ATI RN FUNDAMENTALS PROCTORED
2024 WITH NGN LATEST TEST BANK
60 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES QUESTIONS AND
ANSWERS
Axnursexinxanxacutexcarexfacilityxisxpreparingxaxdischargexsummaryxforxaxclientxwhoxisxt
ransferringxtoxaxlong-
termxcarexfacility.xWhichxofxthexfollowingxdocumentationxshouldxthexnursexinclude?
A.xClientxflowxsheet
B.xAcuityxratings
C.xCurrentxmedications
D.xIncidentxreportsx-xanswer--C.xCurrentxmedications
Thexnursexshouldxincludexthexclient'sxmedicationsxinxthexdischargexsummaryxtoxensur
exclientxsafetyxandxcontinuityxofxcare.
Axnursexisxreviewingxprotocolxinxpreparationxforxsuctioningxsecretionsxfromxaxclientxwh
oxhasxaxnewxtracheostomy.xWhichxofxthexfollowingxactionsxshouldxthexnursexplanxtoxtak
e?
A.xUsexaxresuscitationxbagxwithx80%xoxygenxpriorxtoxthexprocedure.
B.xSelectxaxsuctionxcatheterxthatxisxhalfxthexsizexofxthexlumen.
C.xPlacexthexendxofxthexsuctionxcatheterxinxwater-solublexlubricant.
D.xAdjustxthexwallxsuctionxapparatusxtoxaxpressurexofx170xmmxHg.x-xanswer--
B.xSelectxaxsuctionxcatheterxthatxisxhalfxthexsizexofxthexlumen.
Thexnursexshouldxselectxaxsuctionxcatheterxthatxisxhalfxthexsizexofxthexlumenxtoxprevent
xhypoxemiaxandxtraumaxtoxthexmucosa.
Axnursexisxcaringxforxaxclientxwhoxhasxdecreasedxmobility.xWhichxofxthexfollowingxactio
nsxshouldxthexnursextakextoxdecreasexthexclient'sxriskxofxdevelopingxplantarxflexionxcon
tractures?
A.xPlacexaxpillowxunderxthexclient'sxknees.
B.xPositionxaxtrochanterxrollxunderxeachxofxthexclient'sxhips.
,C.xAdvisexthexclientxtoxwearxrubber-soledxslippers.
D.xApplyxanxankle-footxorthoticxdevicextoxthexclient'sxfeet.x-xanswer--D.xApplyxanxankle-
footxorthoticxdevicextoxthexclient'sxfeet.
Thexnursexshouldxusexaxdevicextoxmaintainxdorsiflexion,xsuchxasxanxankle-
footxorthoticxdevicexorxaxfootxboardxplacedxperpendicularxtoxthexmattress.
Axnursexmanagerxisxoverseeingxthexcarexactivitiesxonxaxunit.xForxwhichxofxthexfollowing
xsituationsxshouldxthexnursexmanagerxintervenexduextoxaxviolationxofxHIPAAxguidelines
?
A.xAxnursexwhoxisxcaringxforxaxclientxreviewsxthexclient'sxmedicalxchartxwithxaxnursingxst
udentxwhoxisxworkingxwithxthexnurse.
B.xAxnursexasksxaxnursexfromxanotherxunitxtoxassistxwithxdocumentationxforxaxclient.
C.xAxnursexwhoxisxcaringxforxaxclientxreturnsxaxcallxtoxthexpersonxappointedxinxthexhealt
hxcarexproxyxtoxdiscussxthexclient'sxcare.
D.xAxnursexdiscussesxaxclient'sxstatusxwithxthexphysicalxtherapistxwhoxisxcaringxforxthex
client.x-xanswer--
B.xAxnursexasksxaxnursexfromxanotherxunitxtoxassistxwithxdocumentationxforxaxclient.
Onlyxhealthxcarexprofessionalsxdirectlyxcaringxforxaxclientxshouldxhavexaccessxtoxthexcli
ent'sxmedicalxinformation;xtherefore,xthisxisxaxviolationxofxHIPAAxguidelines.
Axnursexisxpreparingxtoxadministerx0.5xmLxofxoralxsingle-
dosexliquidxmedicationxtoxaxclient.xWhichxofxthexfollowingxactionsxshouldxthexnursextak
e?
A.xGentlyxshakexthexcontainerxofxmedicationxpriorxtoxadministration.
B.xTransferxthexmedicationxtoxaxmedicinexcup.
C.xPlacexthexclientxinxaxsemi-Fowler'sxpositionxpriorxtoxmedicationxadministration.
D.xVerifyxthexdosagexbyxmeasuringxthexliquidxbeforexadministeringxit.x-xanswer--
A.xGentlyxshakexthexcontainerxofxmedicationxpriorxtoxadministration.
Thexnursexshouldxgentlyxshakexthexliquidxmedicationxtoxensurexthatxthexmedicationxisx
mixed.
Axnursexonxaxmedicalxunitxisxpreparingxtoxdischargexaxclientxtoxhome.xWhichxofxthexfoll
owingxactionsxshouldxthexnursextakexasxpartxofxthexmedicationxreconciliationxprocess?
A.xSealxunusedxmedicationsxfromxthexfacilityxinxaxplasticxbag.
B.xEvaluatexthexclient'sxabilityxtoxself-administerxmedications.
C.xReportxanxidentifiedxdiscrepancyxtoxThexJointxCommission.
D.xComparexprescriptionsxwithxmedicationsxthexclientxreceivedxwhilexatxthexfacility.x-
xanswer--
D.xComparexprescriptionsxwithxmedicationsxthexclientxreceivedxwhilexatxthexfacility.
Whenxperformingxmedicationxreconciliation,xthexnursexshouldxcreatexaxcurrent,xaccura
texlistxofxeveryxmedicationxthexclientxisxorxshouldxbextaking.xPartxofxthexprocessxisxcomp
aringxthexmedicationsxthexclientxreceivedxatxthexfacilityxwithxthosexthexproviderxhasxpre
scribedxforxthexclientxtoxtakexafterxdischarge.
, Axnursexisxcaringxforxaxclientxwhoxhasxterminalxliverxcancer.xWhichxofxthexfollowingxstat
ementsxshouldxthexnursexidentifyxasxanxindicationxthatxthexclientxisxexperiencingxspiritu
alxdistress?
A.x"WhatxcouldxIxhavexdonextoxdeservexthisxillness?"
B.x"Ixblamexmedicalxsciencexforxnotxcuringxme."
C.x"Wherexisxmyxdaughterxatxaxtimexlikexthis?"
D.x"WillxIxeverxbeginxtoxfeelxinxchargexofxmyxlifexagain?"x-xanswer--
A.x"WhatxcouldxIxhavexdonextoxdeservexthisxillness?"
Thexclient'sxterminalxillnessxmightxpromptxthexclientxtoxreviewxtheirxlifexandxquestionxitsx
meaning.xAxmanifestationxofxthexclient'sxspiritualxdistressxisxaskingxwhyxthisxillnessxisxh
appeningxtoxthem.
Axnursexisxcaringxforxaxclientxwhoxhasxaxprescriptionxforx5xunitsxofxregularxinsulinxandx1
0xunitsxofxNPHxinsulinxtoxmixxtogetherxandxadministerxsubcutaneously.xDeterminexthex
correctxorderxofxstepsxforxthisxprocedure.x(Movexthexstepsxintoxthexboxxonxthexright,xpla
cingxthemxinxthexorderxofxperformance.xUsexallxthexsteps.)
A.xInjectx5xunitsxofxairxintoxthexbottlexofxregularxinsulin.
B.xWithdrawxthexcorrectxdoesxofxNPHxinsulinxfromxthexbottle.
C.xInjectx10xunitsxofxairxintoxthexbottlexofxNPHxinsulin.x
D.xWithdrawxthexcorrectxdoesxofxregularxinsulinxfromxthexbottle.x-xanswer--
C.xInjectx10xunitsxofxairxintoxthexbottlexofxNPHxinsulin.x
A.xInjectx5xunitsxofxairxintoxthexbottlexofxregularxinsulin.
D.xWithdrawxthexcorrectxdoesxofxregularxinsulinxfromxthexbottle.
B.xWithdrawxthexcorrectxdoesxofxNPHxinsulinxfromxthexbottle.
ThexnursexshouldxfirstxinjectxairxintoxthexvialxofxNPHxinsulinxwithoutxtouchingxthexneedl
extoxthexsolution.xNext,xthexnursexshouldxinjectxairxintoxthexvialxofxregularxinsulinxandxwit
hdrawxthexcorrectxamountxofxthexregularxinsulin.xFinally,xthexnursexshouldxinsertxthexne
edlexintoxthexNPHxinsulinxvialxandxwithdrawxthexcorrectxamountxofxNPHxinsulin.xThexnu
rsexshouldxfollowxthesexstepsxtoxpreventxcontaminatingxthexregularxinsulinxwithxNPHxin
sulin.
Axnursexisxcompletingxanxadmissionxassessmentxforxaxclientxwhoxreportsxvomitingxandx
diarrheaxforxthexpastx3xdays.xWhichxofxthexfollowingxfindingsxshouldxthexnursexexpect?
A.xNeckxveinxdistentionx
B.xUrinexspecificxgravityx1.010
C.xRapidxheartxrate
D.xBloodxpressurex144/82xmmxHgx-xanswer--C.xRapidxheartxrate
Tachycardiaxindicatesxfluidxvolumexdeficit,xwhichxisxanxexpectedxfindingxforxaxclientxwh
oxhasxhadxvomitingxandxdiarrheaxforx3xdays.
Axnursexisxpreparingxtoxtransferxaxclientxwhoxcanxbearxweightxonxonexlegxfromxthexbedxt
oxaxchair.xAfterxsecuringxaxsafexenvironment,xwhichxofxthexfollowingxactionsxshouldxthe
xnursextakexnext?
2024 WITH NGN LATEST TEST BANK
60 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES QUESTIONS AND
ANSWERS
Axnursexinxanxacutexcarexfacilityxisxpreparingxaxdischargexsummaryxforxaxclientxwhoxisxt
ransferringxtoxaxlong-
termxcarexfacility.xWhichxofxthexfollowingxdocumentationxshouldxthexnursexinclude?
A.xClientxflowxsheet
B.xAcuityxratings
C.xCurrentxmedications
D.xIncidentxreportsx-xanswer--C.xCurrentxmedications
Thexnursexshouldxincludexthexclient'sxmedicationsxinxthexdischargexsummaryxtoxensur
exclientxsafetyxandxcontinuityxofxcare.
Axnursexisxreviewingxprotocolxinxpreparationxforxsuctioningxsecretionsxfromxaxclientxwh
oxhasxaxnewxtracheostomy.xWhichxofxthexfollowingxactionsxshouldxthexnursexplanxtoxtak
e?
A.xUsexaxresuscitationxbagxwithx80%xoxygenxpriorxtoxthexprocedure.
B.xSelectxaxsuctionxcatheterxthatxisxhalfxthexsizexofxthexlumen.
C.xPlacexthexendxofxthexsuctionxcatheterxinxwater-solublexlubricant.
D.xAdjustxthexwallxsuctionxapparatusxtoxaxpressurexofx170xmmxHg.x-xanswer--
B.xSelectxaxsuctionxcatheterxthatxisxhalfxthexsizexofxthexlumen.
Thexnursexshouldxselectxaxsuctionxcatheterxthatxisxhalfxthexsizexofxthexlumenxtoxprevent
xhypoxemiaxandxtraumaxtoxthexmucosa.
Axnursexisxcaringxforxaxclientxwhoxhasxdecreasedxmobility.xWhichxofxthexfollowingxactio
nsxshouldxthexnursextakextoxdecreasexthexclient'sxriskxofxdevelopingxplantarxflexionxcon
tractures?
A.xPlacexaxpillowxunderxthexclient'sxknees.
B.xPositionxaxtrochanterxrollxunderxeachxofxthexclient'sxhips.
,C.xAdvisexthexclientxtoxwearxrubber-soledxslippers.
D.xApplyxanxankle-footxorthoticxdevicextoxthexclient'sxfeet.x-xanswer--D.xApplyxanxankle-
footxorthoticxdevicextoxthexclient'sxfeet.
Thexnursexshouldxusexaxdevicextoxmaintainxdorsiflexion,xsuchxasxanxankle-
footxorthoticxdevicexorxaxfootxboardxplacedxperpendicularxtoxthexmattress.
Axnursexmanagerxisxoverseeingxthexcarexactivitiesxonxaxunit.xForxwhichxofxthexfollowing
xsituationsxshouldxthexnursexmanagerxintervenexduextoxaxviolationxofxHIPAAxguidelines
?
A.xAxnursexwhoxisxcaringxforxaxclientxreviewsxthexclient'sxmedicalxchartxwithxaxnursingxst
udentxwhoxisxworkingxwithxthexnurse.
B.xAxnursexasksxaxnursexfromxanotherxunitxtoxassistxwithxdocumentationxforxaxclient.
C.xAxnursexwhoxisxcaringxforxaxclientxreturnsxaxcallxtoxthexpersonxappointedxinxthexhealt
hxcarexproxyxtoxdiscussxthexclient'sxcare.
D.xAxnursexdiscussesxaxclient'sxstatusxwithxthexphysicalxtherapistxwhoxisxcaringxforxthex
client.x-xanswer--
B.xAxnursexasksxaxnursexfromxanotherxunitxtoxassistxwithxdocumentationxforxaxclient.
Onlyxhealthxcarexprofessionalsxdirectlyxcaringxforxaxclientxshouldxhavexaccessxtoxthexcli
ent'sxmedicalxinformation;xtherefore,xthisxisxaxviolationxofxHIPAAxguidelines.
Axnursexisxpreparingxtoxadministerx0.5xmLxofxoralxsingle-
dosexliquidxmedicationxtoxaxclient.xWhichxofxthexfollowingxactionsxshouldxthexnursextak
e?
A.xGentlyxshakexthexcontainerxofxmedicationxpriorxtoxadministration.
B.xTransferxthexmedicationxtoxaxmedicinexcup.
C.xPlacexthexclientxinxaxsemi-Fowler'sxpositionxpriorxtoxmedicationxadministration.
D.xVerifyxthexdosagexbyxmeasuringxthexliquidxbeforexadministeringxit.x-xanswer--
A.xGentlyxshakexthexcontainerxofxmedicationxpriorxtoxadministration.
Thexnursexshouldxgentlyxshakexthexliquidxmedicationxtoxensurexthatxthexmedicationxisx
mixed.
Axnursexonxaxmedicalxunitxisxpreparingxtoxdischargexaxclientxtoxhome.xWhichxofxthexfoll
owingxactionsxshouldxthexnursextakexasxpartxofxthexmedicationxreconciliationxprocess?
A.xSealxunusedxmedicationsxfromxthexfacilityxinxaxplasticxbag.
B.xEvaluatexthexclient'sxabilityxtoxself-administerxmedications.
C.xReportxanxidentifiedxdiscrepancyxtoxThexJointxCommission.
D.xComparexprescriptionsxwithxmedicationsxthexclientxreceivedxwhilexatxthexfacility.x-
xanswer--
D.xComparexprescriptionsxwithxmedicationsxthexclientxreceivedxwhilexatxthexfacility.
Whenxperformingxmedicationxreconciliation,xthexnursexshouldxcreatexaxcurrent,xaccura
texlistxofxeveryxmedicationxthexclientxisxorxshouldxbextaking.xPartxofxthexprocessxisxcomp
aringxthexmedicationsxthexclientxreceivedxatxthexfacilityxwithxthosexthexproviderxhasxpre
scribedxforxthexclientxtoxtakexafterxdischarge.
, Axnursexisxcaringxforxaxclientxwhoxhasxterminalxliverxcancer.xWhichxofxthexfollowingxstat
ementsxshouldxthexnursexidentifyxasxanxindicationxthatxthexclientxisxexperiencingxspiritu
alxdistress?
A.x"WhatxcouldxIxhavexdonextoxdeservexthisxillness?"
B.x"Ixblamexmedicalxsciencexforxnotxcuringxme."
C.x"Wherexisxmyxdaughterxatxaxtimexlikexthis?"
D.x"WillxIxeverxbeginxtoxfeelxinxchargexofxmyxlifexagain?"x-xanswer--
A.x"WhatxcouldxIxhavexdonextoxdeservexthisxillness?"
Thexclient'sxterminalxillnessxmightxpromptxthexclientxtoxreviewxtheirxlifexandxquestionxitsx
meaning.xAxmanifestationxofxthexclient'sxspiritualxdistressxisxaskingxwhyxthisxillnessxisxh
appeningxtoxthem.
Axnursexisxcaringxforxaxclientxwhoxhasxaxprescriptionxforx5xunitsxofxregularxinsulinxandx1
0xunitsxofxNPHxinsulinxtoxmixxtogetherxandxadministerxsubcutaneously.xDeterminexthex
correctxorderxofxstepsxforxthisxprocedure.x(Movexthexstepsxintoxthexboxxonxthexright,xpla
cingxthemxinxthexorderxofxperformance.xUsexallxthexsteps.)
A.xInjectx5xunitsxofxairxintoxthexbottlexofxregularxinsulin.
B.xWithdrawxthexcorrectxdoesxofxNPHxinsulinxfromxthexbottle.
C.xInjectx10xunitsxofxairxintoxthexbottlexofxNPHxinsulin.x
D.xWithdrawxthexcorrectxdoesxofxregularxinsulinxfromxthexbottle.x-xanswer--
C.xInjectx10xunitsxofxairxintoxthexbottlexofxNPHxinsulin.x
A.xInjectx5xunitsxofxairxintoxthexbottlexofxregularxinsulin.
D.xWithdrawxthexcorrectxdoesxofxregularxinsulinxfromxthexbottle.
B.xWithdrawxthexcorrectxdoesxofxNPHxinsulinxfromxthexbottle.
ThexnursexshouldxfirstxinjectxairxintoxthexvialxofxNPHxinsulinxwithoutxtouchingxthexneedl
extoxthexsolution.xNext,xthexnursexshouldxinjectxairxintoxthexvialxofxregularxinsulinxandxwit
hdrawxthexcorrectxamountxofxthexregularxinsulin.xFinally,xthexnursexshouldxinsertxthexne
edlexintoxthexNPHxinsulinxvialxandxwithdrawxthexcorrectxamountxofxNPHxinsulin.xThexnu
rsexshouldxfollowxthesexstepsxtoxpreventxcontaminatingxthexregularxinsulinxwithxNPHxin
sulin.
Axnursexisxcompletingxanxadmissionxassessmentxforxaxclientxwhoxreportsxvomitingxandx
diarrheaxforxthexpastx3xdays.xWhichxofxthexfollowingxfindingsxshouldxthexnursexexpect?
A.xNeckxveinxdistentionx
B.xUrinexspecificxgravityx1.010
C.xRapidxheartxrate
D.xBloodxpressurex144/82xmmxHgx-xanswer--C.xRapidxheartxrate
Tachycardiaxindicatesxfluidxvolumexdeficit,xwhichxisxanxexpectedxfindingxforxaxclientxwh
oxhasxhadxvomitingxandxdiarrheaxforx3xdays.
Axnursexisxpreparingxtoxtransferxaxclientxwhoxcanxbearxweightxonxonexlegxfromxthexbedxt
oxaxchair.xAfterxsecuringxaxsafexenvironment,xwhichxofxthexfollowingxactionsxshouldxthe
xnursextakexnext?
