ATI practice NCLEX questions with verified
answers
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? |
1. |position |left |leg |dependently
2. |elevate |left |leg |above |the |heart
3. |immobilize |left |leg |to |prevent |further |injury
4. |assess |dorsiflexion |and |extension |of |left |foot |- |verified |answers1. |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?
1. |continue |to |monitor |site |for |signs |of |infection |or |infiltration.
2. |double |check |blood |type |of |unit |of |blood |with |another |RN.
3. |start |a |new |IV |at |another |site |and |resume |transfusion.
4. |discontinue |the |transfusion |and |send |the |remaining |blood |and |tubing |to |lab. |- |verified |answers3. |
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?
1. |suctions |intermittently |for |15 |sec
2. |places |air |humidifier |at |bedside |
3. |cuts |4x4 |gauze |to |put |around |trach |
4. |removes |ties |before |cleaning |the |trach |- |verified |answers4. |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? |
1. |examine |pt |for |injuries |
2. |obtain |pulse |and |blood |pressure |
3. |assess |VS |and |LOC
4. |determine |intensity |of |pain |with |ROM |- |verified |answers3. |assess |VS |and |LOC
