Exam 1 ATI Practice Questions Final Exam

A nurse is caring for a client who states "I have to check with my wife and see if she thinks I am ready to go home" The nurse replies, "How do you feel about going home today?" Which clarifying technique is the nurse using to enhance communication with the client? A. pacing B. reflecting C. paraphrasing D. restating - ANSWERSB which of the following actions should the nurse take when using the communication technique of active listening (select all that apply) A. open posture B. write down what client says to avoid forgetting details C. establish and maintain eye contact D. nod in agreement with the client throughout conversation E. respond positively when giving feedback - ANSWERSA C E a nurse if caring for a client who is concerned about his impending discharge to home with a new colostomy because he is an avid swimmer. which of the following statements should the nurse use (select all that apply) A. you will do great. you just have to get used to it. B. what are you worried about going home C. your daily routines will be different when you go home D. tell me about your support system youll have after you leave the hospital E. let me tell you about a friend of mine with a colostomy who also enjoys swimming - ANSWERSC D E which of the following strategies should a nurse use to establish a helping relationship with a client A. make sure the communication is equally reciprocal between the nurse and client B. encourage client to communicate his thoughts and feelings C. give nurse-client communication no time limits D. allow communication to occur spontaneously throughout nurse-client relationship - ANSWERSB a nurse is caring for a school-age child who is sitting in a chair. to facilitate effective communication, which of the following actions should the nurse take A. touch childs arm B. sit at eye level C. stand facing child D. stand with relaxed posture - ANSWERSB A charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses. Which of the following responses by the newly licensed nurse requires additional teaching regarding nonverbal communication? A. Personal space B. Posture C. Eye contact D. Intonation - ANSWERSD A nurse is communicating with a client on the acute mental health facility. The client states, "I can't sleep. I stay up all night." The nurse responds, "You are having difficulty sleeping?" Which of the following therapeutic communication techniques is the nurse demonstrating? A. Offering general leads B. Summarizing C. Focusing D. Restating - ANSWERSD A nurse is communicating with a newly admitted client. Which of the following is a barrier to therapeutic communication? A. Offering advice B. Reflecting meaning C. Listening attentively D. Giving information - ANSWERSA A nurse is conducting therapy with several clients and their families. Effective communication with clients and families is based on: A. discussing in-depth topics with which the client feels comfortable. B. using silence to avoid unpleasant or difficult topics. C. attending to verbal and nonverbal behaviors. D. requiring the client and family to ask for feedback. - ANSWERSC When a family asks a nurse for reassurance about a client's condition, which of the following is an appropriate response? A. "I think your son is getting better. What have you noticed?" B. "I'm sure everything will be okay. It just takes time to heal." C. "I'm not sure what's wrong. Have you asked the doctor about your concerns?" D. "I understand you're concerned. Let's discuss what concerns you specifically." - ANSWERSD A nurse is caring for a 20-year-old client who is sexually active and has come to the college health clinic for a first-time checkup. Which of the following interventions should the nurse perform first to determine the client's need for health promotion and disease prevention? a. Measure vital signs. b. Encourage HIV screening. c. Determine risk factors. d. Instruct the client to use condoms. - ANSWERSC A nurse in a clinic is planning health promotion and disease prevention strategies for a client who has multiple risk factors for cardiovascular disease. Which of the following interventions should the nurse include? (SATA) a. Help the client see the benefits of her actions. b. Identify the client's support systems. c. Suggest and recommend community resources. d. Devise and set goals for the client. e. Teach stress management strategies. - ANSWERSA B C E A nurse in a health clinic is caring for a 21-year-old client who reports a sore throat. The client tells the nurse that he has not seen a doctor since high school. Which of the following health screenings should the nurse expect the provider to perform for this client? a. Testicular examination b. Blood glucose c. Fecal occult blood d. Prostate-specific antigen - ANSWERSA A nurse is talking with a client who recently attended a cholesterol screening event and a heart-healthy nutrition presentation at a neighborhood center. The client's total cholesterol was 248 mg/dL. After seeing the provider, the client started taking medication to lower his cholesterol level. The client was later hospitalized for severe chest pain, and subsequently enrolled in a cardiac rehabilitation program. Which of the following activities for the client is an example of primary prevention? a. Cholesterol screening b. Nutrition presentation c. Medication therapy d. Cardiac rehabilitation - ANSWERSB A nurse at a provider's office is talking about routine screenings with a 45-year-old female client who has no specific family history of cancer or diabetes mellitus. Which of the following client statements indicates that the client understands how to proceed? a. "So I don't need the colon cancer procedure for another 2 or 3 years." b. "For now, I should continue to have a mammogram each year." c. "Because the doctor just did a Pap smear, I'll come back the next year for another one." d. "I had my blood glucose test last year, so I won't need it again till next year." - ANSWERSB A nurse is observing a client drawing up and mixing insulin. Which of the following findings should the nurse identify as an indication that psychomotor learning has taken place? a. The client is able to discuss the appropriate technique. b. The client is able to demonstrate the appropriate technique. c. The client states that he understands. d. The client is able to write the steps on a piece of paper. - ANSWERSB A nurse in a provider's office is collecting data from the mother of a 12-month-old infant. The client states that her son is old enough for toilet training. Following an educational session with the nurse, the client now states that he will postpone toilet training until her son is older. Learning has occurred in which of the following domains? a. Cognitive b. Affective c. Psychomotor d. Kinesthetic - ANSWERSB A nurse is providing preoperative education for a client who will undergo a mastectomy the next day. Which of the following statements should the nurse identify as an indication that the client is ready to learn? a. "I don't want my spouse to see my incision." b. "Will you give me pain medicine after the surgery?" c. "Can you tell me about how long the surgery will take?" d. "My roommate listens to everything I say." - ANSWERSC A nurse is preparing an instructional session for an older adult about managing stress incontinence. Which of the following actions should the nurse take first when meeting with the client? a. Encourage the client to participate actively in learning. b. Select instructional materials appropriate for the older adult. c. Identify goals the nurse and the client agree are reasonable. d. Determine what the client knows about stress incontinence. - ANSWERSD A nurse is evaluating how well a client learned the information he presented in an instructional session about following a heart healthy diet. The client states that she understands what to do now. Which of the following actions should the nurse take to evaluate the client's learning? a. Encourage the client to ask questions. b. Ask the client to explain how to select or prepare meals. c. Encourage the client to fill out an evaluation form. d. Ask the client if she has resources for further instruction on this topic. - ANSWERSB By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this evaluation, what should the nurse do next according to the nursing process? a. reassess the client to determine the reasons for inadequate pain relief b. wait to see whether the pain lessens during the next 24 hours c. change the plan of care to provide different pain relief interventions d. teach the client about the plan of care for managing his pain - ANSWERSA A nursing instructor is reviewing the steps of the nursing process with a group of nursing students. The students should identify which of the following data as objective (Select all that apply) A. Respiratory rate of 22/min with even, unlabored respirations. B. "I can only walk three blocks before my legs start to hurt." C. Pain level 3 on a scale of 0-10 D. Skin pink, warm, and dry E. Urine output of 300mL/8 hr F. Dressing clean, dry, and intact. - ANSWERSA D E F A nursing student is reporting to the clinical instructor about the care she gave to a client. She states: " The client said his leg pain was back, so I checked his medical record, and he last received his pain medication 6 hr ago. The prescription reads every 4 hr PRN for pain, so I decided he needs it. I asked the unit nurse to observe me preparing and administering it I checked with the client 40 min later and he said his pain is going away." The instructor should inform the student she left out which of the following steps of the nursing process? A. Assessment B. Planning C. Intervention D. Evaluation - ANSWERSA A nursing instructor is reviewing which actions nurses can initiate without a provider's prescription with a group of nursing students. The students should identify which of the following interventions as nurse-initiated? (Select all that apply) A. Give morphine sulfate 1 to 2 mg IV every 1 hr as needed for pain. B. Insert an NG tube to relieve a client's gastric distention. C. Show a client how to use progressive muscle relaxation. D. Perform a daily bath after the evening meal. E. Reposition a client every 2 hr to reduce pressure ulcer risk. - ANSWERSC D E During an evaluation, the nurse must gather information about the client to... A. Identify whether the client outcomes have been met. B. Organize resources to proceed with implementing interventions C. Establish client-centered outcomes that are measurable and realistic. D. determine the priority of care and appropriate interventions. - ANSWERSA a nurse is caring for a client who fell at a nursing home. the client is oriented to person, place, and time and can follow directions. which of the following actions should the nurse take to decrease the risk of another fall (select all that apply) A. place belt restraint on the client when he is sitting on the bedside commode B. keep bed in lowest position with all side rails up C. make sure clients call light is within reach D. proved nonskid footwear E. complete fall-risk assessment - ANSWERSC D E a nurse manager is reviewing with nurses on the unit the care of a client who has had a seizure. which of the following statements by a nurse requires further instruction? A. I will place the client on his side B. I will go to the nurses station for assistance C. I will administer his meds D. i will prepare to insert an airway - ANSWERSB a nurse observes smoke coming from under the door of the staffs lounge. which of the following actions is the nurses priority?