ATI- fundamentals Ch 1-20
A goal for clients who have difficulty with self feeding due to rheumatoid arthritis is to use adaptive devices. The nurse
caring for the client should initiate a referral to which of the following members of the interprofessional care team.
A. social worker
B. CNA
C. registered dietitian
D. occupational therapist - ANS -D. assists pt with physical challenges and helps them adapt and provide strategies
\a home health nurse is discussing the dangers of food poisoning w a client. Which of the following info should the nurse
include? select all that apply
a. most food poisoning is caused by a virus
b.immunocompromised indv are at increased risk for complications from food poisoning
c. clients who are at high risk should eat or drink only pasteurized dairy products
d. healthy indv usually recover from the illness in a few weeks
e. handling raw and fresh food separately can prevent food poisoning - ANS -B,C,E
\A nurse in a health clinic is caring for a 21-year-old client who tells the
nurse that their last physical exam was in high school. Which of the following health screenings should
the nurse expect the provider to perform for this client?
A. Testicular examination
B. Blood glucose
C. Fecal occult blood
D. Prostate-specific antigen - ANS -A
\A nurse is acquainting a group
of newly licensed nurses with the
roles of the various members of the
,health care team they will encounter
on a medical‑surgical unit. When
she gives examples of the types
of tasks certified nursing assistants
(CNAs) may perform, which of the
following client activities should
she include? (Select all that apply.)
A. Bathing
B. Ambulating
C. Toileting
D. Determining pain level
E. Measuring vital signs - ANS -A,B,C,E
\a nurse is caring for a group of clients on a medical surgical unit. for which of the following client care needs should the
nurse initiate a referral for a social worker? select all that apply
A. client who has terminal cancer requests hospice care in the home
B. client asks about community resources available for older adults
C. client states " I would like to have my child baptized before surgery"
D. client requests electric wheelchair for use after discharge
E. client states "I do not understand how to use a nebulizer - ANS -A, B, D
\A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following
info should the nurse share with the AP?
Select all:
A. the roommate ambulate independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning - ANS -B, D, C
, \A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the following client's
needs may the nurse assign to an assistive personnel (AP)?
A.update plan of care for client who is post op
B. Reinforcing teaching w/a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure injury - ANS -C
\as part of the admission process a nurse at a long term care facility is gathering a nutrition history for a client who has
dementia. which of the following components of the nutrition evaluation is the priority for the nurse to determine from the
clients family
a. BMI
b. usual times for meals and snacks
c. favorite foods
d. any swallowing difficulties - ANS -D
\at home health nurse is discussing the danger of carbon monoxide poisoning with a client. which of the following info
should the nurse include
a. carbon monoxide has a distinct odor
b. water heaters should be inspected every 5 years
c. the lungs are damaged from carbon monoxide inhalation
d. carbon monoxide binds w hemoglobin in the body - ANS -D. bc ultimately could reduce oxygen supply
\by second post op day a client has not achieved satisfactory pain relief. based on this evaluation which of the following
axn should the nurse take according to the nursing process
a. reassess teh client to determine the reasons for inadequate pain relief
A goal for clients who have difficulty with self feeding due to rheumatoid arthritis is to use adaptive devices. The nurse
caring for the client should initiate a referral to which of the following members of the interprofessional care team.
A. social worker
B. CNA
C. registered dietitian
D. occupational therapist - ANS -D. assists pt with physical challenges and helps them adapt and provide strategies
\a home health nurse is discussing the dangers of food poisoning w a client. Which of the following info should the nurse
include? select all that apply
a. most food poisoning is caused by a virus
b.immunocompromised indv are at increased risk for complications from food poisoning
c. clients who are at high risk should eat or drink only pasteurized dairy products
d. healthy indv usually recover from the illness in a few weeks
e. handling raw and fresh food separately can prevent food poisoning - ANS -B,C,E
\A nurse in a health clinic is caring for a 21-year-old client who tells the
nurse that their last physical exam was in high school. Which of the following health screenings should
the nurse expect the provider to perform for this client?
A. Testicular examination
B. Blood glucose
C. Fecal occult blood
D. Prostate-specific antigen - ANS -A
\A nurse is acquainting a group
of newly licensed nurses with the
roles of the various members of the
,health care team they will encounter
on a medical‑surgical unit. When
she gives examples of the types
of tasks certified nursing assistants
(CNAs) may perform, which of the
following client activities should
she include? (Select all that apply.)
A. Bathing
B. Ambulating
C. Toileting
D. Determining pain level
E. Measuring vital signs - ANS -A,B,C,E
\a nurse is caring for a group of clients on a medical surgical unit. for which of the following client care needs should the
nurse initiate a referral for a social worker? select all that apply
A. client who has terminal cancer requests hospice care in the home
B. client asks about community resources available for older adults
C. client states " I would like to have my child baptized before surgery"
D. client requests electric wheelchair for use after discharge
E. client states "I do not understand how to use a nebulizer - ANS -A, B, D
\A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following
info should the nurse share with the AP?
Select all:
A. the roommate ambulate independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning - ANS -B, D, C
, \A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the following client's
needs may the nurse assign to an assistive personnel (AP)?
A.update plan of care for client who is post op
B. Reinforcing teaching w/a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure injury - ANS -C
\as part of the admission process a nurse at a long term care facility is gathering a nutrition history for a client who has
dementia. which of the following components of the nutrition evaluation is the priority for the nurse to determine from the
clients family
a. BMI
b. usual times for meals and snacks
c. favorite foods
d. any swallowing difficulties - ANS -D
\at home health nurse is discussing the danger of carbon monoxide poisoning with a client. which of the following info
should the nurse include
a. carbon monoxide has a distinct odor
b. water heaters should be inspected every 5 years
c. the lungs are damaged from carbon monoxide inhalation
d. carbon monoxide binds w hemoglobin in the body - ANS -D. bc ultimately could reduce oxygen supply
\by second post op day a client has not achieved satisfactory pain relief. based on this evaluation which of the following
axn should the nurse take according to the nursing process
a. reassess teh client to determine the reasons for inadequate pain relief
