ATI Proctored Fundamentals Exam/92
Questions with 100% Correct Answers
A nurse is caring for a client who requires a 24-hr urine collection. Which of
the following statements by the client indicates an understanding of the
teaching? - -"I flushed what I urinated at 7:00 a.m. and have saved all urine
since."
-A nurse is assessing a client who has been on bed rest for the past month.
Which of the following findings should the nurse identify as an indication that
the client has developed thrombophlebitis? - -Calf Swelling
-A nurse manager is overseeing the care on a unit. Which of the following
situations should the nurse manager identify as a violation of HIPAA
guidelines? - -A nurse asks a nurse from another unit to assist with her
documentation.
-A nurse is caring for a client who requires bed rest and has a prescription
for antiembolic stockings. Which of the following actions should the nurse
take? - -Remove the stockings at least once per shift.
-A nurse is administering IV fluid to an older adult client. The nurse should
perform which priority assessment to monitor for adverse effects? - -
Auscultate Lung Sounds
-A nurse is teaching an older client who is at risk for osteoporosis about
beginning a program of regular physical activity. Which of the following types
of activity should the nurse recommend? - -Walking Briskly
-A nurse is assessing an adult client who has been immobile for the past 3
weeks. The nurse should identify that which of the following findings requires
further intervention? - -Erythema on pressure points
-A nurse is responding to a call light and finds a client lying on the bathroom
floor. Which of the following actions should the nurse take first? - -Check the
client for injuries
-A nurse in a clinic is caring for a middle adult client who states, "The doctor
says that, since I am at an average risk for colon cancer, I should have
routine screening. What does that involve?" Which of the following responses
should the nurse make? - -"You should have a fecal occult blood test every
year."
-A nurse manager is preparing to review medication documentation with a
group of newly licensed nurses. Which of the following statements should the
, nurse manager plan to include in the teaching? - -"Use the complete name
of the medication magnesium sulfate."
-A nurse is caring for a client who has tuberculosis. Which of the following
actions should the nurse take? - -Place the client in a room with negative-
pressure airflow.
Wear gloves when assisting the client with oral care.
Use antimicrobial sanitizer for hand hygiene.
-A nurse is caring for a client who has a prescription for 5 units of regular
insulin and 10 units of NPH insulin to mix together and administer
subcutaneously. Determine the correct order of steps for this procedure. - -
Air into NPH
Air into Regular
Draw up Regular
Draw up NPH
-A nurse is reviewing practice guidelines with a group of newly licensed
nurses. Which of the following interventions should the nurse include that is
within the RN scope of practice? - -Initiate an enteral feeding through a
gastrostomy tube.
-A nurse is caring for a client who requires an NG tube for stomach
decompression. Which of the following actions should the nurse take when
inserting the NG tube? - -Have the client take sips of water to promote
insertion of the NG tube into the esophagus.
-A nurse is assessing an older client's risk for falls. Which of the following
assessments should the nurse use to identify the client's safety needs? - -
Pupil Clarity
Visual Fields
Visual Acuity
-A nurse is evaluating a client's use of a cane. Which of the following actions
should the nurse identify as an indication of correct use? - -The client holds
the cane on the stronger side of her body.
-A nurse is performing a peripheral vascular assessment for a client. When
placing the bell of the stethoscope on the client's neck, she hears the
following sound. This sound indicates which of the following? - -Narrowed
Arterial Lumen
-A nurse is admitting a client who has varicella. Which of the following types
of transmission precautions should the nurse initiate? - -Airborne
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