©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
ATI CMS FUNDAMENTALS - STUDY GUIDE
SOLUTIONS
BEST POSITION FOR USE OF INCENTIVE SPIROMETER - ANSWER✔✔-Semi-Fowler's or High Semi-Fowler's
position
allows for maximum expansion of the lungs
WHEN A PATIENT REFUSES TO USE INCENTIVE SPIROMETER - ANSWER✔✔-always assess the patient first
using assessment skills, you can then try to determine why the patient is refusing
continue to encourage the patient, but if they still refuse, be sure to document.
IV CATHETER INSERTION FOR AN OLDER ADULT - ANSWER✔✔-place patient's arm in a dependent
position; veins will dilate due to gravity
Page 1/20
, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
insert catheter at 10-30 degree angle
WHEN USING AN OPEN IRRIGATION TECHNIQUE FOR INDWELLING URINARY CATHETER - ANSWER✔✔-
subtract the amount of irrigant used from the client's urine output
use 30-50 mL syringe to perform open irrigation
supine or dorsal recumbant position is best
DELIVERY OF OTIC MEDICATION - ADULT - ANSWER✔✔-pull the ear up and back to straighten the ear
canal and instill drops
pressing gently on the tragus of the ear will help the medication get into the inner ear
have patient in side-lying position, with affected ear up. Patient should remain in this position for 2-5
minutes following Rx administration
NG TUBE FEEDING THROUGH AN OPEN SYSTEM - ANSWER✔✔-tell patient to keep head of the bed
elevated at least 30 degrees
Page 2/20
, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
this will reduce the risk of and prevent aspiration
NG TUBE FEEDING - ANSWER✔✔-make sure that enteral formula is at room temperature; this prevents
cramping
clean the top the formula container to reduce the risk of contamination by microorganisms
rinse feeding bag with warm water
NG TUBE FEEDING - COMPLICATION DUE TO EXCESS RESIDUAL - ANSWER✔✔-when gastric residual
exceeds 250 mL for two consecutive assessments...
- withhold the feeding
- notify provider
- keep patient in semi-fowler's
- recheck residual in 1 hour
Page 3/20
FIRST PUBLISH OCTOBER 2024
ATI CMS FUNDAMENTALS - STUDY GUIDE
SOLUTIONS
BEST POSITION FOR USE OF INCENTIVE SPIROMETER - ANSWER✔✔-Semi-Fowler's or High Semi-Fowler's
position
allows for maximum expansion of the lungs
WHEN A PATIENT REFUSES TO USE INCENTIVE SPIROMETER - ANSWER✔✔-always assess the patient first
using assessment skills, you can then try to determine why the patient is refusing
continue to encourage the patient, but if they still refuse, be sure to document.
IV CATHETER INSERTION FOR AN OLDER ADULT - ANSWER✔✔-place patient's arm in a dependent
position; veins will dilate due to gravity
Page 1/20
, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
insert catheter at 10-30 degree angle
WHEN USING AN OPEN IRRIGATION TECHNIQUE FOR INDWELLING URINARY CATHETER - ANSWER✔✔-
subtract the amount of irrigant used from the client's urine output
use 30-50 mL syringe to perform open irrigation
supine or dorsal recumbant position is best
DELIVERY OF OTIC MEDICATION - ADULT - ANSWER✔✔-pull the ear up and back to straighten the ear
canal and instill drops
pressing gently on the tragus of the ear will help the medication get into the inner ear
have patient in side-lying position, with affected ear up. Patient should remain in this position for 2-5
minutes following Rx administration
NG TUBE FEEDING THROUGH AN OPEN SYSTEM - ANSWER✔✔-tell patient to keep head of the bed
elevated at least 30 degrees
Page 2/20
, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
this will reduce the risk of and prevent aspiration
NG TUBE FEEDING - ANSWER✔✔-make sure that enteral formula is at room temperature; this prevents
cramping
clean the top the formula container to reduce the risk of contamination by microorganisms
rinse feeding bag with warm water
NG TUBE FEEDING - COMPLICATION DUE TO EXCESS RESIDUAL - ANSWER✔✔-when gastric residual
exceeds 250 mL for two consecutive assessments...
- withhold the feeding
- notify provider
- keep patient in semi-fowler's
- recheck residual in 1 hour
Page 3/20
