ATI Fundamentals Retake TEST QUESTIONS AND ANSWERS (2023/2024) (VERIFIED ANSWERS)WITH NG
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ATI Fundamentals
Institution
ATI Fundamentals
ATI Fundamentals Retake TEST
QUESTIONS AND ANSWERS (2023/2024)
(VERIFIED ANSWERS)WITH NGN
A charge nurse is discussing the responsibility of nurses caring
for clients who have Clostridium difficile infection. Which of the
following information should the nurse include in the teaching?
a....
ATI Fundamentals Retake TEST
QUESTIONS AND ANSWERS (2023/2024)
(VERIFIED ANSWERS)WITH NGN
A charge nurse is discussing the responsibility of nurses caring
for clients who have Clostridium difficile infection. Which of the
following information should the nurse include in the teaching?
a. assign the client to a room with a negative airflow system
b. use alcohol-based hand sanitizer when leaving the client's
room
c. clean contaminated surfaces in the client's room with a phenol
solution
d. have family members wear a gown and gloves when visiting -
CORRECT ANSWER d. have family members wear a gown and
gloves when visiting
A nurse is caring for a family experiencing a crisis. What
approach should the nurse use when working with a family using
an open structure for coping with crisis? - CORRECT
ANSWER Convening a family meeting.
What should you do before administering any medications? -
CORRECT ANSWER Obtain a complete medication and allergy
history.
What does diphenhydramine treat in relation to allergic reactions?
- CORRECT ANSWER Mild rashes and hives
,What should you do after hand-washing with ostomy skin care? -
CORRECT ANSWER Apply gloves & inspect the stoma, use
mild soap and water to cleanse, then dry it gently and completely.
What are the steps to take when administering a large-volume
enema? - CORRECT ANSWER 1. Position the client on the left
side with right leg flexed forward. Put on gloves. Lubricate rectal
tube or nozzle. (Also, warm to enema solution).
2. Slowly insert rectal tube (3 to 4 inches for an adult). Raise bag
above anus, 18 inches (if client reports abd cramping, lower the
enema fluid container) . Ask the client to retain the solution for
prescribed amount of time, or until client is no longer able to retain
it.
3. Discard bag. Assist the client to the appropriate position to
defecate. Document results and the client's tolerance of the
procedure.
What should the nurse do to help prevent plantar flexion? -
CORRECT ANSWER Encourage active or provide passive
ROM two or three times/day. Instruct clients to perform ROM
while bathing, eating, grooming, and dressing.
What should be done for a client to promote a proper sleep-wake
cycle? - CORRECT ANSWER Cluster care. `
Who is a fracture pan used for? - CORRECT ANSWER Supine
client and clients in body casts or leg casts.
What should the nurse do for clients using a fracture pain? -
CORRECT ANSWER Raise the head of the bed to 30 degrees.
If the client cannot lift his hips to get the bedpan under him, roll
him onto one side, position the bedpan over his buttocks, and roll
the client back onto the bedpan.
,Signs/symptoms of extracellular fluid volume deficit - CORRECT
ANSWER 1. Hypothermia, tachycardia, thready pulse,
orthostatic hypotension, decreased central venus pressure,
tachypnea, and hypoxia.
2. Dizziness, syncope, confusion, weakness and fatigue.
GI findings related to extracellular fluid volume deficit - CORRECT
ANSWER Dry mucous membranes, dry furrowed tongue,
nausea, vomiting, anorexia, and acute weight loss.
The nurse should recognize which labs as a sign of dehydration?
- CORRECT ANSWER -Hct 55%
-Serum sodium 150 mEq/L
-Urine specific gravity 1.035
What is a heart murmur? - CORRECT ANSWER Audible when
blood volume in the heart increased or its flow is impeded or
altered. Using the bell of the stethoscope to hear the
characteristic blowing or swishing sound.
What should the nurse do if she were to find a surgical wound
separated with viscera protruding? - CORRECT ANSWER
Cover the area with saline-soaked sterile dressing and position
the client supine with his hips & knees bent.
, What is the expected reference range for ALT? - CORRECT
ANSWER 4 to 36 units/L.
Elevation occurs with hepatitis or cirrhosis.
What are indications for ALT? - CORRECT ANSWER
Suspected liver, pancreatic, or billiary tract disorder.
When do you use surgical asepsis for suctioning? - CORRECT
ANSWER Surgical asepsis should be used for nasotracheal
suctioning, but medical asepsis for the mouth.
How long should the nurse suction for? - CORRECT ANSWER
No longer than 10 to 15 seconds to avoid hypoxemia and the
vagal response. Limit total suctioning to 5 minutes.
What position will promote draining of both lobes of the lungs in
general? - CORRECT ANSWER High Fowler's
What position will promote draining of apical segments of both
lobes? - CORRECT ANSWER Sitting on the side of the bed
What position will promote draining of both lower lobes of the
lungs, anterior segments? - CORRECT ANSWER Supine in
Trendelenburg
What position will promote draining of both lower lobes, posterior
segments? - CORRECT ANSWER Prone in Trendelenburg
What should there nurse do when caring for a client who has a C.
Diff infection? - CORRECT ANSWER Implement contact
precautions including gloves & a gown. Ensure the client has a
private room & maintain a clean environment. Implement infection
control measures including but not limited to hand washing,
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