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ATI Nursing Fundamentals Midterm Exam And Actual Answers 2024.
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a nurse is assessing a client who has required bed rest for the past month. which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis? a. bladder distention b. decreased blood pressure c. calf swelling d. diminished bowel soun...

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  • April 3, 2024
  • 35
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • a client who has required bed rest

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  • ATI RN Fundamentals
  • ATI RN Fundamentals

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ATI Nursing Fundamentals Midterm
Exam And Actual Answers 2024.

a nurse is assessing a client who has required bed rest for the past month. which of the following
findings should the nurse identify as an indication that the client has developed thrombophlebitis?



a. bladder distention

b. decreased blood pressure

c. calf swelling

d. diminished bowel sounds - Answer c. calf swelling



a nurse is administering an otic medication to an older adult client. which of the following actions should
the nurse take to ensure that the medication reaches the inner ear?



a. press gently on the tragus of the client's ear

b. pack a small piece of cotton deep into the client's ear canal

c. move the client's auricle down & back toward her head

d. tilt the client's head backward for 5 min. - Answer a. press gently on the tragus of the client's ear



a nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints.
which of the following actions should the nurse take?



a. pad the client's wrist before applying the restraints

b. evaluate the client's circulation every 8 hr after application

c. remove the restraints every 4 hr to evaluate the client's status

d. secure the restraint ties to the bed's side rails - Answer a. pad the client's wrist before applying the
restraints

,a nurse is admitting a new client. which of the following actions should the nurse take while performing
medication reconciliation?



a. verify the client's name on their identification bracelet w/ the MAR

b. call the pharmacy to determine whether the client's medications are available

c. compare the client's home medications w/ the provider's prescriptions

d. place the client's home medication bottles in a secure location - Answer c. compare the client's home
medications w/ the provider's prescriptions



a nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7 hr. the nurse should
set the infusion pump to deliver how many mL/hr? (round the answer to the nearest whole number. use
a leading zero if it applies. do not use a trailing zero)



a. 186 mL/hr

b. 150 mL/hr

c. 280 mL/hr

d. 107 mL/hr - Answer d. 107 mL/hr



a nurse is planning care for a client who has had a stroke, resulting in aphasia & dysphagia. which of the
following tasks should the nurse assign to an assistive personnel (AP)? (select all that apply)



a. assist the pt w/ a partial bed bath

b. measure the pt's BP after the nurse administers an antihypertensive medication

c. test the pt's swallowing ability by providing thickened liquids

d. use a communication board to ask what the pt wants for lunch

e. irrigate the pt's indwelling urinary catheter - Answer a.

b.

d.



a nurse is using an open irrigation technique to irrigate a pt's indwelling urinary catheter. which of the
following actions should the nurse take?

,a. place the pt in a side-lying position

b. instill 15 mL of irrigation fluid into the catheter w/ each flush

c. subtract the amt of irrigant used from the pt's urine output

d. perform the irrigation using a 20-mL syringe - Answer c. subtract the amt of irrigant used from the
pt's urine output



a home health nurse is performing a follow-up visit for a client who has a gastronomy tube through
which they receive intermittent feedings & medications. the pt has recently developed diarrhea. which
of the following findings should the nurse identify as a possible cause of the diarrhea?



a. the pt is receiving formula at room temp

b. the feedings infuse at a slow, continuous drip over 8 hr each night

c. the pt's caregiver washes out the feeding bag w/ warm water once every 24 hr

d. the pt's caregiver flushes the tube w/ water before & after administering medications - Answer c. the
pt's caregiver washes out the feeding bag w/ warm water once every 24 hr



a nurse is initiating a protective environment for a pt who has had an allogenic stem cell transplant.
which of the following precautions should the nurse plan for this pt?



a. make sure the pt's room has at least six air exchanges per hour

b. make sure the pt wears a mask when outside her room if there is construction in the area

c. place the pt in a private room w/ negative-pressure airflow

d. wear an N95 respirator when giving the pt direct care - Answer b. make sure the pt wears a mask
when outside her room if there is construction in the area



a nurse is caring for a pt who is postoperative & is exhibiting signs of hemorrhagic shock. the nurse
notifies the surgeon, who tells the nurse to continue to measure the pt's vital signs every 15 min &
report back in 1 hr. which of the following actions should the nurse take next?



a. document the provider's statement in the medical record

b. complete an incident report

, c. consult the facility's risk manager

d. notify the nursing manager - Answer d. notify the nursing manager



a nurse is planning to insert a peripheral IV catheter for an older adult pt. which of the following actions
should the nurse plan to take?



a. insert the catheter at a 45° angle

b. place the pt's arm in a dependent position

c. shave the excess hair from the insertion site

d. initiate IV therapy in the veins of the hand - Answer b. place the pt's arm in a dependent position



a nurse is caring for a pt who has dementia. which of the following interventions should the nurse take
to minimize the risk for injury to the pt?



a. use a bed exit alarm system

b. raise four side rails while the pt is in bed

c. apply one soft wrist restraint

d. dim the lights in the pt's room - Answer a. use a bed exit alarm system



a nurse is talking w/ the partner of a pt who has dementia. the pt's partner expresses frustration about
finding time to manage household responsibilities while caring for their partner. the nurse should
identify that the partner is experiencing which of the following types of role-performance stress?



a. role ambiguity

b. sick role

c. role overload

d. role conflict - Answer c. role overload



a nurse is caring for a pt who has a terminal illness & is at the end of life. the nurse should recognize that
which of the following statements by the pt's partner indicates effective coping?

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