ATI - TEST 6 PRACTICE ASSESSMENT Flashcards
ATI - Test 6 Practice Assessment
A new parent expresses concern to the nurse that her infant has lost “so much weight” in the first 3 days of life and wonders if it is because of breastfeeding. The nurse explains that weight loss in the first 3 days is
A. related to the loss of the influence of maternal hormones.
B. expected due to diuresis and fluid shifts in the first days of life.
C. evidence that her infant is hypoglycemic.
D. an indication that her infant is not getting enough breast milk.
B. expected due to diuresis and fluid shifts in the first days of life.
ATI - Test 6 Practice Assessment
A client who has had a significant myocardial infarction receives a referral to the cardiac rehabilitation unit. During his first visit to the unit, he tells the nurse that he doesn’t understand why he needs to be there because there is nothing more to do as the damage is done. Which of the following is an appropriate nursing response?
A. “Cardiac rehabilitation cannot undo the damage to your heart but it can help you get back to your previous level of activity safely.”
B. It’s not unusual to feel that way at first, but once you learn the routine, you’ll be fine.”
C. “You are probably right and I agree with you, but I still think you should go.”
D. “Your doctor is the expert here, and I’m sure he would only recommend what is best for you.”
A. “Cardiac rehabilitation cannot undo the damage to your heart but it can help you get back to your previous level of activity safely.”
ATI - Test 6 Practice Assessment
A nurse is caring for a client who has been prescribed a potassium wasting diuretic medication. Which recommendation should the nurse make for change in the diet?
A. Increase consumption of citrus fruits and strawberries
B. Decrease amount of fluids containing caffeine
C. Avoid milk and milk products
D. Encourage oranges, bananas and whole grain breads
D. Encourage oranges, bananas and whole grain breads
**ATI - Test 6 Practice Assessment
A nurse is planning care for a client who has acute dysphagia. Which of the following is appropriate to include in the plan of care?
A. Use of a straw to consume liquids.
B. Encourage larger bites.
C. Place the client in semi-Fowler’s position during meals.
D. Instruct the client to tilt head forward when swallowing.
D. Instruct the client to tilt head forward when swallowing.
Remember:
Client must be placed in high-Fowler’s position.
ATI - Test 6 Practice Assessment
A client who has moderate anxiety in pacing the hall and mumbling. As the nurse on the inpatient mental health unit approaches the client, he states, “I am at the end of my rope. I don’t think I can take any more bad news.” Which of the following statements is an appropriate nursing response?
A. “Most clients with anxiety issues benefit from lying down.”
B. “Come with me to a private area where we can talk without interruption.”
C. “Doctors usually recommend relaxation exercises for clients who are as upset as you are.”
D. “An antianxiety pill works best for situations like this.”
B. “Come with me to a private area where we can talk without interruption.”
**ATI - Test 6 Practice Assessment
A nurse is providing teaching about a health diet to a group of clients with hypertension. Which of the following statements by one of the clients indicates a need for further teaching?
A. “I can east 10 ounces of lean protein each day.”
B. “Fresh fruits make a good snack option.”
C. “I will replace table salt with dried herbs.”
D. “I can thicken gravies with cornstarch as I cook.”
A. “I can east 10 ounces of lean protein each day.”
ATI - Test 6 Practice Assessment
A nurse is caring for a client who is postoperative following surgical repair of a mandibular fracture. Which of the following is the nurse’s priority?
A. Pain control
B. Airway management
C. Oral hygiene
D. Nutritional support
B. Airway management
ATI - Test 6 Practice Assessment
A nurse is caring for a client who is postoperative following a vaginal hysterectomy. The client is requesting something to drink. The nurse reads the client’s postoperative prescription, which include, “Clear liquids, advance diet as tolerated.” Which of the following statements by the nurse is appropriate?
A. “Would you like some milk?”
B. “Lunch trays should be here soon.”
C. “I need to listen to your abdomen.”
D. “I would wait a bit, or you could get nauseated”
C. “I need to listen to your abdomen.”
ATI - Test 6 Practice Assessment
The nurse is caring for a client who has returned from gastric resection surgery with an indwelling nasogastric tube. What is the appropriate nursing intervention for this client?
A. Eliminate mouth care to reduce the possibility of dislodgment
B. Untape the tube periodically
C. Administer warm saline throat irrigations
D. Keep the nostrils clean and lubricated
D. Keep the nostrils clean and lubricated
ATI - Test 6 Practice Assessment
A nurse is caring for an older adult client on bed rest. Which of the following should be included in the client’s diet?
A. Stewed prunes
B. Hash browns potatoes
C. Eggs
D. Citrus fruits
A. Stewed prunes
Rationale:
This helps with the client’s potential for developing constipation.
**ATI - Test 6 Practice Assessment
A nurse working in a surgeons office is preparing a client for a surgical procedure and signs as a witness on the consent form. By signing as a witness, the nurse is verifying that
A. the client has no unanswered questions about the procedure.
B. the client understands the risks and benefits of the procedure.
C. the client was the one who signed the consent form.
D. the provider informed the client about the risks and benefits of the procedure.
C. the client was the one who signed the consent form.
ATI - Test 6 Practice Assessment
A nurse is talking with an older adult client who is recovering from a cerebrovascular accident. The client states “I feel like a less a man. My wife says she is thankful I am alive but I’m sure this is not how she expected to us to spend our retirement years.” Which of the following is an appropriate response?
A. “I agree with your wife, and you should be thankful that you are alive.”
B. “After an experience like this, everyone has feelings like these.”
C. “Are you worried that your wife might leave you?”
D. “In what ways to you feel like you are less of a man?”
D. “In what ways to you feel like you are less of a man?”
ATI - Test 6 Practice Assessment
A client is about to undergo an elective surgical procedure. Which of the following is the role of the nurse providing preoperative care regarding informed consent?
A. Obtain the client’s consent.
B. Witness the client’s signature.
C. Explain the risks and benefits of the procedure.
D. Describe the consequences of choosing to do nothing.
B. Witness the client’s signature.
ATI - Test 6 Practice Assessment
A nurse is reinforcing teaching for a middle-age client who is at high risk for osteoporosis and is taking a calcium supplement. Which of the following instructions should the nurse include?
A. Take the calcium supplement on an empty stomach.
B. Take vitamin D supplements.
C. Take the calcium supplement with green tea.
D. Take iron supplements.
B. Take vitamin D supplements.
Rationale:
Vitamin D promotes calcium absorption.
ATI - Test 6 Practice Assessment
A nurse is reinforcing teaching with the mother of a 9-month-old infant regarding appropriate dietary choices. Which of the following observations by the nurse indicates a need for further teaching?
A. The infant eats the same foods prepared for the rest of the family.
B. The mother gives the infant dry cereal and apple slices for a snack.
C. The infant drinks 2 quarts of whole milk a day.
D. The infant drinks from a cup with a cover.
C. The infant drinks 2 quarts of whole milk a day.
ATI - Test 6 Practice Assessment
A nurse is caring for a client who has a new prescription for a low-sodium diet. The client’s family has requested to bring in some of the client’s favorite foods. Which of the following food items should the nurse tell the family members to omit?
A. Boiled rice
B. Flat bread
C. Broiled fish fillet
D. Pickled vegetables
D. Pickled vegetables
**ATI - Test 6 Practice Assessment
A nurse is reinforcing client teaching regarding appropriate dietary choices for celiac disease. Which of the following menu choices selected by the client indicates an understanding of the teaching?
A. Hamburger on a white flour bun
B. Baked chicken and potato chips
C. Bacon, lettuce, and tomato sandwich on rye toast
D. Beef and barley soup with rice crackers
B. Baked chicken and potato chips
ATI - Test 6 Practice Assessment
A nurse is reinforcing teaching with a client about which foods she should include in her low-fiber diet. Which of the following statements indicates the client understands the teaching?
A. “A fresh pear would be a good snack option.”
B. “I can fix refried beans for supper.”
C. “Bran cereal would be a good breakfast choice.”
D. “I should choose white rice as a side dish.”
D. “I should choose white rice as a side dish.”
**ATI - Test 6 Practice Assessment
A nurse is caring for a client who has a spinal fracture. The client was medicated with IV morphine sulfate (Duramorph) prior to his arrival at the facility. The neurosurgeon determines that urgent surgical intervention is indicated for the fracture. The nurse realizes that consent for the surgery
A. should be obtained from a relative of the client.
B. can be inferred because the client consented to admission to the hospital.
C. should be obtained from the client immediately.
D. must be delayed until the morphine is metabolized.
A. should be obtained from a relative of the client.
ATI - Test 6 Practice Assessment
A nurse is contributing to the plan of care for a client who has a pressure ulcer on his heel. Which of the following should the nurse include in the planning?
A. Keep the ulcer bed dry.
B. Clean the wound from the outer edge towards the center.
C. Provide the client a high vitamin C diet.
D. Reposition the client at least q4h.
C. Provide the client a high vitamin C diet.
Rationale:
Vitamin C is essential for wound healing to promote formation of new capillaries, synthesis of new tissue and development of collagen.
ATI - Test 6 Practice Assessment
A nurse is caring for a new mother who is breastfeeding her term newborn. The newborn weighed 3.4 kg (7.5 lb) at brith, and weighs 3 kg (6.6 lb) on the second day of life. The mother expresses concern about the weight loss and asks the nurse, “Do you think I have enough milk?” Which of the following is the appropriate response?
A. “If you are not making enough milk you may need to switch to formula and bottle-feed your baby.”
B. “It is common for new mothers to worry that they are not making enough milk for their baby.”
C. “A healthy newborn may lose 10% of his birthweight before starting to gain weight.”
D. “You newborn will need to remain in the hospital so his weight can be monitored.”
C. “A healthy newborn may lose 10% of his birthweight before starting to gain weight.”
ATI - Test 6 Practice Assessment
A nurse is helping an adolescent client complete her lunch menu selections. The client is a vegetarian who eats milk products but does not like beans. Which item should the nurse suggest for the client to provide the nutrients her diet might lack?
A. Peanut butter and jelly sandwich
B. Baked potato with sour cream
C. Bagel with cream cheese
D. Fruit salad and carrot sticks
A. Peanut butter and jelly sandwich
ATI - Test 6 Practice Assessment
A nurse is caring for a client following a CVA and observes the client experiencing severe dysphagia. The nurse notifies the provider. Which of the following nutritional therapies will likely be prescribed?
A. NPO until dysphagia subsides
B. Supplements via nasogastric tube
C. Initiation of total parenteral nutrition
D. Soft residue diet
B. Supplements via nasogastric tube
ATI - Test 6 Practice Assessment
A nurse is considering the risk factors for a client who has a surgical wound. Which of the following factors place the client at risk for dehiscence? Select all that apply.
A. Poor nutritional state B. Altered mental status C. Obesity D. Pain medication administration E. Wound infection
A. Poor nutritional state (impaired wound healing)
C. Obesity (strain on incision)
E. Wound infection (impaired wound healing)
ATI - Test 6 Practice Assessment
A client who is 2 days postoperative following abdominal surgery is about to progress from a clear liquid diet to full liquids. Which of the following items should the nurse tell the client he may now request to have on his meal tray?
A. Cranberry juice
B. Flavored gelatin
C. Skim milk
D. Chicken broth.
C. Skim milk
ATI - Test 6 Practice Assessment
A nurse is obtaining vital signs on a client who is 3 days postoperative following a coronary artery bypass graph surgery (CABG), and notes that the client has an irregular radial pulse of 92/min. Which of the following actions should the nurse take first?
A. Check the pulse in each of the client’s extremities
B. Notify the charge nurse of the client’s heart rate
C. Count the apical heart rate for 1 minute
D. Obtain the other vital signs and document the findings.
C. Count the apical heart rate for 1 minute
ATI - Test 6 Practice Assessment
A nurse is caring for a client who is scheduled for coronary artery bypass surgery. Before the surgery, the client is having second thoughts about the surgery. Which of the following nursing responses is appropriate at this time?
A. “Why have you changed your mind about the surgery?”
B. “Bypass surgery must be very frightening for you.”
C. “Your provider would not have scheduled the surgery unless you needed it.”
D. “I will call your doctor and have him discuss your surgery with you.”
B. “Bypass surgery must be very frightening for you.”
Rationale:
This response addresses the clients’ feelings
ATI - Test 6 Practice Assessment
A nurse is planning to reinforce teaching for a client about a low-potassium diet. Which of the following foods should the nurse reinforce the client to avoid? Select all that apply.
A. Butter B. Poultry C. Yogurt D. Frozen vegetables E. Orange juice
C. Yogurt
E. Orange juice
