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NGN FUNDAMENTALS PROCTORED EXAM 2023

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NGN ATI FUNDAMENTALS PROCTORED EXAMS 1. A nurse in a clinic is caring for an middle aged adult woman who states” the doctor says that since I am at an average risk for colon cancer, I should have a routine screening. What does that involve ?” which of the following response should the nurse ma...

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  • August 24, 2023
  • 45
  • 2023/2024
  • Exam (elaborations)
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NGN ATI FUNDAMENTALS PROCTORED EXAMS

1. A nurse in a clinic is caring for an middle aged adult woman who states” the doctor
says that since I am at an average risk for colon cancer, I should have a routine
screening. What does that involve ?” which of the following response should the
nurse make?
A. I will get a blood sample from you and send it for a screening test
B. Beginning at age 60, you should have a colonoscopy
C. You should have a fecal occult blood test every year
D. The recommendation is to have a sigmoidoscopy for every 10 years
You should have a fecal occult blood test every year.
Colorectal cancer screening for clients at an average risk begins at the age of 50. One option
for screening is a fecal occult blood test annually.
2. A nurse is caring for a client who is having difficult breathing. The client is laying in a
bed with a nasal cannula delivering oxygen. Which of the following intervention
should the nurse take first?

A. Suction the client’s airway
B. Administer a bronchodilator
C. Increase the humidity in the client’s room
D. Assist the client to an upright position
Assist the client to an upright position
When providing client care, the nurse should first use the least invasive intervention.
Therefore the nurse should elevate the head of the client’ bed to semi fowler’s position or
high fowler’s position to facilitate maximum chest expansion. Sitting upright improves gas
exchange and prevent pressure on the diaphragm from abdominal organs.

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• A nurse is admitting a client who has tuberculosis. Which of the
following types of transmission precautions should the nurse plan to
initiate?
A. Droplet
B.
Airbornes
C. Protective environment
D. Contact


• A nurse in a well-child clinic receives a telephone call from a parent who states
that their child accidentally swallowed paint thinner. The child is awake and alert.
Which of the following responses should the nurse make?
A. Have your child drink one large glass of water.
B. Hang up and call a poison control center hotline.

C. Bring your child into the clinic later today.

D. Induce vomiting in your child with syrup of ipecac.




• A nurse is documenting a client's medical record. Which of the following entries should the
nurse record.

A. Oral temperature slightly elevated
at 0800 B. Administered pain
medication
C. Incision without redness or drainage
D. Drank adequate amounts of fluid with meals.


• A nurse is providing oral care for a client who is unconscious. Which of the

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following actions should the nurse take?
A. Place the client in a side-lying position.
B. Brush the clients teeth daily
C. Apply mineral oil to the client’s lips
D. Rinse the client’s mouth with an alcohol-based mouthwash




• A nurse is collaborating with a risk management team about potential legal
issues involving client care. The nurse should identify which of the following
situations is an example of negligence?
A. A nurse administers a medication without first identifying the client.
B. An assistive personnel discusses client care in the facility cafeteria
with visitors present.
C. A nurse begins a blood transfusion without obtaining consent.
D. An assistive personnel prevents a client from leaving the facility.


• A nurse is collecting a sputum specimen for culture from a client who has
a respiratory infection. Which of the following actions should the nurse take?
A. Wear sterile gloves when collecting the
specimen. B. Offer the client oral hygiene
after the collection
B. Collect the specimen in the
evening. D Collect 1 ml of
sputum.




• A nurse is assessing an older client. Which of the following findings should the nurse

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expect?
• Decreased sense of balanced
• Increased nighttime sleeping
• Heightened sense of pain
• Nighttime urinary incontinence


• A nurse is completing discharge teaching about ostomy care with a client
who has a new stoma. Which of the following instructions should the nurse
include in the teaching? (select all that apply)
• “Cut the opening of the pouch ⅛ of an inch larger than the stoma “
• “Place a piece a gauze over the stoma while changing the pouch”
• “Use povidone-iodine to clean around the stoma”
• “Empty the ostomy pouch when it becomes one-third full of contents”
• “Expect the stoma to turn a purple-blue color as its heals”


• A nurse is preparing to obtain informed consent from a client who
speaks a different language than the nurse. Which of the following actions
should the nurse take?
• “Request that an assistive personnel interpret the information for the client”
• “Use proper medical terms when giving information to the client”

• “Offer written information in the client’s language”
• “Avoid using gestures when speaking to the client”
• A nurse is planning care for a group of clients. Which of the
following tasks should the nurse delegate to an assistive personnel?
• Changing the dressing for a client who has a stage 3 pressure injury
• Determining a client's response to a diuretic
• Comparing radial pulses for a client who is postoperative
• Providing postmortem care to a client Postmortem care
serves several purposes, including: preparing the patient
for viewing by family. ensuring proper identification of

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