ATI FUNDAMENTALS PRACTICE TEST.
a nurse is collecting data about a client's respiratory system. Which of the following breath
sounds should the nurse expect to hear over the periphery of the major lung fields? -
ANSWER...vesicular
a nurse is caring for an older client who becomes agitated when the nurse requests that the clients
dentures be removed prior to surgery. which of the following responses should the nurse offer? -
ANSWER...what worries you about being with out your teeth
a nurse is helping a client perform range of motion exercises of the neck. for evaluating neck
flexion, which of the following motion should the nurse instruct the client to perform? -
ANSWER...touch his chin to his chest
a nurse is reinforcing teaching about heat therapy with a client who has low back pain. Which of
the following statements by the client indicates an understanding of the teaching? - ANSWER...i
need to place a towel between the heating pas and my skin
a nurse is obtaining a capillary blood sample to determine a client's blood glucose level. the
nurse prepare and punctures the client's finger for the procedure but does not obtain an adequate
amount of blood. which of the following actions should the nurse take - ANSWER...wrap the
clients finger in a warm wash cloth
a nurse is reinforcing teaching with a client about how to obtain a capillary finger-stick blood
sample. which of the following actions by the client requires the nurse to intervene? -
ANSWER...elevates the finger above heart level
a nurse is preparing to administer eye drops to a client following surgery. which of the following
actions should the nurse take when instilling the eye drops? - ANSWER...drop the eye
medication into the lower conjunctiva sac
a nurse is preparing to remove an NG tube for a client who had a partial colectomy. which of the
following actions should the nurse take? - ANSWER...pinch the NG tube while removing the
tube
a nurse is explaining Piaget's theory of cognitive development to a group of day care providers
for employees' children at an acute-care facility. Which of the following activities should the
,nurse include as an example of concrete operational thinking? - ANSWER...collecting and
trading game cards
a nurse is reviewing a client's laboratory report. the client's ABG levels are pH 7.5, PaCO2 32
mmHg, and HCO3- 24mEq/L. the nurse should determine that eh client has which of the
following acid-base imbalances? - ANSWER...respiratory alkalosis
a nurse is collecting baseline data about a client's chest as part of a physical examination. which
of the following actions should the nurse take first? - ANSWER...inspect the thorax
a nurse is removing a dressing over the surgical incision of a client who is postoperative
following abdominal surgery. Today, the client reported that "something opened up" the nurse
finds that the incision separated and intestinal tissue is protruding. after calling for help, which of
the following actions should the nurse take? - ANSWER...position the client supine with knees
in flexion
a nurse is collecting data form a client who has fluid- volume excess. which of the following
findings should the nurse expect? - ANSWER...crackles in the lung fields
a nurse is evaluating a client for conductive hearing loss. using the rinne test, which of the
following results should the nurse identify as an indication that the client has conductive hearing
loss of the left ear? - ANSWER...air conduction is less than bone conduction in the left ear
a nurse delegated the task of emptying an indwelling urinary catheter drainage bag to an assistive
personnel. the nurse later observes the AP emptying the bag without wearing gloves. which of
the following actions should the nurse take? - ANSWER...talk with a AP about the technique
used
a nurse is inserting an NG tube into a client who begins to cough and gag. Which of the
following actions should the nurse take? - ANSWER...pull the NG tube back slightly
a nurse is caring for a client who is exhibiting confusion. the nurse should identify that which of
the following laboratory values can cause confusion? - ANSWER...sodium 123 mEq/L
a nurse in a clinic is caring for a client who has returned for a follow-up visit after treatment of a
laceration on her upper arm. which of the following actions should the nurse person when
removing the sutures that the client received at her visit? - ANSWER...clip the suture as close to
the skin as possible
, a nurse is reviewing adult cardiopulmonary resuscitation (CPR) with a newly licensed nurse.
which of the following steps should the nurse identify as the first response when performing
CPR? - ANSWER...confirm unresponsiveness
a nurse is reinforcing teaching with a client who is postoperative about the importance of turning,
coughing, and breathing deeply. which of the following statements should the nurse identify as
an indication that the client understands the instructions? - ANSWER...if i do this often, I won't
get pneumonia
a nurse is reinforcing teaching with a client who is using a patient-controlled analgesia (PCA)
pump to deliver morphine for pain management. Which of the following statements should the
nurse identify as an indication that the client understands the instructions? - ANSWER...I can
still use my TENS unit even though I'm pushing the PCA button
a nurse is caring for a client who has cancer an dis experiencing pain. The nurse should
implement which of the following interventions to assist the client with pain relief. -
ANSWER...encourage the client to listen to soft music
a nurse is provider's clinic is taking a client's age, height, weight, and vital signs. The nurse
should identify this action as part of which of the following components of the nursing process? -
ANSWER...data collection
a nurse is collecting data form a term newborn who is 8 hours old. Which of the following
reflexes should the nurse identify as a preliminary indication that during gestation, the newborn
developed the ability to hear? - ANSWER...moro
a nurse is beginning a therapeutic relationship with a client. Which of the following actions
should the nurse perform to convey empathy when using the therapeutic communication
technique of active listening? - ANSWER...assume an open position
a nurse is collecting data form a client whose potassium level is 2.8 mEq/L. Which of the
following findings should the nurse expect? - ANSWER...decreased bowel sounds
a nurse is reinforcing teaching with a client who has heart failure about reducing his daily intake
of sodium. Which of the following factors is the most important is determining the clients ability
to learn new dietary habits? - ANSWER...the involvement of the client in planning the change
a nurse on a medical-surgical unit is admitting a client. Which of the following pieces of
information should the nurse document in the client't record first? - ANSWER...data collection
for the client
a nurse is collecting data about a client's respiratory system. Which of the following breath
sounds should the nurse expect to hear over the periphery of the major lung fields? -
ANSWER...vesicular
a nurse is caring for an older client who becomes agitated when the nurse requests that the clients
dentures be removed prior to surgery. which of the following responses should the nurse offer? -
ANSWER...what worries you about being with out your teeth
a nurse is helping a client perform range of motion exercises of the neck. for evaluating neck
flexion, which of the following motion should the nurse instruct the client to perform? -
ANSWER...touch his chin to his chest
a nurse is reinforcing teaching about heat therapy with a client who has low back pain. Which of
the following statements by the client indicates an understanding of the teaching? - ANSWER...i
need to place a towel between the heating pas and my skin
a nurse is obtaining a capillary blood sample to determine a client's blood glucose level. the
nurse prepare and punctures the client's finger for the procedure but does not obtain an adequate
amount of blood. which of the following actions should the nurse take - ANSWER...wrap the
clients finger in a warm wash cloth
a nurse is reinforcing teaching with a client about how to obtain a capillary finger-stick blood
sample. which of the following actions by the client requires the nurse to intervene? -
ANSWER...elevates the finger above heart level
a nurse is preparing to administer eye drops to a client following surgery. which of the following
actions should the nurse take when instilling the eye drops? - ANSWER...drop the eye
medication into the lower conjunctiva sac
a nurse is preparing to remove an NG tube for a client who had a partial colectomy. which of the
following actions should the nurse take? - ANSWER...pinch the NG tube while removing the
tube
a nurse is explaining Piaget's theory of cognitive development to a group of day care providers
for employees' children at an acute-care facility. Which of the following activities should the
,nurse include as an example of concrete operational thinking? - ANSWER...collecting and
trading game cards
a nurse is reviewing a client's laboratory report. the client's ABG levels are pH 7.5, PaCO2 32
mmHg, and HCO3- 24mEq/L. the nurse should determine that eh client has which of the
following acid-base imbalances? - ANSWER...respiratory alkalosis
a nurse is collecting baseline data about a client's chest as part of a physical examination. which
of the following actions should the nurse take first? - ANSWER...inspect the thorax
a nurse is removing a dressing over the surgical incision of a client who is postoperative
following abdominal surgery. Today, the client reported that "something opened up" the nurse
finds that the incision separated and intestinal tissue is protruding. after calling for help, which of
the following actions should the nurse take? - ANSWER...position the client supine with knees
in flexion
a nurse is collecting data form a client who has fluid- volume excess. which of the following
findings should the nurse expect? - ANSWER...crackles in the lung fields
a nurse is evaluating a client for conductive hearing loss. using the rinne test, which of the
following results should the nurse identify as an indication that the client has conductive hearing
loss of the left ear? - ANSWER...air conduction is less than bone conduction in the left ear
a nurse delegated the task of emptying an indwelling urinary catheter drainage bag to an assistive
personnel. the nurse later observes the AP emptying the bag without wearing gloves. which of
the following actions should the nurse take? - ANSWER...talk with a AP about the technique
used
a nurse is inserting an NG tube into a client who begins to cough and gag. Which of the
following actions should the nurse take? - ANSWER...pull the NG tube back slightly
a nurse is caring for a client who is exhibiting confusion. the nurse should identify that which of
the following laboratory values can cause confusion? - ANSWER...sodium 123 mEq/L
a nurse in a clinic is caring for a client who has returned for a follow-up visit after treatment of a
laceration on her upper arm. which of the following actions should the nurse person when
removing the sutures that the client received at her visit? - ANSWER...clip the suture as close to
the skin as possible
, a nurse is reviewing adult cardiopulmonary resuscitation (CPR) with a newly licensed nurse.
which of the following steps should the nurse identify as the first response when performing
CPR? - ANSWER...confirm unresponsiveness
a nurse is reinforcing teaching with a client who is postoperative about the importance of turning,
coughing, and breathing deeply. which of the following statements should the nurse identify as
an indication that the client understands the instructions? - ANSWER...if i do this often, I won't
get pneumonia
a nurse is reinforcing teaching with a client who is using a patient-controlled analgesia (PCA)
pump to deliver morphine for pain management. Which of the following statements should the
nurse identify as an indication that the client understands the instructions? - ANSWER...I can
still use my TENS unit even though I'm pushing the PCA button
a nurse is caring for a client who has cancer an dis experiencing pain. The nurse should
implement which of the following interventions to assist the client with pain relief. -
ANSWER...encourage the client to listen to soft music
a nurse is provider's clinic is taking a client's age, height, weight, and vital signs. The nurse
should identify this action as part of which of the following components of the nursing process? -
ANSWER...data collection
a nurse is collecting data form a term newborn who is 8 hours old. Which of the following
reflexes should the nurse identify as a preliminary indication that during gestation, the newborn
developed the ability to hear? - ANSWER...moro
a nurse is beginning a therapeutic relationship with a client. Which of the following actions
should the nurse perform to convey empathy when using the therapeutic communication
technique of active listening? - ANSWER...assume an open position
a nurse is collecting data form a client whose potassium level is 2.8 mEq/L. Which of the
following findings should the nurse expect? - ANSWER...decreased bowel sounds
a nurse is reinforcing teaching with a client who has heart failure about reducing his daily intake
of sodium. Which of the following factors is the most important is determining the clients ability
to learn new dietary habits? - ANSWER...the involvement of the client in planning the change
a nurse on a medical-surgical unit is admitting a client. Which of the following pieces of
information should the nurse document in the client't record first? - ANSWER...data collection
for the client
