ATI Proctored Fundamentals Exam Questions & Answers, All Correct-A nurse is caring for a client who requires a 24-hr urine collection. Which of the following statements by the client indicates an understanding of the tea
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ATI Proctored Fundamentals Exam Questions & Answers, All Correct-A nurse is caring for a client who requires a 24-hr urine collection. Which of the following statements by the client indicates an understanding of the teaching?
- "I flushed what I urinated at 7:00 a.m. and have saved all urine since."
A nurse is assessing a client who has been on bed rest for the past month. Which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis?
- Calf Swelling
A nurse manager is overseeing the care on a unit. Which of the following situations should the nurse manager identify as a violation of HIPAA guidelines?
- A nurse asks a nurse from another unit to assist with her documentation.
A nurse is caring for a client who requires bed rest and has a prescription for antiembolic stockings. Which of the following actions should the nurse take?
- Remove the stockings at least once per shift.
A nurse is administering IV fluid to an older adult client. The nurse should perform which priority assessment to monitor for adverse effects?
- Auscultate Lung Sounds
A nurse is teaching an older client who is at risk for osteoporosis about beginning a program of regular physical activity. Which of the following types of activity should the nurse recommend? - Walking Briskly
A nurse is assessing an adult client who has been immobile for the past 3 weeks. The nurse should identify that which of the following findings requires further intervention?
- Erythema on pressure points
A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first?
- Check the client for injuries
A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at an average risk for colon cancer, I should have routine screening. What does that involve?" Which of the following responses should the nurse make?
- "You should have a fecal occult blood test every year."
A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching?
- "Use the complete name of the medication magnesium sulfate."
A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take?
- Place the client in a room with negative-pressure airflow.
Wear gloves when assisting the client with oral care.
Use antimicrobial sanitizer for hand hygiene.
A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to mix together and administer subcutaneously. Determine the correct order of steps for this procedure.
- Air into NPH
Air into Regular
Draw up Regular
Draw up NPH
A nurse is reviewing practice guidelines with a group of newly licensed nurses. Which of the following interventions should the nurse include that is within the RN scope of practice?
- Initiate an enteral feeding through a gastrostomy tube.
A nurse is caring for a client who requires an NG tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube?
- Have the client take sips of water to promote insertion of the NG tube into the esophagus.
A nurse is assessing an older client's risk for falls. Which of the following assessments should the nurse use to identify the client's safety needs?
- Pupil Clarity
Visual Fields
Visual Acuity
A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use?
- The client holds the cane on the stronger side of her body.
A nurse is performing a peripheral vascular assessment for a client. When placing the bell of the stethoscope on the client's neck, she hears the following sound. This sound indicates which of the following?
- Narrowed Arterial Lumen
A nurse is admitting a client who has varicella. Which of the following types of transmission precautions should the nurse initiate?
- Airborne
A nurse is preparing to administer multiple medications to a client who has an enteral feeding tube. Which of the following actions should the nurse plan to take?
- Flush the tube with 15 mL of sterile water.
A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take?
- Cleanse the wound from the center outward.
A nurse is providing care to four clients. Which of the following situations requires the nurse the complete an incident report?
- A client who has an IV infusion pump receives an additional 250 mL of IV fluid.
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