LOUISIANA COLLEGE NURS 402 ATI TEST B EXAM
QUESTIONS AND ANSWERS
100%CORRECT/VERIFIED RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
A home health nurse is providing teaching to a client who has a
stage 1 pressure injury on the greater trochanter of his left hip.
Which of the following instructions should the nurse include in
the teaching?
a. Clean the wound daily with an antiseptic.
b. Use a donut-shaped pillow
when sitting in a chair.
c. Change position every hour.
d. Massage the area two times daily.
Changing position every 1 to 2 hr decreases pressure on
bony prominences. The nurse should also instruct the client
to limit the angle of the hips when in a lateral position to no
more than 30°. This positioning prevents direct pressure on
the trochanter.
A nurse is assessing a client following the completion of
hemodialysis. Which of the following findings is the nurse’s
priority to report to the provider?
a. Temperature 37.2° C (99° F)
b. Blood pressure 100/70 mm Hg
c. Weight
LOUISIANA COLLEGE NURS 402 ATI TEST B EXAM
QUESTIONS AND ANSWERS
100%CORRECT/VERIFIED RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
,LOUISIANA COLLEGE NURS 402 ATI TEST B EXAM
QUESTIONS AND ANSWERS
100%CORRECT/VERIFIED RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
loss d.
Restlessne
ss
Using the urgent vs. nonurgent approach to client care, the
nurse should determine that the priority finding to report to
the provider is restlessness, which can be an indication the
client is experiencing disequilibrium syndrome.
Disequilibrium syndrome is caused by the rapid removal of
electrolytes from the client's blood and can lead to
dysrhythmias or seizures. Other manifestations include
nausea, vomiting, fatigue, and headache.
A nurse is caring for a client who is 8 hr postoperative following
a total hip arthroplasty. The client is unable to void on the
bedpan. Which of the following actions should the nurse take
first?
a. Document the client's intake and output.
b. Scan the bladder with a portable ultrasound.
c. Pour warm water over the client's perineum.
d. Perform a straight catheterization.
The first action the nurse should take using the nursing
LOUISIANA COLLEGE NURS 402 ATI TEST B EXAM
QUESTIONS AND ANSWERS
100%CORRECT/VERIFIED RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
,LOUISIANA COLLEGE NURS 402 ATI TEST B EXAM
QUESTIONS AND ANSWERS
100%CORRECT/VERIFIED RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
process is to assess the client. Scanning the bladder with a
portable ultrasound device will determine the amount of
urine in the bladder.
A nurse is planning a health promotional presentation for a
group of African American clients at a community center. Which
of the following disorders presents the greatest risk to this group
of clients?
a. Multiple sclerosis
b. Skin cancer
c. Urolithia
sis d.
Hypertensi
on
When using the safety/risk reduction approach to client care,
the nurse should determine that the disorder with the
greatest risk for this group of clients is hypertension. The
prevalence of hypertension is highest among African
American clients, followed by Caucasian clients, and then
Hispanic clients.
A nurse is caring for a client who has DKA. Which of the following
LOUISIANA COLLEGE NURS 402 ATI TEST B EXAM
QUESTIONS AND ANSWERS
100%CORRECT/VERIFIED RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
, LOUISIANA COLLEGE NURS 402 ATI TEST B EXAM
QUESTIONS AND ANSWERS
100%CORRECT/VERIFIED RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
findings should indicate to the nurse that the client’s condition is
improving?
a. Potassium 3.5 mEq/L
b. pH 7.28
c. Glucose 272 mg/dL
d. HCO3- 14 mEq/L
A glucose reading less than 300 mg/dL indicates improvement
in the client's status.
A nurse is caring for a client following extubation of an
endotracheal tube 10 minutes ago. Which of the following
findings should the nurse report to the provider immediately?
a. Stridor
b. Oral secretions
c. Hoarseness
d. Sore throat
Using the urgent vs. nonurgent approach to client care, the
nurse should determine that the priority finding is stridor.
Stridor can indicate a narrowing airway or possible
obstruction caused by edema or laryngeal spasms. The nurse
LOUISIANA COLLEGE NURS 402 ATI TEST B EXAM
QUESTIONS AND ANSWERS
100%CORRECT/VERIFIED RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
QUESTIONS AND ANSWERS
100%CORRECT/VERIFIED RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
A home health nurse is providing teaching to a client who has a
stage 1 pressure injury on the greater trochanter of his left hip.
Which of the following instructions should the nurse include in
the teaching?
a. Clean the wound daily with an antiseptic.
b. Use a donut-shaped pillow
when sitting in a chair.
c. Change position every hour.
d. Massage the area two times daily.
Changing position every 1 to 2 hr decreases pressure on
bony prominences. The nurse should also instruct the client
to limit the angle of the hips when in a lateral position to no
more than 30°. This positioning prevents direct pressure on
the trochanter.
A nurse is assessing a client following the completion of
hemodialysis. Which of the following findings is the nurse’s
priority to report to the provider?
a. Temperature 37.2° C (99° F)
b. Blood pressure 100/70 mm Hg
c. Weight
LOUISIANA COLLEGE NURS 402 ATI TEST B EXAM
QUESTIONS AND ANSWERS
100%CORRECT/VERIFIED RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
,LOUISIANA COLLEGE NURS 402 ATI TEST B EXAM
QUESTIONS AND ANSWERS
100%CORRECT/VERIFIED RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
loss d.
Restlessne
ss
Using the urgent vs. nonurgent approach to client care, the
nurse should determine that the priority finding to report to
the provider is restlessness, which can be an indication the
client is experiencing disequilibrium syndrome.
Disequilibrium syndrome is caused by the rapid removal of
electrolytes from the client's blood and can lead to
dysrhythmias or seizures. Other manifestations include
nausea, vomiting, fatigue, and headache.
A nurse is caring for a client who is 8 hr postoperative following
a total hip arthroplasty. The client is unable to void on the
bedpan. Which of the following actions should the nurse take
first?
a. Document the client's intake and output.
b. Scan the bladder with a portable ultrasound.
c. Pour warm water over the client's perineum.
d. Perform a straight catheterization.
The first action the nurse should take using the nursing
LOUISIANA COLLEGE NURS 402 ATI TEST B EXAM
QUESTIONS AND ANSWERS
100%CORRECT/VERIFIED RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
,LOUISIANA COLLEGE NURS 402 ATI TEST B EXAM
QUESTIONS AND ANSWERS
100%CORRECT/VERIFIED RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
process is to assess the client. Scanning the bladder with a
portable ultrasound device will determine the amount of
urine in the bladder.
A nurse is planning a health promotional presentation for a
group of African American clients at a community center. Which
of the following disorders presents the greatest risk to this group
of clients?
a. Multiple sclerosis
b. Skin cancer
c. Urolithia
sis d.
Hypertensi
on
When using the safety/risk reduction approach to client care,
the nurse should determine that the disorder with the
greatest risk for this group of clients is hypertension. The
prevalence of hypertension is highest among African
American clients, followed by Caucasian clients, and then
Hispanic clients.
A nurse is caring for a client who has DKA. Which of the following
LOUISIANA COLLEGE NURS 402 ATI TEST B EXAM
QUESTIONS AND ANSWERS
100%CORRECT/VERIFIED RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
, LOUISIANA COLLEGE NURS 402 ATI TEST B EXAM
QUESTIONS AND ANSWERS
100%CORRECT/VERIFIED RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
findings should indicate to the nurse that the client’s condition is
improving?
a. Potassium 3.5 mEq/L
b. pH 7.28
c. Glucose 272 mg/dL
d. HCO3- 14 mEq/L
A glucose reading less than 300 mg/dL indicates improvement
in the client's status.
A nurse is caring for a client following extubation of an
endotracheal tube 10 minutes ago. Which of the following
findings should the nurse report to the provider immediately?
a. Stridor
b. Oral secretions
c. Hoarseness
d. Sore throat
Using the urgent vs. nonurgent approach to client care, the
nurse should determine that the priority finding is stridor.
Stridor can indicate a narrowing airway or possible
obstruction caused by edema or laryngeal spasms. The nurse
LOUISIANA COLLEGE NURS 402 ATI TEST B EXAM
QUESTIONS AND ANSWERS
100%CORRECT/VERIFIED RATED A+ GUARANTEED
SUCCESS NEW UPDATE 2022
