ATI Fundamentals Proctored - Missed Practice Exam Questions & Answers Graded A 2023

A nurse is caring for a client who is postoperative following a vaginal hysterectomy and asks for a drink. Her postoperative diet prescription reads: clear liquids; advance diet as tolerated. Which of the following responses should the nurse make? A. "lunch trays should be here within the hour" B. "I am going to listen to your abdomen" C. I'll get you some water to drink D. "I would wait a bit, or you could feel sick" - "I am going to listen to your abdomen" (make sure there is bowel sounds) 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? A. Position the client with the head of the bed elevated to 30 degrees prior to insertion of the NG tube B. Remove the NG tube if the client begins to gag or choke C. Apply suction to the NG tube prior to insertion D. Have the client take sips of water to promote the insertion of the NG tube into the esophagus - have the client take sips of water to promote the insertion of the NG tube into the esophagus A nurse is caring for a client who has MRSA infection. A dietary assistant asks the nurse what precautions are necessary for entering the client's room with the lunch tray. Which of the following instructions should the nurse give to the dietary assistant? A. Don a gown before entering the room and take off before exiting B. Wear a mask while in the client's room C. Don gloves when entering the room and use hand sanitizer when exiting D. Take no special precautions unless coming into direct contact with the client - don gloves when entering the room and use hand sanitizer when exiting (requires contact precautions)A charge nurse is observing a newly licensed nurse perform tracheostomy care for a client. Which of the following actions by the newly licensed nurse requires intervention? A. Obtaining hydrogen peroxide for tracheostomy care B. Obtaining cotton balls for tracheostomy care C. Obtaining sterile gloves for tracheostomy care D. Obtaining a sterile brush for tracheostomy care - b. Obtaining cotton balls for tracheostomy care (could aspirate the particles) A nurse is caring for a middle-aged adult client. The nurse should evaluate the client for progress toward which of the following developmental tasks? A. Managing a home B. Establishing a sense of self in the world C. Forming new friendships D. Ceasing to compare personal identity with others - d. Ceasing to compare personal identity with others (the other 3 are for young adults) A nurse is explaining Piaget's theory of cognitive development to a group of daycare providers for employees' children at an acute care facility. Which of the following activities should the nurse include as an example of concrete operational thinking? A. Playing in the sand B. Playing dress-up with old clothes C. Collecting and trading game cards D. Describing interpersonal relationships - a. Playing in the sand (sensorimotor stage, birth - 2 years) B. Playing dress-up (preoperational thinking, ages 2-7) C. COLLECTING AND TRADING GAME CARDS D. Describing interpersonal relationships (formal operational reasoning stage, ages 11 and beyond) A nurse is caring for a semiconscious client who had a small bore NG tube placed yesterday for the administration of enteral feeding. Which of the following methods should the nurse use to verify correct tube placement? (select all that apply)A. Auscultate injected air B. Verify the initial x-ray examination C. Measure the length of the exposed tube D. Determine the ph of aspirated fluid E. Check the aspirated fluid for glucose - b. Verify the initial x-ray examination C. Measure the length of the exposed tube D. Determine the ph of aspirated fluid A nurse is caring for a client who is receiving IV therapy via a peripheral catheter. The nurse should identify that which of the following findings is an indication of infiltration? A. Redness at the infusion site B. Edema at the infusion site C. Warmth at the infusion site D. Oozing of blood at the infusion site - b. Edema at the infusion site (redness is indication of phlebitis, warmth is indication of phlebitis, oozing of blood is indication the IV system is not intact) A nurse is caring for a client who has a cuffed endotracheal tube in place. The nurse should identify that the purpose of inflating the cuff includes which of the following? (select all that apply) A. Allowing the client to speak B. Stabilizing the position of the tube C. Preventing aspiration of secretions D. Preventing air leaks E. Preventing tracheal injury - b. Stabilizing the position of the tube C. Preventing aspiration of secretions D. Preventing air leaks