Study sets, textbooks, questions
Upgrade to remove ads
ATI Practice Questions Module 6
Terms in this set (35)
A nurse observes an assistive personnel (AP) reprimanding a client for not using the urinal properly. The AP tells him she will put a diaper on him if he does not use the urinal more carefully next time. Which of
the following torts is the AP committing?
Assault. By threatening the client.
An adult client who is competent tells the nurse that he is thinking about leaving the hospital against
medical advice. The nurse believes that this is not in the client's best interest, so she administers a PRN
sedative medication the client has not requested along with his usual medication. Which of the following
types of tort has the nurse committed?
False Imprisonment. This is false imprisonment because the client neither requested nor consented to receiving the sedative
A client who will undergo neurosurgery the following week tells the nurse in the surgeon's office that
he will prepare his advance directives before he goes to the hospital. Which of the following statements by
the client indicates to the nurse that he understands advance directives?
"I plan to write that I don't want them to keep me on a breathing machine." The client has the right to decide and specify which medical procedures he wants when
a life-threatening situation arises
A client is about to undergo an elective surgical procedure. Which of the following actions are
appropriate for the nurse who is providing preoperative care regarding informed consent? (Select all
Make sure the surgeon obtained the client's consent. It is the nurse's responsibility to verify that the surgeon obtained the client's consent
and that he understands the information the surgeon gave him.
Witness the client's signature on the consent form. It is the nurse's responsibility to witness the client's signing of the consent form, and
to verify that he is consenting voluntarily and appears to be competent to do so. The nurse also
should verify that he understands the information the surgeon gave him.
A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy
and unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room
when she was not on a break. Which of the following actions should the nurse take?
Report her observations to the nurse manager on the unit. Any nurse who notices behavior that could jeopardize client care or could indicate a
substance use disorder has a duty to report the situation immediately to the nurse manager
A nurse is using an interpreter to communicate with a client. Which of the following are appropriate
when communicating with a client and his family? (Select all that apply.)
1. Ask the family one question at a time.
2. Use lay terms if possible.
3. Do not interrupt the interpreter and the family as they talk.
A nurse is caring for a client who shares the same religious background. The nurse should recognize that
The same religious beliefs may influence individuals differently.
Members of any particular religion should be assessed for individual feelings and ideas.
A nurse is caring for a client who is crying while reading from his devotional book. Which of the
following interventions is appropriate for the nurse to take?
Provide quiet time for moments like these.
Providing privacy and time for the reading of religious materials supports the client's
A nurse is planning care for a client who is a devout Muslim and is 3 days postoperative following a
hip arthroplasty. The client is scheduled for two physical therapy sessions today. Which of the following
statements by the nurse indicates culturally appropriate care to the Muslim client?
"I will discuss the daily schedule with the client to make sure the client will have time for prayer."
Devout Muslims pray five times a day. Without proper awareness and planning, the client may refuse necessary treatments such as physical therapy if adequate pray times are not planned for and incorporated into the client's day
A nurse is caring for a client who is a Jehovah'
s Witness and is scheduled for surgery as a result of a
motor vehicle crash. The surgeon tells the client that a blood transfusion is essential. The client tells the
nurse that based on his religious values and mandates, he cannot receive a blood transfusion. Which of the
following responses by the nurse is appropriate?
"Let's discuss the necessity for a blood transfusion with your religious and spiritual leaders and
come to a reasonable solution."
Involving the client's religious and spiritual leaders is a culturally responsive action at
this point. Alternative forms of blood products can be discussed, and a plan acceptable to all can
A nurse prepares an injection of morphine (Duramorph) to administer to a client who reports pain.
Prior to administering the medication, the nurse is called to another room to assist another client onto a
bedpan. She asks a second nurse to give the injection. Which of the following actions should the second
Offer to assist the client needing the bedpan.
The second nurse should offer to assist the client needing the bedpan. This will allow the nurse who prepared the injection to administer it.
A nurse is preparing to administer a medication to a client. The medication was scheduled for
administration at 0900. Which of the following are acceptable administration times for this medication?
(Select all that apply.)A. 0905 B. 0825 C. 1000 D. 0840 E. 0935
- A medication should be administered within 30 min of the scheduled time.
A nurse is working with a newly hired nurse who is administering medications to clients. Which of the
following actions by the newly hired nurse indicates an understanding of medication error prevention?
Checking with the provider when a single dose requires administration of multiple tablets.
If a single dose requires multiple tablets, it is possible that an error has occurred in the transcription of the medication. This action could prevent a medication error.
A nurse educator is teaching a module on safe medication administration to newly hired nurses. Which
of the following statements by a newly hired nurse indicate understanding of the nurse's responsibility
when implementing medication therapy? (Select all that apply.) A. "I will observe for medication side effects." B. "I will monitor for therapeutic effects." C. "I will prescribe the appropriate dose." D. "I will change the dose if adverse effects occur." E. "I will refuse to give a medication if I believe it is unsafe."
A "I will observe for medication side effects."
B "I will monitor for therapeutic effects."
E "I will refuse to give a medication if I believe it is unsafe."
A nurse is preparing to administer digoxin (Lanoxin) to a client who states, "I don't want to take that
medication. I do not want one more pill." Which of the following responses by the nurse is appropriate in
"Tell me your concerns with taking this medication." Although clients have the right to refuse a medication, the nurse is correct in determining the reason for refusal by asking the client his concerns. After gathering the client's
concerns, the nurse can provide information regarding the risk of refusal and provide information
for an informed decision.
A nurse is performing an admission assessment for an older adult client. After gathering the assessment
data and performing the review of systems, which of the following actions is a priority for the nurse?
Orient the client to his room.
The greatest risk to this client is injury from unfamiliar surroundings. Therefore, the priority action is to orient the client to the room. Before the nurse leaves the room, the client should know how to use the call light and other equipment at the bedside.
A nurse is admitting a client who has acute cholecystitis to a medical-surgical unit. Which of the
following actions are essential steps of the admission procedure? (Select all that apply.)
A. Explain the roles of other care delivery staff. B. Begin discharge planning. C. Provide information about advance directives. D. Document the client's wishes about organ donation. E. Introduce the client to his roommate.
A. Explain the roles of other care delivery staff.
B. Begin discharge planning.
C. Provide information about advance directives.
E. Introduce the client to his roommate.
A nurse is transferring a client from an acute-care hospital to a rehabilitation facility. Which of
the following information about the client should the nurse include in the transfer report? (Select all
A. Alert and oriented B. Refuses to eat spinach C. Has a shellfish allergy D. Requests morphine every 4 hr E. Misses the two cats he has at home
A. Alert and oriented
C. Has a shellfish allergy
D. Requests morphine every 4 hr
A nurse is preparing the discharge summary for a client who has had knee arthroplasty and is going
home. Which of the following information about the client should the nurse include in the discharge
summary? (Select all that apply.)
A. Advance directives status B. Where to go for follow-up care C. Instructions for diet and medications D. Most recent vital sign data E. Contact information for the home health care agency
B. Where to go for follow-up care
C. Instructions for diet and medications
E. Contact information for the home health care agency
As part of the admission process, a nurse at a long-term care facility is gathering a nutrition history for
a client who has dementia. Which of the following components of the nutrition evaluation is the priority
for the nurse to determine from the client's family?
Any difficulty swallowing.
The greatest risk to a client related to a nutrition-related evaluation is from difficulty
swallowing, or dysphagia. It puts the client at risk for aspiration, which can be life-threatening.
A nurse is assessing the pain level of a client who has come to the emergency department reporting
severe abdominal pain. The nurse asks the client whether he has nausea and has been vomiting. The nurse
is assessing which of the following?
Presence of associated symptoms.
Nausea and vomiting are common symptoms clients have when they are in pain.
A nurse is assessing a client who is reporting pain despite analgesia. The nurse can best assess the
intensity of the client's pain by
Offering the client a pain scale to measure his pain
A pain scale can help the client measure the amount of pain he has and its intensity.
A nurse is obtaining a history from a client who has pain. The nurse's guiding principle throughout this
process should be that
Pain is whatever the client says it is
Pain is a subjective experience, and the client is the best source of information about it.
A nurse is caring for a client who is receiving morphine via a patient-controlled analgesia (PCA) infusion
device after abdominal surgery. Which of the following statements indicates that the client knows how to
use the device?
"I should tell the nurse if the pain doesn't stop after I use this device."
PCA is a method of delivering pain medication through an electronic infusion device that allows the client to self-administer pain medication on an as-needed basis. If the client is not achieving adequate pain control, he should let the nurse know so that she can initiate a
reevaluation of the client's pain management plan.
A nurse is monitoring a client who is receiving opioid analgesia for adverse effects of the medication.
Which of the following effects should the nurse anticipate? (Select all that apply.)
A. Urinary incontinence B. Diarrhea C. Bradypnea D. Orthostatic hypotension E. Nausea
C. Respiratory depression, which causes respiratory rates to drop to dangerously low levels, is a common adverse effect of opioid analgesia.
D. Dizziness or light-headedness when changing positions is a common adverse effect of opioid analgesia.
E. Nausea and vomiting are common adverse effects of opioid analgesia.
A nurse is caring for a client who was just admitted to the unit after falling at a nursing home. This
client is oriented to person, place, and time and can follow directions. Which of the following actions by
the nurse are appropriate to decrease the risk of a fall? (Select all that apply.)
A. Place a belt restraint on the client when he is sitting on the bedside commode. B. Keep the bed in low position with full side rails up. C. Ensure that the client's call light is within reach. D. Provide the client with nonskid footwear. E. Complete a fall-risk assessment.
C. Ensuring that the call light is within reach enables the client to contact the nursing
staff to ask for assistance and prevents the client from falling out of bed while reaching for the
D. Nonskid footwear may keep the client from slipping.
E. A fall-risk assessment serves as the basis for an individualized plan of care
A nurse manager is reviewing care of a client who has had a seizure with nurses on the unit. Which of
the following statements by a nurse requires further instruction?
"I will go to the nurses' station for assistance."
During a seizure, the client should not be left alone. The nurse remains with the client and calls for assistance using the call light.
A nurse observes smoke coming from under the door of the staff lounge. Which of the following is the
priority action by the nurse?
Evacuate the clients.
Rescue is the first action in the fire response. Protecting and evacuating clients in close
proximity to the fire is the priority action.
A charge nurse is designating room assignments for clients who will be admitted to the unit. Based on
the nurse's knowledge of fall prevention, which of the following clients should be assigned to the room
closest to the nurses' station
A 79-year-old client who is postoperative following a below-the-knee amputation
This client should be assigned to a room near the nurses' station due to risk factors that
include client's age, mobility, and balance issues related to the surgery, and potential side effects,
such as drowsiness, as a result of analgesic medication.
A nurse is caring for a newly admitted client who has a documented history of falls. Which of the
following is the priority action by the nurse?
Complete a fall risk assessment.
The greatest risk to this client is injury due to a fall. Therefore, the priority action
is to determine the client's fall risk. This will guide the nurse in implementing appropriate
A nurse is caring for a client who is 1 day postoperative following a total knee arthroplasty. The client
states his pain level is 10 on a scale of 0 to 10. After reviewing the client's medication administration
record, which of the following medications should the nurse administer?
Morphine 2 mg IV
IV morphine is the best choice because the onset is rapid, and absorption of the
medication into the blood is immediate, which provides an immediate response for a client who is
reporting pain at a level of 10
A nurse is teaching a client about taking multiple oral medications at home to include time-release capsules, liquid medications, enteric-coated pills, and narcotics. Which of the following statements by the client indicates an understanding of the teaching?
"I will eat two crackers with the pain pill."
It is recommended to administer irritating medications with small amounts of food. This will assist with prevention of nausea and vomiting so that the medication can be retained and take effect
A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of the
following instructions should the nurse include in the teaching?
"Flush the tube before and after each medication."
The client should flush the tubing before and after each medication with 15 to 30 mL of water to prevent clogging of the tube.
A nurse educator is teaching a module on pharmacokinetics to a group of newly licensed nurses. Which of the following statements by a newly licensed nurse indicates an understanding of the first-pass effect?
"Some medications may have to be administered by a nonenteral route to avoid inactivation as
they travel through the liver."
Some medications are inactivated on their first pass through the liver and must be given by a nonenteral route to prevent this inactivation. These medications are usually given by routes such as sublingual or IV.
A nurse is teaching an adult client how to administer ear drops. Which of the following statements by
the client indicates understanding of the proper technique?
"I will gently apply pressure with my finger to the tragus of my ear after putting in the drops."
The client should gently apply pressure with the finger to the tragus of the ear after administering the drops to help the drops go into the ear canal.
Sets found in the same folder
Safety Pretest (Test #2)
19 and 38
chapter 25 fundamentals
Review Questions for Chapters 27 & 29
Sets with similar terms
Exam 1 ATI practice questions and answers
RN Fundamentals Nclex questions
Other sets by this creator
Chapter 22 Blanchat multiple choice
world civ quiz 5
test 2 chapter 22
Other Quizlet sets
ATI first quiz
Fundamentals Assessment B
Wellness Exam 2-ATI Questions
Fundamentals Assessment B