ATI FUNDAMENTALS PRACTICE A, B, &
FINAL, ATI FUNDAMENTALS REVIEW 2022
A nurse is reviewing a client's medication prescription, which reads, "digoxin 0.25 by
mouth every day." Which of the following components of the
...
ATI FUNDAMENTALS PRACTICE A, B, &
FINAL, ATI FUNDAMENTALS REVIEW 2022
A nurse is reviewing a client's medication prescription, which reads, "digoxin 0.25 by
mouth every day." Which of the following components of the prescription should the
nurse question? - ANS-The dose
A client who reports shortness of breath requests her nurse's help in changing
positions. After repositioning the client, which of the following actions should the
nurse take next? - ANS-Observe the rate, depth, and character of the client's
respirations.
A nurse is caring for a client who, while sitting in a chair, starts to experience a
seizure. Which of the following actions should the nurse take? - ANS-Lower the
client to the floor and place a pad under the client's head.
A home health nurse is planning to provide health promotion activities for a group of
clients in the community. Which of the following activities is an example of the nurse
promoting primary prevention? - ANS-Educating clients about the recommended
immunization schedule for adults
A nurse is using the I-SBAR communication tool to provide the client's provider with
information about the client. The nurse should convey the client's pain status in
which portion of the report? - ANS-Assessment
A nurse is caring for a client who is receiving IV therapy via a peripheral catheter.
The nurse should identify that which of the following findings is an indication of
infiltration? - ANS-Edema at the infusion site
A nurse is providing discharge teaching to a client who is recovering from lung
cancer. The provider instructed the client that he could resume lower-intensity
activities of daily living. Which of the following activities should the nurse recommend
to the client? - ANS-Washing dishes
A nurse is caring for a client who has acute renal failure. Which of the following
assessments provides the most accurate measure of the client's fluid status? - ANSDaily weight
A nurse is planning to assess the abdomen of a client who reports feeling bloated for
several weeks. Which of the following methods of assessment should the nurse use
first? - ANS-Inspection
A nurse is explaining the use of written consent forms to a newly-licensed nurse. The
nurse should ensure that a written consent form has been signed by which of the
following clients? - ANS-A client who has a prescription for a transfusion of packed
red blood cells
A nurse in a long-term care facility is admitting a client who is incontinent and smells
strongly of urine. His partner, who has been caring for him at home, is embarrassed
and apologizes for the smell. Which of the following responses should the nurse
make? - ANS-"It must be difficult to care for someone who is confined to bed."
A nurse in a provider's office is assessing a client who has heart failure. The client
has gained weight since her last visit and her ankles are edematous. Which of the
following findings by the nurse is another clinical manifestation of fluid volume
excess? - ANS-Bounding pulse
A nurse is caring for a client who is postoperative following abdominal surgery.
Which of the following actions should the nurse take first after discovering that the
client's wound has eviscerated? - ANS-Cover the incision with a moist sterile
dressing.
A nurse is teaching a client who has lower extremity weakness how to use a fourpoint crutch gait. Which of the following instructions should the nurse include in the
teaching? - ANS-"Bear weight on both of your legs."
A nurse in a provider's office is collecting information from an older adult client who
reports that he has been taking acetaminophen 500 mg/day for severe joint pain.
The nurse should instruct the client that large doses of acetaminophen could cause
which of the following adverse effects? - ANS-Liver Damage
A nurse is planning to document care provided for a client. Which of the following
abbreviations should the nurse use? - ANS-PC for after meals
A nurse is responding to a parent's question about his infant's expected physical
development during the first year of life. Which of the following information should
the nurse include? - ANS-A 10-month-old infant can pull up to a standing position.
An assistive personnel (AP) is assisting a nurse with the care of a female client who
has an indwelling urinary catheter. Which of the following actions by the AP indicates
a need for further teaching? - ANS-The AP hangs the collection bag at the level of
the bladder.
A newly licensed nurse is preparing to administer medications to a client. The nurse
notes that the provider has prescribed a medication that is unfamiliar to her. Which of
the following actions should the nurse take? - ANS-Consult the medication reference
book available on the unit.
A nurse is providing oral care for a client who is unconscious. Which of the following
actions should the nurse take? - ANS-Place the client in a lateral position with the
head turned to the side before beginning the procedure.
A nurse is planning to perform passive range-of-motion exercises for a client. Which
of the following actions should the nurse take? - ANS-Repeat each joint motion five
times during each session.
A nurse is teaching a client who is postoperative how to use a flow-oriented incentive
spirometer. Which of the following instructions should the nurse include? - ANSCough deeply after each use.
A nurse is teaching a client how to self-administer insulin. Which of the following
actions should the nurse take to evaluate the client's understanding of the process
within the pyschomotor domain of learning? - ANS-Have the client demonstrates the
procedure.
A nurse is providing teaching about food choices to a client who has a prescription
for a clear liquid diet. Which of the following selections by the client indicates an
understanding of the teaching? - ANS-Gelatin
A nurse is performing a neurological assessment for a client. Which of the following
examinations should the nurse use to check the client's balance? - ANS-Romberg
test
A nurse in a provider's office is reviewing the laboratory findings of a client who
reports chills and aching joints. The nurse should identify which of the following
findings as an indication that the client has an infection? - ANS-WBC 15,000 mm3
A nurse is preparing to administer an intramuscular injection to a young adult client.
Which of the following injection sites is the safest for this client? - ANS-Ventrogluteal
A nurse is applying an ice bag to the ankle of a client following a sports injury. Which
of the following actions should the nurse take? - ANS-Fill the bag two-thirds full with
ice.
A nurse is caring for a client who is 48 hr postoperative following a small bowel
resection. The client reports gas pains in the periumbilical area. The nurse should
plan care based on which of the following factors contributing to this postoperative
complication? - ANS-Impaired peristalsis of the intestines
A client is being discharged home with oxygen therapy via a nasal cannula. Which of
the following instructions should the nurse provide to the client and family? - ANSWear cotton clothing to avoid static electricity.
A nurse is planning to insert a nasogastric tube for a client after explaining the
procedure. The client states, "You are not putting that hose down my throat." Which
of the following statements should the nurse make? - ANS-"I can see that this is
upsetting you."
A nurse is preparing to administer a cleansing enema to a client. Which of the
following actions should the nurse plan to take? - ANS-Position the client on his left
side.
A nurse on a surgical unit is receiving a client who had abdominal surgery from the
postanesthesia care unit. Which of the following assessments should the nurse
make first? - ANS-Airway
A nurse is caring for a client who has a prescription for a vest restraint. Which of the
following actions should the nurse take? - ANS-Tie the restraint with a quick-release
knot.
A nurse is cqaring for a client who has a fecal impaction. Before digital removal of
the mass, which of the following types of enemas should the nurse plan to administer
to soften the feces? - ANS-Oil retention
A nurse is providing education about cultural and religious traditions and rituals
related to death for the assistive personnel on the unit. Which of the following
information should the nurse include? - ANS-People who practice Judaism stay with
the body of the deceased until burial.
A nurse is reviewing the correct use of a fire extinguisher with a client. Which of the
following actions should the nurse direct the client to take first? - ANSA nurse is preparing to provide chest physiotherapy for a client who has left lower
lobe atelectasis. Which of the following actions should the nurse plan to take? - ANSPlace the client in Trendelenburg's position.
A nurse is planning care for a client who is postoperative and has a history of poor
nutritional intake. Which of the following actions should the nurse include in the plan
of care to promote wound healing? - ANS-Provide a protein intake of 1.5 g/kg of
body weight per day.
A nurse is caring for a client who has a terminal illness. Which of the following
findings indicates that the client's death is imminent? - ANS-Cold extremities
A nurse is caring for a client who is receiving a blood transfusion. The client reports
flank pain and the nurse notes reddish-brown urine in the client's urinary catheter
bag. The nurse recognizes these manifestations as which of the following types of
transfusion reactions? - ANS-Hemolytic
A nurse on a mental health unit is preparing to terminate the nurse-client relationship
with a client who no longer requires care. Which of the following concepts should the
nurse and client discuss in the termination phase of the relationship? - ANS-Loss
A nurse is caring for a client who has bilateral casts on her hands. Which of the
following actions should the nurse take when assisting the client with feeding? -
ANS-Sit at the bedside while feeding the client.
A nurse is caring for a client who has Clostridium difficile and is in contact isolation.
Which of the following actions should the nurse take? - ANS-Wear gloves when
changing the client's gown.
A nurse is planning care for a client who has a single-lumen nasogastric (NG) tube
for gastric decompression. Which of the following actions should the nurse include in
the plan of care? (Select all that apply.) - ANS--Provide oral hygiene frequently.
-Measure the amount of drainage from the NG tube every shift.
-Secure the NG tube to the client's gown.
A nurse is called away for an emergency while conversing with a client who is
concerned about his medical diagnosis. The nurse returns to the client promptly, as
promised. Which of the following ethical principles is the nurse demonstrating? -
ANS-Fidelity
A nurse in the emergency department is caring for a client who has abdominal
trauma. Which of the following assessment findings should the nurse identify as an
indication of hypovolemic shock? - ANS-Tachycardia
A nurse is reviewing the laboratory values for a client who has a positive Chvostek's
sign. Which of the following laboratory findings should the nurse expect? - ANSDecreased calcium
An adolescent client in an outpatient mental health facility tells the nurse that it is
hard to follow his treatment plans because his friends discourage him. Which of the
following statements should the nurse make? - ANS-"Tell me more about how your
friends discourage you."
A nurse is reviewing measures to prevent back injuries with assistive personnel (AP).
Which of the following instructions should the nurse include? - ANS-When lifting an
object, spread your feet apart to provide a wide base of support.
A nurse on a telemetry unit is caring for a client who had a myocardial infarction. The
client states "All this equipment is making me nervous." Which of the following
responses should the nurse make? - ANS-"All of this equipment can be frightening."
A nurse is caring for a client who reports pain. When documenting the quality of the
client's pain on an initial pain assessment, the nurse should record which of the
following client statements? - ANS-"The pain is like a dull ache in my stomach."
A client who is nonambulatory notifies the nurse that his trash can is on fire. After the
nurse confirms the fire, which of the following actions should the nurse take next? -
ANS-evacuate the client
A nurse is completing an admission assessment for a client who reports vomiting
and diarrhea for the past 3 days. Which of the following findings should the nurse
expect? - ANS-Rapid heart rate
A nurse has accepted a verbal prescription for three tenths of a milligram of
levothyroxine IV stat for a client who has myxedema coma. How should the nurse
transcribe the dosage of this medication in the client's medical record? - ANS-0.3 mg
A nurse is preparing a heparin solutionA nurse is preparing a heparin infusion for a
client who was hospitalized with deep-vein thrombosis. The order reads: 25,000
units of heparin in 250 mL of 0.9% sodium chloride to infuse at 800 units/hr. At what
rate should the nurse set the infusion pump? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing zero.) - ANS-8
mL/hr
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