ATI book questions - Fundamentals 1. A nurse is
reviewing hand hygiene techniques with a
group of assistive personnel( AP)
When entering a client's room to change a surgical dressing, a nurse notes that
the client is coughing and sneezing. When preparing the sterile field, it is
important that the nurse
A. Keep the sterile field at least 6 ft away from the clients bedside.
B. Instruct the client to refrain from coughing and sneezing during the dressing
change.
C. Place a mask on the client to limit the spread of micro-organisms into the
surgical would.
D. Keep a box of facial tissues nearby for the client to use during the dressing
change. - Answer-C. Place a mask on the client to limit the spread of micro-
organisms into the surgical would.-Placing a mask on the client prevents
contamination of the surgical would during the dressing change.
A nurse is wearing sterile gloves in preparation for preforming a sterile procedure.
Which of the following objects may the nurse touch without breaching sterile
technique? (Select all that apply)
A. a bottle containing sterile solution
B. The edge of the sterile drape at the base of the field
C. The inner wrapping of an item on the sterile field
,D. An irrigation syringe on the sterile field
E. One gloved hand with the other gloved hand - Answer-C. The inner wrapping of
an item on the sterile field-The inner wrappings of any objects the nurse dropped
onto the sterile the nurse dropped onto the sterile field are sterile. The nurse may
touch them with sterile gloves.
D. An irrigation syringe on the sterile fieldAny objects the nurse dropped onto the
sterile field during the setup are sterile. The nurse may touch the syringe with
sterile gloves
.E. One gloved hand with the other gloved handOne sterile gloved hand may
touch the other sterile gloved hand because both are sterile.
A nurse determines a client's radial pulse rate is 68/min and the stimultaneous
apical pulse rate is 84/min. What is the clients pulse deficit? - Answer-16
A nurse is instructing an assistive personnel (AP) how to measure a client's
respiratory rate which of the following statements should the nurse include
A. "place the client in semi-Fowler's position"
B."Have the client rest an arm across the abdomen"
C."Observe one full respiratory cycle before counting the rate."
D."Count the rate for 30 sec if its irregular"
E."Inform the client you are counting their respiratory rate." - Answer-A. When
taking actions the nurse should instruct the AP to place the client in semi-Fowler's
position before counting their respiratory rate to promote ventilation. This
position also allows the AP to visualize the client's chest and abdominal
movements
B.The nurse should instruct the AP to have the client rest an arm across their
abdomen to promote visualization of the client's chest and abdominal
movements
, C.The nurse should instruct the AP to observe the client for one full respiratory
cycle before counting the rate to obtain an accurate measurement
A nurse is caring for a client who has a fractured femur and a blood pressure of
140/94mm Hg. Which of the following actions should the nurse take first?
A.Request a perscription for an antihypersensitive medication
B.Ask the client if they are having pain
C.Instruct the client about a low-sodium diet
D. return in 30 min to recheck the client's blood pressure - Answer-B.Ask the
client if they are having pain
When taking actions using the nursing process, the first action that the nurse
should take is ask the client if they are expierencing pain. Pain can cause an
elevated blood pressure. Therefore, the priority action is to evaluate the client for
pain.
1. A nurse is providing information about age-related physical changes to the
family member of an older adult. Which of the following information should the
nurse include?
A. Older adults have montor oldan younger persong.
B.Dry mouth is common for older adults.
C. It is common for older adults to have increased perspiration.
D. Hair in the eyebrows decreases. - Answer-B.Dry mouth is common for older
adults.
A nurse is providing a client with a complete bed bath. When providing the care,
the nurse must recognize the order in which areas of the body will be bathed.
Place the options in the correct order.
A.Trunk
reviewing hand hygiene techniques with a
group of assistive personnel( AP)
When entering a client's room to change a surgical dressing, a nurse notes that
the client is coughing and sneezing. When preparing the sterile field, it is
important that the nurse
A. Keep the sterile field at least 6 ft away from the clients bedside.
B. Instruct the client to refrain from coughing and sneezing during the dressing
change.
C. Place a mask on the client to limit the spread of micro-organisms into the
surgical would.
D. Keep a box of facial tissues nearby for the client to use during the dressing
change. - Answer-C. Place a mask on the client to limit the spread of micro-
organisms into the surgical would.-Placing a mask on the client prevents
contamination of the surgical would during the dressing change.
A nurse is wearing sterile gloves in preparation for preforming a sterile procedure.
Which of the following objects may the nurse touch without breaching sterile
technique? (Select all that apply)
A. a bottle containing sterile solution
B. The edge of the sterile drape at the base of the field
C. The inner wrapping of an item on the sterile field
,D. An irrigation syringe on the sterile field
E. One gloved hand with the other gloved hand - Answer-C. The inner wrapping of
an item on the sterile field-The inner wrappings of any objects the nurse dropped
onto the sterile the nurse dropped onto the sterile field are sterile. The nurse may
touch them with sterile gloves.
D. An irrigation syringe on the sterile fieldAny objects the nurse dropped onto the
sterile field during the setup are sterile. The nurse may touch the syringe with
sterile gloves
.E. One gloved hand with the other gloved handOne sterile gloved hand may
touch the other sterile gloved hand because both are sterile.
A nurse determines a client's radial pulse rate is 68/min and the stimultaneous
apical pulse rate is 84/min. What is the clients pulse deficit? - Answer-16
A nurse is instructing an assistive personnel (AP) how to measure a client's
respiratory rate which of the following statements should the nurse include
A. "place the client in semi-Fowler's position"
B."Have the client rest an arm across the abdomen"
C."Observe one full respiratory cycle before counting the rate."
D."Count the rate for 30 sec if its irregular"
E."Inform the client you are counting their respiratory rate." - Answer-A. When
taking actions the nurse should instruct the AP to place the client in semi-Fowler's
position before counting their respiratory rate to promote ventilation. This
position also allows the AP to visualize the client's chest and abdominal
movements
B.The nurse should instruct the AP to have the client rest an arm across their
abdomen to promote visualization of the client's chest and abdominal
movements
, C.The nurse should instruct the AP to observe the client for one full respiratory
cycle before counting the rate to obtain an accurate measurement
A nurse is caring for a client who has a fractured femur and a blood pressure of
140/94mm Hg. Which of the following actions should the nurse take first?
A.Request a perscription for an antihypersensitive medication
B.Ask the client if they are having pain
C.Instruct the client about a low-sodium diet
D. return in 30 min to recheck the client's blood pressure - Answer-B.Ask the
client if they are having pain
When taking actions using the nursing process, the first action that the nurse
should take is ask the client if they are expierencing pain. Pain can cause an
elevated blood pressure. Therefore, the priority action is to evaluate the client for
pain.
1. A nurse is providing information about age-related physical changes to the
family member of an older adult. Which of the following information should the
nurse include?
A. Older adults have montor oldan younger persong.
B.Dry mouth is common for older adults.
C. It is common for older adults to have increased perspiration.
D. Hair in the eyebrows decreases. - Answer-B.Dry mouth is common for older
adults.
A nurse is providing a client with a complete bed bath. When providing the care,
the nurse must recognize the order in which areas of the body will be bathed.
Place the options in the correct order.
A.Trunk
