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ATI RN Fundamentals Practice B ATI RN Fundamentals Practice B Questions with verified
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ATI RN Fundamentals Practice BATI RN Fundamentals Practice B
A nurse is caring for a client who reports pain. When documenting the quality of the
client's pain on an initial pain assessment, the nurse should record what?
A. "I am having mild pain."
B. "The pain is like a dull ache in my stomach."
✅✅
C. "I notice it get worse after i eat."
D. "The pain makes me nauseous" - -B. "The pain is like a dull ache in my
stomach."
A client who is nonambulatory notifies the nurse that his trash can is on fire. After the
nurse confirms the presence of the fire, which of the following actions should the
nurse take next?
A. Activate the emergency fire alarm.
B. Extinguish the fire.
✅✅
C. Evacuate the client.
D. Confine the fire. - -C. Evacuate the client.
A nurse is completing an admission assessment for a client who reports vomiting
and diarrhea for the past 3 days. What assessment finding should the nurse
✅✅
expect?A. Neck vein distentionB. Urine specific gravity 1.010C. Rapid heart rateD.
Blood pressure 144/82 mmHg - -C. Rapid heart rate
A nurse has accepted a verbal prescription for "three tenths of a milligram of
✅✅
levothyroxine IV stat" for a client who has myxedema coma. How should the nurse
transcribe the dosage of this medication in the client's medical record? - -0.3
mg
A nurse is preparing a heparin infusion for a client who was hospitalized with DVT.
The order reads 25,000 unit of heparin in 250 mL of 0.9% sodium chloride to infuse
✅✅
at 800 units/hr. At what rate should the nurse set the infusion pump? (Round to
nearest whole number) - -8 ml/hr
A nurse is caring for a client who has a prescription for wound irrigation. Which of the
following actions should the nurse take?A. Wear sterile gloves when removing the
✅✅
old dressing.B. Warm the irrigation solution to 40.5 CC. Cleanse the wound from the
center outward.D. Use a 20 mL syringe to irrigate the wound. - -C. Cleanse the
wound from the center outward.
, A nurse is caring for a client receiving fluid through a peripheral IV catheter. Which of
the following findings at the IV site should the nurse identify as an indication of
infiltration?
A. Purulent exudate
B. Warmth
✅✅
C. Skin blanching
D. Bleeding - -C. Skin blanching
A nurse is teaching a client whose left leg is in a cast about using crutches. Which of
the following statements should the nurse identify as an indication that the client
understands the teaching?A. "When descending stairs, I will first shift my weight to
my right leg."B. "I should place my crutches 12 inches in front and to the side of each
✅✅
foot."C. "As I sit down, I will hold one crutch in each hand."D. "I will make sure the
shoulder rests are snug against my armpits." - -A. "When descending stairs, I
will first shift my weight to my right leg."
A nurse is caring for a client who has an NG tube and is receiving intermittent
feedings through an open system. Which of the following actions should the nurse
take first?A. Rinse the feeding bag with water between feedingsB. Tell the client to
✅✅
keep the head of the bed elevated at least 30ºC. Make sure the enteral formula is at
room temperatureD. Wipe the top of the formula can with alcohol - -B. Tell the
client to keep the head of the bed elevated at least 30º
A nurse is reviewing a client's medication prescription, which reads, "digoxin 0.25 by
mouth every day." Which of the following components of the prescription should the
✅✅
nurse verify with the provider?A. The medicationB. The routeC. The doseD. The
frequency - -C. The dose
A nurse is caring for a client who has recently started using a behind-the-ear hearing
aid. Which of the following statements should the nurse identify as an indication that
she understands the use of this assistive device?A. "This type of hearing aid does
not allow for fine tuning of volume."B. "I shouldn't have trouble keeping the hearing
aid in place during exercise."C. "I expect to hear a whistling sound when I first insert
✅✅
the hearing aid."D. "I will be sure to remove my hearing aid before taking a shower." -
-D. "I will be sure to remove my hearing aid before taking a shower."
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 floor."D. "Client was trying to get out of bed." - -C. "Client
found lying on floor."
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