100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
Previously searched by you
ATI FUNDAMENTALS RETAKE PROCTORED EXAM 2024 ACTUAL EXAM 2 VERSIONS (VERSION A AND B) COMPLETE ACCURATE EXAM QUESTIONS WITH DETAILED VERIFIED$20.99
Add to cart
1. Which of the following is the most *B. Use sterile technique during
important step for the nurse to take dressing changes.*
when caring for a client with a
wound infection?
Rationale: Using sterile technique
A. Apply an antibiotic ointment to helps prevent further contamination
the wound. and spread of the infection.
B. Use sterile technique during
dressing changes.
C. Change the wound dressing
once a day.
D. Keep the wound open to air.
2. A nurse is caring for a client who *D. Warm the irrigation solution to
has a prescription for wound irriga- body temperature.*
tion. Which of the following actions
should the nurse take?
Rationale: Warming the irrigation so-
A. Cleanse the wound from the lution to body temperature helps to
most contaminated area to the promote comfort and healing. Clean-
least contaminated area. ing should be done from the least to
B. Use a 30-mL syringe to irrigate the most contaminated area to pre-
the wound. vent the spread of microorganisms.
C. Hold the syringe 1 inch above the
wound.
D. Warm the irrigation solution to
body temperature.
3. A nurse is teaching a client who *A. Administer a dose of glucagon IM
has a new diagnosis of diabetes if unable to swallow.*
mellitus about how to manage hy-
poglycemia. Which of the following
instructions should the nurse in- Rationale: Administering glucagon IM
clude? is appropriate if the client is unable
to swallow due to hypoglycemia. Con-
A. Administer a dose of glucagon suming simple carbohydrates like milk
IM if unable to swallow. is useful for managing early signs of
B. Drink 240 mL (8 oz) of milk at the hypoglycemia, but more concentrated
first sign of hypoglycemia. forms of glucose are often preferred.
, ATI Fundamentals Retake
C. Take an extra dose of insulin be-
fore strenuous exercise.
D. Avoid eating carbohydrates in
the evening.
4. A nurse is performing a physical *A. Capillary refill time of less than 3
assessment of a client's peripheral seconds.*
vascular system. Which of the fol-
lowing findings should the nurse
expect? A capillary refill time of less than 3
seconds indicates good blood flow to
A. Capillary refill time of less than 3 the extremities. Pitting edema, warm
seconds skin with rapid refill, and cyanosis can
B. Presence of pitting edema indicate underlying vascular or circu-
C. Warm skin with rapid capillary latory issues.
refill
D. Cyanosis of the nail beds
5. A nurse is preparing to administer *C. Clarify the prescription with the
a medication to a client and notes provider.*
that the dosage is higher than the
recommended range. Which of the
following actions should the nurse The nurse should clarify the prescrip-
take? tion with the provider to ensure client
safety. Administering a dosage out-
A. Administer the medication as side the recommended range could
prescribed. result in adverse effects.
B. Notify the pharmacist about the
discrepancy.
C. Clarify the prescription with the
provider.
D. Ask another nurse to administer
the medication.
6. A nurse is teaching a client who *D. Use the spirometer every 2 to 3
is postoperative how to use an in- hours while awake.*
centive spirometer. Which of the
following instructions should the
nurse include? Using the spirometer every 2 to 3
, ATI Fundamentals Retake
hours while awake helps to prevent
A. Exhale fully before placing the postoperative complications such as
mouthpiece in your mouth. atelectasis. The client should inhale
B. Hold your breath for at least 3 slowly and deeply through the mouth-
seconds after using the spirome- piece, hold the breath briefly, and then
ter. exhale slowly.
C. Inhale deeply and quickly
through the mouthpiece.
D. Use the spirometer every 2 to 3
hours while awake.
7. A nurse is caring for a client who *A. Aspirate gastric contents to verify
requires an NG tube for gastric de- pH levels.*
compression. Which of the follow-
ing actions should the nurse take
to ensure proper placement? Aspirating gastric contents and check-
ing the pH level helps confirm the NG
A. Aspirate gastric contents to ver- tube is in the stomach. The correct
ify pH levels. placement should show a pH of 4 or
B. Measure the tube from the less.
nose to the earlobe to the xiphoid
process.
C. Secure the tube to the client's
cheek with tape.
D. Inject 30 mL of air and listen for
gurgling over the abdomen.
8. A nurse is educating a client *D. "I will rinse the used pouch with hot
about managing their new colosto- water."*
my. Which statement indicates the
client needs further teaching?
The client should rinse the pouch
A. "I will change the pouch every with lukewarm water, not hot water, to
3-7 days." avoid damaging the pouch material.
B. "I can use deodorants in the The other statements indicate correct
pouch to manage odor." understanding.
C. "I should avoid high-fiber foods
to prevent blockage."
, ATI Fundamentals Retake
D. "I will rinse the used pouch with
hot water."
9. A nurse is performing an assess- *C. Constipation*
ment on a client who has hy-
pokalemia. Which of the following
clinical manifestations should the Rationale: Hypokalemia can cause
nurse expect to find? decreased bowel motility, leading to
constipation. Positive Chvostek's sign
A. Hypertension is associated with hypocalcemia, and
B. Positive Chvostek's sign decreased deep tendon reflexes are
C. Constipation also a sign of hypokalemia.
D. Decreased deep tendon reflexes
10. A nurse is caring for a client with a *C. Leave the eschar intact.*
pressure ulcer on the sacrum that
is covered with eschar. Which of
the following actions should the Rationale: Eschar should be left intact
nurse take? if it is dry and stable, as it serves
as a natural barrier to infection. De-
A. Apply a hydrocolloid dressing. bridement is necessary only if there is
B. Debride the wound to remove the evidence of infection or the eschar is
eschar. moist and unstable.
C. Leave the eschar intact.
D. Apply an enzymatic agent to de-
bride the wound.
11. A nurse is providing instructions *D. "I should walk for at least 30 min-
to a client who is at risk for devel- utes three times a week."*
oping osteoporosis. Which of the
following statements by the client
indicates an understanding of the Rationale: Weight-bearing exercises
teaching? like walking help to strengthen bones
and reduce the risk of osteoporosis.
A. "I should take a calcium supple- Calcium supplements should be tak-
ment with my meals." en with meals, and increasing high-fat
B. "I should limit my intake of green foods is not recommended for bone
leafy vegetables." health.
C. "I should increase my intake of
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TheAlphanurse. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.99. You're not tied to anything after your purchase.
