NU 301 ATI Practice Assessment A
1) A nurse is teaching a client and his family how to care for the client's tracheostomy at home. Which of
the following instructions should the nurse include in the teaching?
Use tracheostomy covers when outdoors
2) A home health nurse is performing a follow-up visit for a client who has a gastrostomy tube through
which they receive intermittent feedings and medications. The client has recently developed diarrhea.
Which of the following findings should the nurse identify as a possible cause of the diarrhea?
The client's caregiver washes out the feeding back with warm water once every 24 hours
3) 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 make?
“Let's talk about how the change in your job status will affect you.”
4) A nurse is assessing a client who reports increased pain following pt. Which of the following questions
should the nurse ask when assessing the quality of the client's pain?
m
“Is your pain sharp & dull?”
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co
5) A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of
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the following actions should the nurse take?
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Reassure the client that this is an expected response to grief.
rs e
ou urc
6) 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 client's wrist before applying the restraints
o
7) A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen.
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Which of the following observations should the nurse identify as proper safety protocol?
vi y re
The client uses no acetone nail polish remover.
8) A nurse caring for a client who has a respiratory infection. What technique should she use when
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preforming nasotracheal suctioning?
ar stu
Apply intermittent suction when withdrawing the catheter.
9) A nurse is preparing to administer enoxaparin subcutaneously. Which of the following actions should the
nurse take?
is
Administer the medication with the needle at a 45-degree angle.
Th
10) A nurse is preparing an education program for staff about advocacy. What information should the nurse
include?
Advocacy ensures clients' safety, health, and rights.
sh
11) A nurse is administering otic ear medication on an adult client. Which action should be done to ensure
the medication reached the inner ear?
Press gently on the tragus of the client's ear.
12) A nurse caring for a client who has dementia. What interventions should be taken to minimize risk for
injury?
Use bed exit alarm system
This study source was downloaded by 100000809732375 from CourseHero.com on 05-17-2021 18:30:22 GMT -05:00
https://www.coursehero.com/file/69789928/NU-301-ATI-Practice-Assessment-Adocx/
, 13) A nurse is initiating a protective environment for a client who has had an allogenic stem cell transplant.
Which precaution should the nurse plan for this client?
Make sure the client wears a mask when outside her room if there is construction in the area.
14) A nurse is providing discharge instructions for client who will be using a walker. Which statement
indicates an understanding of the teaching?
“I will hire someone to trim the tree that hands low over the stairs of my front porch.”
15) A nurse is planning strategies to manage time effectively for client care. What should the nurse
implement?
Use the planning step of the nursing process to prioritize client care delivery.
16) A nurse is planning to insert a peripheral IV catheter in an older adult client. Which of the following
actions should the nurse plan to take?
Position the client's arm in the dependent position
17) A nurse is planning care for a client who has had a stroke, resulting in aphasia and dysphagia. Which of
the following tasks should the nurse assign to an assistive personal (AP)? (SATA)
m
-Assist the client with a partial bed bath.
er as
-Measure the client's BP after the nurse administers antihypertensive meds.
co
-Use a communication board to ask what the client wants for lunch.
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18) A nurse performing a skin assessment for a client who expresses concern about skin cancer. What
o.
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findings should the nurse identify as a potential indication of a skin malignancy?
ou urc
A mole with an asymmetrical appearance
19) A nurse caring for a client who has a sodium level of 125 mEq/L. What findings should the nurse
expect?
o
Abdominal Cramping
aC s
vi y re
20) A nurse is preparing for change of shift report. Which of the following documents or tools should the
nurse use to communicate continuity of care?
Situation, Background, Assessment, and Recommendations (SBAR)
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21) A nurse is admitting a client who is having an exacerbation of heart failure. In planning this client's care,
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when should the nurse initiate discharge planning?
During the admission process
is
22) A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The
client asks, "What would happen if I arrived at the ED and I had a difficulty breathing?" Which of the
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following responses should the nurse make?
“We would give you oxygen through a tube in your nose.”
sh
23) A nurse is caring for a client who requires an NG tube for stomach decompression. Which of the
following actions should the nurse take when inserting the NG tube?
Have the client take sips of water to promote insertion of the NG tube into the esophagus
24) A nurse is auscultating the anterior chest of a client who is newly admitted to a medical-surgical unit.
Listen to the audio clip of what the nurse auscultates through the stethoscope and identify the type of
breath sounds.
Normal breath sounds
This study source was downloaded by 100000809732375 from CourseHero.com on 05-17-2021 18:30:22 GMT -05:00
https://www.coursehero.com/file/69789928/NU-301-ATI-Practice-Assessment-Adocx/
1) A nurse is teaching a client and his family how to care for the client's tracheostomy at home. Which of
the following instructions should the nurse include in the teaching?
Use tracheostomy covers when outdoors
2) A home health nurse is performing a follow-up visit for a client who has a gastrostomy tube through
which they receive intermittent feedings and medications. The client has recently developed diarrhea.
Which of the following findings should the nurse identify as a possible cause of the diarrhea?
The client's caregiver washes out the feeding back with warm water once every 24 hours
3) 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 make?
“Let's talk about how the change in your job status will affect you.”
4) A nurse is assessing a client who reports increased pain following pt. Which of the following questions
should the nurse ask when assessing the quality of the client's pain?
m
“Is your pain sharp & dull?”
er as
co
5) A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of
eH w
the following actions should the nurse take?
o.
Reassure the client that this is an expected response to grief.
rs e
ou urc
6) 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 client's wrist before applying the restraints
o
7) A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen.
aC s
Which of the following observations should the nurse identify as proper safety protocol?
vi y re
The client uses no acetone nail polish remover.
8) A nurse caring for a client who has a respiratory infection. What technique should she use when
ed d
preforming nasotracheal suctioning?
ar stu
Apply intermittent suction when withdrawing the catheter.
9) A nurse is preparing to administer enoxaparin subcutaneously. Which of the following actions should the
nurse take?
is
Administer the medication with the needle at a 45-degree angle.
Th
10) A nurse is preparing an education program for staff about advocacy. What information should the nurse
include?
Advocacy ensures clients' safety, health, and rights.
sh
11) A nurse is administering otic ear medication on an adult client. Which action should be done to ensure
the medication reached the inner ear?
Press gently on the tragus of the client's ear.
12) A nurse caring for a client who has dementia. What interventions should be taken to minimize risk for
injury?
Use bed exit alarm system
This study source was downloaded by 100000809732375 from CourseHero.com on 05-17-2021 18:30:22 GMT -05:00
https://www.coursehero.com/file/69789928/NU-301-ATI-Practice-Assessment-Adocx/
, 13) A nurse is initiating a protective environment for a client who has had an allogenic stem cell transplant.
Which precaution should the nurse plan for this client?
Make sure the client wears a mask when outside her room if there is construction in the area.
14) A nurse is providing discharge instructions for client who will be using a walker. Which statement
indicates an understanding of the teaching?
“I will hire someone to trim the tree that hands low over the stairs of my front porch.”
15) A nurse is planning strategies to manage time effectively for client care. What should the nurse
implement?
Use the planning step of the nursing process to prioritize client care delivery.
16) A nurse is planning to insert a peripheral IV catheter in an older adult client. Which of the following
actions should the nurse plan to take?
Position the client's arm in the dependent position
17) A nurse is planning care for a client who has had a stroke, resulting in aphasia and dysphagia. Which of
the following tasks should the nurse assign to an assistive personal (AP)? (SATA)
m
-Assist the client with a partial bed bath.
er as
-Measure the client's BP after the nurse administers antihypertensive meds.
co
-Use a communication board to ask what the client wants for lunch.
eH w
18) A nurse performing a skin assessment for a client who expresses concern about skin cancer. What
o.
rs e
findings should the nurse identify as a potential indication of a skin malignancy?
ou urc
A mole with an asymmetrical appearance
19) A nurse caring for a client who has a sodium level of 125 mEq/L. What findings should the nurse
expect?
o
Abdominal Cramping
aC s
vi y re
20) A nurse is preparing for change of shift report. Which of the following documents or tools should the
nurse use to communicate continuity of care?
Situation, Background, Assessment, and Recommendations (SBAR)
ed d
21) A nurse is admitting a client who is having an exacerbation of heart failure. In planning this client's care,
ar stu
when should the nurse initiate discharge planning?
During the admission process
is
22) A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The
client asks, "What would happen if I arrived at the ED and I had a difficulty breathing?" Which of the
Th
following responses should the nurse make?
“We would give you oxygen through a tube in your nose.”
sh
23) A nurse is caring for a client who requires an NG tube for stomach decompression. Which of the
following actions should the nurse take when inserting the NG tube?
Have the client take sips of water to promote insertion of the NG tube into the esophagus
24) A nurse is auscultating the anterior chest of a client who is newly admitted to a medical-surgical unit.
Listen to the audio clip of what the nurse auscultates through the stethoscope and identify the type of
breath sounds.
Normal breath sounds
This study source was downloaded by 100000809732375 from CourseHero.com on 05-17-2021 18:30:22 GMT -05:00
https://www.coursehero.com/file/69789928/NU-301-ATI-Practice-Assessment-Adocx/
