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
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
