2019 ATI Nutrition Proctored Exam with Answers (62 Solved Questions)

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VATI RN COMPREHENSIVE PREDICTOR FOCUSED REVIEW |COMPLETE GUIDE 2023/2024 A+ComprehensivePracticeA**A client is postoperative followinga lumbar discectomy and is having difficulty voiding.Thenurse should recognize that which of the following medications place the client at risk forurinaryretention?KetorolacHydromorphone(Dilaudid)Bethanechol(Urecholine)Tobramycin(Nebcin)**A nurse is caring for an older adult client in a long-term care facility who is disoriented andcontinuestogetoutofbedwithoutassistance.Whichofthefollowingimages indicatesthenurseisusing an appropriateintervention to minimizetherisk ofinjurydueto afall?D**Apracticalnurse(PN)onmedical-surgicalunitisbeginninghershift andisworking witharegistered nurse (RN) and an assistive personnel (AP). The PN should expect to be assignedwhich of thefollowingtasks?Teachaclientwhohasanewdiagnosisofdiabetesmellitushowtoself-administerinsulin.Createaplan of carefor anewlyadmitted client.Obtainastoolspecimenfromaclientwhohasulcerativecolitis----AdministeranNGtubefeedingto aclientwhohadastroke**Anurseonanacute mentalhealthunit observesaclientwhobeginsto speak loudlyinthecommon room, saying that he can’t hear the TV. Which of the following is an appropriateresponsebythenurse?YouwillneedtogotoyourroomuntilyoucancalmdownokayTheTVisloudenough foreveryoneto hear it

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You are being inconsiderate. Please stop talking soloudlyLet’sgotoanotherroomtotalkaboutwhatisupsettingyou**A client tells a nurse thathe would like to observe kosher dietary laws. The nurseshouldrecognize whichof thefollowing?Avegetariandietis thepreferred dietDairyproductsareserved separatelyfrommeatFasting during daylight is required during a month-longholidayFishwith scales andfins should notbeeaten**A nursing unit receives new glucosemonitoring equipment from staff development with thepromise that in-service education will be given soon. Which of the following instructionsshouldthenursegivetotheassistivepersonnel(AP)whoispreformingglucose monitoringontheunit?ContactthestaffdevelopmentdepartmentforinstructionContinueusing the currentglucosemonitorsCheckforaccuracyandproper functioningofthenewmonitorReadtheinstructionmanualbeforeattemptingto usethenewmonitor**Whichofthe followingshouldthe nursedocumentasanindicationofthe IVinfiltrationin aclient’sforearm?RednessalongveinTissue sloughing at the siteForearm that is warm to the touchPallorsurroundingtheinfusionsite

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**A client requests informationabout advanced directives. Which of the following istheappropriate responsebythenurse?Advanced directives are written instructions regarding end of life careAdvanceddirectivesprovide educationonpalliative careissuesAdvanceddirectivesrequiretheprovider’sapprovalbeforechangescanbeimplementedAdvanced directives helpdeterminelegalcompetency**A nurse is caring for a client who is on telemetry.Which of the following ECG findingsshouldthe nursereporttothechargenurse?OnePwave priortoeachQRScomplexPR interval 0.24 secondsQRSduration0.06secondsVentricularrate75/min**A nurse is checking the reflexesof a newborn. Which of the following techniques shouldthenurseuseto elicittheBabinskireflex?Startle theinfantbyclapping handsStroke the sole of the infant’s foot upward and toward the great toeHoldtheinfantuprightandallowonefoottotouchthetable’ssurfacePlacean object in thepalmoftheinfant’shand**A charge nurse in a long-term care facility noticesan assistive personnel’s (AP) repeatedfailuretoprovideoralcare forclients.Whichofthefollowingactionsshouldthenursetake?Provideoralcare forclientsaftertheAPhascompletedothercareDevelop an educational session about the importance of oral care for allApsDiscuss the unacceptablebehavior with the AP while reinforcing expectations

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SuspendtheAPfor3 dayspendingdisciplinaryaction**A nurse is caring for a client who has terminalcancer. Which of the following statementsby theclient’sfamilyshouldindicatethe nursethat theyare copingwith their situation?Dad I remember the time we all went to the lake fishingDadItrulybelievethatit’snotyourtimeto leave usIfeellikeIdon’tknowwhattodoanymoreIthink weneedto concentrate onwhosehouseweplantomeetat forourholidayget-together**A nurse is performing a dressing change for a client who had abdominal surgery 5 daysago.Thenursenotesorgansprotrudingfromtheincision.Which ofthefollowingactionsshouldthenursetake?Apply an abdominal binderHavetheclient lieflatin bed.Cover the exposed area with sterile, saline-soaked dressingPlacegentlepressureontheexposedorganwithsterilegauze**A nurse in a skilled nursing facilityis caring for a client who is receiving warfarin(Coumadin)therapyfollowing atotalhip replacement.Anassistivepersonnel reportsapositiveguaiac.Which of the following laboratory values should the nurse report to theprovider?Hematocrit40%International normalized ratio of 4.5Hemoglobin15 g/dL--Prothrombintime18seconds** A nurse is reinforcing teachingwith a client who has hypertension and isbeginningmedication therapy with captopril (Capoten). Which of the followingover-the-countermedicationsshould thenurse instructtheclient to avoid?

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Acetaminophen(Tylenol)DiphenhydramineIbuprofen (Advil)Guaifenesin(Robitussin)**A nurse is reinforcing teaching for a clientwho is in her first trimester of pregnancy. Whichofthe following physiological changes should the nurse instruct the client to expect during thefirsttrimester?LeukorrheaShortness of breathPedal edemaPerinealpressure** A nurse is collecting data from aclient who has a peptic ulcer disease. Which of thefollowingshouldthenurseidentifyas thepriorityfinding?Gnawing epigastricpainHeartburnRegurgitationHematemesis**A nurse is collecting data froma client who has posttraumatic stress disorder (PTSD).Whichofthefollowingbehavioral indications should thenurseexpect?DependenceEuphoriaMemory LossHypervigilance**Anurseiscollectingdatafroma clientwhohasschizophrenia.Which ofthefollowingstatementsbytheclient shouldthenurseidentifyas a delusion?

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Mydoctor’sglasseshavelasersthatwillburnholesin mybrain ifIlookat himThe movie had an explosion. I once drove a green truck. Where is the ketchupThevoice keepstellingme togokickthe table over.Whywon’tit stopIcan’tsitherebecausethepurplemonkeyontheceilingwilljump onme**A nurse is caring for a clientwho sustained a broken leg while assisting other from astructuralfire. The client states I am glad those people were saved but I sure wish I was nothurt. Which ofthe followingis an appropriateresponsebythe nurse?Youarearealhero.IamsurethatmakesyourinjuriesworthwhileIt is difficult to experience personal injuries for whateverreasonThingswillgetbetter beforelongLet’stalkaboutthislaterwhenwehavemoretime**A nurse is reinforcingteaching for a client who has a new prescription for lithiumcarbonate(Lithobid).Which ofthefollowinginstructions should the nurseinclude?EliminateallfoodscontainingtyramineDrink2 to 3 liter of fluid each dayTakelithiumcarbonateonanemptystomachReduceyourdailysodiumintaketo 1,000 mg**A nurse in a provider’s office is reinforcingteaching with a client who is receiving peritonealdialysis via a newly inserted catheter. For which of the following should the nurse instruct theclient to contacttheprovider?Bloody peritoneal fluidClear peritoneal fluid

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CloudyperitonealfluidStraw-coloredperitonealfluid**A child is brought to the clinic by his parents with injuries inconsistent with the reportedcause.Anurse suspectsphysicalabuse.Which of thefollowingactions should thenursetake?Interview the child with the parents in theroomAsktheprovidertotalktothe childandparentsMake a note in the chart to check the child during the nextvisitReport thesuspectedabuseto the appropriateagency**Anurseisreviewingdischargeinstructionswithaclientwhohasundergonealumbarlaminectomy.Whichofthefollowing should thenurseinclude?UseasoftmattressforsleepingPractice bending from the waist several timesdailySit in astraightbacked chairWearshoeswithaslightlyraisedheeltopromotebodyalignment**A nurse is reinforcingteaching with a client about cancer prevention, the nurse shouldinstructthatfrequentconsumptionofwhichofthefollowingfoodsincreases theriskofcancer?TunaLambChickenTurkey

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** A nurse is reinforcing teachingto a client who is scheduled for a lumbar puncture. Whichofthe followingshouldthenurseincludeintheteaching?Nausea is common adverse effect after this procedureYoushouldincreaseyourfluidintakeafterthisprocedureYouwillbeinstructedtoremaininanuprightpositionforthefirst4hoursaftertheprocedureThe provider willapplyapressurebandagetothepuncturesite**A newborn is scheduled to have a heel stickfor blood glucose testing every 4hr. Thenewborn’sbloodglucoseonadmissionwaslessthan40mg/dL.Whichoftothefollowingadditionalclinicalmanifestations shouldthe nurseobserve for inthisnewborn?JitterinessBradycardiaInconsolabilityInsomnia**A nurse is contributing to the plan of care for a client who has a prescription for range ofmotionexerciseoftheshoulder.Topromoteshoulderhyperextension,whichofthefollowingexercisesshould thenurserecommend?Move his arm behind his body with his elbow straightMovehis armin afullcircleRaisehisarmouttothe sideandreach it abovehishead withhispalmfacing awayfromhisheadRaise his armfromhis sidestraight forward and then up abovehishead.**A nurse is receiving change-of-shitreport for four clients. Which of the following clientsshouldthenurseattendto first?Aclientwhorequeststobe movedtoa roomcloser tothenurse’s stationA client who is postoperativeand had received morphine twice during the last 8hrs

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Aclientwhoseurinaryoutputwas100 mLfor thepast12hrAclientwhoinsistsonspeakingwith theproviderpriorto discharge**A nurse is reinforcing teachingregarding home safety to a client who has diabetes mellitusandis being discharged after an admission for hepatitis B. Which of the following clientstatementsindicatesan understandingof theteaching?Iwill recap myusedsyringesandthrowthemawayinaplasticbagIwill takeTylenolfor achesand painsIwillusemy owneatingutensilsanddishesathomeHouseguestwillneedto wearmaskswhentheycometovisitme**A nurse in a long-term carefacility is transcribing new prescriptions for four clients. Whichofthe followingprescription is accuratelytranscribed bythenurse?Alprazolam(Xanax)0.5mgPOQHSforsleepRegular insulin (Humulin R) 10 U SCat 0800Docusatesodium(Colace)250mgPOQODPotassiumchloride(Micro-K)20mEqPOeverymorning**A nurse is caring for a client who has altered mental status and has become increasingbelligerent.Whichofthefollowingmedicationsprescriptions,ifwrittenforthisclient,shouldthe nursequestion?Haloperidol (Haldol)Lorazepam (Ativan)Zolpidem (Ambien)Alprazolam(Xanax)

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**Anurseiscaringforaclient whoisexperiencingacutekidneyfailure.Thenurseshouldmonitortheclientfor whichofthefollowing acid-baseimbalances?Metabolic alkalosisMetabolicacidosisRespiratory alkalosisRespiratoryacidosis**A nurse in an urgent care clinicis collecting data from four clients. Which of thefollowingclientsshould thenurserecommend fortreatmentfirst?Aclientwhohasafeverandabdominalpainintheupperaspectof therightlowerquadrantAclient whohas shortnessofbreath after takingadose ofamoxicillin(Amoxil)Aclientwhohashemoptysisandhastakenmedication for tuberculosis (TB)for 2 monthsAclientwhohasapurple stomafollowinganopen colonresectionwithacolostomy2 weeksago.**A nurse on a medical unit ispreforming an audit on his client assisgnment. For which ofthefollowing shouldtheclienthaveaseparatesignedinformedconsentform.Chest radiographyEchocardiogramIndwelling urinary catheterLumbarpuncture** A nurse in an acute care hospital is planning to discharge an adult client who isimmunocompromised.Whichofthefollowingimmunizationsshouldthenurseplantoadminister beforedischarge.Measles, mumps, and rubella (MMR)immunizationPneumococcalpolysaccharide(PPSV)immunizationVaricella immunizationHerpeszosterimmunization

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** A nurse is reinforcing teaching to a client regarding care of her newborn. The nursedeterminesthattheteachingiseffectivewhentheclientpointstowhichpartofthenewborn’shead and statesitwilltake 12 to18 months forthesoftstopto close.(topofthehead nearface)**Aparentofa3yrold child tells thenursethat hecannotget hischild tositatthetable toeat afull meal.Whichofthefollowingresponsesbythenurseisappropriate?Provide thechildwithfoodsofthe sametextureratherthan avarietyofunfamiliarfoodsEngage the child in conversation during meals to encourage him to eat like the rest of thefamilyEncourageactive playprior to mealsto increasethe child’s appetiteOfferthechildheathfulsnacksfrequently,ratherthanexpectinghimtofullyeatatmealtimes**A nurse in a providers officeis caring for four clients. Which of the following should thenurseseefirst.Aclientwhoisat38weeksgestationandreportsurgencyandfrequencyofurinationAclientwhois at37 weeksgestation and reportsedemaoftheanklesAclientwhoisat 36weeksgestation and reportspainless vaginalbleedingAclientwhoisat 34weeksgestationand reportsabundant amounts ofodorless vaginal mucus**A nurse and an assistive personnel (AP) are caringfor four clients in a long-term-care facility.Forwhichof the following situations isitnecessaryto complete an incidentreport?A client throws anobject across the dinningroomAclient refuses hismorning medicationsA client who is prescribed fullliquid diet receives a clear liquiddietAclientwhoisconfused walksintoanotherclient’sroom

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** A nurse working in the clinic receives a phone call from a mother whose child hasjustingestedthecontentsofabottleofacetaminophen(Tylenol).Whichofthefollowingisanappropriate responsebythenures?AdminstersyrupofipecactothechildtoinducevomitingTakethechildto theemergencydepartmentGive the child a glass of milk to drinkMonitorthechild’slevelofconsciousness**A client is scheduled for coloncancer surgery in the morning. The night nurse learns thattheclient has decided not to have the surgery, even through he has already signed theinformedconsent form.Which of thefollowing actions shouldthenursetake?Informtheclientthat asignedconsent formislegallyin effectfor24hrReport the situation to the surgeon who obtained the informed consentReinforceclient teaching about thepurposeof the procedureNotifytheclient’sfamilyabouttherefusaloftreatment**A nurse is caring for a newbornwho is 1hr old. The mother received fentanyle (Sublimaze)30minbeforedelivery.Forwhichofthefollowingshouldthe nursemonitorforinthenewborn?HyperbillrubinemiaHypoglycemiaRespiratory depressionIncreasedheart rate**A nurse is reinforcing discharge teaching with the parent of a school-age child who had atonsillectomy.Whichofthefollowingstatementsbytheparentindicatesanunderstandinoftheinstructions?I will encourage my child to drink 4 ounces of orange juice twice a dayIwillallowmychild to chewgumtopreventthroat pain

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