ATI NCLEX REVIEW TEST 1

ATI practice NCLEX questions ScienceMedicineNursing emilee_h21 Save ATI NCLEX Questions 204 terms lzbth567Preview ATI & NCLEX REVIEW/ TEST 1 78 terms RachaelFord2012 Preview 75 Free NCLEX Questions - c/o Brilli...75 terms carey47Preview ATI com 198 term h_tr an older adult client reports recurring calf pain after walking one block that disappears with rest. the client has weak pedal pulses and the skin on the left lower extremity is shiny and cool to touch. Which nursing intervention is appropriate at this time?

• position left leg dependently
• elevate left leg above the heart
• immobilize left leg to prevent further injury
• assess dorsiflexion and extension of left foot
• position left leg dependently

a client receives a transfusion of packed RBC's and tells the nurse "my IV site is painful and looks swollen". Which action should the nurse take?

• continue to monitor site for signs of infection or infiltration.
• double check blood type of unit of blood with another RN.
• start a new IV at another site and resume transfusion.
• discontinue the transfusion and send the remaining blood and tubing to lab.
• start a new IV at another site and resume transfusion.

a client who has recently undergone surgery for a new trach is now at home. the RN recognizes a need for immediate intervention when the caregiver does which of the following?

• suctions intermittently for 15 sec
• places air humidifier at bedside
• cuts 4x4 gauze to put around trach
• removes ties before cleaning the trach
• removes ties before cleaning the trach

A nurse enters the room of a client who is lying on the floor. What should be the initial action of the RN?

• examine pt for injuries
• obtain pulse and blood pressure
• assess VS and LOC
• determine intensity of pain with ROM
• assess VS and LOC

Four days after a ventral hernia repair, a client is obese and has a hx of COPD, vomits and reports severe abdominal pain. O2 is 90%. Which action should the RN implement first?

• administer ondansetron hcl IV
• encourage pursed lip breathing
• assess surgical incision
• apply low dose O2 NC
• assess surgical incision

A nurse arrives at a work site explosion. Which client should be triaged first?

• fixed pupils and agonal respirations
• burns to the face and respiratory stridor
• type 2 diabetic who is disoriented
• a closed fracture reporting 3/10 pain
• burns to the face and respiratory stridor

Of the following what is an early sign of hemorrhage?

• cold clammy skin

2. HR 120

• weak, thready pulses

4. BP 80/66

2. HR 120

A pt has a C3 spinal injury, which of the following VS take priority?

1. HR 52

2. RR 10

• temp 97

4. BP 88/60

2. RR 10

A pt with an RA diagnosis is to take methotrexate for 3 months. What are the adverse effects? SATA

1. WBC 1200

• weight gain of 10 lbs
• temp 99
• urine specific gravity 1.003
• platelets 5,000

1. WBC 1200

• platelets 5,000

A client who lives a long-term care facility is at high risk for falls. Which actions should the RN implement?

• place walked at foot of bed
• keep all 4 side rails up throughout night
• maintain clear path from bed to bathroom
• put items on bedside table within reach
• check client Q4 to ensure safety
• ask the client to use the call bell before getting up
• maintain clear path from bed to bathroom
• put items on bedside table within reach
• ask the client to use the call bell before getting up

While visiting with a family member, a client repeatedly attempts to tie the oxygen tubing in knots. The family member asks the RN "why dont you just tie his arms down?" Which response by the RN is correct?

• a consent form to use restraints has not been signed at this time
• there is a prescription for a sedative and i will administer it now
• we have an activity apron that we can try to keep him busy
• let me get some help to sit him up in a chair for a short time
• we have an activity apron that we can try to keep him busy

An RN initiates emergency protocol on the medical unit during a fire. Which client should be evacuated first?

• receiving mechanical ventilation
• prescribed continuous oxygen therapy
• recovering from a below the knee amputation
• scheduled for a procedure the next day
• scheduled for a procedure the next day

A unit educator evaluates the teaching for the staff about the transfer of an obese client who is unable to assist from the bed to the wheelchair.Which method is best?

• gait belt
• mechanical lift
• bear hug technique
• two personnel to assist
• mechanical lift

A client is infected with VRE. the nurse should plan care based on which fact?

• VRE is a hardy organism that can survive weeks on environmental surfaces
• only those clients who are actively infected with VRE should be placed on isolation
• health care workers risk of VRE colonization increases with length of exposure
• VRE is highly virulent organism that tends to colonize in the respiratory tract
• VRE is a hardy organism that can survive weeks on environmental surfaces

A nurse prepares DC teaching for a client who has AIDS. Instructions for cleaning blood and bodily fluids should include what?

• clean area with soap and water and rinse thoroughly with ammonia
• disinfect area with 10% bleach solution after initial cleaning
• use soap and water to clean, rinse thoroughly and allow area to air dry
• disinfect area with 70% isopropyl alcohol after initial cleaning
• disinfect area with 10% bleach solution after initial cleaning

A nurse requests assistance to provide hygiene care for a client with CDIFF. which infection control standards must the RN follow? SATA

• place a mask on client and visitors
• wear gloves if contact with stool is likely
• disinfect contaminated supplies with sodium hypochlorite solution
• use hand sanitizer containing 60% alcohol unless hands are visibly soiled
• remove all PPE inside the room
• wear gloves if contact with stool is likely
• disinfect contaminated supplies with sodium hypochlorite solution
• remove all PPE inside the room

a child who has a rash and fluid-filled blisters across the face and chest is confirmed to have varicella. which action should the RN take?

• administer amoxicillin
• give one dose of varicella vaccine
• implement airborne and contact precautions
• place client in private room and provide positive airflow
• implement airborne and contact precautions

A nurse admits a pt from a long term care facility. which of the following actions should be implemented? SATA

• verify admission meds prescribed by provider
• review current med regimen with pt
• obtain most recent list of meds from long-term facility
• locate a list of discharged meds from the most recent hospitalization
• discuss any discrepancies with HCP
• verify admission meds prescribed by provider
• review current med regimen with pt
• obtain most recent list of meds from long-term facility
• discuss any discrepancies with HCP

a nurse should advise a pt to DC lisinopril and see the HCP immediately if which of the following occur?

• a persistent dry cough
• dizziness when standing
• a rash on torso and neck
• swelling of tongue and lips
• swelling of tongue and lips