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ATI Fundamentals practice Test C/80 Questions and Answers/100% Scores!!!
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ATI Fundamentals practice Test C/80Questions and Answers/100%
Scores!!!
A nurse is planning to obtain the vital signs of a 2-year-old child who is
experiencing diarrhea and who might have a right ear infection. Which of the
following routes should the nurse use to obtain the temperature? - -
Temporal
-A nurse is caring for a client who is in the terminal stage of cancer. Which
of the following actions should the nurse takes when she observes the client
crying? - -Sit and hold the client's hand
-A community health nurse is preparing a campaign about seasonal
influenza. Which of the following plans should the nurse include as a
secondary prevention? - -Screening groups of older adults in nursing care
facilities for early influenza manifestations
-A nurse is teaching an assistive personnel (AP) about proper hand hygiene.
Which of the following statements by the AP indicates an understanding of
the teaching? - -"There are times I should use soap and water rather than an
alcohol-based rub to clean my hands."
-A nurse is performing an abdominal assessment for an adult client. Identify
the correct sequence of steps for this assessment. - -- Inspection
- Auscultation
- Percussion
- Palpation
-A nurse at a screening clinic is assessing a client who reports a history of a
heart murmur related to aortic valve stenosis. At which of the following
anatomical areas should the nurse place the stethoscope to auscultate the
aortic valve? - -Second intercostal space to the right of the sternum
-A nurse is measuring vital signs for a client and notices an irregularity in
the pulse. Which of the following actions should the nurse take? - -Count the
apical pulse rate for 1 minute, and describe the rhythm in the chart
-A nurse observes an assistive personnel (AP) preparing to obtain blood
pressure with a regular size cuff for a client who is obese. Which of the
following explanations should the nurse give the AP? - -"Using a cuff that is
too small will result in an inaccurately high reading."
, -A nurse is admitting a client who has decreased circulation in his left leg.
Which of the following actions should the nurse take first? - -Evaluate pedal
pulses
-A nurse is preparing to provide tracheostomy care for a client. Which of the
following actions should the nurse take first? - -Perform hand hygiene
-A nurse is caring for a client who requires a chest x-ray. Prior to the client
being transported for the procedure, which of the following actions should
the nurse take first? - -Identify the client using two identifiers
-A nurse is obtaining the blood pressure in a client's lower extremity. Which
of the following actions should the nurse take? - -Place the bladder of the
cuff over the posterior aspect of the thigh
-A nurse on a medical-surgical unit is washing her hands prior to assisting
with a surgical procedure. Which of the following actions by the nurse
demonstrates proper surgical hand-washing technique? - -The nurse washes
with her hands held higher than her elbows
-A nurse is caring for a client who is unstable and has vital signs measured
every 15 minutes by an electronic blood pressure machine. The nurse notes
the machine begins to measure the blood pressure at varied intervals and
the readings are inconsistent. Which of the following actions should the
nurse take? - -Disconnect the machine, and measure the blood pressure
manually every 15 minutes
-A nurse is preparing to perform mouth care for an unresponsive client.
Which of the following actions should the nurse plan to take? - -Raise the
level of the bed
-A nurse is inserting an IV catheter for a client that results in a blood spill on
her gloved hand. The client has no documented bloodstream infection.
Which of the following actions should the nurse take? - -Carefully remove
the gloves and follow with hand hygiene
-A nurse is assessing the heart sounds of a client who has developed chest
pain that becomes worse with inspiration. The nurse auscultates a high-
pitched scratching sound during both systole and diastole with the
diaphragm of the stethoscope positioned at the left sternal border. Which of
the following heart sounds should the nurse document? - -Pericardial friction
rub
-A nurse is teaching a group of older adults about expected changes of
aging. Which of the following statement by a group member indicates that
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