ATI_NUR 275 Competencies for Contemporary Nursing Practice
Access The Exact Questions for ATI_NUR 275 Competencies for Contemporary Nursing Practice
💯 100% Pass Rate guaranteed
🗓️ Unlock for 1 Month
Rated 4.8/5 from over 1000+ reviews
- Unlimited Exact Practice Test Questions
- Trusted By 200 Million Students and Professors
Starting from
$30/month
What’s Included:
- Unlock Actual Exam Questions and Answers for ATI_NUR 275 Competencies for Contemporary Nursing Practice on monthly basis
- Well-structured questions covering all topics, accompanied by organized images.
- Learn from mistakes with detailed answer explanations.
- Easy To understand explanations for all students.
Gain unlimited set to all test questions, practice exams, educational videos and learning guides. Become a member. ATI_NUR 275 Competencies for Contemporary Nursing Practice
Free ATI_NUR 275 Competencies for Contemporary Nursing Practice Questions
1. A nurse is caring for a client who recently had surgery for insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify?
- Serum cardiac enzyme levels
- MRI of the chest
- Low-sodium diet
- Physical therapy
Explanation
MRI of the chest
An MRI is contraindicated for clients with most permanent pacemakers because the strong magnetic field can interfere with pacemaker function, damage internal components, or dislodge the device leads. Any MRI order must be clarified before proceeding unless the pacemaker is specifically MRI-compatible and verified. The other orders are safe and appropriate: checking cardiac enzymes monitors cardiac injury, a low-sodium diet supports cardiovascular health, and physical therapy promotes safe mobility and recovery after surgery.
An MRI is contraindicated for clients with most permanent pacemakers because the strong magnetic field can interfere with pacemaker function, damage internal components, or dislodge the device leads. Any MRI order must be clarified before proceeding unless the pacemaker is specifically MRI-compatible and verified. The other orders are safe and appropriate: checking cardiac enzymes monitors cardiac injury, a low-sodium diet supports cardiovascular health, and physical therapy promotes safe mobility and recovery after surgery.
2. A nurse is caring for a client who has chronic respiratory acidosis due to chronic obstructive pulmonary disease (COPD). Which of the following findings should the nurse expect with this client?
- A. Polyuria
- B. Delirium
- C. Anxiety and depression
- D. Osteoporosis
Explanation
D. Osteoporosis
Osteoporosis is an expected long-term complication in clients with chronic respiratory acidosis from COPD. Chronic CO₂ retention leads to acidosis, and the kidneys compensate by excreting hydrogen ions while retaining bicarbonate. Over time, buffering acids leads to increased calcium loss from bones, contributing to bone demineralization. In addition, many COPD clients require long-term corticosteroid therapy, further increasing the risk of osteoporosis and bone fractures.
Osteoporosis is an expected long-term complication in clients with chronic respiratory acidosis from COPD. Chronic CO₂ retention leads to acidosis, and the kidneys compensate by excreting hydrogen ions while retaining bicarbonate. Over time, buffering acids leads to increased calcium loss from bones, contributing to bone demineralization. In addition, many COPD clients require long-term corticosteroid therapy, further increasing the risk of osteoporosis and bone fractures.
3. A nurse is providing teaching to a client about risk factors for developing glaucoma. Which of the following risk factors should the nurse include in the teaching?
- A. Exposure to environmental toxins
- B. Light skin pigmentation
- C. Overexposure to UV rays
- D. Severe nearsightedness
Explanation
D. "Severe nearsightedness"
Severe nearsightedness (myopia) is a known risk factor for glaucoma, particularly open-angle glaucoma. Myopia affects the structure of the eye, increasing susceptibility to damage to the optic nerve due to increased intraocular pressure. Clients with high myopia require routine eye exams to detect early signs.
Severe nearsightedness (myopia) is a known risk factor for glaucoma, particularly open-angle glaucoma. Myopia affects the structure of the eye, increasing susceptibility to damage to the optic nerve due to increased intraocular pressure. Clients with high myopia require routine eye exams to detect early signs.
4. A nurse is providing teaching to a client who is postoperative following coronary artery bypass graft (CABG) surgery and is receiving opioid medications to manage discomfort. Aside from managing pain, which of the following desired effects of medications should the nurse identify as most important for the client's recovery?
- A. It decreases the client's level of anxiety.
- B. It facilitates the client's deep breathing.
- C. It enhances the client's ability to sleep.
- D. It reduces the client's blood pressure.
Explanation
B. "It facilitates the client's deep breathing."
Following CABG surgery, maintaining adequate ventilation and preventing pulmonary complications such as atelectasis, pneumonia, and hypoxemia is critical. Effective pain control allows the client to take deep breaths, cough, and participate in pulmonary hygiene (e.g., incentive spirometry). Without adequate analgesia, the client may splint their chest to avoid pain, resulting in shallow breathing and ineffective lung expansion, significantly increasing postoperative respiratory risk.
Following CABG surgery, maintaining adequate ventilation and preventing pulmonary complications such as atelectasis, pneumonia, and hypoxemia is critical. Effective pain control allows the client to take deep breaths, cough, and participate in pulmonary hygiene (e.g., incentive spirometry). Without adequate analgesia, the client may splint their chest to avoid pain, resulting in shallow breathing and ineffective lung expansion, significantly increasing postoperative respiratory risk.
5. A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?
- A. Alcohol use disorder
- B. Pacemaker
- C. Breast cancer survivor for 8 years
- D. 65-years of age
Explanation
A. Alcohol use disorder
Active substance use disorder, including alcohol use disorder, is a contraindication to kidney transplantation. Successful transplant requires strict lifelong adherence to immunosuppressive medications and follow-up care; substance misuse increases risk of nonadherence and poor outcomes. Clients must demonstrate sustained sobriety and rehabilitation before being considered candidates. Transplant programs typically require documentation of treatment participation and a period of abstinence prior to listing.
Active substance use disorder, including alcohol use disorder, is a contraindication to kidney transplantation. Successful transplant requires strict lifelong adherence to immunosuppressive medications and follow-up care; substance misuse increases risk of nonadherence and poor outcomes. Clients must demonstrate sustained sobriety and rehabilitation before being considered candidates. Transplant programs typically require documentation of treatment participation and a period of abstinence prior to listing.
6. A nurse is caring for a client who has a cardiopulmonary arrest. The nurse anticipates the emergency response team will administer which of the following medications if the client's restored rhythm is symptomatic bradycardia?
- A. Atropine
- B. Magnesium
- C. Epinephrine
- D. Sodium bicarbonate
Explanation
A. Atropine
Atropine is the first-line medication for symptomatic bradycardia following a return of circulation. It works by blocking vagal stimulation of the heart, resulting in increased heart rate and improved cardiac output. In post–cardiac arrest care, symptomatic bradycardia can compromise perfusion and oxygen delivery to vital organs. Prompt atropine administration supports stabilization while advanced interventions and pacing, if needed, are prepared.
Atropine is the first-line medication for symptomatic bradycardia following a return of circulation. It works by blocking vagal stimulation of the heart, resulting in increased heart rate and improved cardiac output. In post–cardiac arrest care, symptomatic bradycardia can compromise perfusion and oxygen delivery to vital organs. Prompt atropine administration supports stabilization while advanced interventions and pacing, if needed, are prepared.
7. A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of the following values?
- A. RBC count
- B. Amylase
- C. Magnesium
- D. Calcium
Explanation
B. Amylase
In acute pancreatitis, pancreatic enzymes such as amylase become significantly elevated due to inflammation and autodigestion of the pancreatic tissue. Amylase levels typically rise within hours of pancreatitis onset and serve as a key diagnostic indicator alongside elevated lipase. Elevated amylase confirms enzyme leakage into the bloodstream as the pancreas becomes inflamed and damaged.
In acute pancreatitis, pancreatic enzymes such as amylase become significantly elevated due to inflammation and autodigestion of the pancreatic tissue. Amylase levels typically rise within hours of pancreatitis onset and serve as a key diagnostic indicator alongside elevated lipase. Elevated amylase confirms enzyme leakage into the bloodstream as the pancreas becomes inflamed and damaged.
8. A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is not recommended due to which of the following findings in the client's medical history?
- A. History of breast cancer
- B. Concurrent treatment for GERD
- C. Multiple hospitalizations for COPD
- D. History of dermatitis
Explanation
A. History of breast cancer
Hormone therapy is contraindicated for clients with a history of breast cancer because estrogen can stimulate the growth of hormone-sensitive tumors and increase the risk of recurrence. HT is avoided to protect the client's long-term health and prevent cancer progression.
Hormone therapy is contraindicated for clients with a history of breast cancer because estrogen can stimulate the growth of hormone-sensitive tumors and increase the risk of recurrence. HT is avoided to protect the client's long-term health and prevent cancer progression.
9. A nurse is caring for a client who has expressive aphasia following a cerebrovascular accident (CVA). Which of the following parameters should the nurse use first in order to assess the client's pain level?
- A. Pulse and blood pressure findings
- B. A self-report pain rating scale
- C. Behavioral indicators and effect
- D. Scheduled treatments and client illness
Explanation
B. A self-report pain rating scale
A self-report pain scale is always the first and most reliable method to assess pain, even in clients with expressive aphasia, as long as they can understand and respond non-verbally. Tools such as numeric scales, picture charts, or communication boards allow the client to indicate pain level. Expressive aphasia affects verbal expression but not necessarily comprehension or ability to point, gesture, or use alternative communication methods, making self-report the priority.
A self-report pain scale is always the first and most reliable method to assess pain, even in clients with expressive aphasia, as long as they can understand and respond non-verbally. Tools such as numeric scales, picture charts, or communication boards allow the client to indicate pain level. Expressive aphasia affects verbal expression but not necessarily comprehension or ability to point, gesture, or use alternative communication methods, making self-report the priority.
10. A nurse is caring for an older adult client who has a terminal illness and is ventilator-dependent. The client is alert and oriented and he wants to discontinue use of the ventilator. The nurse should be aware that continued treatment against the client's wishes is a violation of which of the following ethical principles?
- A. Veracity
- B. Justice
- C. Autonomy
- D. Fidelity
Explanation
C. Autonomy
Autonomy is the ethical principle that supports a client's right to make decisions about their own care, including the refusal or withdrawal of treatment, even if it results in death. Because this client is alert, oriented, and capable of informed decision-making, forcing continued ventilation violates their personal right to control their own medical choices and bodily integrity.
Autonomy is the ethical principle that supports a client's right to make decisions about their own care, including the refusal or withdrawal of treatment, even if it results in death. Because this client is alert, oriented, and capable of informed decision-making, forcing continued ventilation violates their personal right to control their own medical choices and bodily integrity.
How to Order
1
Select Your Exam
Click on your desired exam to open its dedicated page with resources like practice questions, flashcards, and study guides.Choose what to focus on, Your selected exam is saved for quick access Once you log in.
2
Subscribe
Hit the Subscribe button on the platform. With your subscription, you will enjoy unlimited access to all practice questions and resources for a full 1-month period. After the month has elapsed, you can choose to resubscribe to continue benefiting from our comprehensive exam preparation tools and resources.
3
Pay and unlock the practice Questions
Once your payment is processed, you’ll immediately unlock access to all practice questions tailored to your selected exam for 1 month .