A&B
1. A nurse is assisting with the plan of care for four clients . Which
of the following tasks should the nurse assign to an assistive
personnel (AP)?: Assist a client to get out of bed after breathing treatment.
2. A nurse is reinforcing teaching with a client about the use of
crutches. Which of the following actions by the client indicates an
understanding of the teach- ing?: The client advance the unattected legs first while
climbing stairs
3. A nurse is preparing to remove a client's peripheral IV catheter.
After perform- ing hand hygiene and applying clean gloves, which of
the following actions should the nurse take first?: Clamp the infusion tubing.
4. A nurse is reinforcing teaching with a client about living wills, Which
of the following clients statements indicates an understanding of the
teaching?: The living will direct my medical care when I am unable to make decision".
5. A nurse is contributing to the plan of care for a client who has a
positive throat culture for streptococci. Which of the following
interventions should the nurse recommend to be included in the plane of care?:
Ensure that the client wears a surgical mask during transportation throughout the facility.
6. A nurse is caring for a client who has an indwelling urinary catheter.
Which of the following actions should the nurse take to prevent
urinary tract infection.-
: Drain urine from the tubing before ambulation.
7. A nurse at a long term care facility is caring for a client who is alert.
Which of the following actions should the nurse take to protect the
clients privacy?: Speak with the clients about their condition after visitors have left.
8. A nurse is reinforcing preoperative teaching with a client who speaks
a differ- ent language than the nurse. Which of the following in actions
should the nurse take?: Provide handouts written in the client's primary language.
9. A nurse is taking notes of clients' information on a piece of
paper while receiving a report. Which of the following actions
should the nurse take to dispose of the paper?: Shred the paper in a
secure container.
10. A nurse is reinforcing teaching with a client about smoking
cessation. Which of the following should the nurse identify as the
, ATI fundamentals proctored exam
A&B
first stage of health behavior change?: Precontemplation
, ATI fundamentals proctored exam
A&B
11. A nurse is collecting data from a client who has an NG tube
set to low intermittent suction. Which of the following findings
indicates hypomagne- semia?: Positive Chvostek's sign
12. A charge nurse is reinforcing teaching with an assistive
personnel (AP) about performing pulse oximetry. Which of the
following information should the nurse include in the teaching?: Remove polish
from the client's fingernail before applying the oximetry probe
13. A nurse is collecting data on four clients. Which of the
following findings should the nurse report to the provider?: Urine output of
200 mL over 8 hr
14. A nurse is assisting with the care of a recently deceased client.
Which of the following actions should the nurse complete prior to the
family viewing the body?: - Clean soiled areas of the body
15. A nurse is explaining ethics and values to a newly licensed
nurse. The nurse should explain that allowing a client to make a
decision about a treatment is an example of which of the following
ethical principles?: Autonomy
16. A nurse is planning to perform wound irrigation for a client
who has a large abdominal wound. Which of the following actions
should the nurse plan to take?: Administer an analgesic 30 min before starting the
procedure.
17. A nurse is assisting with the admission of a client who has active
tuberculosis. Which of the following actions should the nurse plan to
take?: Assign the client to a negative- pressure airflow room
18. A nurse is reinforcing teaching with a client about the
prevention of stress injuries. Which of the following instructions should
the nurse include?: When lifting a heavy object, keep it close to your body."
19. A nurse is assisting with a presentation to a group of older
adults at a com- munity center about hypothermia and
hyperthermia. Which of the following information should the nurse
include about age-related change?: Circulation become less eflcient with age
20. A nurse is caring for a client who has COPD. Which three findings
that require follow-up?: Breath sounds, blood pressure, oxygen saturation