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ATI Fundamentals 2024
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ATI Fundamentals 2024 ATI Fundamentals 2024
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ATI Fundamentals 2024A nurse in a health clinic is caring for a 21-year-old client who tells the nurse that
their last physical exam was in high school. Which of the following health
screenings should the nurse expect the provider to perform for this client?
A Testicular Examination
B Blood Glucose
C Fecal Occult Blood
D Prostate-specific antigen
A. Testicular examination
The nurse should identify that starting at puberty, the client should have
examinations for testicular cancer, along with blood pressure and body mass
index, and cholesterol measurements. Testicular cancer is most common in males
15 to 34 years of age.
Blood glucose testing begins at age 45.
Testing for fecal occult blood usually begins at age 45.
Testing for prostate-specific antigen usually begins at age 55.
A nurse at a provider's office is talking about routine screenings with a 45-year-old
female client who has no specific family history of cancer or diabetes mellitus.
Which of the following client statements indicates that the client understands how
to proceed?
A. "I'll need a colonoscopy in 5 years."
B. "For now, I should continue to have a clinical breast exam each year."
C. "Because the doctor just did a Pap smear, I'll come back next year for another
one."
D. "I had my blood glucose test last year, so I won't need it again for 4 years."
B. "For now, I should continue to have a clinical breast exam each year."
The female client who is between the ages of 40 and 49 should have a clinical
breast exam annually, and they should consult with their provider about the
frequency of mammograms.
,The nurse should identify that the female client who has no specific family or
personal history of colorectal cancer should have a colonoscopy every 10 years
beginning at age 45.
The female client who is between the ages of 30 and 65, with no family or
personal history of cervical cancer, should have either a Pap smear and human
papilloma virus test every 5 years, or a Pap test every 3 years.
The client who is age 45 should have a blood glucose test at least every 3 years.
Unless there is a specific family or personal history of diabetes mellitus, annual
blood glucose determinations are not necessary.
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A nurse is caring for a young adult at a college health clinic. Which of the following
actions should the nurse take first?
A. Give the client information about immunization against meningitis.
B. Tell the client to have a TB skin test every 2 years.
C. Determine the client's health risks.
D. Teach the client about exercise recommendations.
C. Determine the client's health risks.
The first action that should be taken using the nursing process is assessment. Talk
,with the client first to determine what risk factors the client might have before
initiating the health promotion and disease prevention measures.
A. The nurse should plan to give the client information on the meningococcal
vaccine as part of the primary disease prevention; however, there is another
action the nurse should take first.
B. The nurse should recommend TB screening depending on the client's
occupation and exposure to TB as part of secondary disease prevention; however,
there is another action the nurse should take first.
D. The nurse should instruct the client about exercise and activity
recommendations as part of health promotion; however, there is another action
the nurse should take first.
A nurse at a health department is planning strategies related to heart disease.
Which of the following activities should the nurse include as part of primary
prevention?
A. Providing cholesterol screening
B. Teaching about a healthy diet
C.Providing information about antihypertensive medications
D. Developing a list of cardiac rehabilitation programs
B. Teaching about a healthy diet
Primary prevention encompasses strategies that help prevent illness or injury. This
level of prevention includes health information about nutrition, exercise, stress
management, and protection from injuries and illness.
Cholesterol screening is an example of secondary prevention.
Taking medication to lower blood pressure is part of secondary prevention.
Cardiac rehabilitation is an example of tertiary prevention.
A nurse in a clinic is planning health promotion and disease prevention strategies
for a client who has multiple risk factors for cardiovascular disease. Which of the
following interventions should the nurse include?
(Select all that apply.)
A. Help the client see the benefits of their actions.
B. Identify the client's support systems.
C. Suggest and recommend community resources.
, D. Devise and set goals for the client.
E. Teach stress management strategies.
A, B, C, & E are correct
Help the client see the benefits of their actions.
The nurse should plan to assist the client to recognize the benefits of their health-
promoting actions while also overcoming barriers to implementing actions.
Identify the client's support systems.
The nurse should plan to collect information about who can help the client change
unhealthy behaviors, and then suggest steps to have friends and family to become
involved and supportive.
Suggest and recommend community resources.
The nurse should plan to promote the client's use of any available community or
online resources that can help the client progress toward meeting set goals.
Teach stress management strategies.
The nurse should plan to teach that stress is a contributing factor to
cardiovascular disease, as well as many other specific and systemic disorders.
Devise and set goals for the client.
The nurse and the client should work together to devise and set mutually
agreeable goals that are also realistic and achievable.
The ostomy nurse is providing preoperative education for the client who is
scheduled for a sigmoid colostomy. The nurse should identify that which of the
following client statements is an indication that the client is ready to learn?
A."I will not look at my incision after the surgery."
B. "Will you give me pain medicine after the surgery?"
C. "Can you tell me about how long the surgery will take?"
D. "I can't remember what my doctor told me about the surgery."
C. "Can you tell me about how long the surgery will take?"
When recognizing cues, the ostomy nurse should identify that asking a concrete
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