ATI fundamentals practice test A
Questions And Answers
/. A nurse is evaluating teaching for a client who has heart failure. Which of the following
3 statements by the client indicates an understanding of the teaching? - Answer-"I have
been weighing myself every other morning" is incorrect. The client should weigh in
every day to monitor for fluid retention.
"I am trying to decrease my intake of foods with potassium" is incorrect. The client's
furosemide dosage was increased, which can lead to increased elimination of
potassium. Increasing potassium intake is a lifestyle modification that is important in
controlling hypertension.
"I am limiting my sodium intake to 2 grams daily" is correct. Clients who have heart
failure should maintain a sodium intake between 2 and 3 g daily.
"I am eating fewer potato chips and more fruit for snacks" is correct. Chips are a
processed snack food that contains high levels of sodium. Additionally, fruits contain
electrolytes and fiber, both of which are important to controlling blood pressure and lipid
levels.
"I lie down and rest after meals" is incorrect. The client should be taught to lie down and
rest before meals as eating requires energy and oxygen consumption. The client should
also be instructed to eat small, frequent meals rather than large meals to help relieve
shortness of breath and fatigue.
"I know to call my doctor if I gain 3 pounds or more in 2 days" is correct. The client
should monitor weight on a daily basis and call the provider for a weight gain of 1.36 kg
(3 lb) or more in 2 days to prevent an exacerbation of their heart failure.
/.After reviewing the assessment findings, which of the following actions should the
nurse plan to take?
Select the 3 actions that the nurse should plan to take.
Teach the client to shift their weight every hour when sitting.
Encourage the client to bear down when moving up in bed.
Perform passive range of motion exercises once a day.
Administer analgesic prior to planned activities.
Assist the client to dangle their legs at the bedside prior to standing.
Massage the client's lower legs to promote circulation.
Delegate the application of sequential compression devices to assistive personnel. -
Answer-When generating solutions, the nurse should plan to administer analgesic prior
to planned activities, assist the client to dangle their legs at the bedside prior to
standing, and delegate the application of sequential compression devices to assistive
personnel. Administering analgesia prior to activities can decrease pain and enable the
client to perform their planned activities. Assisting the client to dangle their legs prior to
standing can increase venous return and reduce orthostatic hypotension. The
Questions And Answers
/. A nurse is evaluating teaching for a client who has heart failure. Which of the following
3 statements by the client indicates an understanding of the teaching? - Answer-"I have
been weighing myself every other morning" is incorrect. The client should weigh in
every day to monitor for fluid retention.
"I am trying to decrease my intake of foods with potassium" is incorrect. The client's
furosemide dosage was increased, which can lead to increased elimination of
potassium. Increasing potassium intake is a lifestyle modification that is important in
controlling hypertension.
"I am limiting my sodium intake to 2 grams daily" is correct. Clients who have heart
failure should maintain a sodium intake between 2 and 3 g daily.
"I am eating fewer potato chips and more fruit for snacks" is correct. Chips are a
processed snack food that contains high levels of sodium. Additionally, fruits contain
electrolytes and fiber, both of which are important to controlling blood pressure and lipid
levels.
"I lie down and rest after meals" is incorrect. The client should be taught to lie down and
rest before meals as eating requires energy and oxygen consumption. The client should
also be instructed to eat small, frequent meals rather than large meals to help relieve
shortness of breath and fatigue.
"I know to call my doctor if I gain 3 pounds or more in 2 days" is correct. The client
should monitor weight on a daily basis and call the provider for a weight gain of 1.36 kg
(3 lb) or more in 2 days to prevent an exacerbation of their heart failure.
/.After reviewing the assessment findings, which of the following actions should the
nurse plan to take?
Select the 3 actions that the nurse should plan to take.
Teach the client to shift their weight every hour when sitting.
Encourage the client to bear down when moving up in bed.
Perform passive range of motion exercises once a day.
Administer analgesic prior to planned activities.
Assist the client to dangle their legs at the bedside prior to standing.
Massage the client's lower legs to promote circulation.
Delegate the application of sequential compression devices to assistive personnel. -
Answer-When generating solutions, the nurse should plan to administer analgesic prior
to planned activities, assist the client to dangle their legs at the bedside prior to
standing, and delegate the application of sequential compression devices to assistive
personnel. Administering analgesia prior to activities can decrease pain and enable the
client to perform their planned activities. Assisting the client to dangle their legs prior to
standing can increase venous return and reduce orthostatic hypotension. The
