ATI FUNDAMENTALS PROCTOR 2019 Questions with complete solutions
A nurse is teaching an assistive personnel about a upper body mechanics to prevent injury. Which of the following actions by the AP demonstrate an understa
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ATI FUNDAMENTALS PROCTOR 2019 Questions with complete solutions
A nurse is teaching an assistive personnel about a upper body mechanics to prevent injury. Which of the following actions by the AP demonstrate an understanding of the teaching?
a. The AP extends his pelvis outward when reaching for an object.
c. The AP bends at the waist when lifting an object.
d. The AP relaxes his abdomen muscles when reaching for an object.
a nurse is assessing a client who is immobile and notices a red area over the client's coccyx. Which of the following actions should the nurse take?
A. Change the client's position every 4 hours
B. Apply petroleum base ointment in the red area
D. Use friction when cleansing the client's skin. 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 an IV therapy?
A. the radial vein on the left wrist
C. the basilic vein in the right antecubital fossa
D. the cephalic vein on the back of the right hand
a nurse is preparing to administer a medication into a client by the intradermal route after applying gloves and cleaning the site with an antiseptic swab. In what order should the nurse take the steps to administer the medication? (move steps into box 1- 5 priority)
. a nurse is providing teaching to a client about colorectal cancer prevention guidelines. Which of the following recommendations should the nurse include?
A. intake of dietary fiber
B. have a fecal occult blood test q2 years
D. have a colonoscopy q 3 years
a nurse is planning care to prevent skin breakdown for a client who is immobile and is urinary incontinent. Which of the following actions should the nurse include in the plan of care?
A. reposition the client q 4 hrs
B. arrange for an alternating pressure mattress
C. apply cornstarch to the skin
a nurse is preparing to apply a condom catheter for a client who is uncircumcised which of the following actions should the nurse plan to take?
B. Keep foreskin in a retracted position after application of the catheter.
C. Place adhesive tape directly on the penis.
D. Change the condom catheter every 3 days.
a nurse is teaching a client who had an enucleation about care of an artificial eye. Which of the following information should the include in the teaching? (select all that apply)
9. a nurse is reviewing client confidentiality with a newly licensed nurse. The nurse should identify which of the following examples as a violation of HIPPA?
A. faxing medical information about the client to a providers office
B. teaching a client discharge instructions with his partner present
C. giving a telephone report to a surgical nurse and sending the client of the surgical suite
10. a nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden severe abdominal pain. Which of the following actions should the nurse take first?
A. determine areas of resonance across the abdomen using a systematic approach
C. perform abdominal palpation by pressing gently with the finger pads
D. use the diaphragm of the stethoscope to listen for bowel sounds
11. a nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurses priority?
A. Determine the client's reading ability
B. Review the use of an artificial larynx
C. With the client schedule a support session
12. A home care nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (select all that apply)
13. a nurse is assessing a client's cranial nerve VII. Which of the following responses should the nurse expect?
B. the client's tongue is in a mid-line position
C. the client turns his head against resistance
D. the clients pupils constrict and responsds to light
14. a nurse in an emergency department is assessing a client who reports a right lower quadrant pain, nausea and vomiting for the past 48 hours? Which of the following actions should the nurse take first?
A. Offer pain medication
B. Palpate the abdomen
D. Administer an antiemetic
15. a nurse is caring for a client who recently received a diagnosis of terminal cancer. Which of the following statements by the clients partner indicates maladaptive coping?
A. dont understand why he can't get better and return to work
B. i cook for him at home and work hard to prepare a nutritious meals
C. i am going to ask my daughter to come and stay for a week
16. a nurse is planning care for a client who has a stage 1 pressure ulcer on the right heel. The nurse should anticipate application of which of the following dressings?
A. Dry gauge
C. Calcium alginate
D. Hydrogel
17. a nurse is caring for a client who has brain cancer and is transferring to hospice care. The client's son 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 from the nurse?
18. a nurse is teaching an older adult client who has type 2 diabetes mellitus about how to care for corns and calluses toes. Which of the following statements by the client indicates understanding of the teaching?
B. I can place an oval corn pad over toes that have corns as longs as remove the pad weekly
C. I should soak my feet in warm water daily to soften corns and calluses
D. I should use an over the counter liquid medication to remove corns
19. a nurse is caring for a client who has wrists restraints after an episode of violent behavior. Which of the following actions should the nurse take?
A. Tie the restraints to the side rail
B. Secure restraints with a square knot
D. Remove the restraints every 3 hours
20. a nurse is admitting a client who has a clostridium difficile infection. Which of the following actions should the nurse take? (Select all that apply)
A. Use an N95 respirator while providing client care
C. Assign the client to a private room with positive airflow
21. a nurse is planning care for a client who has latex allergy and is scheduled for surgery. Which of the following actions is appropriate to include in the clients plan of care?
B. Cleanse the stoppers with primidone iodine for withdrawing medication
C. Remove the stop stocks from iv tubing
D. Ensure the gloves in the surgical suite are powdered gloves
22. a nurse is providing discharge teaching to a client who does not speak the same language as the nurse. Which of the following actions should the nurse take?
A. Offer written instructions in the client language
B. Request that an AP interpret instructions for the client
C. Use proper medical terms giving instructions to the client
23. 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?
B. The nurse explaining the need for education to the client
C. The client seeking family approval by agreeing to a teaching plan
D. The nurse's empathy about the client having to self-inject
24. a nurse is preparing to teach a female client about osteoporosis prevention. Which of the following recommendations should the nurse make for this client?
A. maintain a lean body
C. perform water aerobics 3 times each week
D. increase intake of vitamin b12
25. a nurse is caring for a client who is receiving continuous enteral feedings through gastrostomy tubes. Which of the following actions should the nurse take?
A. Heat the formula to 105 degrees Fahrenheit
B. Flush the tubing with 10 ml of water every 2 hours
C. Change the tubing every 72 hours
26. a nurse is caring for a client who has an incisional wound and a prescription for wound care. Which of the following images indicates the proper method of cleaning a wound site
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