Exam (elaborations)
ATI FUNDAMENTALS RN EXAM TESTBANK QUESTIONS AND ANSWERS WITH RATIONALES
- Course
- ATI FUNDAMENTALS RN
- Institution
- American College Of Health Care
ATI FUNDAMENTALS RN EXAM TESTBANK QUESTIONS AND ANSWERS WITH RATIONALES
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ATI FUNDAMENTALS RN EXAM TESTBANK QUESTIONS AND ANSWERS WITH RATIONALESATI FUNDAMENTALS RN EXAM TESTBANK QUESTIONS AND
ANSWERS WITH RATIONALES
1. A Caregiver is planning to collect a stool specimen for ova and parasites from a client
who has diarrhea. Which of the following actions should the Caregiver take when
collecting the specimen?
A. Instruct the client to defecate into the toilet bowl
-incorrect: The Caregiver should have the client defecate into a bedpan or a container
for stool collection. The toilet water can dilute and contaminate the liquid specimen.
B. Transfer the specimen to a sterile container
-incorrect: The Caregiver should place the stool specimen in a clean container using a
tongue depressor.
C. Refrigerate the collected specimen
-incorrect: The Caregiver should send the collected stool specimen immediately to the
laboratory after labeling the specimen properly to prevent contamination with
microorganisms and keep the specimen from getting cold.
D. Place the stool specimen collection container in a biohazard bag
-The Caregiver should place the specimen collection container in a biohazard bag
with the client label on the container and the bag for easy identification. This will also
prevent contamination with microorganisms.
2. A Caregiver is caring for a client who has a tracheostomy and requires suctioning.
Which of the following actions should the Caregiver take?
A. Hyper oxygenate the client before suctioning
-The Caregiver should use a manual resuscitation bag to hyper oxygenate the client
for several minutes prior to suctioning.
B. Insert the catheter during exhalation
-incorrect: The Caregiver should insert the catheter during inhalation
C. Apply suction during insertion of the catheter
-incorrect: Applying suction while inserting the catheter increases the risk of damage
to the tracheal mucosa and removes oxygen from the airways.
D. Apply suction for no more than 15 secs
-incorrect: The Caregiver should apply suction for no more than 10 seconds
3. A Caregiver is providing teaching to a client regarding protein intake. Which of
the following foods should the Caregiver include as an example of an incomplete
protein?
A. Eggs
-incorrect: this is a complete protein, contains all of the essential amino acids necessary
for the synthesis of protein in the body.
B. Soybeans
-incorrect: this is a complete protein, contains all of the essential amino acids necessary
for the synthesis of protein in the body.
C. Lentils
, ATI FUNDAMENTALS RN EXAM TESTBANK QUESTIONS AND ANSWERS WITH RATIONALES
-Incomplete proteins are missing 1 or more of the essential amino acids necessary for
the synthesis of protein in the body. Examples of incomplete proteins include lentils,
vegetables, grains, nuts, and seeds.
D. Yogurt
-incorrect: this is a complete protein, contains all of the essential amino acids necessary
for the synthesis of protein in the body.
4. A Caregiver is caring for a client who was admitted to a long-term care facility for
rehabilitation after a total hip arthroplasty. At which of the following times should
the Caregiver begin discharge planning?
A. One week prior to the client’s discharge
-incorrect: Beginning to plan for the client’s discharge a week prior to the event might not
allow sufficient time for planning. The Caregiver should begin discharge planning at the
time of admission. B. Upon the client’s admission to the care facility
-The Caregiver should begin discharge planning at the time that the client is admitted to
the facility.
C. Once the discharge date is identified
-incorrect: Beginning to plan for the client’s discharge once the discharge date is
identified might not allow sufficient time for planning. The Caregiver should begin
discharge planning at the time of admission.
D. When the client addresses the topic with the Caregiver
-incorrect: Beginning to plan for the client’s discharge once the discharge date is
identified might not allow sufficient time for planning. The Caregiver should begin
discharge planning at the time of admission.
5. A Caregiver is preparing to administer a cleansing enema to a client. Which
of the following actions should the Caregiver plan to take?
A. Insert the rectal tube 15.2 cm (6 in)
-incorrect: The Caregiver should insert the rectal tube 7 to 10 cm (3 to 4 in)
B. Wear sterile gloves to insert the tubing
-incorrect: The Caregiver should wear clean (nonsterile) gloves to prevent contamination.
C. Position the client on his left side
-Positioning is an important aspect of administering an enema. Having the client lie
on his left side facilitates the flow of the enema solution into the sigmoid and
descending colon.
D. Hold the solution bag 91 cm (36 inch) above the client’s rectum
-incorrect: The Caregiver should hold the solution bag 30 cm (12 in) above the client’s
rectum for a low enema and 45 cm (18 in) for a high enema. If the Caregiver holds the
solution bag too high, the solution might run in too fast, causing discomfort and spasms
that make retaining the enema more difficult.
5. A Caregiver is caring for a client who has bilateral cats on her hands. Which
of the following actions should the Caregiver take when assisting the client with
feeding?
A. Sit at the bedside when feeding the client
-The Caregiver should avoid appearing to be in a hurry. Sitting at the bedside provides
the client with the Caregiver’s full attention during the feeding
, ATI FUNDAMENTALS RN EXAM TESTBANK QUESTIONS AND ANSWERS WITH RATIONALES
B. Order pureed foods
-incorrect: Without any mouth or throat injuries that make chewing or swallowing
difficult, the client should be served foods of an appropriate variety of textures. Pureed
foods are for clients who cannot chew, have difficulty swallowing, or do not have teeth.
C. Make sure feedings are provided at room temperature
-incorrect: The Caregiver should ask the client if the food is the correct temperature
D. Offer the client a drink of fluid after every bite
-incorrect: If the client is unable to communicate, the Caregiver should offer the client
fluids after every 3 or 4 mouthfuls. However, there is no indication that this client is
unable to communicate. Therefore, the client should tell the Caregiver when she would
like a drink.
6. A Caregiver is administering an IM injection to a 5-month-old infant. Which
of the following injection sites should the Caregiver use?
A. Deltoid
-incorrect: The Caregiver can use the deltoid muscle for injecting small volumes of
medication for children 18 months of age or older, but its proximity to several nerves
and arteries make it a riskier choice.
B. Ventrogluteal
-incorrect: This is a safe site for IM injections for clients older than 7 months.
C. Vastus lateralis
-The Caregiver should use the vastus lateralis site over the anterior thigh for IM injections
for infants and children.
D. Dorsogluteal
-incorrect: This site is unsafe to use because of its proximity to the sciatic nerve and the
superior gluteal nerve and artery.
7. A Caregiver is caring for a client who has major fecal incontinence and reports
irritation in the perianal area. Which of the following actions should the Caregiver
take first?
A. Apply a fecal collection system
-incorrect: The Caregiver should apply a fecal collection system to divert the feces
away from the area of skin irritation; however, there is another action the Caregiver
should take first.
B. Apply a barrier cream
-incorrect: The Caregiver should apply a barrier cream to decrease skin breakdown in
the perianal area from the feces; however, there is another action the Caregiver
should take first.
C. Cleanse and dry the area
-incorrect: The Caregiver should cleanse and dry the perianal area to decrease skin
irritation; however, there is another action the Caregiver should take first.
D. Check the client’s perineum
-The Caregiver should apply the nursing process priority-setting framework to plan care
and prioritize nursing actions. Each step of the nursing process builds on the previous
step, beginning with an assessment or data collection. Before the Caregiver can formulate
a plan of action, implement a nursing intervention, or notify a provider of a change in the
client’s status, the Caregiver must first collect adequate data from the client. Assessing or
collecting additional data will provide the Caregiver with knowledge to make an
appropriate decision. The priority nursing action is for the Caregiver to collect more data
by assessing the area of irritation.
, ATI FUNDAMENTALS RN EXAM TESTBANK QUESTIONS AND ANSWERS WITH RATIONALES
9. A Caregiver is caring for a client who is receiving IV therapy via a peripheral catheter.
The Caregiver should identify that which of the following findings is an indication of
infiltration?
A. Redness at the infusion site
-incorrect: Redness at the infusion site is an indication of phlebitis or infection.
B. Edema at the infusion site
-Edema due to fluid entering subcutaneous tissue is an indication of infiltration.
C. Warmth at the infusion site
-incorrect: Warmth at the infusion site is an indication of phlebitis or infection.
D. Oozing of blood at the infusion site
-incorrect: Oozing of blood at the infusion site is an indication that the IV system is not intact.
10. A Caregiver is caring for a client who reports not sleeping at night, which interferes
with her ability to function during the day. Which of the following interventions should
the Caregiver suggest to this client?
A. Avoid beverages that contain caffeine
-Caffeine is a stimulant. The Caregiver should suggest that the client avoid caffeinated
beverages.
B. Take a sleep medication regularly at bedtime
-incorrect: Sleep-promoting medication is a last resort. The Caregiver should not suggest
this type of medication for the client before recommending other nonpharmacological
interventions.
C. Watch television for 30 minutes in bed to relax prior to falling asleep
-incorrect: Clients should associate going to bed with sleep. Therefore, the client should
not get into bed until she is sleepy.
D. Advise the client to take several naps during the day
-incorrect: Napping in the daytime can prevent sound sleep at night
11. A Caregiver is conducting an admission interview with a client. Which of the following
pieces of assessment information should the Caregiver collect during the introductory
phase of the interview? A. Clients level of comfort and ability to participate in the
interview
-The Caregiver should assess the client’s level of comfort and establish a rapport during
the introductory or orientation phase. The Caregiver should engage in active listening
and present a relaxed attitude to place the client at ease and encourage client
participation. This will assist the Caregiver in gaining the necessary data to formulate
appropriate nursing diagnoses and outcomes.
B. Previous illnesses and surgeries
-incorrect: The Caregiver should assess the client’s health history, including previous
illnesses and surgeries, during the working phase of the interview.
C. Events surrounding the client’s recent illness
-incorrect: The Caregiver should assess the client’s health history, including events
surrounding the recent or current illness, during the working phase of the interview.
D. Sociocultural history
-incorrect: The Caregiver should assess the client’s sociocultural history during the
working phase of the interview.
12. A Caregiver is performing an abdominal assessment of a client. Which of the
following positions should the Caregiver tell the client to assume for this
examination?
A. Lithotomy
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