ATI Fundamentals Proctored Exam Study Guide. AHIP 2024/2025, Answered

ATI Fundamentals Proctored Exam Study Guide. AHIP 2024/2025, Answered-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 th ...

ATI Fundamentals Proctored Exam Study Guide. AHIP 2024/2025, Answered-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 assessing a client's readiness to learn about insulin administration. Which of the following statements should the nurse identify as an indication that the client is ready to learn? - "I can concentrate best in the morning." A nurse is performing a Romberg's test during the physical assessment of a client. Which of the following techniques should the nurse use? - Have the client stand with her arms at her side and her feet together. A nurse is planning an deduction session for an older adult client who has just learned that she has type 2 diabetes mellitus. Which of the following strategies should the nurse plan to use with this client? - Allow extra time for the client to respond to questions 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 preparing to administer 0.5 mL of oral single-dose liquid medication to a client. Which of the following actions should the nurse take? - Gently shake the container of medication prior to administration. 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 is caring for a client who is expressing anger over his diagnosis of colorectal cancer. Which of the following actions should the nurse take? - Reassure the client that this is an expected response to grief. 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 charge nurse is discussing the responsibility of nurses caring for clients who have Clostridium difficile infection. Which of the following information should the nurse include in the teaching? - Have family members wear a gown and gloves when visiting. A nurse in a surgical suite notes documentation on a client's medical record he has a latex allergy. In preparation for the client's procedure, which of the following precautions should the nurse take? - Wrap monitoring cords with stockinette and tape them in place. A nurse is caring for a client who is reporting difficulty falling asleep. Which of the following measures would the nurse recommend? - Use progressive relaxation techniques at bedtime. 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.