ATI Fundamentals Questions and Answers 2022

ATI Fundamentals Questions and Answers 2022 A nurse on a medical surgical unit is receiving a change of shift report for four clients. Which of the following clients should the nurse see first? A client who has new o ...

ATI Fundamentals Questions and Answers 2022 A nurse on a medical surgical unit is receiving a change of shift report for four clients. Which of the following clients should the nurse see first? A client who has new onset of dyspnea 24 hrs after a total hip arthroplasty A nurse is assessing an older adult client. Which of the following findings should the nurse expect? Decreased sense of balance. A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG tube. Which of the following actions should the nurse take? Allow room for two fingers to fit between the client's skin and the straints A nurse manager overhears a nurse telling a client, "I will administer your medication by injection if you don't swallow your pills." The nurse manager should identify that the nurse is committing which of the following torts? Assault A nurse is planning care for a client who reports having a latex allergy. Which of the following should the nurse include in the plan? - Schedule the client as the first surgical procedure of the day A nurse is teaching a client who has diabetes mellitus about mixing regular insulin and NPH insulin. Which of the following statements by the client indicates an understanding of the teaching? - "I should roll the vial of NPH insulin between my hands before drawing it up. A nurse administers an incorrect medication to a client and identifies the error. Which of the following actions should the nurse take first? - Report the error to the client's provider. A nurse is collecting data from a client who is postoperative and received an opioid analgesic for pain. Which of the following findings should the nurse identify as an adverse effect of this medication? -urinary retention A nurse is caring for a client who has wrist restraints after an episode of violent behavior. Which of the following actions should the nurse take? - Remove one restraint at a time. A nurse is teaching a client who is about to undergo bowel resection about advance directives. Which of the following should the nurse include in the teaching? -You will receive written information about advance directives prior to signing. A nurse is admitting a client who has TB. Which transmission-based precautions should the nurse initiate? - Airborne A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take? - Clean the skin around the stoma with normal saline. A nurse is providing teaching to a client about reducing the adverse effects of immobility which of the following statements by the client indicates an understanding of the teaching? - I will perform ankle and knee exercises every hour. A nurse is planning discharge for a client who had a stroke and has difficulty holding utensils at mealtime. Which of the following referrals should the nurse anticipate? - Occupational therapy A nurse is preparing a client who has terminal cancer for discharge. Which of the following questions should the nurse ask when assessing the client's psychosocial history? - What techniques do you use to cope with stress? Nurse is assisting in the use of a fracture bedpan for a client who is immobile due to cast. Which of the following actions should the nurse take? -place the shallow end of the fracture pan under the clients buttocks A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's signature, the client states, "but I don't understand what is meant by resecting my intestines." Which of the following actions should the nurse take? - Notify the provider. A nurse is documenting client care. Which of the following abbreviations should the nurse use? - BRP for bathroom privileges A nurse is caring for a client who is postoperative and has a new prescription to advance her diet to full liquids. Which of the following foods should the nurse offer the client? - Plain yogurt A nurse is planning to discharge a client who has diabetes mellitus and a new prescription for insulin. Which of the following actions should the nurse plan to complete first? - Obtain printed information about insulin self administration. A nurse is teaching a client how to self administer daily low dose heparin injections. Which of the following factors is most likely to increase the clients motivation to learn? - The clients belief that his needs will be met through education. A nurse is caring for a client who refuses to follow the providers prescription for bed rest. The nurse overhears an assistive personnel tell the client that if she does not remain in bed he will place her in restraints. The nurse should identify that the AP is committing which of the following torts? Assault A nurse is preparing to obtain health history information from a client which of the following actions should the nurse take? - Tell the client the purpose of collecting information. A nurse is caring for a client who has a prescription for crutches. The nurse should initiate a referral for which of the following members of the interprofessional team? - Physical therapist A nurse is teaching a client who reports experiencing chronic low-back pain. Which of the following instructions should the nurse include in the teaching? - Keep feet wide apart when lifting objects A nurse is caring for a client who begins to cry after receiving a diagnosis of cancer. Which of the following responses should the nurse make? - It must be very difficult for you to receive this kind of news." A nurse is planning care for a client who reports insomnia. Which of the following actions should the nurse perform shortly before bedtime? - perform range of motion exercises A nurse is teaching a newly licensed nurse about the care of a client who has methicillin- resistant staphylococcus aureus (MRSA) infection. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? - I will place the client in a private room A nurse is providing oral care for a client who is unconscious. Which of the following actions should the nurse take? - Place the client in a side lying position. A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis. Which of the following actions should the nurse take? - instruct the client to exhale quickly during vibration. A community health nurse is teaching a group of clients about kegel exercises to prevent urinary incontinence. Which of the following instructions should the nurse include? - Contract your pelvic muscle when performing the exercises. A nurse is mixing a short-acting insulin and intermediate-acting insulin in the same syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take first? Inject air into the intermediate-acting insulin vial. A nurse is implementing seizures precautions for client who has a seizures disorder. Which of the following equipment should the nurse place at the client's bedside? (select all that apply) Oral suction equipment, oral airway A nurse is obtaining a health history while admitting a client. The client tells the nurse. "I am under a lot of stress right now" Which of the following manifestations should the nurse expect. Elevated heart rate A nurse is reviewing a clients intake and output and notes the following: 0.9% sodium chloride 600mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization. The nurse should record the clients net fluid intake as how many mL? (Round answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) Patients input include :- 600ml of 0.9% sodium chloride 100ml of intermittent IV bolus Total = 700ml is the intake A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old child who has difficulty swallowing pills. Available is diphenhydramine 12.5mg/5mL oral syrup. Which of the following images indicates the correct number of mL the nurse should administer. (Round the answer to the nearest whole number) Ordered dose of diphenhydramine is 20 mg Available dose of diphenhydramine is 12.5 mg in 5ml Using unitary method :- 12.5mg of diphenhydramine is available in 5ml 1mg of diphenhydramine will be available in 5/12.5 Then 20mg of diphenhydramine will be available in 5/12.5× 20ml = 8ml The syringe containing 8ml of diphenhydramine will be used Option B ) A nurse is caring for a client who is prescribed a special diet. The client is concerned that he does not have the resources that are needed to adhere to the diet at home. The nurse should notify which of the following members of the health care team? registered dietician Dietician and nurse act in coordination to provide and help patient in taking recommend diet A nurse is caring for a client who was recently diagnosed with a terminal illness. The client tells the nurse, " I am looking forward to watching my grandchildren grow up." The nurse should identify that the client is experiencing which of the following the stages of grief? bargaining The third stage involves the hope that the individual can avoid a cause of grief. Usually, the negotiation for an extended life is made in exchange for a reformed lifestyle. People facing less serious trauma can bargain or seek compromise. Examples include the terminally ill person who "negotiates with God" to attend a daughter's wedding, an attempt to bargain for more time to live in exchange for a reformed lifestyle or a phrase such as "If I could trade their life for mine". A nurse is documenting in a client's medical record. Which of the following entries should the nurse record? Oral temperature slightly elevated at 0800 Vitals signs like temperature, blood pressure, pulse are most important for record A nurse is obtaining the medication history of a client who asks about taking ginkgo biloba. The nurse should identify that which medications can interact adversely with this supplement. warfarin Warfarin (Coumadin) is used to slow blood clotting. Ginkgo might also slow blood clotting. Taking ginkgo along with warfarin (Coumadin) might increase the chances of bruising and bleeding. Be sure to have your blood checked regularly A nurse is providing teaching to a client about the need to increase iron in their diet. Which of the following food choices should the nurse include as the best source of iron? 1 medium egg A nurse is assessing the body temperature of an adult client using a temporal artery thermometer. Which of the following actions nurse take? (select all that apply.) A. Slide the probe across the clients forehead. D. Hold the clients hair aside while performing the procedure. A nurse is assessing a clients who received morphine for severe pain 30 min ago. Which of the following findings in the nurse's priority? respiratory rate A nurse is preparing to insert an IV catheter for a client following a right mastectomy. Which of the following veins should the nurse select when initiating IV therapy? The cephalic vein in the left distal forearm (Median antecubital, cephalic and basilic veins are easy to hit and tend to last quite well if splinted properly. These veins are the preferred sites for insertion of percutaneous central venous catheters.) A nurse is teaching a client about crutch use following an ankle sprain. Which of the following actions by the client demonstrates an understanding of the teaching? bend slightly forward at the waist when ambulating. (Remember to use good posture—straight back and tummy muscles in. A nurse is providing discharge instructions to a client about proper use of a cane for maximum support. Which of the following statements by the client indicates an understanding of the teaching. I will hold my cane on my stronger side. Hold the cane on your strong side and move it along with your weak side. For example, if you have an injured right knee, hold the cane with your left hand. When you place your right leg out, swing the cane out with the leg. A nurse is caring for a client who requires droplet precautions. Which of the following actions should the nurse take when wearing a surgical mask? A nurse is caring for a client who requires droplet precautions. Which of the following actions should the nurse take when wearing a surgical mask? A nurse is caring for client who has brain cancer and is transferring to hospice care. The clients sone tells the nurse. "I don't know what to tell my dad if he asks how he is going to die". Which of the following is an appropriate response by the nurse? The social worker will help you answer those questions