ATI RN Fundamentals Practice A ACTUAL
QUESTIONS AND CORRECT ANSWERS
a nursing is caring for a client who has pharynegeal diphtheria. Which of the
following types of transmission precautions should the nurse initiate?
Contact
Droplet
Airborne
Protective - CORRECT ANSWERS droplet
Droplet precautions are a requirement for clients who have infections that
spread via droplet nuclei that are larger than 5 microns in diameter, including
rubella, meningococcal pneumonia, and streptococcal pharyngitis. The nurse
should wear a mask when providing care or when within 1 m (3 feet) of the
client who has a disorder requiring droplet precautions.
nurse is talking with an older adult client who is contemplating retirement. The
client states, "I keep thinking about how much I enjoy my job. I'm not sure I
want to retire." Which of the following responses should the nurse make?
"You would have so much more time to spend with your family."
"You should consider getting a part-time job or doing volunteer work."
"Let's talk about how the change in your job status will affect you."
"Why wouldn't you want to retire and relax?" - CORRECT ANSWERS
Let's talk about how the change in your hob status will affect you.
This response is therapeutic because the nurse is encouraging the client to
verbalize feelings about the life transition of retirement.
,Nurse caring for client who has herpes zoster. Client asks about complementary
and alternative therapies for pain control. Nurse should inform client that this
condition is a contraindication for which of the following therapies?
Biofeedback
Aloe
Feverfew
Acupuncture - CORRECT ANSWERS acupuncture
The nurse should inform the client that herpes zoster, or any skin infection, is a
contraindication for the use of acupuncture. An open portal on the skin's surface
could increase the risk of further infection.
Nurse is assessing an older adult for risk for falls. Which of the following
assessments should the nurse use to identify the client's safety needs? (select all
that apply)
Lacrimal apparatus
Pupil clarity
Appearance of bulbar conjunctivae
Visual fields
Visual acuity - CORRECT ANSWERS pupil clarity
visual fields
visual acuity
Nurse caring for postop client following knee arthroplasty and requires thigh
high compression sleeves. What should the nurse do?
Assist the client into a prone position.
,Place a sleeve over the top of each leg with the opening at the knee.
Make sure two fingers can fit under the sleeves.
Set the ankle pressure at 65 mm Hg. - CORRECT ANSWERS Make sure
two fingers can fit under the sleeve.
A nurse is reviewing a evidence based practice principles about administration
of oxygen therapy with a newly licensed nurse . Which of the following actions
should the nurse include ?
Regulate the flow rate by aligning the rate with the top of the ball inside the
flow meter.
Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min.
Make sure the reservoir bag of a partial rebreathing mask remains deflated.
Use petroleum jelly to lubricate the client's nares, face, and lips. - CORRECT
ANSWERS Regulate oxygen via nasal canal at a flow rate of no more
then 6L/ min
Evidence-based practice supports a flow rate of 1 to 6 L/min via nasal cannula.
Rates above 6 L/min have a drying effect and force clients to swallow air
excessively without increasing their fraction of inspired oxygen (FiO2).
a nurse is caring for a child who has a prescription for blood transfusion. the
child's parents have refused the treatment due to their religious beliefs. which of
the following actions should the nurse take?
Examine personal values about the issue.
Tell the parents that this is a necessary procedure.
Inform the parents that the staff does not require their consent.
, Contact a spiritual support person to explain the importance of the procedure. -
CORRECT ANSWERS examine personal values about the issue
nurse is caring for a client who is expressing anger about his diagnosis of
colorectal cancer. Which of the following actions should the nurse take?
Discuss the risk factors for colon cancer.
Focus teaching on what the client will need to do in the future to manage his
illness.
Provide the client with written information about the phases of loss and grief.
Reassure the client that this is an expected response to grief. - CORRECT
ANSWERS Reassure the client that this is an expected response to grief.
a nurse is responding to a call light and finds a client lying on the bathroom
floor. which of the following actions should the nurse take first?
- Check the client for injuries.
- Move hazardous objects away from the client.
- Notify the provider
- Ask the client to describe how she felt prior to the fall. - CORRECT
ANSWERS check the client for injuries
a nurse is caring for a client who is posoperative and refuses to use an incentive
spirometer following major abdominal surgery. which of the following actions
is the nurse's priority?
QUESTIONS AND CORRECT ANSWERS
a nursing is caring for a client who has pharynegeal diphtheria. Which of the
following types of transmission precautions should the nurse initiate?
Contact
Droplet
Airborne
Protective - CORRECT ANSWERS droplet
Droplet precautions are a requirement for clients who have infections that
spread via droplet nuclei that are larger than 5 microns in diameter, including
rubella, meningococcal pneumonia, and streptococcal pharyngitis. The nurse
should wear a mask when providing care or when within 1 m (3 feet) of the
client who has a disorder requiring droplet precautions.
nurse is talking with an older adult client who is contemplating retirement. The
client states, "I keep thinking about how much I enjoy my job. I'm not sure I
want to retire." Which of the following responses should the nurse make?
"You would have so much more time to spend with your family."
"You should consider getting a part-time job or doing volunteer work."
"Let's talk about how the change in your job status will affect you."
"Why wouldn't you want to retire and relax?" - CORRECT ANSWERS
Let's talk about how the change in your hob status will affect you.
This response is therapeutic because the nurse is encouraging the client to
verbalize feelings about the life transition of retirement.
,Nurse caring for client who has herpes zoster. Client asks about complementary
and alternative therapies for pain control. Nurse should inform client that this
condition is a contraindication for which of the following therapies?
Biofeedback
Aloe
Feverfew
Acupuncture - CORRECT ANSWERS acupuncture
The nurse should inform the client that herpes zoster, or any skin infection, is a
contraindication for the use of acupuncture. An open portal on the skin's surface
could increase the risk of further infection.
Nurse is assessing an older adult for risk for falls. Which of the following
assessments should the nurse use to identify the client's safety needs? (select all
that apply)
Lacrimal apparatus
Pupil clarity
Appearance of bulbar conjunctivae
Visual fields
Visual acuity - CORRECT ANSWERS pupil clarity
visual fields
visual acuity
Nurse caring for postop client following knee arthroplasty and requires thigh
high compression sleeves. What should the nurse do?
Assist the client into a prone position.
,Place a sleeve over the top of each leg with the opening at the knee.
Make sure two fingers can fit under the sleeves.
Set the ankle pressure at 65 mm Hg. - CORRECT ANSWERS Make sure
two fingers can fit under the sleeve.
A nurse is reviewing a evidence based practice principles about administration
of oxygen therapy with a newly licensed nurse . Which of the following actions
should the nurse include ?
Regulate the flow rate by aligning the rate with the top of the ball inside the
flow meter.
Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min.
Make sure the reservoir bag of a partial rebreathing mask remains deflated.
Use petroleum jelly to lubricate the client's nares, face, and lips. - CORRECT
ANSWERS Regulate oxygen via nasal canal at a flow rate of no more
then 6L/ min
Evidence-based practice supports a flow rate of 1 to 6 L/min via nasal cannula.
Rates above 6 L/min have a drying effect and force clients to swallow air
excessively without increasing their fraction of inspired oxygen (FiO2).
a nurse is caring for a child who has a prescription for blood transfusion. the
child's parents have refused the treatment due to their religious beliefs. which of
the following actions should the nurse take?
Examine personal values about the issue.
Tell the parents that this is a necessary procedure.
Inform the parents that the staff does not require their consent.
, Contact a spiritual support person to explain the importance of the procedure. -
CORRECT ANSWERS examine personal values about the issue
nurse is caring for a client who is expressing anger about his diagnosis of
colorectal cancer. Which of the following actions should the nurse take?
Discuss the risk factors for colon cancer.
Focus teaching on what the client will need to do in the future to manage his
illness.
Provide the client with written information about the phases of loss and grief.
Reassure the client that this is an expected response to grief. - CORRECT
ANSWERS Reassure the client that this is an expected response to grief.
a nurse is responding to a call light and finds a client lying on the bathroom
floor. which of the following actions should the nurse take first?
- Check the client for injuries.
- Move hazardous objects away from the client.
- Notify the provider
- Ask the client to describe how she felt prior to the fall. - CORRECT
ANSWERS check the client for injuries
a nurse is caring for a client who is posoperative and refuses to use an incentive
spirometer following major abdominal surgery. which of the following actions
is the nurse's priority?
