ATI Online Practice: RN Fundamentals - 2016 B, 2019 A, 2019
B
1.a. talk directly to the client, instead of the interpreter, when speaking: A
nurse is caring for a client who does not speak the same language as
the nurse. When working with the client through an interpreter, which of
the following actions should the nurse take?
a. talk directly to the client, instead of the interpreter, when speaking
b.use a family member as the client's interpreter
c. make sure that the interpreter has a college degree
d. avoid asking the client personal questions through the interpreter
2. b. regulate oxygen via nasal cannula at a flow rate of no more than 6
L/min: A nurse is reviewing evidence-based practice principles about
administration of oxygen therapy with a newly licensed nurse. Which of
the following actions should the nurse include?
a. regulate the flow rate by aligning the rate with the top of the ball
inside the flow meter
b.regulate oxygen via nasal cannula at a flow rate of no more than 6
L/min
c. make sure the reservoir bag of a partial rebreathing mask remains
deflated
d. use petroleum jelly to lubricate the client's nares, face, and lips
3. d. bruises on the arms in various stages of healing: A nurse is
completing an admission assessment of an older adult client. Which of
the following findings should the nurse identify as a potential indication
of abuse?
a. loss of skin turgor on the back of the hands
b.varicosities on the lower extremities
c. thick, discolored nails with ridges
d. bruises on the arms in various stages of healing
4. c. 8 oz of ice chips
nurse should document half the volume of ice chips: A nurse is calculating
a client's fluid intake over the past 8 hr. Which of the following should
the nurse plan to document on the client's intake and output record as
120 mL of fluid?
a. 2 cups of soup
, ATI Online Practice: RN Fundamentals - 2016 B, 2019 A, 2019
B
b.1 quart of water
c. 8 oz of ice chips
d. 6 oz of tea
5. c. evaluate electrolytes
, ATI Online Practice: RN Fundamentals - 2016 B, 2019 A, 2019
B
nurse would evaluate labs; sodium, potassium, BUN, Hgb, Hct, protein: A
nurse is planning care for a client who has fluid overload. Which of the
following actions should the nurse plan to take first?
a. reduce dietary sodium
b.administer a loop diuretic
c. evaluate electrolytes
d. restrict intake of oral fluids
6. c. "client found lying on the floor": A nurse enters a client's room and
finds her on the floor. The client's roommate reports that the client was
trying to get out of bed and fell over the bedrail onto the floor. Which of
the following statements should the nurse document about this
incident?
a. "incident report completed"
b."client climbed over the bedrails"
c. "client found lying on the floor"
d. "client was trying to get out of bed"
7. d. "we need to document the exact medication you were taking because
you might be allergic to it.": A nurse in a provider's office is obtaining the
health and medication history of a client who has a respiratory
infection. The client tells the nurse that she is not aware of any
allergies, but that she did develop a rash the last time she was taking
an antibiotic. Which of the following information should the nurse give
to the client?
a. "rashes are very common, especially if you have dry skin. did it go
away on its own?"
b."virtually all medications have adverse effects. it sounds like this
could have been an adverse effect of the antibiotic."
c. "it is unlikely that your doctor will prescribe an antibiotic for what
seems to be a minor viral infection, so we shouldn't be concerned
about that rash."
d. "we need to document the exact medication you were taking because
you might be allergic to it."
8. c. assess the client for orthostatic hypotension: A nurse is preparing to
transfer a client who can bear weight on one leg from the bed to a
chair. After securing a safe environment, which go the following actions
should the nurse take next?
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