Fundamentals ATI Review Questions with Verified Answers
A nurse is reinforcing teaching about using perineal cleanser or one with nonionic surfactants
crutches with a cient who has a fractured left to remove urine and feces from the client's skin.
ankle. which of the following client statements
indicates an understanding of the instructions? -
ANSWER -"I'll bend my elbows to about 25
degrees when I walk with my crutches." A nurse is caring for a client who has an ng tube
in place. which of the following actions should the
nurse take to verify the placement of the client's
The client should have 20° to 30° of flexion at the ng tube - ANSWER -Test the pH of gastric
elbows when using their crutches. The nurse aspirate.
should verify that the client understands the MY ANSWER
correct amount of elbow flexion to have when Prior to administering an enteral feeding, the
using crutches. nurse should aspirate 5 mL of gastric contents
through the tube and then test the aspirate's pH.
-client should wear rubber-sole shoes to reduce A pH between 0 and 4 indicates gastric
the risk for slipping or skidding. placement. A pH higher than 6 indicates that the
distal end of the tube is in the intestines or in the
-client should shift their weight to their right leg pulmonary system.
and then advance the crutches and their left leg
down to the next step. Then, they should transfer
their weight to the crutches and move their right
leg down to the step that their left leg and the A nurse discovers they have administered a
crutches are on. multivitamin tot he wrong client. What action does
she take? - ANSWER -Complete an
incident report about the medication error.
A nurse is contributing to the plan of care for a An incident report is required whenever there is
client who has urinary and fecal incontinence. an event outside the usual routine, such as a
which of the following interventions should the medication error, a client or visitor injury, an
nurse implement to help maintain the clients skin omission of a prescribed therapy, or a
integrity - ANSWER -Apply a moisture needlestick injury.
barrier ointment after each incontinence episode.
The nurse should follow the facility's protocol for
After cleansing the skin of urine and feces, the a medication error, including observing the client,
nurse should apply a barrier ointment to help completing an incident report, and reporting the
protect the skin from the damaging effects of occurrence to the charge nurse or supervisor and
excessive moisture and bacteria, especially if the the client's provider.
client has diarrhea.
-keep the head of the client's bed elevated to 30°
with the client in a slight lateral position to A nurse is planning to remove sutures from a
minimize pressure on bony prominences. clients incision. Which of the following actions
should the nurse take? - ANSWER -Clip the
-Soap can have a drying effect on the skin, suture on one side and pull out on the other side.
especially if the nurse does not rinse it off
thoroughly. The nurse should use a no-rinse The nurse should clip the suture on one side of
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A nurse is reinforcing teaching about using perineal cleanser or one with nonionic surfactants
crutches with a cient who has a fractured left to remove urine and feces from the client's skin.
ankle. which of the following client statements
indicates an understanding of the instructions? -
ANSWER -"I'll bend my elbows to about 25
degrees when I walk with my crutches." A nurse is caring for a client who has an ng tube
in place. which of the following actions should the
nurse take to verify the placement of the client's
The client should have 20° to 30° of flexion at the ng tube - ANSWER -Test the pH of gastric
elbows when using their crutches. The nurse aspirate.
should verify that the client understands the MY ANSWER
correct amount of elbow flexion to have when Prior to administering an enteral feeding, the
using crutches. nurse should aspirate 5 mL of gastric contents
through the tube and then test the aspirate's pH.
-client should wear rubber-sole shoes to reduce A pH between 0 and 4 indicates gastric
the risk for slipping or skidding. placement. A pH higher than 6 indicates that the
distal end of the tube is in the intestines or in the
-client should shift their weight to their right leg pulmonary system.
and then advance the crutches and their left leg
down to the next step. Then, they should transfer
their weight to the crutches and move their right
leg down to the step that their left leg and the A nurse discovers they have administered a
crutches are on. multivitamin tot he wrong client. What action does
she take? - ANSWER -Complete an
incident report about the medication error.
A nurse is contributing to the plan of care for a An incident report is required whenever there is
client who has urinary and fecal incontinence. an event outside the usual routine, such as a
which of the following interventions should the medication error, a client or visitor injury, an
nurse implement to help maintain the clients skin omission of a prescribed therapy, or a
integrity - ANSWER -Apply a moisture needlestick injury.
barrier ointment after each incontinence episode.
The nurse should follow the facility's protocol for
After cleansing the skin of urine and feces, the a medication error, including observing the client,
nurse should apply a barrier ointment to help completing an incident report, and reporting the
protect the skin from the damaging effects of occurrence to the charge nurse or supervisor and
excessive moisture and bacteria, especially if the the client's provider.
client has diarrhea.
-keep the head of the client's bed elevated to 30°
with the client in a slight lateral position to A nurse is planning to remove sutures from a
minimize pressure on bony prominences. clients incision. Which of the following actions
should the nurse take? - ANSWER -Clip the
-Soap can have a drying effect on the skin, suture on one side and pull out on the other side.
especially if the nurse does not rinse it off
thoroughly. The nurse should use a no-rinse The nurse should clip the suture on one side of
1/3
