ATI Fundamentals practice Test A QUESTIONS AND ANSWERS 100% ACCURATE.
A nurse is talking with an older adult client who is contemplating retirement. The client states, "I
keep thinking about how much I enjoy my job. I'm not sure I want to retire." Which of the
following responses should the nurse make? - let's talk about how the change in your job status
will affect you
a nurse is caring for a client who has a pharyngeal diphtheria. Which of the following types of
transmission precautions should the nurse initiate? - droplet
a nurse is caring for a group of clients. which of the following actions should the nurse take to
prevent the spread of infection? - place a client who has tuberculosis in a room with negative-
pressure airflow
a nurse is assessing an older adult client's risk for falls. which of the following assessments
should the nurse use to identify the client's safety needs? (select all that apply) - pupil clarity,
visual fields, visual acuity
A nurse in a long-term care facility is caring for a client who dies during the nurse's shift.
Identify the sequence in which the nurse should perform the following steps. - 1) obtain the
pronouncement of death from the provider
2)remove the tubes and indwelling lines
3) wash the client's body
4) ask the client's family if they would like to view the body
5) place a name tag on the body
a client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. which of the
following statements should the nurse identify as an indication that the client understands the
preoperative teaching she received about pain management? - it might help me to listen to music
while i'm lying in bed
a nurse is teaching a client and his family how to care for the client's tracheostomy at home.
which of the following instructions should the nurse include in the teaching? - use tracheostomy
covers when outdoors
a nurse is admitting a client who is having an exacerbation of heart failure. in planning this
client's care, when should the nurse initiate discharge planning? - during the admission process
a nurse is assessing a client who reports increased pain following physical therapy. which of the
following questions should the nurse ask when assessing the quality of the client's pain? - is your
pain sharp or dull?
a nurse is caring for a child who has a prescription for a blood transfusion. the child's parents
have refused the treatment due to their religious beliefs. which of the following actions should
the nurse take? - examine personal values about the issue
, a nurse is reviewing a client's fluid and electrolyte status. which of the following findings should
the nurse report to the provider? - potassium 5.4 mEq/L
a nurse is caring for a client who has a respiratory infection. Which of the following techniques
should the nurse use when performing nasotracheal suctioning for the client? - apply intermittent
suction when withdrawing the catheter
a nurse is caring for a client who has a sodium level of 125 mEq/L. which of the following
findings should the nurse expect? - abdominal cramping
a nurse is assessing a client's readiness to learn about insulin self-administration. which of the
following statements should the nurse identify as an indication that the client is ready to learn? - i
can concentrate best in the morning
a nurse is preparing a change-of-shift report. which of the following tools or documents should
the nurse use to communicate continuity of care? - situation, background, assessment, and
recommendation (SBAR)
a nurse is caring for a client who has an aggressive form of prostate cancer. the provider briefly
discusses treatment options and leaves the client's room. when the nurse asks if the client would
like to discuss any concerns, the client declines. which of the following statements should the
nurse make? - i am available to talk if you should change your mind
a nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock.
the nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs
every 15 min and to report back in 1 hr. Which of the following actions should the nurse take
next? - notify the nursing manager
a nurse is preparing an education program for staff about advocacy. which of the following
information should the nurse include? - advocacy ensures client's safety, health and rights
a nurse is providing discharge instructions to a client who will be using a walker. which of the
following client statements indicates an understanding of the teaching? - i will hire someone to
trim the tree that hangs low over the stairs of my front porch
a nurse is caring for a client who requires an NG tube for stomach decompression. which of the
following actions should the nurse take when inserting the NG tube? - have the client take sips of
water to promote insertion of the NG tube into the esophagus
a nurse is caring for a client who has diarrhea due to shigella. which of the following precautions
should the nurse implement for this client? - wear a gown when caring for the client
a nurse is caring for a client who has dementia. which of the following interventions should the
nurse take to minimize the risk for injury to the client? - use a bed exit alarm system
A nurse is talking with an older adult client who is contemplating retirement. The client states, "I
keep thinking about how much I enjoy my job. I'm not sure I want to retire." Which of the
following responses should the nurse make? - let's talk about how the change in your job status
will affect you
a nurse is caring for a client who has a pharyngeal diphtheria. Which of the following types of
transmission precautions should the nurse initiate? - droplet
a nurse is caring for a group of clients. which of the following actions should the nurse take to
prevent the spread of infection? - place a client who has tuberculosis in a room with negative-
pressure airflow
a nurse is assessing an older adult client's risk for falls. which of the following assessments
should the nurse use to identify the client's safety needs? (select all that apply) - pupil clarity,
visual fields, visual acuity
A nurse in a long-term care facility is caring for a client who dies during the nurse's shift.
Identify the sequence in which the nurse should perform the following steps. - 1) obtain the
pronouncement of death from the provider
2)remove the tubes and indwelling lines
3) wash the client's body
4) ask the client's family if they would like to view the body
5) place a name tag on the body
a client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. which of the
following statements should the nurse identify as an indication that the client understands the
preoperative teaching she received about pain management? - it might help me to listen to music
while i'm lying in bed
a nurse is teaching a client and his family how to care for the client's tracheostomy at home.
which of the following instructions should the nurse include in the teaching? - use tracheostomy
covers when outdoors
a nurse is admitting a client who is having an exacerbation of heart failure. in planning this
client's care, when should the nurse initiate discharge planning? - during the admission process
a nurse is assessing a client who reports increased pain following physical therapy. which of the
following questions should the nurse ask when assessing the quality of the client's pain? - is your
pain sharp or dull?
a nurse is caring for a child who has a prescription for a blood transfusion. the child's parents
have refused the treatment due to their religious beliefs. which of the following actions should
the nurse take? - examine personal values about the issue
, a nurse is reviewing a client's fluid and electrolyte status. which of the following findings should
the nurse report to the provider? - potassium 5.4 mEq/L
a nurse is caring for a client who has a respiratory infection. Which of the following techniques
should the nurse use when performing nasotracheal suctioning for the client? - apply intermittent
suction when withdrawing the catheter
a nurse is caring for a client who has a sodium level of 125 mEq/L. which of the following
findings should the nurse expect? - abdominal cramping
a nurse is assessing a client's readiness to learn about insulin self-administration. which of the
following statements should the nurse identify as an indication that the client is ready to learn? - i
can concentrate best in the morning
a nurse is preparing a change-of-shift report. which of the following tools or documents should
the nurse use to communicate continuity of care? - situation, background, assessment, and
recommendation (SBAR)
a nurse is caring for a client who has an aggressive form of prostate cancer. the provider briefly
discusses treatment options and leaves the client's room. when the nurse asks if the client would
like to discuss any concerns, the client declines. which of the following statements should the
nurse make? - i am available to talk if you should change your mind
a nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock.
the nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs
every 15 min and to report back in 1 hr. Which of the following actions should the nurse take
next? - notify the nursing manager
a nurse is preparing an education program for staff about advocacy. which of the following
information should the nurse include? - advocacy ensures client's safety, health and rights
a nurse is providing discharge instructions to a client who will be using a walker. which of the
following client statements indicates an understanding of the teaching? - i will hire someone to
trim the tree that hangs low over the stairs of my front porch
a nurse is caring for a client who requires an NG tube for stomach decompression. which of the
following actions should the nurse take when inserting the NG tube? - have the client take sips of
water to promote insertion of the NG tube into the esophagus
a nurse is caring for a client who has diarrhea due to shigella. which of the following precautions
should the nurse implement for this client? - wear a gown when caring for the client
a nurse is caring for a client who has dementia. which of the following interventions should the
nurse take to minimize the risk for injury to the client? - use a bed exit alarm system
