ATI Fundamentals Practice Test A questions with correct answers

A nurse is assessing a client who has required bed rest for the past month. Which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis? Bladder distention Decreased blood pressure Calf swelling Diminished bowel sounds Correct Answer - Calf swelling A nurse is administering an optic medication to an older adult client. Which of the following actions should the nurse take to ensure that the medication reaches the inner ear? Press gently on the tracks of the clients ear Pack a small piece of cotton deep into the clients ear canal Move the client's auricle down and back toward her head Tilt the client's head backward for 5 min Correct Answer - Press gently on the tragus of the clients ear A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take? Pad the client's wrist before applying the restraints Evaluate the client's circulation every 8 hr after application