ATI RN FUNDAMENTALS 2019
Nurse is teaching a client and his family how to care for the client's tracheostomy at
home. Which of the following should the nurse include in the teaching? - ANSWER:
Use tracheostomy covers when outdoors
nurse is performing a follow-up visit for a client who has a G-tube through which
they receive intermittent feedings and medications. The client has recently
developed diarrhea. Which of the following findings should the nurse identify as a
cause of the diarrhea? - ANSWER: The client's care giver washed out the feeding bag
once every 24 hours with warm water
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? - ANSWER: Let's
talk about how the change in your hob status will affect you.
nurse is assessing a client who reports increased pain following pt. Which of the
following questions should the nurse ask hen assessing the quality of the client's
pain? - ANSWER: Sharp & Dull
nurse is caring for a client who is expressing anger about his diagnosis of colorectal
cancer. Which of the following actions should the nurse take? - ANSWER: Reassure
the client that this is an expected response to grief.
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? - ANSWER:
Pad the client's wrist before applying the restraints
A nurse is performing a home safety assessment for a client who is receiving
supplemental oxygen. Which of the following observations should the nurse identify
as proper safety protocol? - ANSWER: The client uses no acetone nail polish
remover.
Nurse caring for a client who has a respiratory infection. What technique should she
use when preforming nasotracheal suctioning? - ANSWER: Apply intermittent suction
when withdrawing he catheter.
Nurse is preparing for change of shift. Which document or tools should the nurse use
to communicate? - ANSWER: SBAR
Nurse is planning care for a client who had a stroke. What should be assigned to the
assistive personal? (SATA) - ANSWER: -Assist the client with a partial bed bath. -
Measure the client's BP after the nurse administers antihypertensive meds. -Use a
communication board to ask what the client wants for lunch.
, Nurse caring for a client who has dementia. What interventions should be taken to
minimize risk for injury? - ANSWER: Use bed exit alarm system
Nurse performing a skin assessment for a client who expresses concern about skin
cancer. What findings should the nurse identify as a potential indication of a skin
malignancy? - ANSWER: A mole with an asymmetrical appearance
Nurse is administering optic ear medication on an adult client. Which action should
be done to ensure the medication reached the inner ear? - ANSWER: Press gently on
the tragus of the client's ear.
Nurse is planning strategies to manage time effectively for client care. What should
the nurse implement? - ANSWER: Use the planning step of the nursing process to
prioritize client care delivery.
Nurse caring for a client who has a sodium level of 125. What findings should the
nurse expect? - ANSWER: Abdominal Cramping
Nurse is preparing an education program for staff about advocacy. What information
should the nurse include? - ANSWER: Advocacy ensures clients' safety, health, and
rights.
Nurse is preparing to administer enoxaparin subcutaneously. Which of the following
actions should the nurse take? - ANSWER: Administer the medication with the
needle at a 45-degree angle.
A nurse is initiating a protective environment for a client who has had an allogenic
stem cell transplant. Which precaution should the nurse plan for this client? -
ANSWER: a. Make sure the client wears a mask when outside her room if there is
construction in the area.
Nurse providing discharge instructions for client who will be using a walker. Which
statement indicates an understanding of the teaching? - ANSWER: I will hire
someone to trim the tree that hands low over the stairs of my front porch.
Nurse planning to insert IV for an older adult client. What actions should the nurse
plan to take? - ANSWER: Place the client's arm in a dependent position.
A nurse is admitting a client who is having an exacerbation of heart failure. In
planning this client's care, when should the nurse initiate discharge planning? -
ANSWER: During the admission process
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 ED and I had a
difficulty breathing?" Which of the following responses should the nurse make? -
ANSWER: We would give you oxygen through a tube in your nose.
Nurse is teaching a client and his family how to care for the client's tracheostomy at
home. Which of the following should the nurse include in the teaching? - ANSWER:
Use tracheostomy covers when outdoors
nurse is performing a follow-up visit for a client who has a G-tube through which
they receive intermittent feedings and medications. The client has recently
developed diarrhea. Which of the following findings should the nurse identify as a
cause of the diarrhea? - ANSWER: The client's care giver washed out the feeding bag
once every 24 hours with warm water
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? - ANSWER: Let's
talk about how the change in your hob status will affect you.
nurse is assessing a client who reports increased pain following pt. Which of the
following questions should the nurse ask hen assessing the quality of the client's
pain? - ANSWER: Sharp & Dull
nurse is caring for a client who is expressing anger about his diagnosis of colorectal
cancer. Which of the following actions should the nurse take? - ANSWER: Reassure
the client that this is an expected response to grief.
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? - ANSWER:
Pad the client's wrist before applying the restraints
A nurse is performing a home safety assessment for a client who is receiving
supplemental oxygen. Which of the following observations should the nurse identify
as proper safety protocol? - ANSWER: The client uses no acetone nail polish
remover.
Nurse caring for a client who has a respiratory infection. What technique should she
use when preforming nasotracheal suctioning? - ANSWER: Apply intermittent suction
when withdrawing he catheter.
Nurse is preparing for change of shift. Which document or tools should the nurse use
to communicate? - ANSWER: SBAR
Nurse is planning care for a client who had a stroke. What should be assigned to the
assistive personal? (SATA) - ANSWER: -Assist the client with a partial bed bath. -
Measure the client's BP after the nurse administers antihypertensive meds. -Use a
communication board to ask what the client wants for lunch.
, Nurse caring for a client who has dementia. What interventions should be taken to
minimize risk for injury? - ANSWER: Use bed exit alarm system
Nurse performing a skin assessment for a client who expresses concern about skin
cancer. What findings should the nurse identify as a potential indication of a skin
malignancy? - ANSWER: A mole with an asymmetrical appearance
Nurse is administering optic ear medication on an adult client. Which action should
be done to ensure the medication reached the inner ear? - ANSWER: Press gently on
the tragus of the client's ear.
Nurse is planning strategies to manage time effectively for client care. What should
the nurse implement? - ANSWER: Use the planning step of the nursing process to
prioritize client care delivery.
Nurse caring for a client who has a sodium level of 125. What findings should the
nurse expect? - ANSWER: Abdominal Cramping
Nurse is preparing an education program for staff about advocacy. What information
should the nurse include? - ANSWER: Advocacy ensures clients' safety, health, and
rights.
Nurse is preparing to administer enoxaparin subcutaneously. Which of the following
actions should the nurse take? - ANSWER: Administer the medication with the
needle at a 45-degree angle.
A nurse is initiating a protective environment for a client who has had an allogenic
stem cell transplant. Which precaution should the nurse plan for this client? -
ANSWER: a. Make sure the client wears a mask when outside her room if there is
construction in the area.
Nurse providing discharge instructions for client who will be using a walker. Which
statement indicates an understanding of the teaching? - ANSWER: I will hire
someone to trim the tree that hands low over the stairs of my front porch.
Nurse planning to insert IV for an older adult client. What actions should the nurse
plan to take? - ANSWER: Place the client's arm in a dependent position.
A nurse is admitting a client who is having an exacerbation of heart failure. In
planning this client's care, when should the nurse initiate discharge planning? -
ANSWER: During the admission process
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 ED and I had a
difficulty breathing?" Which of the following responses should the nurse make? -
ANSWER: We would give you oxygen through a tube in your nose.
