ATI Fundamentals Exam (Detail
Solutions and Resource for the test
A nurse is preparing to administer an injection of an opioid medication to a client.
The nurse draws out 1 mL of the medication from a 2 mL vial. Which of the following
actions should the nurse take? - ANSWERSAsk another nurse to observe the
medication wastage
A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7
hr. The nurse should set the infusion pump to deliver how many mL/hr? (round to
nearest whole number. Use a leading zero if it applies. Do not use a trailing zero) -
ANSWERS107... 750mL/7hr = 107.14
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? - ANSWERSnotify the nursing
manager
a nurse is preparing an education program for staff about advocacy. which of the
following information should the nurse include? - ANSWERSadvocacy 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? -
ANSWERSi 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? -
ANSWERShave 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? - ANSWERSwear 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? - ANSWERSuse a
bed exit alarm system
a nurse is caring for a client who is postoperative. when the nurse prepares to
change her dressing, she says, "every time you change my bandage, it hurts so
much." which of the following interventions is the nurse's priority action? -
ANSWERSadminister pain medication 45 min before changing the client's dressing
, a nurse is responding to a call light and finds a client lying on the bathroom floor.
which of the following actions should the nurse take f
n 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) -
ANSWERSpupil 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. -
ANSWERS1) 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?
- ANSWERSit 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? -
ANSWERSuse tracheostomy covers when outdoors
A nurse is educating a client who has a terminal illness about declining resuscitation
in a living will. The client asks, "What would happen if I arrived at the emergency
department and I had difficulty breathing?" Which of the following responses should
the nurse make? - ANSWERSwe would give you oxygen through a tube in your nose
A nurse is caring for a client who is postoperative and refuses to use an incentive
spirometer following major abdominal surgery. Which of the following actions is the
nurse's priority? - ANSWERSdetermine the reasons why the client is refusing to use
the incentive spirometer
A nurse on a medical-surgical unit is caring for a client who has a new prescription
for wrist restraints. Which of the following actions should the nurse take? -
ANSWERSpad the clients wrists before applying the restraints
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? - ANSWERSlet'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? - ANSWERSdroplet
a nurse is caring for a group of clients. which of the following actions should the
nurse take to prevent the spread of infection? - ANSWERSplace a client who has
tuberculosis in a room with negative-pressure airflow
a nurse is assessing a
Solutions and Resource for the test
A nurse is preparing to administer an injection of an opioid medication to a client.
The nurse draws out 1 mL of the medication from a 2 mL vial. Which of the following
actions should the nurse take? - ANSWERSAsk another nurse to observe the
medication wastage
A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7
hr. The nurse should set the infusion pump to deliver how many mL/hr? (round to
nearest whole number. Use a leading zero if it applies. Do not use a trailing zero) -
ANSWERS107... 750mL/7hr = 107.14
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? - ANSWERSnotify the nursing
manager
a nurse is preparing an education program for staff about advocacy. which of the
following information should the nurse include? - ANSWERSadvocacy 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? -
ANSWERSi 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? -
ANSWERShave 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? - ANSWERSwear 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? - ANSWERSuse a
bed exit alarm system
a nurse is caring for a client who is postoperative. when the nurse prepares to
change her dressing, she says, "every time you change my bandage, it hurts so
much." which of the following interventions is the nurse's priority action? -
ANSWERSadminister pain medication 45 min before changing the client's dressing
, a nurse is responding to a call light and finds a client lying on the bathroom floor.
which of the following actions should the nurse take f
n 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) -
ANSWERSpupil 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. -
ANSWERS1) 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?
- ANSWERSit 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? -
ANSWERSuse tracheostomy covers when outdoors
A nurse is educating a client who has a terminal illness about declining resuscitation
in a living will. The client asks, "What would happen if I arrived at the emergency
department and I had difficulty breathing?" Which of the following responses should
the nurse make? - ANSWERSwe would give you oxygen through a tube in your nose
A nurse is caring for a client who is postoperative and refuses to use an incentive
spirometer following major abdominal surgery. Which of the following actions is the
nurse's priority? - ANSWERSdetermine the reasons why the client is refusing to use
the incentive spirometer
A nurse on a medical-surgical unit is caring for a client who has a new prescription
for wrist restraints. Which of the following actions should the nurse take? -
ANSWERSpad the clients wrists before applying the restraints
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? - ANSWERSlet'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? - ANSWERSdroplet
a nurse is caring for a group of clients. which of the following actions should the
nurse take to prevent the spread of infection? - ANSWERSplace a client who has
tuberculosis in a room with negative-pressure airflow
a nurse is assessing a
