A nurse is administering IV fluid to an older adult methods should the nurse use as a psychomotor
client. The nurse should perform which priority approach to learning?A) Role play
assessment to monitor for adverse effects? B) Group discussions
A) Auscultate lung sounds. C) Question-answer meetings
B) Measure urine output. D) Practice sessions - ANSWER -practice
C) Monitor blood pressure readings. sessions
D) Monitor serum electrolyte levels. -
ANSWER -auscultate lung sounds ( bc fluid
volume overload is a complication of IV therapy)
a nurse is caring for a client who reports difficulty
falling asleep. which of the following
recommendations should the nurse make?
A charge nurse is discussing the responsibility of a. drink a cup of hot cocoa before bedtime
nurses caring for clients who have a Clostridium b. maintain a consistent time to wake up each
difficile infection. Which of the following day
information should the nurse include in the c. exercise 1 hour before going to bed
teaching? d. watch a television program in bed before going
A) Assign the client to a room with a negative air- to sleep - ANSWER -maintain a consistent
flow system. time to wake up each day
B) Use alcohol-based hand sanitizer when
leaving the client's room.
C) Clean contaminated surfaces in the client's
room with a phenol solution. a nurse is admitting a client who has rubella.
D) Have family members wear a gown and which of the following types of transmission-
gloves when visiting. - ANSWER -have based precautions should the nurse initiate?
family members wear a gown and gloves when a. droplet
visiting b. airborne
c. contact
d. protective environment - ANSWER -
droplet
a nurse is giving change-of-shift report about a
client they admitted earlier that day who has
pneumonia. which of the following pieces of
information is the priority for the nurse to a nurse is caring for a client who has recently
provide? started using a behind-the-ear hearing aid. which
a. admitting diagnosis of the following statements should the nurse
b. breath sounds identify as an indication that the client
c. body temperature understands the use of this assistive device?
d. diagnostic test results - ANSWER - a. this type of hearing aid does not allow for fine
breath sounds tuning of volume
b. I shouldn't have trouble keeping the hearing
aid in place during exercise
c. I expect to hear a whistling sound when I first
A nurse is planning teaching for a group of insert the hearing aid
adolescents who each recently had surgical d. I will be sure to remove my hearing aid before
placement of an ostomy. Which of the following taking a shower - ANSWER -I will be sure
, Fundamentals ATI Practice B with Verified Answers Graded A
to remove my hearing aid before taking a shower assessment for a client. When placing the bell of
the stethoscope on the client's neck, she hears
the following sound. This sound indicates which
of the following? (Click on the audio button to
A nurse is caring for a client who has an NG tube listen to the clip.)
and is receiving intermittent feedings through an A) Narrowed arterial lumen
open system. Which of the following actions B) Distended jugular veins
should the nurse take first?A) Rinse the feeding C) Impaired ventricular contraction
bag with water between feedings. D) Asynchronous closure of the aortic and
B) Tell the client to keep the head of the bed pulmonic valves - ANSWER -narrowed
elevated at least 30°. arterial lumen
C) Make sure the enteral formula is at room
temperature.
D) Wipe the top of the formula can with alcohol. -
ANSWER -tell the client to keep the head a nurse is caring for a group of clients on a
of the bed elevated at least 30° medical-surgical unit. in which of the following
situations does the nurse demonstrate the ethical
principle of veracity?
a. A client who is unaware of her recent cancer
a nurse is planning care for a client who has diagnosis asks the nurse if she has cancer, and
tuberculosis. the nurse should use which of the the nurse responds affirmatively.
following pieces of personal protective b. A client who has a prescription for a
equipment when providing care for the client? nasogastric tube refuses it, and the nurse
a. gown complies with the client's wishes.
b. N95 respirator c. A client who has a do-not-resuscitate (DNR)
c. shoe covers order has a cardiac arrest, and the nurse does
d. surgical cap - ANSWER -N95 respirator not perform CPR despite requests from the
client's family.
d. A client who is about to undergo a painful
procedure receives pain medication 30 min
A nurse is preparing to administer 0.5 mL of oral before the procedure that the nurse previously
single-dose liquid medication to a client. Which of promised to administer. - ANSWER -a client
the following actions should the nurse take? who is unaware of her recent cancer diagnosis
A) Gently shake the container of medication prior asks the nurse if she has cancer, and the nurse
to administration. responds affirmatively
B) Transfer the medication to a medicine cup.
C) Place the client in a semi-Fowler's position
prior to medication administration.
D) Verify the dosage by measuring the liquid A nurse in a clinic is caring for a middle adult
before administering it. - ANSWER -gently client who states, "The doctor says that, since I
shake the container of medication prior to am at an average risk for colon cancer, I should
administration have a routine screening. What does that
involve?" Which of the following responses
should the nurse make?
A) "I'll get a blood sample from you and send it
A nurse is performing a peripheral vascular for a screening test."