ATI Chapter 2, 9, 16, 17, And 35 Questions

Question 1

A nurse is caring for a group of clients on a medical-surgical unit. For which of the following client care needs should the nurse initiate a referral for a social worker? (type all that apply)

A. A client who has terminal cancer requests hospice care in her home.
B. A client asks about community resources available for older adults.
C. A client states that she wants her child baptized before surgery.
D. A client requests an electric wheelchair for use after discharge.
E. A client states that he does not understand how to use a nebulizer.

Answer 1

A. A client who has terminal cancer requests hospice care in her home.
B. A client asks about community resources available for older adults.
D. A client requests an electric wheelchair for use after discharge.

Question 2

A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral to which of the following members of the inter professional care team?

A. Social worker
B. Certified nursing assistant
C. Registered dietician
D. Occupational therapist

Answer 2

D. Occupational therapist

Question 3

A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the medication he is receiving for pain management. Which of the following members of the inter professional care team can assist the client in understanding the medication’s effects? (type all that apply)

A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist

Answer 3

A. Provider
C. Pharmacist
D. Registered nurse

Question 4

A client who has had a cerebrovascular accident has persistent problems with dysphagia (difficulty swallowing). The nurse caring for the client should initiate a referral with which of the following members of the interprofessional care team?

A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist

Answer 4

D. Speech-language pathologist

Question 5

A nurse is acquainting a group of newly licensed nurses with the roles of various members of the health care team they will encounter o a medical-surgical unit. When she gives examples of the types of tasks certified nursing assistants (CNAs) may perform, which of the following client activities should she include? (type all that apply)

A. Bathing
B. Ambulating
C. Toileting
D. Determining pain level
E. Measuring vital signs

Answer 5

A, B, C, E

Question 6

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?

A. Orient the client to his room
B. Conduct a client care conference
C. Review medical prescriptions
D. Develop a Plan of Care

Answer 6

A. Orient the client to his room

Question 7

A nurse is admitting a client who has acute cholecystitis to a med-surg unit. Which of the following actions are essential steps fo the admission procedure? (select all)

A. Explain the roles of other care delivery staff.
B. Begin discharge planning
C. Inform the client that advance directives are required for hospital admission
D. Document the client’s wishes about organ donation
E. Introduce the client to his roommate

Answer 7

A. Explain the roles of other care delivery staff.
B. Begin discharge planning
D. Document the client’s wishes about organ donation
E. Introduce the client to his roommate

Question 8

A nurse is caring for a client who had a stroke and is scheduled for transfer to a rehab center. Which of the following tasks are the responsibility of the nurse at the transferring facility? (select all)

A. Ensure that the client has possession of his valuables.
B. Confirm that the rehab center has a room available at the time of transfer.
C. Assess how the client tolerates the transfer.
D. Give a verbal transfer report via telephone
E. Complete a transfer form for the receiving facility.

Answer 8

A. Ensure that the client has possession of his valuables.
B. Confirm that the rehab center has a room available at the time of transfer.
D. Give a verbal transfer report via telephone
E. Complete a transfer form for the receiving facility.

Question 9

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)

A. Advance directive status
B. Follow up care
C. Instructions for diet and medications
D. Most recent vital sign data
E. Contant info for the home health care agency

Answer 9

B. Follow up care
C. Instructions for diet and medications
E. Contant info for the home health care agency

Advance directive status and vital sign data are only important in transfer documentation. Not essential when client is going home.

Question 10

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?

A. BMI
B. Usual times for meals and snakcs
C. Favorite foods
D. Any difficulty swallowing

Answer 10

D. Any difficulty swallowing

Question 11

a nurse is caring for a young adult at a college health clinic. which of the following actions should the nurse take first?

A. give the client information about immunization against meningitis
B. tell the client to have a TB skin test every 2 years
C. determine the clients health risks
D. teach the client about exercise recommendations

Answer 11

C. determine the clients health risks

Question 12

a nurse in a clinic is planning health promotion and disease prevention strategies for a client who has multiple risk factors for cardiovascular disease. which of the following interventions should the nurse include? (select all that apply)

A. help the client see the benefits of their actions
B. identify the clients support systems
C. suggest and recommend community resources
D. devise and set goals for the client
E. teach stress management strategies

Answer 12

A, B, C, E

Question 13

A nurse in a health clinic is caring for a 21-year-old client who tells the nurse that their last physical examination was in high school. which of the following health screenings should the nurse expect the provider to perform for this client?

A. testicular examination
B. blood glucose
C. fecal occult blood
D. prostate-specific antigen

Answer 13

A. testicular examination

Blood glucose is 45 years and older
Fecal occult blood usually begins at 50
Prostate-specific antigen begins at 50

Question 14

a nurse at a health department is planning strategies related to heart disease. which of the following activities should the nurse include as part of primary prevention?

A. providing cholesterol screening
B. teaching about a healthy diet
C. providing information about antihypertensive medications
D. developing a list of cardiac rehabilitation programs

Answer 14

B. teaching about a healthy diet

Question 15

a nurse at a provider’s office is talking about routine screenings with a 45- year old female client who has no specific family history of cancer or diabetes mellitus. which of the following client statements indicates that the client understands how to proceed?

A. “So i don’t need the colon cancer procedure for another 2 to 3 years”.
B. “for now, i should continue to have a mammogram each year.”
C. “because the doctor just did a Pap smear, I’ll come back next year for another one.”
D. “ I had my blood glucose test last year, so I won’t need it again for 4 years.”

Answer 15

B. “for now, i should continue to have a mammogram each year.”

Colorectal cancer screening should begin at age 50
The female client who is between the ages of 30-65 with no history of cervical cancer should have a Pap test every 3 years
Client who is age 45 should have a blood glucose test at least every 3 years

Question 16

a nurse is observing a client drawing up and mixing insulin. which of the following findings should the nurse identify as an indication that psychomotor learning has taken place?

A. the client is able to discuss the appropriate technique
B. the client is able to demonstrate the appropriate technique
C. the client states an understanding of the process
D. the client is able to write the steps on a piece of paper

Answer 16

B. the client is able to demonstrate the appropriate technique

Question 17

a nurse in a provider’s office is collecting data from the caregiver of a 12-month old infant who asks if the child is old enough for toilet training. following an education session with the nurse, the client agrees to postpone toilet training until the child is older. learning has occurred in which of the following domains?

A. cognitive
B. affective
C. psychomotor
D. kinesthetic

Answer 17

B. Affective

Question 18

a nurse is providing preoperative education for a client who will undergo a mastectomy the next day. which of the following statements should the nurse identify as an indication that the client is ready to learn?

A. “i dont want my spouse to see my incision.”
B. “Will you give me pain medicine after the surgery?”
C. “ can you tell me about how long the surgery will take?”
D. “my roommate listens to everything i say.”

Answer 18

C. “ can you tell me about how long the surgery will take?”

Question 19

a nurse is preparing an instructional session for a client about managing stress incontinence. which of the following actions should the nurse take first when meeting with the client?

A. encourage the client to participate actively in learning.
B. select instructional materials
C. identify goals the nurse and the client agree are reasonable
d. determine what the client knows about stress incontinence

Answer 19

d. determine what the client knows about stress incontinence

Question 20

a nurse is evaluating how well a client learned the information presented in an instructional session about following a heart healthy diet. which of the following actions should the nurse take to evaluate the client’s learning?
A. encourage the client to ask questions
B. ask the client to explain how to select or prepare meals
C. encourage the client to fill out an evaluation form about how the nurse presented the information
D. ask whether the client has resources for further instruction on this topic.

Answer 20

B. ask the client to explain how to select or prepare meals

Question 21

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.)

A. Talk to the interpreter about the family while the family is in the room.
B. Ask the family one question at a time.
C. Look at the interpreter when asking the family questions.
D. Use lay (simple language that anyone can understand) terms if possible.
E. Do not interrupt the interpreter and the family as they talk.

Answer 21

B, D, E

Question 22

A nurse is caring for a client who shares the same religious background. The nurse should recognize that
A. members of the same religion share similar feelings about their religion.
B. a shared religious background generates mutual regard for one another.
C. the same religious beliefs may influence individuals differently.
D. they should discuss the differences and commonalities in their beliefs.

Answer 22

C. the same religious beliefs may influence individuals differently.

Question 23

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?

A. Contact the hospital’s spiritual services.
B. Ask him what is making him cry.
C. Provide quiet times for these moments.
D. Turn on the television for a distraction.

Answer 23

C. Provide quiet times for these moments.

Question 24

A nurse is discussing the plan of care for a client who reports following Islamic practices. Which of the following statements by the nurse indicates culturally appropriate care to the Muslim client?
A. “I will make sure the menu includes kosher options.”
B. I will ask the client if they want to schedule some times to pray during the day.
C. I will avoid discussing care when the clients family is around.
D. “I will make sure daily communion is available for this client.”

Answer 24

B. I will ask the client if they want to schedule some times to pray during the day.

Question 25

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?

A. “I believe in this case you should really make an exception and accept the blood transfusion.”
B. “I know your family would approve of your decision to have a blood transfusion.”
C. “Why does your religion mandate that you cannot receive any blood transfusions?”
D. “Let’s discuss the necessity for a blood transfusion with your religious and spiritual leaders and come to a reasonable solution.”

Answer 25

D. “Let’s discuss the necessity for a blood transfusion with your religious and spiritual leaders and come to a reasonable solution.”