2024-2025 ATI FUNDAMENTALS
FINAL EXAM 50 ACTUAL
QUESTIONS WITH VERIFIED
CORRECT ANSWERS AND
RATIONALES 100% TOP SCORE
1. A nurse is teaching a client how to self-administer insulin. Which of
the following actions should the nurse take to evaluate the client's
understanding of the process within the psychomotor domain of
learning. A. Ask the client if he want to self-administer his insulin.
B. Have the client list the steps of the procedure.
C. Have the client demonstrates the procedure.
D. Ask the client if he understands the purpose of insulin.: C. Have the
client demonstrates the procedure.
Having the client demonstrate the procedure provides the nurse the ability to
evaluate the client's understanding within the psychomotor domain of
learning.
2. A nurse is preparing to administer a cleansing enema to a client.
Which of the following actions should the nurse plan to take.
A. Insert the rectal tube 15.2 cm (6in.)
B. Wear sterile gloves to insert the tubing.
C. Position the client on his left side.
,D. Hold the solution bag 91 cm (36 in) above the client's rectum.: C.
Position the client on his left side.
Positioning is an important aspect of administering an enema. Having the
client lie on his left side facilitates the flow of the enema solution into the
sigmoid and descending colon.
3. A client who reports shortness of breath requests her nurse's help in
changing positions. After repositioning the client, which of the following
actions should the nurse take next?
A. Encourage the client to take deep breaths
B. Observe the rate, depth, and character of the client's respirations.
C. Prepare to administer oxygen.
D. Give the client a back rub to help her relax.: B. Observe the rate, depth,
and character of the client's respirations.
The nurse should apply the nursing process priority-setting framework when
caring for this client. The nurse can use the nursing process to plan client care
and prioritize nursing actions. Each step of the nursing process builds on the
previous step, beginning with assessment or data collection. Before the nurse
can formulate a plan of action, implement a nursing intervention, or notify a
provider of a change in the client's status, the nurse must first collect
adequate data from the client. Assessing or collecting additional data will
provide the nurse with knowledge to make an appropriate decision; therefore,
the first action the nurse should take is to assess the client's respiratory status.
4. A nurse is caring for a client who has bilateral casts on her hands.
Which of the following actions should the nurse take when assisting the
client with feeding?
, A. Sit at the bedside while feeding the client.
B. Order pureed foods.
C. Make sure feeding are at room temperature.
D. Offer the client a drink of fluid after every bite.: A. Sit at the bedside
while feeding the client.
The nurse should avoid appearing to be in a hurry. Sitting at the bedside
provides the client with the nurse's full attention during the feeding.
5. A nurse is caring for a client who, while sitting in a chair, starts to
experience a seizure. Which of the following actions should the nurse
take? A. Place a padded tongue blade in the client's head.
B. Lower the client to the floor and place a pad under the clients head.
C. Seek the help of a coworker and life the client back to bed.
D. Use an oropharyngeal airway to keep upper airway passages open.: B.
Lower the client to the floor and place a pad under the clients head.
To reduce the risk of injury to the client, the nurse should lower the client to
the floor and place a pillow or other soft object under the client's head.
6. A home health nurse is planning to provide health promotion activities
for a group of clients in the community. Which of the following activities
is an example of the nurse promoting primary prevention?
A. Teaching clients to perform self-examinations of breasts and testicles.
B. Educating clients about the recommended immunization schedule for
adults.
C. Teaching clients who have type 1 diabetes mellitus about care of the
feetd. Recommending that clients over the age of 50 have a fecal occult
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