ATI EXAM Practice Flashcards Updated for 2023, Download to Score Grade A

Nurse receives report about a client who has 0.9% sodium chloride infusing IV at 125 mL/hr. When the nurse performs the initial assessment, he notes that the client has received only 80 mL over the last 2 hour. Which of the following actions should the nurse take first?

The first action the nurse should take using the nursing process is to assess the client. If checking the IV tubing and verifying an obstruction, the nurse might be able to facilitate the flow of fluid through the tubing. This could re-establish the infusion rate the provider prescribed.

Nurse is caring for a client who requires an NG tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube?

*Have the client take sips of water to promote insertion of the NG tube into the esophagus

Taking sips of water as the NG tube passes through the oropharynx will close the epiglottis over the trachea and prevent the tube from passing into the trachea.

A nurse is revieing a client's fluid and electrolyte status. Which of the following findings should the nurse report to the provider?

POtassium 5.4 mEq/L

-Value is above expected range of 3.5-5 mEq/L

A nurse is providing discharge instructions to a client who will be using a walker. Which of the following client statements indicates an understanding of the teaching?

*I will hire someone to trim the tree that hangs low over the stairs on my front porch

A nurse is planning care for a client who has had a stroke, resulting in aphasia and dysphagia. Which of the following tasks should the nurse assign to an assistive personnel?

-Assist client w/ a partial bed bath

-Measure the client's BP after nurse administers antihypertensive med

-Use a communication board to ask what the client wants for lunch

A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take?

*Reassure the client that this is an expected response to grief

A nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury. Which of the following types of dressing should the nurse use?

*Hydrocolloid

-Hydrocolloid dressings promote healing in stage 2 pressure injuries by creating a moist wound bed