ATI RN Fundamentals Online Practice 2024 B with NGN
60 Questions with 100% Correct Verified Answers
1. A nurse in an acute care facility is C. Current medications
preparing a discharge summary for a
client who is transferring to a long-term The nurse should include the
care facility. Which of the following doc- client's medications in the dis-
umentation should the nurse include? charge summary to ensure client
safety and continuity of care.
A. Client flow sheet
B. Acuity ratings
C. Current medications
D. Incident reports
2. A nurse is reviewing protocol in prepa- B. Select a suction catheter that is
ration for suctioning secretions from half the size of the lumen.
a client who has a new tracheostomy.
Which of the following actions should The nurse should select a suction
the nurse plan to take? catheter that is half the size of the
lumen to prevent hypoxemia and
A. Use a resuscitation bag with 80% trauma to the mucosa.
oxygen prior to the procedure.
B. Select a suction catheter that is half
the size of the lumen.
C. Place the end of the suction catheter
in water-soluble lubricant.
D. Adjust the wall suction apparatus to
a pressure of 170 mm Hg.
3. A nurse is caring for a client who has D. Apply an ankle-foot orthotic de-
decreased mobility. Which of the fol- vice to the client's feet.
lowing actions should the nurse take to
decrease the client's risk of developing The nurse should use a device to
plantar flexion contractures? maintain dorsiflexion, such as an
ankle-foot orthotic device or a foot
A. Place a pillow under the client's board placed perpendicular to the
knees. mattress.
B. Position a trochanter roll under each
of the client's hips.
C. Advise the client to wear rub-
ber-soled slippers.
, ATI RN Fundamentals Online Practice 2024 B with NGN
D. Apply an ankle-foot orthotic device
to the client's feet.
4. A nurse manager is overseeing the care B. A nurse asks a nurse from an-
activities on a unit. For which of the other unit to assist with documen-
following situations should the nurse tation for a client.
manager intervene due to a violation of
HIPAA guidelines? Only health care professionals di-
rectly caring for a client should
A. A nurse who is caring for a client have access to the client's medical
reviews the client's medical chart with information; therefore, this is a vio-
a nursing student who is working with lation of HIPAA guidelines.
the nurse.
B. A nurse asks a nurse from another
unit to assist with documentation for a
client.
C. A nurse who is caring for a client
returns a call to the person appointed
in the health care proxy to discuss the
client's care.
D. A nurse discusses a client's status
with the physical therapist who is car-
ing for the client.
5. A nurse is preparing to administer 0.5 A. Gently shake the container of
mL of oral single-dose liquid medica- medication prior to administration.
tion to a client. Which of the following
actions should the nurse take? The nurse should gently shake the
liquid medication to ensure that
A. Gently shake the container of med- the medication is mixed.
ication prior to administration.
B. Transfer the medication to a medi-
cine cup.
C. Place the client in a semi-Fowler's
position prior to medication adminis-
tration.
D. Verify the dosage by measuring the
liquid before administering it.
, ATI RN Fundamentals Online Practice 2024 B with NGN
6. A nurse on a medical unit is preparing D. Compare prescriptions with
to discharge a client to home. Which of medications the client received
the following actions should the nurse while at the facility.
take as part of the medication reconcil-
iation process? When performing medication rec-
onciliation, the nurse should cre-
A. Seal unused medications from the ate a current, accurate list of every
facility in a plastic bag. medication the client is or should
B. Evaluate the client's ability to be taking. Part of the process
self-administer medications. is comparing the medications the
C. Report an identified discrepancy to client received at the facility with
The Joint Commission. those the provider has prescribed
D. Compare prescriptions with medica- for the client to take after dis-
tions the client received while at the charge.
facility.
7. A nurse is caring for a client who has A. "What could I have done to de-
terminal liver cancer. Which of the fol- serve this illness?"
lowing statements should the nurse
identify as an indication that the client The client's terminal illness might
is experiencing spiritual distress? prompt the client to review their life
and question its meaning. A mani-
A. "What could I have done to deserve festation of the client's spiritual dis-
this illness?" tress is asking why this illness is
B. "I blame medical science for not cur- happening to them.
ing me."
C. "Where is my daughter at a time like
this?"
D. "Will I ever begin to feel in charge of
my life again?"
8. A nurse is caring for a client who has C. Inject 10 units of air into the
a prescription for 5 units of regular in- bottle of NPH insulin.
sulin and 10 units of NPH insulin to A. Inject 5 units of air into the bottle
mix together and administer subcuta- of regular insulin.
neously. Determine the correct order D. Withdraw the correct does of
of steps for this procedure. (Move the regular insulin from the bottle.
steps into the box on the right, placing B. Withdraw the correct does of
them in the order of performance. Use NPH insulin from the bottle.
, ATI RN Fundamentals Online Practice 2024 B with NGN
all the steps.)
The nurse should first inject air
A. Inject 5 units of air into the bottle of into the vial of NPH insulin with-
regular insulin. out touching the needle to the
B. Withdraw the correct does of NPH solution. Next, the nurse should
insulin from the bottle. inject air into the vial of regular
C. Inject 10 units of air into the bottle of insulin and withdraw the correct
NPH insulin. amount of the regular insulin. Fi-
D. Withdraw the correct does of regular nally, the nurse should insert the
insulin from the bottle. needle into the NPH insulin vial
and withdraw the correct amount
of NPH insulin. The nurse should
follow these steps to prevent con-
taminating the regular insulin with
NPH insulin.
9. A nurse is completing an admission as- C. Rapid heart rate
sessment for a client who reports vom-
iting and diarrhea for the past 3 days. Tachycardia indicates fluid volume
Which of the following findings should deficit, which is an expected find-
the nurse expect? ing for a client who has had vomit-
ing and diarrhea for 3 days.
A. Neck vein distention
B. Urine specific gravity 1.010
C. Rapid heart rate
D. Blood pressure 144/82 mm Hg
10. A nurse is preparing to transfer a client C. Assess the client for orthostatic
who can bear weight on one leg from hypotension.
the bed to a chair. After securing a safe
environment, which of the following ac- The first action the nurse should
tions should the nurse take next? take when using the nursing
process is to assess the client.
A. Rock the client up to a standing po- The nurse should determine the
sition. client's risk for falling or fainting
B. Pivot on the foot that is the farthest during the transfer by assisting the
from the chair. client to sit and dangle the feet
C. Assess the client for orthostatic hy- on the side of the bed. The nurse
should assess for dizziness and a
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