse
take while performing medication reconciliation?
Compare the clients home medications with the providers prescriptions
A nurse is preparing to administer enoxaparin subcutaneously to a client. Which
of the following actions should the nurse take?
Administer the medications with the needle at a 45 degree angle for subcutaneous
injections
A nurse is using an open irrigation technique to irrigate a clients indwelling
urinary catheter. Which of the following actions should the nurse take?
Subtract the amount of irritant used from the client's urine output.
A nurse is preparing to apply a dressing for a client who has a stage 2 pressure
injury. Which of the following types of dressing should the nurse use?
Hydrocolloid
A nurse is providing discharge teaching to a client about self-administering
heparin. Which of the following instructions should the nurse include in the
teaching?
administer the medication into the abdomen
A nurse on a medical-surgical unit is caring for a client who has a new
prescription for wrist restraints. Which of the following actions should the nurse
take?
Pad the clients wrist before applying the restraints
A nurse is initiating a protective environment for a client who has had an
allogeneic stem cell transplant. Which of the following precautions should the
nurse plan for this client?
Make sure the client wears a mask when outside her room if there is construction in the
air
A nurse is caring for a client who has dementia. Which of the following
interventions should the nurse take to minimize the risk for injury to the client?
Use a bed exit alarm system
A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over
7 hr. The nurse should set the infusion pump to deliver how many mL/hr? (round
the answer to the nearest whole number. Use a leading zero if it applies. Do not
use a trailing zero.)
, X mL.hr=V/T
750/7
107.14
107 mL/hr
A nurse is caring for a client who has herpes zoster and asks the nurse about the
use of complementary and alternative therapies for pain control. The nurse
should inform the client that this condition is a contraindication for which of the
following therapies?
acupuncture
A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a
chair. To prevent self-injury, which of the following actions should the nurse take
when lifting this object?
stand close to the cabinet when lifting it
A nurse is talking with an older adult client who is contemplating retirement. The
client states, "I keep thinking about how much I enjoy my job. I'm not sure I want
to retire." Which of the following responses should the nurse take?
"Let's talk about how the change in your job status will effect you."
A nurse is caring for a client who is postoperative. When the nurse prepares to
change her dressing, she says, "every time you change my bandage, it hurts so
much." Which of the following interventions is the nurses priority action?
Administer pain medication 45 min before changing clients dressing.
A nurse is assessing a clients readiness to learn about insulin self-
administration. Which of the following statements should the nurse identify as an
indication that the client is ready to learn?
"I can concentrate best in the morning."
A nurse is evaluating a client's use of a cane. Which of the following actions
should the nurse identify as an indication of correct use?
Client holds the cane on the stronger side of her body
A nurse manager is preparing to review medication documentation with a group
of newly licensed nurses. Which of the following statements should the nurse
manager plan to include in the teaching?
"use the complete name of the medication magnesium sulfate"
A nurse is caring for a client who is postoperative following a knee arthroplasty
and requires the use of thigh-length sequential compression sleeves. Which of
the following actions should the nurse take?
Make sure two fingers can fit under the sleeves
A nurse is in a long-term care facility is caring for a client who dies during the
nurses shift. Identify the sequence in which the nurse should perform the
following steps.
1. Obtain pronouncement of death from provider
2. Remove tubes and indwelling lines
3. Wash the client's body
4. Ask the clients family members if hey would like to view the body
5. Place a name tag on the body
A nurse responding to a call light and finds a client lying on the bathroom floor.
Which of the following actions should the nurse take first?
100% CORRECT!!
A nurse is performing a skin assessment for a client who expresses concern
about skin cancer. Which of the following findings should the nurse identify as a
potential indication of skin malignancy?
A mole with asymmetrical appearance
A nurse is assessing a client who reports increased pain following physical
therapy. Which of the following questions should the nurse ask when assessing
the quality of the client's pain?
"is your pain sharp or dull"- allows to determine quality of pain
A nurse is admitting a new client. Which of the following actions should the nurse
take while performing medication reconciliation?
Compare the clients home medications with the providers prescriptions
A nurse is preparing to administer enoxaparin subcutaneously to a client. Which
of the following actions should the nurse take?
Administer the medications with the needle at a 45 degree angle for subcutaneous
injections
A nurse is using an open irrigation technique to irrigate a clients indwelling
urinary catheter. Which of the following actions should the nurse take?
Subtract the amount of irritant used from the client's urine output.
A nurse is preparing to apply a dressing for a client who has a stage 2 pressure
injury. Which of the following types of dressing should the nurse use?
Hydrocolloid
A nurse is providing discharge teaching to a client about self-administering
heparin. Which of the following instructions should the nurse include in the
teaching?
administer the medication into the abdomen
A nurse on a medical-surgical unit is caring for a client who has a new
prescription for wrist restraints. Which of the following actions should the nurse
take?
Pad the clients wrist before applying the restraints
A nurse is initiating a protective environment for a client who has had an
allogeneic stem cell transplant. Which of the following precautions should the
nurse plan for this client?
Make sure the client wears a mask when outside her room if there is construction in the
air
A nurse is caring for a client who has dementia. Which of the following
interventions should the nurse take to minimize the risk for injury to the client?
Use a bed exit alarm system
A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over
7 hr. The nurse should set the infusion pump to deliver how many mL/hr? (round
the answer to the nearest whole number. Use a leading zero if it applies. Do not
use a trailing zero.)
, X mL.hr=V/T
750/7
107.14
107 mL/hr
A nurse is caring for a client who has herpes zoster and asks the nurse about the
use of complementary and alternative therapies for pain control. The nurse
should inform the client that this condition is a contraindication for which of the
following therapies?
acupuncture
A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a
chair. To prevent self-injury, which of the following actions should the nurse take
when lifting this object?
stand close to the cabinet when lifting it
A nurse is talking with an older adult client who is contemplating retirement. The
client states, "I keep thinking about how much I enjoy my job. I'm not sure I want
to retire." Which of the following responses should the nurse take?
"Let's talk about how the change in your job status will effect you."
A nurse is caring for a client who is postoperative. When the nurse prepares to
change her dressing, she says, "every time you change my bandage, it hurts so
much." Which of the following interventions is the nurses priority action?
Administer pain medication 45 min before changing clients dressing.
A nurse is assessing a clients readiness to learn about insulin self-
administration. Which of the following statements should the nurse identify as an
indication that the client is ready to learn?
"I can concentrate best in the morning."
A nurse is evaluating a client's use of a cane. Which of the following actions
should the nurse identify as an indication of correct use?
Client holds the cane on the stronger side of her body
A nurse manager is preparing to review medication documentation with a group
of newly licensed nurses. Which of the following statements should the nurse
manager plan to include in the teaching?
"use the complete name of the medication magnesium sulfate"
A nurse is caring for a client who is postoperative following a knee arthroplasty
and requires the use of thigh-length sequential compression sleeves. Which of
the following actions should the nurse take?
Make sure two fingers can fit under the sleeves
A nurse is in a long-term care facility is caring for a client who dies during the
nurses shift. Identify the sequence in which the nurse should perform the
following steps.
1. Obtain pronouncement of death from provider
2. Remove tubes and indwelling lines
3. Wash the client's body
4. Ask the clients family members if hey would like to view the body
5. Place a name tag on the body
A nurse responding to a call light and finds a client lying on the bathroom floor.
Which of the following actions should the nurse take first?
