ANS 2025
A nurse is teaching a client about how to remove a solid d. Apply a cool
dressing. Which of the following statements by the client compress to
indicates an un- derstanding of the teaching? the site
a. "I'll wear non sterile gloves."
A nurse is
b."I'll use adhesive remover each time."
caring for a
c. "I'll take my pain pill after I change the dressing."
client who has a
d. "I'll fold the dressing with the soiled surface facing
dysrhythmia.
outward."
Which of the
A nurse discovers that a client received the wrong following
medication. Which of the following actions should the techniques
nurse take first? should the
a. complete a medication error report nurse to use to
b.notify the prescribing provider assess for a
c. assess the client pulse deficit?
d. notify the charge nurse a. Obtain the
A nurse is caring for a client who reports feeling a pop apical and
after coughing without properly splinting an abdominal radial rates
incision. On as- sessment, the nurse notes that the simultaneously
b.Check the
client's wound has eviscerated. Which of the following
blood pressure
actions should the nurse take? (Select all that apply.)
in the left and
a.Carefully reinsert the intestine through the opening in
the wound right arms
b.Place the client in a supine position with the hips c. Compare the
and knees flexed pulse strength
c. Leave the room to call the surgeon in the upper
extremities
d.Cover the wound and intestine with a sterile,
moistened dress- ing d. Palpate the
e. Monitor the client for manifestations of shock pulses in the
lower
A nurse in an acute care facility is planning care for a extremities
client who is alert but temporarily immobile due to a
total hip arthroplasty. Which of the following
interventions should the nurse plan to take to prevent a
complication of immobility?
a.Move the client from supine to a low Fowler's position
every 2-3 hours to help prevent orthostatic hypotension
b.Limit fluid intake to 1L (33.8 oz) in 24 hr to help
prevent dependent edema
c. Encourage the client to turn from side to side every
3-4 hr to help prevent respiratory complications
d.Instruct the client to perform foot and leg exercises
every 1-2 hr while away to help prevent
thrombophlebitis
As part of a neurological examination, a nurse instructs a
client to keep his eyes closed, places an object in his
hand, and asks him to identify the object. Which of the
following abilities is the nurse evaluating with this
technique?
a. Gustation
b.Stereognosis
c. Proprioception
d. Kinesthesia
A nurse is caring for a client who is receiving a fluid
infusion through a peripheral IV catheter. Te nurse notes
that the area of the arm immediately surrounding the
insertion site is red and feels warm. Which of the
following actions should the nurse take?
a. Change the infusion tubing
b.Flush the IV catheter
c. Remove the IV catheter
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,ATI Nursing Fundamentals EXAM LATEST UPDATE WITH
ANS 2025
A
c
b, d, e
D
B
C
A
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