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. 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." 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 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. D. Instruct the client to tilt head forward when swallowing. Remember: 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." **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." A. "I can east 10 ounces of lean protein each day."
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. 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."
B. Decrease amount of fluids containing
caffeine
C. Avoid milk and milk products
D. Encourage oranges, bananas and whole grain breads
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.
Client must be placed in high-Fowler's
position.
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. "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."
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
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
**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.
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
ATI - Test 6 Practice Assessment
A client who has coronary artery disease tells the nurse he is afraid of dying from a heart attack. Which of the following is an appropriate nursing response?
A. "Perhaps you should discuss this with your physician."
B. "Of course you aren't going to die, at least not in the immediate future."
C. "What makes you think you will die?"
D. "Tell me more about these fears of dying from a heart attack."
D. "Tell me more about these fears of dying from a heart attack."
ATI - Test 6 Practice Assessment
A nurse is caring for a client who reports a throbbing headache after a lumber puncture. Which of the following actions is appropriate for the nurse to take? Select all that apply.
A. Administer the client's PRN pain medication.
B. Darken the client's room and close the door.
C. Limit the client's fluid intake for 8 hr.
D. Keep the client
flat in bed for several hours.
A. Administer the client's PRN pain medication.
B. Darken the client's room and close the door.
D. Keep the client flat in bed for several hours.
ATI - Test 6 Practice Assessment
A nurse is caring for a client who is to receive a mechanically altered diet. Which of the following client food choices necessitates intervention by the nurse?
A. Scrambled eggs
B. Cottage cheese
C. Piece of wheat toast
D. Sliced banana
ATI - Test 6 Practice Assessment
A nurse is reinforcing teaching for a client about snacks that are appropriate on a low-fat, low-sodium, low-cholesterol diet. Which of the following client choices indicates the need for further teaching?
A. A slice of cheese.
B. A jam sandwich.
C. A cup of plain popcorn.
D. Applesauce.
ATI - Test 6 Practice Assessment
A nurse is reinforcing discharge teaching with a client and his wife who will be receiving enteral feedings through a gastrostomy tube. Which of the following client statements requires further teaching by the nurse?
A. "I can crush and
mix my medication with my formula."
B. "My wife will be able to change the dressing around my tube."
C. "I need to flush with 15 to 30 mL of water before and after each bolus feeding."
D. "I should make sure the formula is at room temperature before instilling down my tube."
A. "I can crush and mix my medication with my formula."
ATI - Test 6 Practice Assessment
A nurse is assisting with the development of an educational program for a group of parents of adolescents. Which of the following should be included as indicators of nutritional risk among adolescents? Select all that apply.
A. Skipping more than 3 meals per week.
B. Eating fast food once weekly.
C. Hearty appetite.
D. Eating without family supervision frequently.
E.
Frequently skipping breakfast.
A. Skipping more than 3 meals per week.
D. Eating without family supervision frequently.
E. Frequently skipping breakfast.
ATI - Test 6 Practice Assessment
A client who had abdominal surgery 24 hr ago suddenly reports a pulling sensation and pain in his surgical incision. The nurse checks the client's surgical wound and finds an evisceration. Which of the following interventions is appropriate?
A. Have the client lie flat in bed.
B. Use sterile gauze to place gentle pressure on the exposed organ.
C. Cover the area with saline-soaked sterile dressings.
D. Apply an abdominal binder.
C. Cover the area with saline-soaked sterile dressings.
ATI - Test 6 Practice Assessment
A client who is about to undergo abdominal surgery states that he is very anxious about the operation. Which of the following is an appropriate nursing response?
A. Ask him to describe what he is feeling.
B. Reassure him that he will be fine.
C. Suggest that he concentrate on other
thoughts.
D. Refer him to the pastoral care team.
A. Ask him to describe what he is feeling.
ATI - Test 6 Practice Assessment
A nurse is caring for a client who has bilateral eye patches in place following an injury. When the client's food tray arrives, which of the following nursing interventions is appropriate?
A. Assign an assistive personnel to feed the client.
B. Explain to the client that her tray is here and place her hands on it.
C. Describe to the client the location of the food on the tray.
D. Ask the client if she would prefer a liquid diet.
C. Describe to the client the location of the food on the tray.
**ATI - Test 6 Practice Assessment
A nurse is reinforcing teaching with a client about following a low-cholesterol diet after coronary artery bypass grafting. Which of the following food choices reflects the client's understanding of these dietary instructions?
A. Liver
B. Milk
C. Beans
D. Eggs
C. Beans
Rationale:
Organ meats, including liver are high in cholesterol.
ATI - Test 6 Practice Assessment
A nurse is assisting in monitoring a client who is receiving parenteral lipid infusion. Which of the following findings is the highest priority for the nurse to report to the charge nurse?
A. Elevated temperature
B.
Hyperlipidemia
C. Periorbital edema
D. Erythema at the insertion site.
A. Elevated temperature
Rationale:
The nurse should immediately report an elevated temperature to the provider as this is a potential sign of an allergic reaction or fat overload syndrome.
ATI - Test 6 Practice Assessment
A nurse is caring for a client with a nasogastric tube following surgery for a bowel obstruction. Which of the following actions should the nurse include in the client's plan of care?
A. Repositioning q2h
B. Encouraging hourly use of an incentive spirometer while awake.
C. Documenting the color, consistency, and amount of nasogastric drainage.
D. Irrigating the nasogastric tube q4 to 8h.
E. Maintaining bed rest for 48h following surgery.
A. Repositioning q2h
B. Encouraging hourly use of an incentive spirometer while awake.
C. Documenting the color, consistency, and amount of nasogastric drainage.
ATI - Test 6 Practice Assessment
A nurse is preparing to replace a client's abdominal dressing which is covering a large incision with a Penrose drain. Which of the following steps is appropriate for the nurse to take?
A. Removing the entire dressing at once.
B. Loosening the dressing by pulling the tape away from the wound.
C. Donning clean gloves to remove the dressing.
D. Opening sterile supplies before removing the dressing.
C. Donning clean gloves to remove the dressing.
**ATI - Test 6 Practice Assessment
A nurse is reinforcing dietary teaching to the parents of a newborn who is being breastfed. The nurse should instruct that breastfeeding is recommended to at least which of the following ages?
A. 6 months
B. 8 months
C. 10 months
D. 12 months
ATI - Test 6 Practice Assessment
A nurse is collecting data from a client who is receiving chemotherapy and is showing manifestations of malnutrition. Which of the following indicates a Vitamin C deficiency?
A. Dry, red conjunctiva
B. Swollen, bleeding gums
C. Inflammation of the tongue
D. Pale, brittle nails
B. Swollen, bleeding gums
ATI - Test 6 Practice Assessment
A nurse is caring for a client in a long term care facility. To improve the nutritional status of the client, which nursing intervention should the nurse recommend adding to the plan of care?
A. Allow the resident to eat what he/she wants.
B. Provide all soft, bland foods.
C. Serve small, frequent meals.
D. Remove noxious odors from the
environment.
C. Serve small, frequent meals.
ATI - Test 6 Practice Assessment
A nurse is caring for a client who is postoperative following a mastectomy and returns to the surgical unit with a closed-wound drainage system in place. Which of the following actions by the nurse ensures proper operation of the device?
A. Recollapse the reservoir immediately after emptying it.
B. Empty the reservoir when it becomes full.
C. Replace the drainage plug after releasing hand pressure on the device.
D. Irrigate the tubing with sterile normal saline solution at least q8h.
A. Recollapse the reservoir immediately after emptying it.
**ATI - Test 6 Practice Assessment
A nurse is collecting data from a client who will undergo abdominal surgery in 2 hr. The nurse finds that the client has mild anxiety about the surgery, last had food and fluids at 2330 the previous evening, and signed the surgical consent 2 days ago. Which of the following is an appropriate nursing action regarding these findings?
A. Call the
anesthesiologist to sedate the client.
B. Notify the surgeon of the client's food and fluid consumption.
C. Witness the surgical consent.
D. Document the findings in the client's medical record.
D. Document the findings in the client's medical record.
ATI - Test 6 Practice Assessment
A nurse is caring for a client who came to the emergency department with abdominal distention and is now on the medical-surgical unit with a NG tube in place to low gastric suction. The client is reporting anxiety, discomfort, and feeling of bloating. Which of the following is the nurse's priority action?
A. Request a prescription for a medication to ease the client's anxiety.
B. Irrigate the nasogastric tube with 100 mL of sterile water.
C. Check to see if
the suction equipment is working.
D. Remove and reinsert the nasogastric tube.
C. Check to see if the suction equipment is working.
ATI - Test 6 Practice Assessment
A nurse notes a small section of bowel protruding from the abdominal incision of a postoperative client. Which of the following actions should the nurse perform first?
A. Cover the client's wound with a moist sterile dressing.
B. Determine the client's pain level.
C. Check the client's vital signs.
D. Obtain a culture and sensitivity of the client's wound drainage.
A. Cover the client's wound with a moist sterile dressing.
ATI - Test 6 Practice Assessment
The nurse is working with a client preoperatively. After the client is given a preoperative medicine, which nursing action is appropriate?
A. Cover the client's eyes with a small towel.
B. Offer the client an opportunity to ambulate to the bathroom.
C. Raise the side rails and decrease the lighting.
D. Cover the client with an extra blanket.
C. Raise the side rails and decrease the lighting.
ATI - Test 6 Practice Assessment
A client who has a body mass index (BMI) of 26.5 has just found out that she is pregnant. She asks the nurse how much weight she should gain over the course of her pregnancy. Which of the following is the appropriate nurse response?
A. "It would be best if you gained about 11 to 20 pounds."
B. "The recommendation for you is about 15 to 25 pounds."
C. "A gain for about 25 to 35 pounds is best for you and for your baby."
D. "It really doesn't matter exactly how much weight you gain, as long as your diet is healthful."
B. "The recommendation for you is about 15 to 25 pounds."
ATI - Test 6 Practice Assessment
A nurse is caring for a client who has type 1 diabetes mellitus. Which of the following should the nurse recommend to the client as an appropriate sweetener?
A. Corn syrup.
B. Natural honey.
C. Nonnutritive sugar substitute
D. Guava nectar
C. Nonnutritive sugar substitute
ATI - Test 6 Practice Assessment
A nurse is caring for an older adult client who has weakness on her left side due to a cerebrovascular accident. She becomes upset when eating, because liquids seep out of her mouth on the weak side. Which of the following nursing interventions is appropriate?
A. Provide
only pureed and solid foods.
B. Have a family member feed the client.
C. Add thickener to fluids to increase their consistency.
D. Have the client use a syringe to squirt liquids into the back of the mouth.
C. Add thickener to fluids to increase their consistency.
ATI - Test 6 Practice Assessment
A nurse is caring for several clients on a medical surgical unit. Which of the following tasks is unsafe to assign to an assistive personnel (AP)?
A. Assisting a client to eat who has difficulty seeing the foods on the tray.
B. Observing a confused surgical client who has multiple tubes.
C. Delivering a urine specimen to the laboratory.
D. Calculating intake and output for a medical client.
B. Observing a confused surgical client who has multiple tubes.
**ATI - Test 6 Practice Assessment
A nurse is caring for client who has a hip fracture that requires surgical repair. Which health care professional is responsible for obtaining an informed consent form from the the client for the procedure.
A.
Nurse
B. Anesthesiologist
C. Surgeon
D. Surgical suite nurse
ATI - Test 6 Practice Assessment
A nurse is reinforcing teaching to a client with gastroesophageal reflux. Which of the following statements by the client indicates a need for further teaching?
A. "I try to avoid eating after supper."
B. "I keep my coffee intake to 4 cups a day."
C. "I drink milk when I get
heartburn."
D. "I avoid foods and drinks made with chocolate."
B. "I keep my coffee intake to 4 cups a day."
ATI - Test 6 Practice Assessment
A nurse is reinforcing teaching to a group a junior high athletes about fluid replacement. Which of the following should the nurse include as the best choice to provide adequate hydration.
A. Water
B. Vegetable juice
C. Milk
D. Energy drinks
ATI - Test 6 Practice Assessment
The nurse is caring for a postoperative client. The nurse understands that the rationale for repositioning the client q90 minutes is to
A. prevent muscle pain.
B. prevent the formation of pressure ulcers.
C. facilitate gastric
mobility and drainage.
D. promote adequate ventilation of the lungs.
D. promote adequate ventilation of the lungs.
ATI - Test 6 Practice Assessment
A nurse is reinforcing teaching to a the parent of an infant about the introduction of solid foods. The nurse should recommend that which of the following foods be introduced first?
A. Strained fruits
B. Pureed meats
C. Cooked egg whites
D. Iron-fortified cereal
**ATI - Test 6 Practice Assessment
The nurse is caring for a client who has end-stage renal disease and must limit protein intake. Which of the following foods should the nurse plan to include in the client's diet?
A. Eggs
B. Dried
beans
C. Nuts
D. Green vegetables
A. Eggs
Rationale:
The protein in the protein-restricted diet of a client who has end-stage renal disease must be of high biological value. This means that it must be a source of complete protein (providing a high percentage of amino acids), such as eggs, meat, fish, soy, or dairy products.
ATI - Test 6 Practice Assessment
A nurse is reinforcing teaching to a group of parents of newborns who hare planning to formula feed. Which of the following statements by one of the parents indicates a need for further teaching?
A. "I will give formula to my baby at room temperature."
B. "I will ensure by baby's feedings last 10 to 15 minutes."
C. "I will burp my baby half way through each feeding."
D. "I
will watch for signs my baby is full and stop the feeding."
B. "I will ensure by baby's feedings last 10 to 15 minutes."
Rationale:
Feedings should last 20 to 30 minutes.
ATI - Test 6 Practice Assessment
The nurse is caring for a hospitalized older adult female client who has hemiplegia from a cerebrovascular accident. The client's adult son is distressed over this mother's crying and deteriorating condition. Which of the following is an appropriate response?
A. "If you just sit quietly with your mother, I'm sure she will calm down."
B. "I'll talk with your mother and see if I can comfort her."
C. "It must be hard to see your mother so ill and upset."
D. "Your mother's crying seems to bother you more than it does her."
C. "It must be hard to see your mother so ill and upset."
ATI - Test 6 Practice Assessment
A nurse is reinforcing teaching to the parent of a toddler about appropriate snacks. Which of the following foods should the nurse include?
A. Sliced bananas
B. Raw celery
C. Peanut
butter
D. Marshmallows
ATI - Test 6 Practice Assessment
A nurse is calculating the protein needs of a client who weighs 154 lb. Which of the following amounts of protein should the nurse provide if the client requires 0.8g of protein/kg?
A. 35 g of protein/day
B. 42 g of protein/day
C. 56 g of protein/day
D. 65 g of protein/day
C. 56 g of protein/day
Rationale:
Convert weight to kilograms then multiply by 0.8 g.
ATI - Test 6 Practice Assessment
The nurse is caring for a client diagnosed with iron-deficiency anemia. Which of the following foods should the nurse recommend to the client as a good source of iron?
A. White bread with yellow vegetables
B. Eggs and green leafy vegetables
C. Citrus fruit and dairy products
D. Pasta and tomato sauce
B. Eggs and green leafy vegetables
ATI - Test 6 Practice Assessment
A nurse has been assigned to care for four clients. The nurse should observe which of the following clients for indications of Vitamin B6 deficiency?
A. A client who has cystic fibrosis
B. A client who has a chronic alcohol problem
C. A client who takes phenytoin (Dilantin) for a seizure disorder
D. A client who is prescribed rifampin (Rifadin) for tuberculosis
B. A client who has a chronic alcohol problem
ATI - Test 6 Practice Assessment
The nurse is caring for a postthoractomy client who has just returned from the operating room. Which of the following is the nurse's priority action?
A. Administer oxygen via nasal cannula
B. Monitor urinary output
C. Measure chest tube drainage
D. Maintain IV access at a rate of 75 mL/hour
A. Administer oxygen via nasal cannula
ATI - Test 6 Practice Assessment
A nurse is assisting with the development of an education program for a community group about dietary intake of vitamins and minerals in the diet. The nurse should include which of the following foods as the best source of vitamin C?
A. 1/2
cup of green pepper
B. 1 medium orange
C. 1/2 cup cabbage
D. 1 medium guava
ATI - Test 6 Practice Assessment
A nurse is reinforcing teaching to a client who wants to increase daily intake of omega-3 type fatty acids. Which of thefollowing foods should the nurse suggest the client increase?
A. Blueberries
B. Soybean oil
C. Citrus fruits
D. Green tea
ATI - Test 6 Practice Assessment
The nurse is caring for a client after a gastrointestinal surgery. The nurse understands that the rationale for the insertion of a nasogastric tube is that it
A. simplifies administration of medication.
B. accounts for all intake and output accurately.
C. facilitates collection of gastrointestinal specimens.
D. prevents accumulation of gas and fluids.
D. prevents accumulation of gas and fluids.
ATI - Test 6 Practice Assessment
The nurse is caring for a client who has returned to the ambulatory surgery unit following a laparoscopic cholecytectomy and reports severe pain in his right shoulder under the clavicle. The nurse explains that the client's pain
A. has resulted from lying in one position too long during the surgery.
B. is residual pain from cholecystitis.
C. indicate a muscle tear from the surgical procedure.
D. is due to carbon dioxide instilled into the abdomen.
D. is due to carbon dioxide instilled into the abdomen.