ATI ns 550 Fundamentals proctored Exam

The nurse is assessing a patient with chronic lung respiratory disease (COPD). Which assessment finding would be the most concerning finding?

Which statement made by the patient is an indication for the nurse to use the Z-track method?

A nurse is teaching a newly licensed nurse about the risk factors for dehiscence for surgical clients who have surgical incisions. Which of the following should the nurse include? (Select all that app

A postoperative patient complains of pain at the surgical site incision. Which of the following would be the priority action for the nurse?

The nurse is assessing a patient with obstructive sleep apnea. Which assessment is the priority?

Which patient will the nurse see first?

Which of the following clients is most appropriate to delegate to the Licensed Practical/Vocational Nurse (LPN/LVN)?

The nurse is assessing a patient in ankle restraints and finds the extremities are cool and pale, nail beds are cyanotic, and capillary refill is >5 seconds. Which action should the nurse take first?

An 18-year-old male patient informs the nurse that he isn’t sure if he is homosexual because he is attracted to both genders. Which response by the nurse will help establish a trusting relationship?

A nurse is changing the dressing of a client who is 1 week postoperative following abdominal surgery and notes the presence of serosanguineous drainage. The nurse should recognize that this is an indi

Which step should the nurse take first when preparing to provide culturally competent care?

A nurse is assessing a patient with prolonged stress. Which conditions will the nurse monitor for in this patient? (Select all that apply)

Which patient using an inhaler would benefit most from using a spacer?

The nurse is caring for a diabetic patient in renal failure. Which laboratory findings are consistent with metabolic acidosis?

A home care nurse visits a new patient. The family asks how the home can be made safer. The nurse’s best advice includes which of the following?

Which of the following client statements would cause the nurse to further question the client?

The nurse walks into the client’s room and notices fire coming from the trash can. Place the following actions in the order the nurse should perform them: Close all of the doors and windows Activate t

A postoperative patient is hemorrhaging at the surgical site. The surgeon has determined the need to return to the operating room immediately. How will the nurse classify this procedure?

A nurse is preparing to teach a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?

A nurse is caring for a client who has an indwelling urinary catheter and notes blood-tinged urine in the catheter bag. The nurse recognizes this finding can be a manifestation of which of the followi

A nurse is developing a plan of care to prevent skin breakdown for a client with a spinal cord injury and paralysis. Which of the following nursing actions are appropriate? (Select all that apply)

A nurse is planning care for a client who has returned to the unit following a surgical procedure. The client’s oxygen saturation is 88%. Which of the following actions should the nurse take first?

A nurse is developing a plan of care for a client who has a stage 3 pressure ulcer. Which of the following interventions should the nurse include in the plan?

The physician orders nitroglycerin tablets gr 1/150 sublingual every 5 minutes up to three tablets for chest pain. The medication is supplied in 0.4-mg tablets. The patient took three tablets. How man

Which patient is most at risk for pressure ulcer formation?