EXAM: ATI Learning System RN: Fundamentals
Final Exam with Certified Solutions
after helping to reposition a patient who reports SOB what actions should the nurse take
next? Correct Answer-observe rate, depth, character of pts respirations
-priority: nurse must first assess and collect further data before notifying the provider or
applying another nursing intervention
-nurse can also encourage deep breathing
-nurse can administer O2 if pt is experiencing dyspnea
-nurse can give pt a back rub to promote relaxation to reduce dyspnea
a patient starts to experience a seizure while sitting in a chair. what actions should the nurse
take? Correct Answer-lower the pt to the flood and place a pad under pts head
-reduce risk of injury
-avoid inserting anything into the mouth d/t injury such as broken teeth
-do not attepmy to lift during active seizure
, EXAM: ATI Learning System RN: Fundamentals
Final Exam with Certified Solutions
a home health nurse is planning to provide health promotion activities to a community. what
activities is an example of primary prevention? Correct Answer-educating pts about
recommended immunization schedule for adults
-primary prevention = education on disease prevention
-secondary prevention focuses on measures to ID early stages of a condition; screening
-tertiary prevention occurs after diagnosis of condition and focuses to limit complications
the nurse should convey the patient's pain status in which portion of the I-SBAR report?
Correct Answer-assessment
-Situation= problems pt experiencing
-Background= medical history, lab findings, allergies, code status
-Assessment= assessment data and findings collected by nurse for pt
-Recommendation= recommendations about Tx and asks provider about additional Tx
, EXAM: ATI Learning System RN: Fundamentals
Final Exam with Certified Solutions
nurse should identify which findings indicate infiltration of a peripheral IV site? Correct
Answer-edema at infusion site
-d/t fluid entering subcutaneous tissue
-redness, warmth at site indicates phlebitis/ infection
-oozing blood at site indicates that IV system isn't intact
the provider instructed a patient recovering from lung cancer he could resume lower-intensity
activities of daily living. what activities should the nurse recommend to the patient?
Correct Answer-washing dishes
-cleaning windows and -sweeping is moderate-intensity
-shoveling snow is high-intensity
what assessment provides the most accurate measure of a patients fluid status for a patient
who has acute renal failure? Correct Answer-daily weight
Final Exam with Certified Solutions
after helping to reposition a patient who reports SOB what actions should the nurse take
next? Correct Answer-observe rate, depth, character of pts respirations
-priority: nurse must first assess and collect further data before notifying the provider or
applying another nursing intervention
-nurse can also encourage deep breathing
-nurse can administer O2 if pt is experiencing dyspnea
-nurse can give pt a back rub to promote relaxation to reduce dyspnea
a patient starts to experience a seizure while sitting in a chair. what actions should the nurse
take? Correct Answer-lower the pt to the flood and place a pad under pts head
-reduce risk of injury
-avoid inserting anything into the mouth d/t injury such as broken teeth
-do not attepmy to lift during active seizure
, EXAM: ATI Learning System RN: Fundamentals
Final Exam with Certified Solutions
a home health nurse is planning to provide health promotion activities to a community. what
activities is an example of primary prevention? Correct Answer-educating pts about
recommended immunization schedule for adults
-primary prevention = education on disease prevention
-secondary prevention focuses on measures to ID early stages of a condition; screening
-tertiary prevention occurs after diagnosis of condition and focuses to limit complications
the nurse should convey the patient's pain status in which portion of the I-SBAR report?
Correct Answer-assessment
-Situation= problems pt experiencing
-Background= medical history, lab findings, allergies, code status
-Assessment= assessment data and findings collected by nurse for pt
-Recommendation= recommendations about Tx and asks provider about additional Tx
, EXAM: ATI Learning System RN: Fundamentals
Final Exam with Certified Solutions
nurse should identify which findings indicate infiltration of a peripheral IV site? Correct
Answer-edema at infusion site
-d/t fluid entering subcutaneous tissue
-redness, warmth at site indicates phlebitis/ infection
-oozing blood at site indicates that IV system isn't intact
the provider instructed a patient recovering from lung cancer he could resume lower-intensity
activities of daily living. what activities should the nurse recommend to the patient?
Correct Answer-washing dishes
-cleaning windows and -sweeping is moderate-intensity
-shoveling snow is high-intensity
what assessment provides the most accurate measure of a patients fluid status for a patient
who has acute renal failure? Correct Answer-daily weight
