ATI Testing and Rem Beginner

ATI Nurse Logic: Testing and Remediation Beginner 1. A nurse is reinforcing teaching to a client who has recently been prescribed a 2000mg sodium restricted diet. Which of the following nutritional selections by the client indicates a need for further teaching? a. ¾ cup of canned tomato juice 2. A nurse in a provider’s office is reinforcing teaching to the parents of a child who has allergies and is prescribed Benadryl 25mg every 6 hours PRN. Available is diphenhydramine 12/5mL. How many teaspoons of medicine does the nurse need to instruct the parents to administer per dose? a. 2 tsp 3. A nurse is caring for a client who has been prescribed a full liquid diet. Which of the following is appropriate to include in the clients diet? a. Grape juice, ice cream 4. A nurse is examining a client’s lymphatic system. Identify the site the nurse should palpate to assess the posterior cervical lymph nodes? a. Toward the back of the neck 5. A nurse is preparing to administer a tap water enema to a client. Which of the following positions should the nurse place the client? a. Sims 6. A nurse in a provider’s office is caring for a client who has depression and is taking St. Johns Wort. The herbal supplement is thought to improve which of the following? a. Mood 7. A nurse is caring for a client who is immobile and has developed a pressure ulcer. Which of the following characteristics is associated with a stage II pressure ulcer? a. Partial thickness skin loss 8. A nurse on a pediatric unit is caring for an infant who is diagnosed with larynotrachebronchitis. While performing a respiratory examination the nurse hears which sound? a. Stridor 9. A nurse is performing a respiratory examination on a client who has PNA. Which of the following sounds should be elicited over areas of consolidation during percussion? a. Dullness 10. A nurse is preparing to measure the blood pressure of a client who has HTN. Which of the following actions by the nurse when taking BP can result in an inaccurately low reading? a. Using a cuff that is too wide 11. A nurse on a rehabilitation unit is caring for a client who was admitted 3 days ago. Upon review of the client’s medical record, which of the following actions should the nurse take? a. Restrict fluid intake 12. A nurse is caring for a client who is scheduled for a biopsy of a tumor located in the left lower lobe of the lung. The client states, I will quit smoking if the results don’t come back positive for cancer. a. Bargaining 13. A nurse is reinforcing teaching to a client who is newly diagnosed with Lyme disease. The nurse should indicate that the diseases could be transmitted in which of the following ways? a. Vector 14. A nurse is preparing to administer an IM injection to an adult client who has a BMI of 30. Which of the following needle lengths is appropriate to administer the injection in the vetrogluteal muscle? a. 1 ½ 15. A nurse is preparing to auscultate a clients heart. Which of the following positions is best for detecting a low-pitched diastolic murmur? a. Lying on side 16. A nurse is preparing to transfer a client from a bed to a chair. The nurse should take which of the following actions to prevent a lift injury? a. Stand close to the client 17. A nurse is caring for a client who is receiving vancomycin for a beta hemolytic streptococci infection. For which of the following adverse effects should the nurse monitor? a. Hearing loss 18. A nurse is assisting with the admission of a client who is scheduled for a surgical procedure. The nurse administers a prescribed dose of lorazepam (Ativan) preoperatively. Which of the following statements by the client indicates the medication has been effective? a. “I feel very relaxed now” 19. A nurse is reinforcing a teaching to a client who has a fractured ankle and is learning to walk up the stairs. Identify the sequence of the actions the client should be taught when using a modified 3-point crutch gait. a. Bear weight on unaffected leg, transfer weight to crutches, advance unaffected leg, shift weight from crutches to unaffected leg, and go up stairs 20. A nurse is collecting data on a newly admitted client who is reporting abdominal discomfort. When examining the abdomen, which of the following techniques should the nurse perform first? a. Inspection