A nurse is caring for a client who is on bed rest following abdominal surgery. Which of the following findings indicates the need to increase the frequency of position changes?
A. Petechiae on the client's right anterior thigh
B. Flat rash on the client's ankle
C. non-palpable macule on the cli...
ATI FUNDAMENTAL PROCTORED LATEST
EXAM WITH CORRECT ANSWERS
A nurse is caring for a client who is on bed rest following abdominal surgery. Which of the following
findings indicates the need to increase the frequency of position changes?
A. Petechiae on the client's right anterior thigh
B. Flat rash on the client's ankle
C. non-palpable macule on the client's left shoulder
D. Non Blanching darkened area over the client's trochanter - ANSWERS-d
charge nurse in a long-term care facility is preparing an educational program about delirium for
newly hired nurses. Which of the following statements should the nurse plan to include?
a. "Delirium does not affect a client's perception of her environment."
b. "Delirium does not affect a client's sleep cycle."
c. "Delirium has an abrupt onset."
d. "Delirium has a slow progression." - ANSWERS-c
A nurse is assessing the body temperature of an adult client using a temporal artery thermometer.
Which of the following actions should the nurse take? (Select all that apply)
a. Slide the probe across the clients forehead
b. Pull the clients pinna up & back
c. Hold the client's hair aside while performing the procedure
d. Document the client's temperature with "AX" next to the value
e. Move the probe in a circular motion - ANSWERS-a, c
A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old child who has
,difficulty swallowing pills. Available is diphenhydramine 12.5mg/5ml oral syrup. Which of the
following images indicates the correct number of mL the nurse should administer? (round answer to
the nearest whole number.)
DOSAGE CALCULATION - ANSWERS-8ml
A nurse is admitting a client who is malnourished. The client states, "My wedding ring is loose and
I'm worried I will lose it if it falls off."Which of the following is an appropriate response by the
nurse?
a. " I will place it in your drawer so it won't get lost."
b. I can pin it to your hospital gown so you won't lose it."
c. "I will hold onto it until a family member can take it home."
d. I can put it in a locked storage unit for you - ANSWERS-d
A charge nurse is teaching a group of newly licensed nurses about the use of restraints. In which
of the following clinical situations should the nurse apply restraints?
a. If the client is pacing in the hallway
b. As a part of a fall prevention program
c. At the request of the client's family
d. When the client poses a threat to self - ANSWERS-d
To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a
straight catheterization on a client. In which of the following roles is the nurse manager
functioning?
a. Case manager
b . C l i e n t e d uc a t o r
c. Client care provider
d. Client advocate - ANSWERS-d
,A
A nurse is speaking with a client who has recently received a diagnosis of a chronic illness. The
client states, " The doctor must be wrong. I can't be that sick". The nurse should inform the client
that their reaction is an example of which of the following expected responses to grief?
a. Acceptance
b. Denial
c . An g e r
d. Depression - ANSWERS-b
A Nurse on a medical-surgical unit is providing care for four clients. The nurse should identify
which of the following situations as an ethical dilemma?
a. A surgeon who removed the wrong kidney during a surgical procedure refuses to take
responsibility for her actions
b. A client who has Crohn's disease reports that his prescription drug plan will not pay for his
medications.
c. A client who has a new colostomy refuses to take instructions from the ostomy therapist
because she "doesn't like him."
d. the family of a client who has a terminal illness asks the provider not to tell the client the
diagnosis - ANSWERS-d
A nurse is teaching a client about performing breast self-examinations. Which of the following
statements by the clients indicates an understanding of the teaching?
a. "I should perform my self-exam the week that my period starts"
b. "I should make different patterns on each breast when I do my self-exam."
c. "I should use the palm of my hand to apply pressure to each breast."
d. "I should make circular motions with my fingertips under my arms." - ANSWERS-d
A nurse is preparing to transfer a client who is partially weight bearing from the bed to the chair.
Which of the following actions should the nurse take?
, a. Keep his knees straight when moving the client
b. Position the chair next to the bed as a 90 degree angle
c. Stand with his feet together when lifting the client
d. Have the client bear weight on her stronger leg - ANSWERS-d
A nurse is caring for a client following a laparoscopic cholecystectomy. The client has a
prescription for ondansetron 4mg IV bolus every 6hr PRN for nausea and vomiting. Identify the
sequence of steps the nurse should follow to administer the medication. ( Move the steps into the
box on the right, placing them in the order of performance. Use all the steps.)
- Select the injection port of the IV tubing closest to the client.
- Cleanse the injection port with an antiseptic swab.
- Aspirate for blood return.
- Inject the medication.
- perform hand hygiene - ANSWERS-1. perform hand hygiene
2 . s e l e c t t h e i n j e c t i o n p o r t o f t h e I V t ub i n g c l o s e s t t o t h e c l i e n t
3. cleanse the injection port with an antiseptic swab
4. aspirate for blood return
5. inject the medication
A nurse is teaching a client who has diabetes mellitus about mixing regular and NPH insulin.
Which of the following statements but the client indicates an understanding of the teaching
a. I should wait 3 minutes after mixing the insulin to inject it
b. I should draw up the NPH insulin before regular insulin
c. I should inject air into the vial of regular insulin first
d. I should roll the vial of NPH insulin between my hands before drawing it up - ANSWERS-d
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