Ati Finals As Derived From Ati Text For Nursing Fundamentals, Part Ii

100 Questions  I  By Arnoldjr2 on June 23, 2013
Questions derived from Fundamentals for Nursing Edition 7.0, application exercises.Chapter 35 through Chapter 57, pages 348 through 636. For any questions or suggestions, email at [email protected]

  

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1.  A nurse should know that pain is.........
A.
B.
C.
D.
2.  A nurse is assigned to a patient with a high risk for aspiration. Which of the following is an appropriate intervention?
A.
B.
C.
D.
3.  Which of the following directions should the nurse give to a client who is learning self-monitoring of blood glucose (SMBG)? Select all that apply:
A.
B.
C.
D.
E.
4.  When performing a 24-hour urine specimen test, which of the following interventions is correct? 
A.
B.
C.
D.
5.  A client experiences dyspnea and reports feeling tired after completing her morning care. Which of the following should the nurse include in the client's plan of care for the next day?  
A.
B.
C.
D.
6.  Match the sentence with blanks on the left with an appropriate word on the right.
A. A form of nonverbal communication that helps clarify verbal communication to clients is called ________
A.
B. _______means the client cannot speak or comprehend spoken language
B.
C. A client whose sensory input is reduced may experience sensory ___________
C.
7.  Which of the following complementary or alternative therapies can be part of a nursing intervention? Select all that apply
A.
B.
C.
D.
8.  While assessing a patent with a continuous enteral feeding, nurse noticed aspiration if the tube feeding. What should she do next?  
A.
B.
C.
D.
9.  The belief that one's culture is superior to others is called 
A.
B.
C.
D.
10.  Which of the following are early signs of hypoxemia? Select all that apply:
A.
B.
C.
D.
E.
11.  Which of the following oxygen delivery systems should be used when a precise amount of oxygen needs to be delivered?
A.
B.
C.
D.
12.  A patient had surgery 3 hours ago. He is reporting an incisional pain of 7 out of 10. His pulse, respirations, and blood pressure are all elevated. His pupils are dilated.  Which of the following statements explain these findings in relation to pain? Select all that apply: 
A.
B.
C.
D.
13.  Identify the correct client position for each of the following routes of administration.
A. Oral
A.
B. Otic
B.
C. Vaginal
C.
D. Rectal
D.
14.  When an infant has a heart attack, which of the following pulses should be palpated to determine how the heart is working?
A.
B.
C.
D.
15.  If not supervised, school-age children tend to have dietary deficiencies in which of the following?
A.
B.
C.
D.
16.  Identify the order in which the following steps of elastic stocking application should be completed.  
A. perform hand hygiene
A.
B. smooth any creases or wrinkles
B.
C. pull the remainder of the stocking over the client's heels and up on his leg
C.
D. turn the stockings inside to the heel
D.
E. assess the condition of the client's skin and the circulation of his legs
E.
F. put the stockings on the client's foot
F.
G. measure the client's calf and/or thigh circumference and length of the leg, and select the correct size stocking
G.
17.   A nurse is setting up an injection of morphine (Duramorph) to a patient who complains of pain. Before this however, another client in another room called and requested for a bedpan.  This nurse then asked for a second nurse to give the injection so that she can help the client needing a bedpan. Which of the following actions should the second nurse take?  
A.
B.
C.
D.
18.  When assessing an IV site for infiltration, the following are indications that infiltration might have occurred. Select all that apply:
A.
B.
C.
D.
E.
19.  A client with an indwelling catheter expresses the need to void. Which of the following is appropriate?
A.
B.
C.
D.
20.  A nurse in the ER is assigned to a patient who has chest pain and is diaphoretic. The patient becomes unresponsive and the ECG device reveals ventricular fibrillation. Which of the following should the nurse do first? 
A.
B.
C.
D.
21.  Match the following concepts on culture on the left  with a definition/description on the right
A. culturally competent
A.
B. culturally congruent
B.
C. culturally sensitive
C.
D. culturally appropriate
D.
22.  Nitroglycerin (Nitrogard) tablets, often prescribed for patients with cardiovascular disorders, are given sublingually. What does this mean?
A.
B.
C.
D.
23.  Match each of the following oxygen delivery systems with the appropriate description
A. nasal cannula
A.
B. simple face mask
B.
C. nonbreather mask
C.
D. venturi mask
D.
E. face tent
E.
24.  Which of the following complementary or alternative therapies are beyond the scope of a nursing practice ? Select all that apply:
A.
B.
C.
D.
25.  In order to promote adherence with medication administration, which of the following instructions should be included? Select all that apply: 
A.
B.
C.
D.
E.
26.  Which of the following is the body's preferred energy source? 
A.
B.
C.
D.
27.  Before initiating an enteral feeding, what is the highest priority assessment that the nurse must do?
A.
B.
C.
D.
28.  In which stage of grief is a client who is terminally ill displaying when she states that she is going to a clinic for acupuncture? 
A.
B.
C.
D.
29.  After an enteral feeding is given, what is the purpose of flushing a tube?
A.
B.
C.
D.
30.  Which of the following are appropriate teaching measures related to care of the feet for a client who has diabetes mellitus? 
A.
B.
C.
D.
E.
31.  The following are steps needed before obtaining a sputum specimen. Arrange them in order by matching them with an appropriate number.
A. Place the client in fowler's position
A.
B. Check for a provider's order
B.
C. Have the client rinse his mouth
C.
D. Obtain necessary equipment
D.
E. Perform hand hygiene, provide privacy, and explain procedure to patient
E.
32.  A 70-year old female has had a bowel obstruction surgery six days ago. During the past day, she has complained of nausea, and she threw up small amounts of clear liquid in the last 7 hours. Her vital signs are stable. Currently, her incision is well approximated without redness, tenderness or swelling. Which of the following could indicate the possibility of a wound infection?  
A.
B.
C.
D.
33.  A nurse is caring for a client who is dyspneic. What position should the client be in?
A.
B.
C.
D.
34.  Which of the following positions promotes a patient's normal elimination?
A.
B.
C.
D.
35.  A patient with chronic high blood pressure has been prescribed with an antihypertensive drug. Which of the following should the nurse teach to this patient with regards to over the counter (OTC) medications? 
A.
B.
C.
D.
36.  The nursing process is a principle applied in medication administration. Match the process on the left with an action on the right.
A. Assessment/Data collection
A.
B. Planning
B.
C. Evaluation
C.
D. Implementation
D.
37.  The enteral access tube best suited for short-term use (less than 4 weeks)
A.
B.
C.
D.
38.  A patient has been sitting on a chair for 3 hours. Which of the following could this patient be at risk for?
A.
B.
C.
D.
39.  Place the following steps for obtaining a sputum specimen in the correct order by matching them with an appropriate number
A. Assess client's ability to cough and expectorate
A.
B. Instruct the client to breathe deeply two to four times and then cough deeply to raise the sputum from the lung
B.
C. Maintaining sterility, place the lid on the specimen cup, label it, and place it in the biohazard bag
C.
D. Deliver the specimen to the laboratory within 30 minutes
D.
E. Have the client expectorate the sputum into a sterile cup without contamination.
E.
40.  Which of the following is a sign of impending death?
A.
B.
C.
D.
41.  After an interview, a 90 year old patient told the nurse that he had diarrhea and vomiting for the past 2 days. Which of the following will indicate that the client might be suffering from hypovolemia? Select all that apply:
A.
B.
C.
D.
E.
42.  Frequent pain assessment includes quantifying the intensity of pain. What is the best way to assess this? 
A.
B.
C.
D.
43.  An older adult has been taking a bath in the morning following a facility's routine. At home, however, she always takes a warm bath just before bedtime. Now she is having difficulty sleeping at night. Which of the following interventions should the nurse take first?   
A.
B.
C.
D.
44.  What is the main function of a sequential compression device (SCD)?
A.
B.
C.
D.
45.  A patient has been suffering diarrhea for the past 4 days. When assessing the patient, which of the following are expected findings?
A.
B.
C.
D.
E.
F.
46.  A client is observed crying as he reads from his devotional book. What intervention is appropriate? 
A.
B.
C.
D.
47.  Which of the following can be recommended to a patient suffering from constipation?
A.
B.
C.
D.
48.  After a PO medication has been absorbed, most of the medication is inactivated as the blood initially passes through the liver, producing an insignificant therapeutic effect. What do you call this? 
A.
B.
C.
D.
49.  Which of the following formula contains a complete nutrition?
A.
B.
C.
D.
50.  An 81-year old patient has been transferred from a long term care facility to an acute care setting. An indwelling urinary catheter was inserted just before her transfer. Which of the following may help prevent the development of nosocomial infection?
A.
B.
C.
D.
51.  When medications act on receptors, what do they do? Select all that apply
A.
B.
C.
D.
E.
52.  Which of the following can cause a low pulse oximetry reading? Select all that apply:
A.
B.
C.
D.
53.  Which of the following clients could benefit from the benefits of a cold compress? Select all that apply:
A.
B.
C.
D.
E.
54.  A patient claims that his pain medication is not working as it used to. The nurse should realize that the client is experiencing what?
A.
B.
C.
D.
55.   Which of the following interventions reduce the risk of thrombus development? Select all that apply:
A.
B.
C.
D.
E.
56.  Which of the following interventions is expected when performing catherization on a female patient? Select all that apply: 
A.
B.
C.
D.
E.
57.  A nurse has been assigned 4 patients. Which of them is at risk for HYERVOLEMIA?
A.
B.
C.
D.
58.  A patient has been admitted for peritonitis and has signs of dehydration. Which of the following laboratory findings would be expected for this patient. Select all that apply:
A.
B.
C.
D.
E.
59.  Match the following terms with the descriptions. 
A. Hope
A.
B. Spiritual distress
B.
C. Spirituality
C.
D. Religion
D.
60.  An 85-year old diabetic patient must now use a wheelchair after a stroke 2 years ago that affected her right side. She feels no pain on this side. Although she has a good appetite, she needs help with eating. Which of the following factors could cause this patient to have pressure ulcers?
A.
B.
C.
D.
61.  Which of the following should be a part of a care plan designed for a hypernatremic patient?
A.
B.
C.
D.
62.  A client has an admission blood glucose reading of 350 mg/dL. The client has no history of elevated blood glucose, and there is an insulin order. Which of the following actions should the nurse take first?
A.
B.
C.
D.
63.  Which of the following is a STAGE III DECUBITUS?
A.
B.
C.
D.
64.  A nurse is teaching a group of young adults who are about to go for a marathon. Which of the following should she teach?
A.
B.
C.
D.
65.  A nurse is treating a diabetic 15-year old patient two days after an appendectomy. The client can tolerate a regular diet quite well. He has walked around the unit with assistance and request pain medication every 6 to 8 hours at a 3 on a 0 to 10 pain scale. His wound is approximated, free of redness with slight serous drainage noted on the dressing. Which of the following risk factors for poor wound healing does this patient have? Select all that apply
A.
B.
C.
D.
E.
66.  A nurse is taking care of a CVA patient with aphasia. Which of the following interventions promote communication?
A.
B.
C.
D.
E.
67.  Which of the following are true about pain?
A.
B.
C.
D.
E.
68.  Which of the following is appropriate for a nurse to give a client who is on a low-residue diet? 
A.
B.
C.
D.
69.  Which of the following is a wound or injury healing by secondary intention?
A.
B.
C.
D.
70.  After looking at the laboratory results for a group of patients, which of the following should be reported to the respective physician?
A.
B.
C.
D.
71.  The proper way to secure a nasogastric tube.  
A.
B.
C.
D.
72.   Intravenous administration for a medication eliminates the need for ......
A.
B.
C.
D.
73.  A nurse tells a patient that a prescribed medication may have side effects. Which of the following instructions should the nurse give if anticholinergic effects are among the potential side effects? Select all that apply:
A.
B.
C.
D.
E.
74.  Massage therapy is an example of which category of alternative therapy?
A.
B.
C.
D.
75.  A home-bound patient needs to perform a fecal occult blood testing at home. Which of the following should be included when explaining the procedure to the patient? 
A.
B.
C.
D.
76.  A surgical client acutely becomes agitated and pulls of her dressing. The nurse enters the room and finds out that the wound is separated with viscera protruding. Which of the following interventions are appropriate? Select all that apply
A.
B.
C.
D.
E.
77.  The following should be included when documenting the insertion of an IV catheter. Select all that apply
A.
B.
C.
D.
E.
78.  Which of the following nursing interventions should be implemented to maintain a patent airway in a client on bed rest?
A.
B.
C.
D.
79.  Which of the following are late signs of hypoxemia? Select all that apply: 
A.
B.
C.
D.
E.
80.  Match the following types of pain with their descriptors.
A. phantom limb pain, burning, "pins and needles" pain
A.
B. referred pain
B.
C. fractur pain, sharp, aching pain
C.
81.  When implementing medication therapy, the nurse's responsibilities include which of the following? Select all that apply:
A.
B.
C.
D.
E.
82.  A nurse is assessing the pain level of a client admitted to the ER with severe abdominal pain. The nurse asks the client if he has nausea and vomiting. What is being assessed?
A.
B.
C.
D.
83.    A male patient was admitted for abdominal surgery. Client's initial vital signs are temperature at 37 C (98.6 F), pulse 98 / min, respirations 20 / min and blood pressure at 148 / 88 mm Hg. The client states, :I am really worried. This is the first surgery I ever had." Which of the following is an appropriate use of a complementary alternative intervention?
A.
B.
C.
D.
84.  Match the correct equipment for the types of injections needed.
A. intradermal
A.
B. subcutaneous
B.
C. intramuscular
C.
D. intravenous
D.
85.  Match the catheter gauge with the appropriate client and use for administration
A. 16 - gauge
A.
B. 18 - gauge
B.
C. 22 to 24 gauge
C.
86.  A patient who recently overdosed on amphetamines is experiencing sensory overload. Which of the following should be implemented?
A.
B.
C.
D.
87.  A nurse is taking care of a patient with back pains. This patient tells the nurse that a friend recommended him to see a chiropractor. She asks the nurse what a chiropractor does to relieve back pain. Which of the following responses by the nurse would be correct?
A.
B.
C.
D.
88.  According to the MAR, a medication was ordered for 9:00 in the morning. Which of the following are acceptable times? Select all that apply:
A.
B.
C.
D.
E.
89.  Which of the following recommendations should a nurse give to a client to promote sleep and rest? Select all that apply:
A.
B.
C.
D.
E.
90.  Which of the following prevents medication error?
A.
B.
C.
D.
91.  Upon looking at the MAR, a nurse observes that one of her clients is taking four new mediations. Which of the following should be a concern?
A.
B.
C.
D.
92.  For a CVA patient who is wheel chair bound, which of the following can prevent skin breakdown?
A.
B.
C.
D.
93.  A patient is suffering from renal damages as a result of glomerulonephritis. Which of the following needs to be monitored when administering  patient's medication?
A.
B.
C.
D.
94.  A nurse is preparing medication for a pre-school child. Which of the following should the nurse recognize as a factor that would alter how a pre-school child is affected medication? Select all that apply: 
A.
B.
C.
D.
E.
95.  An entry in a patient chart indicates wound drainage is "sanguineous". What does this mean? 
A.
B.
C.
D.
96.  An intervention order indicates that a patient needs a tap water enema done and repeated until the return is clear. Which of these should be  done first?  
A.