ATI proctored Fundamentals Exam 2020 solved,updated&verified 2023/24

A nurse is reinforcing information with a client who wishes to complete their advance directives. Which of the following statements should the nurse make? You can decline to have certain medical procedures performed in your living will. A nurse is reinforcing teaching with a client who is premenopausal. Which of the following statements by the client indicates in understanding of the teaching? "I might have headaches due to a decline in my estrogen levels. A nurse in a provider's office is calculating a client's BMI. Which of the following pieces of the client data should the nurse use as a part of the calculation? Height A nurse is reinforcing teaching with a client about the use of a peak flow meter. Which of the following actions should the nurse make first? Determine the client's knowledge of the use of the peak flow meter A nurse is collecting data about a client's oral care. The client wears dentures and reports having mouth sores. The nurse should identify which of the following oral care practices by the client as a possible cause of the mouth sores? Wears dentures while sleeping at night. A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to make? Use a filter needle to aspirate the medication. A nurse on a medical-surgical unit is caring for a group of clients. Which of the following findings should the nurse identify as a safety hazard? An assistive personnel raises all four side rails of a client's bed before leaving the room A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation. Which of the following statements by the client should the nurse identify as indicating an acceptance of the limb loss? I need to learn how to perform a dressing change on my leg. A nurse on a medical-surgical unit is collecting data from a client who is postoperative following abdominal surgery. The client's BP was 126/72 mm Hg 15 min ago. The nurse now finds that the client's BP is 176/96 mm Hg. Which of the following actions should the nurse make? Measure the client's BP in the other arm A nurse is assisting with the admission of a client who has streptococcal pharyngitis. Which of the following precautions should the nurse make? Wear a surgical mask when giving the client direct care A nurse is caring for a client who has dyspnea with an oxygen saturation of 88%. Which of the following images indicates the type of face mask the nurse should use to deliver the client a 90% oxygen concentration non-rebreather mask mask with bag A nurse working in a rehabilitation unit is caring for a client who has dysphagia and has difficulty swallowing during meals. Which of the following actions should the nurse take to prevent the client from aspiration while eating? Add liquid to foods to thin consistency A nurse in a provider's office performs a fecal occult blood test with a positive result on a client. Which of the following clients may have a false positive result? A client who takes an iron supplement. A nurse is caring for a client who is flushed and has temperature of 38.7 C (101.7 F). Which of the following actions should the nurse take? Remove blankets from the client A nurse is caring for a client who has a hip fracture and plans to administer a pain medication prior to turning the client. Which of the following ethical principles is the nurse implementing? Beneficence A nurse is caring for a client who was recently admitted to hospice care and tells the nurse "I am going to die, and my family is hoping for a cure. I am mad that they behave like everything will be fine." Which of the following responses should the nurse make? You are feeling angry that your family continues to wish for a cure? A nurse in a provider's office is reviewing the medical record of an older adult who report's having nausea and vomiting for the last 48 hrs. Which of the following findings indicate fluid volume deficit? (Select all that apply.) Dry mucous membranes. Decreased skin turgor. Blood pressure 88/62 mm Hg A nurse is caring for a client who refuses a prescribed medical procedure. Which of the following actions should the nurse take to act as the client's advocate? Evaluate the client's concerns and communicate them to the provider A nurse is assisting with scoliosis screenings for students at a public school. Which of the following findings should the nurse recognize as an indication of scoliosis? Unequal height of the shoulders. A nurse is disinfecting the room of a client who has a Clostridium difficile infection. Which of the following solutions should the nurse use? Chlorine bleach A nurse is reinforcing teaching with a client who follows a vegan diet and is interested in ways to increase protein to promote healing after a recent surgery. Which of the following suggestions is appropriate? Grilled salmon. A home health nurse is reinforcing teaching about dietary needs with the son of a client. The son states, "I don't know what to do because he's not eating." Which of the following responses should the nurse make? tell me more about what happens at mealtime. A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP? Reinforce teaching with a client about crutch-gait walking. A nurse is preparing to insert an indwelling urinary catheter and is verifying the client's express consent for the procedure. Which of the following actions should the nurse take? Obtain verbal consent from the client. A nurse is planning to place a client into the Sims' position. Which of the following actions should the nurse plan to take? Place a pillow under the client's flexed leg A nurse is reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include? Avoid placing the toilet tissue in the bedpan after defecation. A nurse is planning to apply a belt restraint to a client who is confused and at risk for falls. Which of the following actions should the nurse make Fasten the client's restraint using a quick-release tie A nurse is collecting data from a client following lumbar puncture. For which of the following adverse effects of the procedure should the nurse monitor the client? Headache. A nurse is collecting data from a client who is immobile and has a potential deep-vein thrombosis. Which of the following findings should the nurse report to the provider? Calf swelling A nurse is caring for a client who is postoperative and is preparing to walk for the first time in several days. Which of the following interventions should the nurse give the client to prevent orthostatic hypotension? dangle your legs over the side of the bed.