ATI Fundamentals Final Exam Verified Questions and Answers

ATI Fundamentals Final Exam Verified Questions and Answers ATI Fundamentals Final Exam Verified Questions and Answers ATI Fundamentals Final Exam Verified Questions and Answers 1. A nurse is caring for a client who has a new RX for antihypertensive med- ication. Prior to administering the medication, the nurse uses an electronic database to gather information about the medication and the effects it might have on this client. Which of the following components of critical thinking is the nurse using when he reviews the medication information? A) Knowledge B) Experience C) Intuition D) Competence ANS A) Knowledge 2. A client who has an indwelling catheter reports a need to urinate. Which of the following actions should the nurse take? A) Check to see whether the catheter is patent. B) Reassure the client that it is not possible for her to urinate. C) Recatheterize the bladder with a larger-gauge catheter. D) Collect a urine specimen for analysis ANS - A) Check to see whether the catheter is patent. 3. A nurse is caring for a client who has a RX for a 24-hr urine collection. Which of the following actions should the nurse take? A) Discard the first voiding B) Keep the urine in a singe container at room temp C) Ask the client to urinate and pour the urine into a specimen container D) Ask the client to urinate into the toilet, stop midstream, and finish urinating into the specimen container. ANS - A) Discard the first voiding 4. A newly licensed nurse is reporting to the charge nurse about the care she gave to a client. She states, "The client said his leg pain was back, so I checked his medical record, and he last received his pain med 6 hr ago. The prescription reads every 4 hours PRN for pain, so I decided he needs it. I asked the unit nurse to observe me preparing and administering it. I checked with the client 40 minutes later, and he said his pain is going away." The charge nurse should inform the newly licensed nurse that she left out which of the following steps of the nursing process? A. Assessment B. Planning C. Intervention D. Evaluation ANS A. Assessment 5. A nurse is contributing to the plan of care for a client who is being admitted to the facility with a suspected diagnosis of pertussis. Which of the following should the nurse include in the plan of care? (SATA) A. Place the client in a room that has negative air pressure of at least six exchanges per hour. B. Wear a mask when providing care within 3 ft of the client. C. Place a surgical mask on the client if transportation to another department is unavoidable. D. Use sterile gloves when handling soiled linens. E. Wear a gown when performing care that may result in contamination from secretions. ANS - B. Wear a mask when providing care within 3 ft of the client. C. Place a surgical mask on the client if transportation to another department is unavoidable E. Wear a gown when performing care that may result in contamination from secretions. 6. A nurse is caring for a client who had an amphetamine overdose and has sensory overload. Which of the following interventions should the nurse implement? A. Immediately complete a thorough assessment B. Put the client in a room with a client who has hearing loss C. Provide a quiet room and limit stimulation D. Speak at a higher volume to the client and encourage ambulation. ANS - C. Provide a quiet room and limit stimulation 7. A nurse is caring for a client who reports difficulty hearing. Which of the following assessment findings indicate a sensorineural hearing loss in the left ear? (SATA) A. Weber test showing lateralization to the right ear B. Light reflex at 10 o'clock in the left ear C. Indications of obstruction in the left ear canal D. Rinne test showing less time for air and bone conduction E. Rinne test showing air conduction less than bone conduction in the left ear ANS - A. Weber test showing lateralization to the right ear D. Rinne test showing less time for air and bone conduction 8. A nurse is caring for a client who has several risk factors for hearing loss. Which of the following medications, that the client currently takes, should alert the nurse to a further risk for ototoxicity? (SATA) A. Furosemide B. Ibuprofen C. Cimetidine D. Simvastatin E. Amiodarone ANS - A. Furosemide B. Ibuprofen 9. A nurse is reviewing instructions with a client who has a hearing loss and has just started wearing hearing aids. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. "I use a damp cloth to clean the outside part of my hearing aids." B. "I clean the ear molds of my hearing aids with rubbing alcohol." C. "I keep the volume of my hearing aids turned up so I can hear better." D. "I take the batteries out of my hearing aids when I take them off at night." ANS - D. "I take the batteries out of my hearing aids when I take them off at night." 10. A nurse is caring for an adolescent who client who is 2 days post-op following an appendectomy and has type I DM. The client is tolerating a regular diet. He has ambulated successfully around the unit with assistance. He requests pain medication every 6 to 8 hr while reporting pain at a 2 on a scale of 0 to 10 after receiving the medication. His incision is approximated and free of redness, with scant serous drainage on the dressing. The nurse should recognize that the client has which of the following risk factors for impaired wound healing? (SATA) A. Extremes in age B. Impaired circulation C. Impaired/suppressed immune system D. Malnutrition E. Poor wound care ANS - B. Impaired circulation C. Impaired/suppressed immune system 11. A nurse is collecting data from a client who is 5 days post-op following abdominal surgery. The surgeon suspects an incisional wound infection and has prescribed antibiotic therapy for the nurse to initiate after collecting wound and blood specimens for culture and sensitivity. Which of the following findings should the nurse expect? (SATA) A. Increase in incisional pain B. Fever and chills C. Reddened wound edges D. Increase in serosanguineous drainage E. Decrease in thirst ANS A. Increase in incisional pain B. Fever and chills C. Reddened wound edges 12. A nurse educator is reviewing the wound healing process with a group of nurses. The nurse educator should include in the information which of the following alterations for wound healing by secondary intention? (SATA) A. Stage III pressure ulcer B. Sutured surgical incision C. Casted bone fracture D. Laceration sealed with adhesive E. Open burn area ANS A. Stage III pressure ulcer E. Open burn area 13. A client who had abdominal surgery 24 hr ago suddenly reports a pulling sensation and pain in his surgical incision. The nurse checks the surgical wound and finds it separated with viscera protruding. Which of the following actions should the nurse take? (SATA) A. Cover the area with saline-soaked sterile dressings. B. Apply an abdominal binder snugly around the abdomen. C. Use sterile gauze to apply gentle pressure to the exposed tissues. D. Position the client supine with his hips and knees bent. E. Offer the client a warm beverage, such as herbal tea. ANS A. Cover the area with saline-soaked sterile dressings. D. Position the client supine with his hips and knees bent. 14. A nurse is caring for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the clients skin? (SATA) A. Keep the head of the bed elevated 30 degrees. B. Massage the client's bony prominences frequently. C. Apply cornstarch liberally to the skin after bathing. D. Have the client sit on a gel cushion when in a chair. E. Reposition the client at least every 3 hr while in bed. ANS A. Keep the head of the bed elevated 30 degrees. D. Have the client sit on a gel cushion when in a chair. 15. A nurse is caring for a client who fell at a nursing home. The client is oriented to person, place, and time and can follow directions. Which of the following actions should the nurse take to decrease the risk of another fall? (SATA) A. Place a belt restraint on the client when he is sitting on the bedside commode B. Keep the bed in its lowest position with all side rails up C. Make sure that the clients call light is within reach D. Provide the client with nonskid footwear E. Complete a fall-risk assessment ANS C. Make sure that the clients call light is within reach D. Provide the client with nonskid footwear E. Complete a fall-risk assessment 16. A nurse manager is reviewing with nurses on the unit the care of a client who has had a seizure. Which of the following statements by a nurse requires further instruction? A. "I will place the client on his side." B. "I will go to the nurses station for assistance." C. "I will administer his medications." D. "I will prepare to insert an airway." ANS B. "I will go to the nurses station for assistance." 17. A nurse observes smoke coming from under the door of the staff's lounge. Which of the following actions is the nurses priority? A. Extinguish the fire B. Activate the fire alarm C. Move clients who are near by D. Close all open doors on the unit ANS C. Move clients who are near by 18. A nurse is caring for a client who has a history of falls. Which of the following is the nurses priority? A. Complete a fall-risk assessment B. Educate the client and family about fall risks C. Eliminate safety hazards from the clients environment D. Make sure the client uses assistive aids in his possession ANS A. Complete a fall-risk assessment 19. A charge nurse is assigning rooms for the clients to be admitted to the unit. To prevent falls, which of the following clients should the nurse assign to the room closest to the nurses station? A. A middle adult who is post-op following a laproscopic cholecystectomy B. A middle adult who requires telemetry for a possible myocardial infarction C. A young adult who is post-op following an open reduction internal fixation of the ankle D. An older adult who is post-op following a below-the-knee amputation ANS D. An older adult who is post-op following a below-the-knee amputation 20. A nurse is providing discharge instructions to a client who has a prescrip- tion for the use of oxygen in his home. Which of the following should the nurse teach the client about using oxygen safely in his home? (SATA) A. Family members who smoke must be at least 10 ft from the client when oxygen is in use. B. Nail polish should not be used near a client who is receiving oxygen. C. A "No Smoking" sign should be placed on the front door. D. Cotton bedding and clothing should be replaced with items made from wool. E. A fire extinguisher should be readily available in the home. ANS B. Nail polish should not be used near a client who is receiving oxygen. C. A "No Smoking" sign should be placed on the front door. E. A fire extinguisher should be readily available in the home.