ATI Nursing Fundamentals Questions with
Answers and Rationales.
A nurse in a long-term care facility is admitting a client who is
incontinent and smells strongly of urine. His partner, who has
been caring for him at home, is embarrassed and apologizes for
the smell. Which of the following responses should the nurse
make?
A. "A lot of clients who are cared for at home have the same
problem."
B. "Don't worry about it. He will get a bath, and that will take care
of the odor."
C. "It must be difficult to care for someone who is confined to
bed."
D. "When was the last time that he had a bath?" - Correct answer
C. "It must be difficult to care for someone who is confined to
bed."
This response addresses the feelings of the partner by reflecting
her feelings, which facilitates therapeutic communication because
it is nonjudgmental and encourages the partner to express her
feelings.
A nurse is reviewing measures to prevent back injuries with
assistive personnel (AP). Which of the following instructions
should the nurse include?
,A. Stand 3 feet from the client when assisting with lifting.
B. Lock your knees when standing for long periods.
C. Lift up to 22.6 kg (50 lb) without the use of assistive devices.
D. When lifting an object, spread your feet apart to provide a wide
base of support. - Correct answer D.
When lifting an object, spread your feet apart to provide a wide
base of support.
The AP should spread the feet apart because a wide base of
support increases stability.
The AP should stand as close as possible to the client to reduce
back strain.
AP should bend the knees and hips and rest the feet one at a
time on a foot rest when standing for long periods of time.
AP should use an assistive device or another person to lift an
object weighing more than 15.8 kg (35 lb)
A nurse is planning an in-service training session about nutrition.
Which of the following pieces of information should the nurse
include?
Fat breaks down into amino acids.
Protein serves as an energy source when other sources are
inadequate.
Glucose breaks down into ammonia.
,Carbohydrates provide 9 cal/g of energy. - Correct answer Protein
serves as an energy source when other sources are inadequate.
Protein is used as an energy source for the body when
carbohydrates and fat stores are unavailable or depleted.
Protein breaks down into amino acids.
Protein breaks down into ammonia
Carbohydrates provide 4 cal/g of energy. Fat provides 9 cal/g of
energy.
A nurse delegated the task of emptying an indwelling urinary
catheter drainage bag to an assistive personnel (AP). The nurse
later observes the AP emptying the bag without wearing gloves.
Which of the following actions should the nurse take?
A.
Notify the charge nurse about the incident
B.
Insist that the AP attend an in-service training about standard
precautions
C.
Talk with the AP about the technique used
D.
Observe the AP a second time and intervene if the technique
remains the same - Correct answer C.
Talk with the AP about the technique used
The nurse who delegates a task is responsible for providing the
right supervision and evaluation. The nurse is responsible for
providing feedback to the AP and should reinforce the correct
procedure for this task with the AP, which includes wearing
gloves.
, Which teaching method is most effective when providing
instruction to members of special populations
Teach-back
Video instruction
Written materials
Verbal explanation - Correct answer Teach-back
When providing education to members of special populations,
return explanation and demonstration (teach-back) are of
particular importance to ensure safety and mutual understanding.
This method is the most reliable in confirming client
understanding of the instructions. Video instruction, written
materials, and verbal explanation are helpful and may be
incorporated with the teach-back method.
The nurse is volunteering with an outreach program to provide
basic health care for homeless people. Which finding, if noted,
should be addressed first?
Blood pressure 154/72 mm Hg 2
Visual acuity of 20/200 in both eyes
Random blood glucose level of 206 mg/dL (11.47 mmol/L)
Complaints of pain associated with numbness and tingling in both
feet - Correct answer Complaints of pain associated with
numbness and tingling in both feet
Answers and Rationales.
A nurse in a long-term care facility is admitting a client who is
incontinent and smells strongly of urine. His partner, who has
been caring for him at home, is embarrassed and apologizes for
the smell. Which of the following responses should the nurse
make?
A. "A lot of clients who are cared for at home have the same
problem."
B. "Don't worry about it. He will get a bath, and that will take care
of the odor."
C. "It must be difficult to care for someone who is confined to
bed."
D. "When was the last time that he had a bath?" - Correct answer
C. "It must be difficult to care for someone who is confined to
bed."
This response addresses the feelings of the partner by reflecting
her feelings, which facilitates therapeutic communication because
it is nonjudgmental and encourages the partner to express her
feelings.
A nurse is reviewing measures to prevent back injuries with
assistive personnel (AP). Which of the following instructions
should the nurse include?
,A. Stand 3 feet from the client when assisting with lifting.
B. Lock your knees when standing for long periods.
C. Lift up to 22.6 kg (50 lb) without the use of assistive devices.
D. When lifting an object, spread your feet apart to provide a wide
base of support. - Correct answer D.
When lifting an object, spread your feet apart to provide a wide
base of support.
The AP should spread the feet apart because a wide base of
support increases stability.
The AP should stand as close as possible to the client to reduce
back strain.
AP should bend the knees and hips and rest the feet one at a
time on a foot rest when standing for long periods of time.
AP should use an assistive device or another person to lift an
object weighing more than 15.8 kg (35 lb)
A nurse is planning an in-service training session about nutrition.
Which of the following pieces of information should the nurse
include?
Fat breaks down into amino acids.
Protein serves as an energy source when other sources are
inadequate.
Glucose breaks down into ammonia.
,Carbohydrates provide 9 cal/g of energy. - Correct answer Protein
serves as an energy source when other sources are inadequate.
Protein is used as an energy source for the body when
carbohydrates and fat stores are unavailable or depleted.
Protein breaks down into amino acids.
Protein breaks down into ammonia
Carbohydrates provide 4 cal/g of energy. Fat provides 9 cal/g of
energy.
A nurse delegated the task of emptying an indwelling urinary
catheter drainage bag to an assistive personnel (AP). The nurse
later observes the AP emptying the bag without wearing gloves.
Which of the following actions should the nurse take?
A.
Notify the charge nurse about the incident
B.
Insist that the AP attend an in-service training about standard
precautions
C.
Talk with the AP about the technique used
D.
Observe the AP a second time and intervene if the technique
remains the same - Correct answer C.
Talk with the AP about the technique used
The nurse who delegates a task is responsible for providing the
right supervision and evaluation. The nurse is responsible for
providing feedback to the AP and should reinforce the correct
procedure for this task with the AP, which includes wearing
gloves.
, Which teaching method is most effective when providing
instruction to members of special populations
Teach-back
Video instruction
Written materials
Verbal explanation - Correct answer Teach-back
When providing education to members of special populations,
return explanation and demonstration (teach-back) are of
particular importance to ensure safety and mutual understanding.
This method is the most reliable in confirming client
understanding of the instructions. Video instruction, written
materials, and verbal explanation are helpful and may be
incorporated with the teach-back method.
The nurse is volunteering with an outreach program to provide
basic health care for homeless people. Which finding, if noted,
should be addressed first?
Blood pressure 154/72 mm Hg 2
Visual acuity of 20/200 in both eyes
Random blood glucose level of 206 mg/dL (11.47 mmol/L)
Complaints of pain associated with numbness and tingling in both
feet - Correct answer Complaints of pain associated with
numbness and tingling in both feet
