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ATI 2019 Fundamentals Proctored Exam final VERFIED GRADED A
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ATI 2019 Fundamentals Proctored Exam final VERFIED GRADED A
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By: drjohna • 3 months ago
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ATI 2019 Fundamentals Proctored Examfinal VERFIED GRADED A
1. A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate
to an assistive personnel?
d. Providing postmortem care to a client
2. A nurse is conducting a health assessment for a client who takes herbal supplements. Which of the
following statements by the client indicates an understanding of the use of the supplements?
C. I use ginger when I get car sick
3. A nurse is caring for a client who has influenza and isolation precautions in place. Which of the
following actions should the nurse take to prevent the spread of infection?
A. Wear a mask when working within 3 feet of the client
4. A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG tube.
Which of the following actions should the nurse take?
C. Allow room for two fingers to fit between the clients skin and the restraints
5. A nurse is admitting a client who has tuberculosis. Which of the following types of transmission
precautions should the nurse plan to initiate?
A. Droplet
6. A nurse in a well-child clinic receives a telephone call from a parent who states that their child
accidentally swallowed paint thinner. The child is awake and alert. Which of the following responses
should the nurse make?
A. Have your child drink one large glass of water.
7. A nurse is documenting a client's medical record. Which of the following entries should the nurse
record.
B. Administered pain medication
8. A nurse is providing oral care for a client who is unconscious. Which of the following actions should
the nurse take?
A. Place the client in a side-lying position.
9. A nurse is collaborating with a risk management team about potential legal issues involving client
care. The nurse should identify which of the following situations is an example of negligence?
C. A nurse begins a blood transfusion without obtaining consent.
,10. A nurse is collecting a sputum specimen for culture from a client who has a respiratory infection.
Which of the following actions should the nurse take?
B. Offer the client oral hygiene after the collection
11. A nurse is assessing an older client. Which of the following findings should the nurse expect?
a. Decreased sense of balanced
12. A nurse is completing discharge teaching about ostomy care with a client who has a new stoma.
Which of the following instructions should the nurse include in the teaching? (select all that apply)
a. "Cut the opening of the pouch 1⁄8 of an inch larger than the stoma " YES
b. "Place a piece a gauze over the stoma while changing the pouch" YES
c. "Use povidone-iodine to clean around the stoma" YES
d. "Empty the ostomy pouch when it becomes one-third full of contents" YES
e. expect the stoma to turn a purple-blue color as its heals" NOPE
13. A nurse is preparing to obtain informed consent from a client who speaks a different language than
the nurse. Which of the following actions should the nurse take?
c. "Offer written information in the client's language"
14. A nurse is teaching a client about home care equipment. Which of the following information should
the nurse include in the teaching? (select all that apply)
d. "Keep the oxygen delivery system 0.6 m (2 feet) from any heat source" Nope
e. "Lay the oxygen tank flat when storing" Nope
a. "Avoid using wool blankets when receiving oxygen"
b. check the O2 delivery rate at least once a day
c. align the middle of the ball in the flow meter with the line of the prescribed flow rate
15. A nurse is planning care for a client who reports insomnia. Which of the following actions should the
nurse perform shortly before bedtime?
a. Provide a late supper.
16. A nurse on a medical-surgical unit is receiving a change-of-shift report for four clients. Which of the
following clients should the nurse see first?
c. A client who has new onset of dyspnea 24hr after a total hip arthroplasty •
17. A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium chloride
600mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100mL intermittent IV bolus, 200mL emesis,
40mL voided urine, and 20mL urine from straight catheterization. The nurse should record the client's
net fluid intake as how many mL? (Round the answer to the nearest whole number. Use a leading zero if
it applies. Do not use a trailing zero.)
DOSAGE CALCULATION
700 mL
, 18. A nurse is discussing incident reports with a group of newly licensed nurses. The nurse should
include that which if the following requires the completion of an incident report?
a. A client's prescribed laboratory testing was not obtained
19. A nurse is caring for a client who has a new prescription for negative-pressure therapy for a chronic
wound. The nurse is unfamiliar with the procedure. Which of the following resources should the nurse
consult to learn more about the intervention.
d. The policy and procedure manual
20. A nurse is performing postural drainage with percussion and vibration for a client who has cystic
fibrosis. Which of the following actions should the nurse take?
d. Perform percussion over the lower back
21. 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
8ml
22. 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?
d. I can put it in a locked storage unit for you
23. 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?
d. When the client poses a threat to self
24. 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?
d. Client advocate
25. A 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?
c. "Delirium has an abrupt onset."
26. 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?
b. Denial
27. 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?
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