ATI RN FUNDAMENTAL EXAM 60 QUESTIONS WITH 100% CORRECT ANSWERS/A+ GRADE/VERIFIED SOLUTION/2023

ATI RN FUNDAMENTAL EXAM 60 QUESTIONS WITH 100% CORRECT ANSWERS/A+ GRADE/VERIFIED SOLUTION/2023 1. A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of these following findings should the nurse identify as a potential indication of a skin malignancy? a. a lesion with uniform pigmentation b. new appearance of petechiae c. a mole with an 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 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 patient’s pain? a. “Is your pain constant or intermittent?” b. “What would you rate your pain on a scale of 0 to 10?” c. “Does the pain radiate?” d. “Is your pain sharp or dull?” Asking the client whether the pain is sharp, dull, crushing, throbbing, aching, burning, electric-like, or shooting helps determine the quality of the pain. 3. A nurse is admitting a new patient. Which of the following actions should the nurse take? a. Verify the client’s name on their identification bracelet with the medication administration record b. Call the pharmacy to determine whether the client’s medications are available. 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. 4. A nurse is auscultating the anterior chest of a client who was 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. (Click on the audio button to listen to the clip.) 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 a 45 degree angle The nurse should insert the needle at a 45° to 90° angle for a subcutaneous injection. b. Administer the medication into the client’s nondominant arm lOMoAR cPSD| c. Pull the client’s skin laterally or downward prior to administration d. Massage the injection site after administration 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 lOMoAR cPSD| client's 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 The nurse should calculate the fluid used for irrigation and subtract it from the total urinary output. d. Perform the irrigation using a 20 mL syringe. 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? a. Alginate b. Gauze c. Transparent d. Hydrocolloid Hydrocolloid dressings promote healing in stage 2 pressure injuries by creating a moist wound bed. 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? a. Insert the needle at a 15 degree angle b. Aspirate for blood return prior to administration c. Administer the medication into the abdomen. The nurse should instruct the client to administer the medication into the abdomen at at the least 5.08 cm (2 in) from the umbilicus. The client should pinch or spread the skin injection site to administer the medication into the subcutaneous tissue. d. Massage the site following the injection 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? a. Pad the client’s wrist before applying the restraints The use of restraints without padding can abrade the client's skin, resulting in client injury. b. Evaluate the client’s circulation every 8 hr after application c. Remove the restraints every 4 hr to evaluate the client’s status d. Secure the restraint ties to the bed’s side rail