ATI FUNDAMENTALS RETAKE EXAM TESTBANK - COMPLETE QUESTIONS
AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: c. "Where is my daughter at a time like this?"
A. "Will I ever begin to feel in charge of my life again?"
Answer:
a
Question 2: A nurse is preparing a heparin infusion for a client who
was admitted to the facility with deep-vein thrombosis. The
prescription reads: 25,000 units of heparin in 0.9% sodium chloride
250 mL to infuse at 800 units/hr. At what rate should the nurse set
the infusion pump? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.)
Answer:
8 mL/hr
Question 3: A home health nurse is completing an admission
assessment of an older adult client who has their caregiver
present. Which of the following findings should the nurse identify
as a potential indication of elder abuse?
A. The caregiver is the client's financial power of attorney.
B. The client is in a wheelchair with the wheels locked.
C. The client reports receiving a full bath twice each week.
D. The caregiver insists on remaining in the room.
Answer:
d
Question 4: A nurse is caring for a client who reports difficulty
falling asleep. Which of the following recommendations should the
,nurse make?
A. "Drink a cup of hot cocoa before bedtime."
B. "Maintain a consistent time to wake up each day."
C. "Exercise 1 hour before going to bed."
D. "Watch a television program in bed before going to sleep."
Answer:
b
Question 5: A nurse is caring for a client who has a newly placed
ileostomy.
A. Exhibit 1
B. Nurses' Notes
C. 0800:Client is 2 days postoperative following an ileostomy. Pouch
is one-fourth full of stool. Stoma is red. Abdomen is soft and
nontender. Bowel sounds present in all quadrants.
D. 1200:Stoma site appears dark purple with blistering on the skin
around the stoma. Pouch is slightly leaking and is three-fourths full of
brown, liquid stool.
E. The nurse should first address the __(1)__ followed by the __(2)__
F. 1.
G. - stoma color
H. - hemoglobin level
I. - ostomy leakage
J. 2.
K. - ostomy pouch seal
L. - skin around the stoma
M. - amount of stool in the pouch
Answer:
1. stoma color
,Rationale: 2. skin around the stoma
Question 6: A nurse is preparing to administer multiple
medications to a client who has an enteral feeding tube. Which of
the following actions should the nurse plan to take?
A. Dissolve each medication in 5 mL of sterile water.
B. Draw up medications together in the syringe.
C. Push the syringe plunger gently when feeling resistance.
D. Flush the tube with 15 mL of sterile water.
Answer:
d
Question 7: A client who is nonambulatory notifies the nurse that
his trash can is on fire. After the nurse confirms the presence of the
fire, which of the following actions should the nurse take next?
A. Activate the emergency fire alarm.
B. Extinguish the fire.
C. Evacuate the client.
D. Confine the fire.
Answer:
c
Question 8: A nurse on a medical unit is preparing to discharge a
client to home. Which of the following actions should the nurse
take as part of the medication reconciliation process?
A. Seal unused medications from the facility in a plastic bag.
B. Evaluate the client's ability to self-administer medications.
C. Report an identified discrepancy to The Joint Commission.
D. Compare prescriptions with medications the client received while
at the facility.
, Answer:
d
Question 9: A nurse is caring for a client who has tuberculosis.
Which of the following actions should the nurse take? (Select all
that apply.)
A. Place the client in a room with negative-pressure airflow.
B. Wear gloves when assisting the client with oral care.
C. Limit each visitor to 2-hr increments.
D. Wear a surgical mask when providing client care.
E. e. Use antimicrobial sanitizer for hand hygiene.
Answer:
a, b, e
Question 10: A nurse is preparing to obtain a lower extremity blood
pressure from a client and no longer palpates the popliteal pulse
after 92 mm Hg. Which of the following images displays the
measurement in mm Hg to which the nurse should inflate the cuff
when obtaining the blood pressure?
A. 92
B. 102
C. 112
D. 122
Answer:
d
Question 11: A community health nurse is checking blood
pressures for a group of clients at a community health screening.
Which of the following clients is at an increased risk for
hypertension?
AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: c. "Where is my daughter at a time like this?"
A. "Will I ever begin to feel in charge of my life again?"
Answer:
a
Question 2: A nurse is preparing a heparin infusion for a client who
was admitted to the facility with deep-vein thrombosis. The
prescription reads: 25,000 units of heparin in 0.9% sodium chloride
250 mL to infuse at 800 units/hr. At what rate should the nurse set
the infusion pump? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.)
Answer:
8 mL/hr
Question 3: A home health nurse is completing an admission
assessment of an older adult client who has their caregiver
present. Which of the following findings should the nurse identify
as a potential indication of elder abuse?
A. The caregiver is the client's financial power of attorney.
B. The client is in a wheelchair with the wheels locked.
C. The client reports receiving a full bath twice each week.
D. The caregiver insists on remaining in the room.
Answer:
d
Question 4: A nurse is caring for a client who reports difficulty
falling asleep. Which of the following recommendations should the
,nurse make?
A. "Drink a cup of hot cocoa before bedtime."
B. "Maintain a consistent time to wake up each day."
C. "Exercise 1 hour before going to bed."
D. "Watch a television program in bed before going to sleep."
Answer:
b
Question 5: A nurse is caring for a client who has a newly placed
ileostomy.
A. Exhibit 1
B. Nurses' Notes
C. 0800:Client is 2 days postoperative following an ileostomy. Pouch
is one-fourth full of stool. Stoma is red. Abdomen is soft and
nontender. Bowel sounds present in all quadrants.
D. 1200:Stoma site appears dark purple with blistering on the skin
around the stoma. Pouch is slightly leaking and is three-fourths full of
brown, liquid stool.
E. The nurse should first address the __(1)__ followed by the __(2)__
F. 1.
G. - stoma color
H. - hemoglobin level
I. - ostomy leakage
J. 2.
K. - ostomy pouch seal
L. - skin around the stoma
M. - amount of stool in the pouch
Answer:
1. stoma color
,Rationale: 2. skin around the stoma
Question 6: A nurse is preparing to administer multiple
medications to a client who has an enteral feeding tube. Which of
the following actions should the nurse plan to take?
A. Dissolve each medication in 5 mL of sterile water.
B. Draw up medications together in the syringe.
C. Push the syringe plunger gently when feeling resistance.
D. Flush the tube with 15 mL of sterile water.
Answer:
d
Question 7: A client who is nonambulatory notifies the nurse that
his trash can is on fire. After the nurse confirms the presence of the
fire, which of the following actions should the nurse take next?
A. Activate the emergency fire alarm.
B. Extinguish the fire.
C. Evacuate the client.
D. Confine the fire.
Answer:
c
Question 8: A nurse on a medical unit is preparing to discharge a
client to home. Which of the following actions should the nurse
take as part of the medication reconciliation process?
A. Seal unused medications from the facility in a plastic bag.
B. Evaluate the client's ability to self-administer medications.
C. Report an identified discrepancy to The Joint Commission.
D. Compare prescriptions with medications the client received while
at the facility.
, Answer:
d
Question 9: A nurse is caring for a client who has tuberculosis.
Which of the following actions should the nurse take? (Select all
that apply.)
A. Place the client in a room with negative-pressure airflow.
B. Wear gloves when assisting the client with oral care.
C. Limit each visitor to 2-hr increments.
D. Wear a surgical mask when providing client care.
E. e. Use antimicrobial sanitizer for hand hygiene.
Answer:
a, b, e
Question 10: A nurse is preparing to obtain a lower extremity blood
pressure from a client and no longer palpates the popliteal pulse
after 92 mm Hg. Which of the following images displays the
measurement in mm Hg to which the nurse should inflate the cuff
when obtaining the blood pressure?
A. 92
B. 102
C. 112
D. 122
Answer:
d
Question 11: A community health nurse is checking blood
pressures for a group of clients at a community health screening.
Which of the following clients is at an increased risk for
hypertension?
