ATI FUNDAMENTALS PROCTORED EXAM RETAKE GUIDE 2021- UPDATED STUDY GUIDE
1.A nurse is preparing to obtain a blood specimen from a client by venipuncture. The client is receiving IV fluids through an IV catheter inserted
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ATI FUNDAMENTALS PROCTORED EXAM RETAKE GUIDE 2021- UPDATED STUDY GUIDE
1.A nurse is preparing to obtain a blood specimen from a client by venipuncture. The client is receiving IV fluids through an IV catheter inserted in the basilic vein of the right forearm. Which of the following sites should the nurse plan to use to obtain the blood specimen?
A. Left upper arm
B. Right forearm
C. Foot
D. Left forearm
2.A nurse is caring for a client who is not cooperating with his care and demonstrates defiant behavior. The nurse chooses to confront this client. Which of the following approaches should the nurse use when using confrontation?
A. Point out inconsistencies in the client's behavior.
B. Change the subject when the client behaves defiantly.
C. Use an aggressive tone of voice.
D. Wait to discuss the behavior in the presence of others.
3.A nurse is preparing medication for a client when another client has an emergency. Which of the following actions should the nurse take?
A. Have another nurse guard the medication preparations until the nurse returns.
B. Have another nurse finish preparing the medications.
C. Lock the medication in a room and finish preparing it after returning from the emergency. D. Discard the prepared medications and begin again after returning.
4.A nurse arrives for her shift and is preparing to count the controlled substances in the secure cabinet. Which of the following actions should the nurse take?
A. Set aside any controlled substances the nurse plans to give during her shift
B. Verify that the amounts of each medication she counts match the amounts on the inventory record.
C. Co-sign any notations of wasting controlled substances on the previous shift.
D. Discard in the sharps container any partial doses she finds in the cabinet.
5.A nurse is preparing to administer penicillin IM to an adult client. Which of the following angles should the nurse use for injection into the client's ventrogluteal muscle?
A. 45°
B. 60°
C. 75°
D. 90°
6.A nurse is preparing to administer the hepatitis B vaccine to a client. Which of the following techniques should the nurse use to locate the deltoid muscle?
A. Locate the center of the arm between the elbow and the shoulder.
B. Find the center of the anterior aspect of the thigh.
C. Locate the middle third of the anterior thigh between the greater trochanter of the femur and the lateral femoral condyle.
D. Place one finger across the acromion process and measure 3 fingerbreadths below to the midpoint and center of the lateral aspect of the upper arm.
7.A nurse is preparing to insert an IV catheter for a client and has selected the insertion site. Place the following steps in the order in which the nurse should perform them. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
A. Apply a tourniquet or BP cuff. 1
B. Insert the catheter. 4
C. Cleanse the site with an antiseptic swab. 3
D. Flush the catheter. 5
E. Dilate the vein. 2
8.A nurse in the emergency department is preparing to administer naloxone 0.4 mg IV bolus to a client who has opioid-induced respiratory depression. Available is naloxone injection 0.2 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
0.2 mL
9.A nurse prepares to replace the nearly empty container of total parenteral nutrition (TPN) for a client when she finds that there has been a delay in receiving the new container of solution from the pharmacy. Which of the following solutions should the nurse infuse until the next container of TPN solution becomes available?
A. Lactated Ringer's
B. 3% sodium chloride
C. Dextrose 10% in water D. 0.9% sodium chloride
10.A nurse is assessing an IV infusion site on an infant's left hand. Which of the following findings should the nurse identify as an indication of an infiltration?
A. Blood in the IV tubing
B. Absence of blanching at the insertion site C. Edema in the palm of the hand
D. Warmth around the insertion site
11.A provider prescribes a sublingual medication for a client who has an NG tube in place. Which of the following actions should the nurse take?
A. Request a prescription for an oral formulation of the medication.
B. Administer the crushed medication through the NG tube.
C. Dissolve the medication in water and give it through the NG tube. D. Administer the medication under the client’s tongue.
12.A nurse is preparing to administer methylnaltrexone 12 mg subcutaneously to a client who has opioid-induced constipation. Available is methylnaltrexone 8 mg/0.4 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) _0.6_ mL
13.A nurse is reinforcing teaching with a client about using transdermal patches at home. Which of the following statements should the nurse identify as an indication that the client understands the teaching?
A. "I will remove the old patch and apply a new one in the same location."
B. "I will press the patch securely in place on my forearm." C. "I will clean and dry the area before applying the patch."
D. "I will use lotion on irritated skin before applying a new patch in that area."
14.A nurse is preparing to administer ophthalmic solution to a client. Which of the following actions should the nurse take?
A. Instill the drops into the inner canthus.
B. Approach the client's eye from below it.
C. Hold the ophthalmic solution 2 cm (3/4 in) above the lower conjunctival sac.
D. Ask the client to look down when instilling the solution.
15.A nurse is preparing to administer a pre-packaged oral medication to a client and complete the final medication check. At which of the following times or places should the nurse perform this final check?
A. At the client's bedside before administration
B. In the area where the nurse obtained the medication
C. At the time of documentation
D. At the nurses' station while reviewing the provider's prescription
16.A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?
A. Urine output of175 mL in the past 8 hr
B. Urine output of 2,200 mL in the past 24 hr
C. First-voided urine in the morning has a strong odor
D. Urine is cloudy after sitting in the urinal for 6 hr
17.A nurse is caring for an older adult client. The nurse informs the client that straining while defecating can cause which of the following?
A. Dilated pupils
B. Dysrhythmias
C. Diarrhea
D. Gastric ulcer
18.A nurse is admitting a client who reports flu-like symptoms with hyperactive reflexes and a new onset of confusion. The nurse should recognize that the client is experiencing which of the following conditions?
A. Metabolic acidosis B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
19.A nurse is reviewing a client’s laboratory report of blood gas findings: HCO3- 18 mEq/L and PaCO2 28 mm Hg. Which of the following pH values and conditions should the nurse expect when interpreting these findings?
A. Decreased pH and metabolic acidosis B. Decreased pH and respiratory acidosis
C. Elevated pH and metabolic alkalosis
D. Elevated pH and respiratory alkalosis
20.A nurse is caring for a client and identifies an infiltration at the IV catheter site. Identify the order the nurse should perform the following actions. (Move the steps into the box on the right, placing them in the selected order of performance. All steps must be used.)
A. Elevate the extremity. 3
B. Stop the infusion. 1
C. Apply warm or cold compresses. 4
D. Remove the IV catheter. 2
E. Apply a sterile dressing. 5
21.A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula. The nurse explains to the client that this method of oxygen delivery does which of the following?
A. Delivers a constant rate of a specific concentration of oxygen
B. Delivers a high concentration of oxygen C. Delivers a low concentration of oxygen
D. Restricts the client’s ability to eat, speak, or drink
22.A nurse is providing preoperative teaching for a client who will undergo surgery. The nurse explains that the client will wear antiembolism stockings during and after the procedure. When the client asks what the stockings do, which of the following responses should the nurse make?
A. “They protect your legs and heels from skin breakdown.”
B. “They help keep you warm after your surgery.”
C. “They improve your circulation to keep blood from pooling in your legs.”
D. “They make it easier for you to do leg exercises after your surgery.”
23.A nurse is admitting a client who has influenza and is reporting numbness and tingling of the toes and fingers. The nurse should recognize the client is experiencing which of the following acid-base imbalances?
A. Metabolic acidosis
B. Metabolic alkalosis C. Respiratory acidosis
D. Respiratory alkalosis
24.A nurse is caring for a client who has the following arterial blood gas results: HCO3 18 mEq, PaCO2 28 mm Hg and pH 7.30. The nurse recognizes the client is experiencing which of the following acid base imbalances?
A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Respiratory alkalosis
25.A nurse is caring for a client who has a stage 3 pressure ulcer. The nurse should recognize that which of the following laboratory findings will affect wound healing?
A. Serum albumin 3.2 g/dL
B. Hemoglobin 16 g/dL C. WBC count 8,000/mm3
D. PTT 1.8
26.A nurse in a community health clinic is caring for a client who has a new diagnosis of plantar warts. The nurse should include which of the following in the teaching plan for this client?
A. Soak feet in an antiseptic solution daily. B. They may be painful with ambulation.
C. They are related to excessive foot perspiration.
D. A biopsy will be prescribed to rule out malignancy.
27.A nurse in a provider's office is caring for a client who reports pruritus and reddened, oozing lesions on her lower leg. The nurse should suspect which of the following disorders?
A. Alopecia
B. Contact dermatitis
C. Pediculosis
D. Tinea pedis
28.A nurse is teaching a client who has a new diagnosis of atopic dermatitis. Which of the following statements should the nurse include in the teaching?
A. "You will need to take the entire prescription of antibiotics even if your condition improves."
B. "Your provider may recommend a daily antihistamine to help control your symptoms."
C. "You should cleanse your mouth daily with a prescribed mouthwash."
D. "Your provider will remove the lesions with solid carbon dioxide."
29.A nurse in a provider’s office is caring for a client who has a new diagnosis of tinea pedis. Which of the following findings should the nurse expect?
A. Report of recent exposure to poison ivy
B. Scaling and redness between the client’s toes
C. Circular, erythematous patches on the scalp
D. Report of a recent prescription for an antiseizure medication
30.A nurse is caring for a client who is receiving enteral tube feeding and has a new prescription to dilute the formula. The nurse recognizes this is being done to resolve which of the following conditions?
A. Electrolyte imbalance
B. Diarrhea C. Constipation
D. Delayed gastric emptying
31.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?
A. Apply a heat lamp twice a day.
B. Reposition the client at least every 2 hr.
C. Clean the wound with hydrogen peroxide solution.
D. Massage reddened areas with dressing changes.
32.A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements by the client indicates they understand this type of treatment?
A. “I am thinking of getting a second opinion.” B. “I am hoping this will limit my discomfort.”
“This treatment should help me live a little longer.”
“This is not working and I plan to stop treatment.”
33.A nurse is caring for a client who has metastatic bone cancer. The client states, "I want to go home to die." The family is concerned about meeting the client's care needs at home. Which of the following actions should the nurse take?
A. Discuss initiating hospice care with the client and family.
B. Write a referral to place the client in a nursing home.
C. Talk with the provider about extending the client's hospital stay.
D. Inform the client's family that they are responsible for providing palliative care.
34.A nurse is administering an oral medication to an older adult client. The client states, “The pill I always take is green. I don’t take an orange pill.” Which of the following responses should the nurse make?
A. "Sometimes the same pill comes in a different color."
B. "Let me explain the purpose of the medication." C. "I will check your medication order again."
D. "This is the medication that your doctor wants you to take."
35.A nurse working on a medical unit is completing the admission of a client who reports a severe allergy to penicillin. Which of the following actions should the nurse take?
A. Have the client purchase a medication alert bracelet to wear in the hospital.
B. Notify dietary services to adjust the client’s diet.
C. Remove all objects that contain latex from the client’s room.
D. Verify the client’s medication prescriptions do not include cephalosporin.
36.A nurse is providing discharge teaching to a client has a new prescription for a metered dose inhaler (MDI). Which of the following instructions should the nurse include in the teaching?
C.
D.
A. Shake the inhaler for 3 to 5 seconds.
B. Rinse the mouth with mouthwash after inhaling the medication.
C. Wait 2 min between inhalations.
D. Press down twice on the MDI canister.
37.A nurse is providing dietary teaching for a client who is Asian-American and is gazing at the floor during the instructions. Which of the following actions should the nurse take to demonstrate culturally sensitive nursing care?
A. Stop the instructions to see what is on the floor.
B. Emphasize the significance of the information.
C. Move closer to the client for eye contact. D. Continue with the discussion
38.A client states, “Why do I feel relief now that my dad is gone?” Which of the following responses should the nurse make?
A. “Do you feel guilty?”
B. “Tell me what you are thinking.”
C. “You are in denial about your dad’s death.”
D. “Your dad is not suffering anymore.”
39.A nurse is caring for a client of Chinese heritage. Which of the following actions should the nurse take to demonstrate cultural competence?
A. Make sure the dietary department does not serve the client pork. B. Ask the client's permission to add ice to drinking water.
C. Maintain direct eye contact with the client.
D. Place a hand on the client's head.
40.A nurse is observing an assistive personnel performing postmortem care for a client who is Muslim. Which of the following actions should prompt the nurse to intervene?
A. Leaves dentures in the mouth B. Prepares to cleanse the body
C. Disconnects the cardiac monitor D,Removes soiled linens from the room
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