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ATI Fundamentals Proctored Latest Retake Guide NGN | Questions and Answers | Verified Answers | (Just Released)

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ATI Fundamentals Proctored Latest Retake Guide NGN | Questions and Answers | Verified Answers | (Just Released)

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  • November 8, 2023
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  • 2023/2024
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ATI Fundamentals Proctored Latest Retake Guide NGN | Questions and Answers | Verified Answers | (Just Released) 1. A nurse is admitting a client who is malnourished. The client states, “My wedding ring is loose and I'm worried I will lose it if it falls off.”Which of the following is an appropriate response by the nurse? “ I will place it in your drawer so it won’t get lost.” I can pin it to your hospital gown so you won’t lose it.” • “I will hold onto it until a family member can take it home.” • “I can put it in a locked storage unit for you.” 2. A charge nurse is teaching a group of newly licensed nurses about the use of restraints. In which of the following clinical situations should the nurse apply restraints? • If the client is pacing in the hallway • As a part of a fall prevention program • At the request of the client’s family • When the client poses a threat to self 3. To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client. In which of the following roles is the nurse manager functioning? • Case manager • Client educator • Client care provider • Client advocate 4. A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include? • “Delirium does not affect a client’s perception of her environment.” • “Delirium does not affect a client’s sleep cycle.” • “Delirium has an abrupt onset.” • “Delirium has a slow progression.” 5. A nurse is speaking with a client who has recently received a diagnosis of a chronic illness. The client states, “ The doctor must be wrong. I can't be that sick”. The nurse should inform the client that their reaction is an example of which of the following expected responses to grief? • Acceptance • Denial • Anger • Depression 6. A nurse is reviewing a client’s intake and output and notes the following: 0.9% sodium chloride 600mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100mL intermittent IV bolus, 200mL emesis, 40mL voided urine, and 20mL urine from straight catheterization. The nurse should record the client’s net fluid intake as how many mL? (Round the answer to the ne arest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 700 mL, the rest are output 7. A nurse is discussing incident reports with a group of newly licensed nurses. The nurse should include that which if the following requires the completion of an incident report? • A client’s prescribed laboratory testing was not obtained • A client withdrew consent for a procedure • An oncoming nurse arrived to work late • A nurse transfused a unit of packed RBCs in 2 hr. 8. A nurse is caring for a client who has a new prescription for negative -pressure therapy for a chronic wound. The nurse is unfamiliar with the procedure. Which of the following resources should the nurse consult to learn more about the intervention. • The client’s plan of care • The nurse practice act • The material safety data sheet • The policy and procedure manual 9. A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis. Which of the following actions should the nurse take? • Cover the area of percussion with a towel. • Instruct the client to exhale quickly during vibration • Schedule postural drainage after meals • Perform percussion over the lower back 10. A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel? A. Changing the dressing for a client who has a stage 3 pressure injury B. Determining a client's response to a diuretic C. Comparing radial pulses for a client who is postoperative D. Providing postmortem care to a client Postmortem care serves several purposes, including: preparing the patient for viewing by family. ensuring proper identification of the patient prior to transportation to the morgue or funeral home. providing appropriate disposition of patient's belongings. maintaining vital organs, if donation is planned.) 11. A nurse is conducting a health assessment for a client who takes herbal supplements. Which of the following statements by the client indicates an understanding of the use of the supplements ? A. I take ginkgo biloba for a headache B. I take echinacea to control my cholesterol C. I use ginger when I get car sick D. I use garlic for my menopausal symptoms 12. A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following actions should the nurse take to prevent the spread of infection? A. Wear a mask when working within 3 feet of the client B. Administer metronidazole C. Don protective eyewear before entering the room. D. Place the client in a negative airflow room. 13. A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG tube. Which of the following actions should the nurse take? A. Attach the restraints securely to the side rails of the client's bed. B. Apply the restraints to allow as little movement as possible C. Allow room for two fingers to fit between the clients skin and the restraints D. Remove the restraints every 4 hr. 14. A nurse is admitting a client who has tuberculosis. Which of the following types of transmission precautions should the nurse plan to initiate? A. Droplet B. Airbornes C. Protective environment D. Contact 15. A nurse in a well-child clinic receives a telephone call from a parent who states that their child accidentally swallowed paint thinner. The child is awake and alert. Which of the following responses should the nurse make? A. Have your child drink one large glass of water. B. Hang up and call a poison control center hotline. C. Bring your child into the clinic later today. D. Induce vomiting in your child with syrup of ipecac. 16. A nurse is documenting a client's medical record. Which of the following entries should the nurse record. A. Oral temperature slightly elevated at 0800 B. Administered pain medication C. Incision without redness or drainage D. Drank adequate amounts of fluid with meals. 17. A nurse is providing oral care for a client who is unconscious. Which of the following actions should the nurse take? A. Place the client in a side-lying position. B. Brush the clients teeth daily C. Apply mineral oil to the client’s lips D. Rinse the client’s mouth with an alcohol -based mouthwash 18. A nurse is collaborating with a risk management team about potential legal issues involving client care. The nurse should identify which of the following situations is an example of negligence? A. A nurse administers a medication without first identifying the client. B. An assistive personnel discusses client care in the facility cafeteria with visitors present. C. A nurse begins a blood transfusion without obtaining consent . D. An assistive personnel prevents a client from leaving the facility. 19. A nurse is collecting a sputum specimen for culture from a client who has a respiratory infection. Which of the following actions should the nurse take? A. Wear sterile gloves when collecting the specimen. B. Offer the client oral hygiene after the collection C. Collect the specimen in the evening. D Collect 1 ml of sputum. 20. A nurse is assessing an older client. Which of the following findings should the nurse expect? • Decreased sense of balanced Increased nighttime sleeping • Heightened sense of pain • Nighttime urinary incontinence 21. A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which of the following instructions should the nurse include in the teaching? (select all that apply) • “Cut the opening of the pouch ⅛ of an inch larger than the sto ma “ • “Place a piece a gauze over the stoma while changing the pouch” • “Use povidone -iodine to clean around the stoma” • “Empty the ostomy pouch when it becomes one-third full of contents” • “Expect the stoma to turn a purple -blue color as its heals” 22. A nurse is preparing to obtain informed consent from a client who speaks a different language than the nurse. Which of the following actions should the nurse take? • “Request that an assistive personnel interpret the information for the client” • “Use proper medical terms when giving information to the client” • “Offer written information in the client’s language” • “Avoid using gestures when speaking to the client”

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