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Exam (elaborations)

ATI RN FUNDAMENTALS 2022 EXAM PROCTORED (GRADED A)

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ATI RN FUNDAMENTALS 2019 EXAM PROCTORED 1. A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of the following findings should the nurse identify as a potential indication of a skin malignancy 2. A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client’s pain 3. A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation 4. A nurse is auscultating the anterior chest of a client who has newly admitted to a medical-surgical unit. Listen to the audio clip of what the nurse auscultates through the stethoscope and identify the type of breath sounds. 5. A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions should the nurse take 6. A nurse is using an open irrigation technique to irrigate a client’s indwelling urinary catheter. Which of the following actions should the nurse take? 7. A nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury. Which of the following types of dressing should the nurse use 8. A nurse is providing discharge teaching to a client about self-administering heparin. Which of the following instructions should the nurse include in the teaching 9. A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take? 10. A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client? 11. A nurse is caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the risk for injury to the client? A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7 hr. The nurse should set the infusion pump to deliver how many mL/hr? 13. A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication for which of the following therapies? 14. A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair. To prevent self-injury, which of the following actions should the nurse take when lifting this object? 15. A 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? 16. A nurse is caring for a client who is postoperative. When the nurse prepares to change her dressing, she says “Every time you change my bandage, it hurts so much.” Which of the following interventions is the nurse’s priority action? 17. A nurse is assessing a client’s readiness to learn about insulin self-administration. Which of the following statements should the nurse identify as an indication the client is ready to learn? 18. A nurse is evaluating a client’s use of a cane. Which of the following actions should the nurse identify as an indication of correct use? 19. A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching? 20. A nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of thigh-length sequential compression sleeves. Which of the following actions should the nurse take? 21. A nurse in a long-term care facility is caring for a client who dies during the nurse’s shift. Identify the sequence in which the nurse should perform the following steps. 22. 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? 23. A nurse is caring for a client who has an aggressive form of prostate cancer. The provider briefly discusses treatment options and leaves the client’s room. When the nurse asks if the client would like to discuss any concerns, the client declines. Which of the following statements should the nurse make? 24. A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client asks, “What would happen if I arrived at the emergency department and I had difficulty breathing?” Which of the following responses should the nurse make? 25. A nurse is caring for a client who has diarrhea due to shigella. Which of the following precautions should the nurse implement for this client 26. A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0-10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching, she received about pain management 27. A nurse is administering an otic medication to an older adult client. Which of the following actions should the nurse take to ensure that the medication reaches the inner ear? 28. A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Which of the following observations should the nurse identify as proper safety protocol? 29. A nurse is reviewing evidence-based practice principles about administration of oxygen therapy with a newly licensed nurse. Which of the following actions should the nurse include? 30. A nurse is reviewing a client’s fluid and electrolyte status. Which of the following findings should the nurse report to the provider? 31. A home health nurse is performing a follow-up visit for a client who has a gastrostomy tube through which they receive intermittent feedings and medications. The client has recently developed diarrhea. Which of the following findings should the nurse identify as a possible cause of the diarrhea? 32. A nurse is assessing four adult clients. Which of the following physical assessment techniques should the nurse use 33. A nurse is planning strategies to manage time effectively for client care. Which of the following strategies should the nurse implement? 34. A nurse is caring for a group of clients. Which of the following actions should the nurse take to prevent the spread of infection? 35. A nurse is caring for a client who has a terminal illness and is at the end of life. The nurse should recognize that which of the following statements by the client’s partner indicates effective coping? 36. A nurse is caring for a client who has a respiratory infection. Which of the following techniques should the nurse use when performing nasotracheal suctioning for the client? 37. A nurse is caring for a client who has a terminal illness and is approaching death. The client is short of breath and has noisy respirations from secretions in their airway. Which of the following actions should the nurse take? ...................................................CONTINUED,.......................................................................DOWNLOAD FOR GRADE A

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1 | P a g eATI RN FUNDAMENTALS 2019/2020 EXAM
PROCTORED (GRADED A)
RN Fundamentals Online Practice 2019A
1.A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of the following findings should the nurse identify as a potential indication of a skin malignancy?
a.A lesion with uniform pigmentation
Variations in pigmentation are a possible indication of a skin malignancy. A lesion
with uniform pigmentation is not an expected indication of a skin malignancy.
b.New appearance of petechiae
Petechiae are capillaries that have burst under the skin and appear as small spots on
the skin. Although they can be indications of other conditions, petechiae are not an expected indication of a skin malignancy.
c.A mole with asymmetrical appearance
An uneven or asymmetrical shape is a potential indication of a skin malignancy. This is manifested when part of a lesion or mole looks different from the other part
d.The presence of a papule
Papules are solid elevations that are palpable in the skin and are less than 1 cm (0.39
in) in size. They are not an expected indication of a skin malignancy.
2.A nurse is assessing a client who reports pain following physical therapy. Which of the following questions should the nurse as when assessing the quality of the client’s pain?
a.“Is your pain constant or intermittent?”
Asking the client whether the pain is constant or intermittent determines the onset,
duration, and pattern of the pain.
b.“What would you rate your pain on a scale of 0 to 10?”
Asking the client to rate the pain using the pain scale determines the intensity of the
pain.
c.“Does the pain radiate?” 2 | P a g eAsking the client whether the pain radiates determines the pain’s location.
d.“Is your pain sharp or dull?” 3 | P a g eAsking the client whether the pain is sharp or dull, crushing, throbbing, aching,
burning, electric- like, or shooting helps determine the quality of the pain.
3.A nurse is admitting a new client. Which of the following actions should the nurse
take while performing medication reconciliation?
a.Verify the client’s name on their identification bracelet with the medication administration record.
The nurse should verify the client’s name on their identification bracelet when administering medication; however, this action is not a part of performing medication
reconciliation.
b.Call the pharmacy to determine whether the client’s medications are
available. The nurse should call the pharmacy if the client’s medications are not
available to administer at the appropriate time; however this action is not a part of
performing medication reconciliation
c.Compare the client’s home medications with the provider’s prescriptions. The nurse should compare the client’s home medications with the provider’s prescriptions when performing medication reconciliation.
d.Place the client’s home medication bottles in a secure location.
The nurse should place the client's home medications in a secure location to ensure
safe handling of prescribed medications; however, this action is not a part of performing medication reconciliation.
4.A nurse is auscultating the anterior chest of a client who was admitted to a medical-
surgical unit. Listen to the audio clip of what the nurse auscultates through the stethoscope and identify the type of breath sounds. (Click on the audio button to listen to the clip.)
a.Crackles
Unlike these breath sounds, crackles (also called rales) are discontinuous sounds heard primarily during inhalation and resulting from air bubbling through fluid or
mucus in the airways.
b.Rhonchi 4 | P a g eRhonchi are dry, low-pitched, snore-like noises produced in the throat or bronchial tube due to a partial obstruction, such as by secretions.
c.Friction rub
Friction rub is a scratching sound that persists throughout the respiratory cycle.
d.Normal breath sounds
These are normal bronchovesicular breath sounds, characteristically of moderate
intensity and sounding like blowing as air moves through the larger airways on inspiration and expiration.
5.A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of
the following actions should the nurse take?
a.Administer the medication with the needle at 45o angle.
The nurse should insert the needle at 45o to 90omangle for a subcutaneous injection.
b.Administer the medication into the client’s nondominant arm.
The nurse should administer enoxaparin into the abdomen, at least 5cm (2 inches)
from the umbilicus.
c.Pull the client’s skin laterally or downward prior to administration.
The Z-track technique involves displacing the skin laterally or downward prior to
administration of an IM injection.
d.Massage the injection site after the administration.
The nurse should not massage the injection following the injection of an
anticoagulant due to the risk for bruising.
6.A nurse is using an open irrigation technique to irrigate a client’s indwelling urinary
catheter. Which of the following actions should the nurse take?
a.Place the client in a side-lying position.
b.Instill 15 mL of irrigation fluid into the catheter with each flush.
c.Subtract the amount of irrigant used from the client’s urine output.
d.Perform the irrigation using a 20-mL syringe.

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