rn fundamentals online practice 2023 b, ATI: RN
Fundamentals Online Practice 2023 B
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A nurse in a medical-surgical unit is caring for six clients. clients 3 & 4
which 2 should she see first? Drop Down 1:
1. rheumatoid arthritis, C-reactive protein 3.2 mg/dL Client 1 is incorrect. The nurse should assess this client because the client's C-
2. history of hyperlipidemia, Cholesterol 250 mg/dL reactive protein is greater than the expected reference range, which is an
3. 1 day postoperative. Reports pain as 8 on a scale of 0 indication of inflammation. However, there is another client the nurse should
to 10, Oxygen saturation 88% assess first.
4. new diagnosis of heart failure, Potassium 3.2 mEq/L Client 2 is incorrect. The nurse should assess this client because the client's
5. stage 2 pressure injury, Prealbumin 14 mg/dL cholesterol level is greater than the expected reference range, which places them
6. new diagnosis of diabetes mellitus, Glycosylated at risk for coronary heart disease. However, there is another client the nurse
hemoglobin 8% should assess first.
Client 3 is correct. When using the airway, breathing, circulation approach to client
care, the nurse should determine that this client is the priority client to assess. The
client has an oxygen saturation that is less than the expected reference range,
which is an indication of hypoxia.
Drop Down 2:
Client 4 is correct. When using the airway, breathing, circulation approach to
client care, the nurse should determine that this client is the next priority client to
assess. The client has a potassium level that is less than the expected reference
range, which places the client at risk for dysrhythmias.
Client 5 is incorrect. The nurse should assess this client because their prealbumin
level is less than the expected reference range, which places them at risk for
delayed wound healing. However, this client is not the next priority client to
assess.
Client 6 is incorrect. The nurse should assess this client because their glycosylated
hemoglobin level is greater than the expected reference range, which indicates
poor diabetic control. However, this client is not the next priority client to assess.
,A nurse is caring for a client who has a peripheral IV c, d, e
inserted for fluid replacement. Stop the IV infusion is correct. The client has manifestations of IV infiltration. The
Nurses' Notes nurse should stop the IV infusion and remove the IV catheter to reduce the risk for
Day 1: tissue damage.
Lactated Ringer's at 100 mL/hr infusing into a 20-gauge IV Elevate the client's left arm is correct. The nurse should elevate the client's left
catheter in left hand. IV dressing dry and intact. IV site hand to decrease swelling and reduce the risk for tissue damage.
without redness or swelling. IV fluid infusing well. Day 2: Apply heat to the client's left hand is correct. The nurse should apply heat to the
IV site edematous. Skin surrounding catheter site taut, client's left hand to reduce swelling and promote comfort.
blanched, and cool to touch. IV fluid not infusing. Place a pressure dressing over the IV site is incorrect. The nurse should not apply
select all that apply pressure to the IV site, because this can cause tissue damage.
a. Start a new IV in the client's left hand. Start a new IV in the client's left hand is incorrect. The nurse should start a new IV
b. Place a pressure dressing over the IV site. in a different extremity to reduce the risk of tissue damage.
c. Apply heat to the client's left hand.
d. Elevate the client's left arm.
e. Stop the IV infusion.
A nurse is giving a change-of-shift report about a client b
admitted earlier that day who has pneumonia. Which of When using the airway, breathing, circulation approach to client care, the nurse
the following pieces of information is the priority for the should determine that the priority information to provide is the current status of
nurse to provide? the client's breath sounds.
a. Admitting diagnosis
b. Breath sounds
c. Body temperature
d. Diagnostic test results
A nurse is preparing to transfer a client who can bear c
weight on one leg from the bed to a chair. After securing The first action the nurse should take when using the nursing process is to assess
a safe environment, which of the following actions should the client. The nurse should determine the client's risk for falling or fainting during
the nurse take next? the transfer by assisting the client to sit and dangle the feet on the side of the
a. Rock the client up to a standing position. bed. The nurse should assess for dizziness and a significant drop in blood
b. Pivot on the foot that is the farthest from the chair. pressure before assisting the client to stand and transfer into the chair.
c. Assess the client for orthostatic hypotension.
d. Apply a gait belt to the client.
A nurse is teaching an older adult client who is at risk for a
osteoporosis about beginning a program of regular Weight-bearing exercises are essential for maintaining bone mass, which helps to
physical activity. Which of the following types of activity prevent osteoporosis. Walking engages older adult clients in this preventive and
should the nurse recommend? therapeutic strategy.
a. Walking briskly
b. Riding a bicycle
c. Performing isometric exercises
d. Engaging in high-impact aerobics
, A nurse is caring for a client who has terminal liver a
cancer. Which of the following statements should the The client's terminal illness might prompt the client to review their life and
nurse identify as an indication that the client is question its meaning. A manifestation of the client's spiritual distress is asking why
experiencing spiritual distress? this illness is happening to them.
a. "What could I have done to deserve this illness?"
b. "I blame medical science for not curing me."
c. "Where is my daughter at a time like this?"
d. "Will I ever begin to feel in charge of my life again?"
A nurse is reviewing protocol in preparation for b
suctioning secretions from a client who has a new The nurse should select a suction catheter that is half the size of the lumen to
tracheostomy. Which of the following actions should the prevent hypoxemia and trauma to the mucosa.
nurse plan to take?
a. Use a resuscitation bag with 80% oxygen prior to the
procedure.
b. Select a suction catheter that is half the size of the
lumen.
c. Place the end of the suction catheter in water-soluble
lubricant.
d. Adjust the wall suction apparatus to a pressure of 170
mm Hg.
A nurse is caring for a client who requires an NG tube for d
stomach decompression. Which of the following actions Taking sips of water as the NG tube passes through the oropharynx will close the
should the nurse take when inserting the NG tube? epiglottis over the trachea and prevent the tube from passing into the trachea.
a. Position the client with the head of the bed elevated to
30° prior to insertion of the NG tube.
b. Remove the NG tube if the client begins to gag or
choke.
c. Apply suction to the NG tube prior to insertion.
d. Have the client take sips of water to promote insertion
of the NG tube into the esophagus.
A nurse is reviewing a clients medication prescription that c
reads, "digoxin 0.25 by mouth every day." Which of the In the prescription, the medication dose is not complete. The number 0.25 should
following components of the prescription to the nurse be followed by a unit of measurement, such as mg, to clarify the amount the nurse
verify with the provider? should administer.
a. Medication name
b. Route of administration
c. Medication dose
d. Frequency of administration
A nurse is evaluating a client's use a cane. Which of the c
following actions should the nurse identify as an The client should hold the cane on the stronger side of their body to increase
indication of correct use? support and maintain alignment.
a. The top of the cane is parallel to the client's waist.
b. When walking, the client moves the cane 46 cm (18 in)
forward.
c. The client holds the cane on the stronger side of their
body.
d. The client moves their stronger limb forward with the
cane.
Fundamentals Online Practice 2023 B
Leave the first rating
Save
Students also studied
Flashcard sets Study guides
More Online Practic...
ATI RN Fundamentals ATI RN Fundamentals Online Practic... Rn antipsychotic assessment RN fun
Teacher 60 terms Teacher 60 terms 34 terms 60 terms
quizlette56535040 Preview hqv9bgd66z Preview unknown23232323 Preview bro
Terms in this set (120) Hide definitions
A nurse in a medical-surgical unit is caring for six clients. clients 3 & 4
which 2 should she see first? Drop Down 1:
1. rheumatoid arthritis, C-reactive protein 3.2 mg/dL Client 1 is incorrect. The nurse should assess this client because the client's C-
2. history of hyperlipidemia, Cholesterol 250 mg/dL reactive protein is greater than the expected reference range, which is an
3. 1 day postoperative. Reports pain as 8 on a scale of 0 indication of inflammation. However, there is another client the nurse should
to 10, Oxygen saturation 88% assess first.
4. new diagnosis of heart failure, Potassium 3.2 mEq/L Client 2 is incorrect. The nurse should assess this client because the client's
5. stage 2 pressure injury, Prealbumin 14 mg/dL cholesterol level is greater than the expected reference range, which places them
6. new diagnosis of diabetes mellitus, Glycosylated at risk for coronary heart disease. However, there is another client the nurse
hemoglobin 8% should assess first.
Client 3 is correct. When using the airway, breathing, circulation approach to client
care, the nurse should determine that this client is the priority client to assess. The
client has an oxygen saturation that is less than the expected reference range,
which is an indication of hypoxia.
Drop Down 2:
Client 4 is correct. When using the airway, breathing, circulation approach to
client care, the nurse should determine that this client is the next priority client to
assess. The client has a potassium level that is less than the expected reference
range, which places the client at risk for dysrhythmias.
Client 5 is incorrect. The nurse should assess this client because their prealbumin
level is less than the expected reference range, which places them at risk for
delayed wound healing. However, this client is not the next priority client to
assess.
Client 6 is incorrect. The nurse should assess this client because their glycosylated
hemoglobin level is greater than the expected reference range, which indicates
poor diabetic control. However, this client is not the next priority client to assess.
,A nurse is caring for a client who has a peripheral IV c, d, e
inserted for fluid replacement. Stop the IV infusion is correct. The client has manifestations of IV infiltration. The
Nurses' Notes nurse should stop the IV infusion and remove the IV catheter to reduce the risk for
Day 1: tissue damage.
Lactated Ringer's at 100 mL/hr infusing into a 20-gauge IV Elevate the client's left arm is correct. The nurse should elevate the client's left
catheter in left hand. IV dressing dry and intact. IV site hand to decrease swelling and reduce the risk for tissue damage.
without redness or swelling. IV fluid infusing well. Day 2: Apply heat to the client's left hand is correct. The nurse should apply heat to the
IV site edematous. Skin surrounding catheter site taut, client's left hand to reduce swelling and promote comfort.
blanched, and cool to touch. IV fluid not infusing. Place a pressure dressing over the IV site is incorrect. The nurse should not apply
select all that apply pressure to the IV site, because this can cause tissue damage.
a. Start a new IV in the client's left hand. Start a new IV in the client's left hand is incorrect. The nurse should start a new IV
b. Place a pressure dressing over the IV site. in a different extremity to reduce the risk of tissue damage.
c. Apply heat to the client's left hand.
d. Elevate the client's left arm.
e. Stop the IV infusion.
A nurse is giving a change-of-shift report about a client b
admitted earlier that day who has pneumonia. Which of When using the airway, breathing, circulation approach to client care, the nurse
the following pieces of information is the priority for the should determine that the priority information to provide is the current status of
nurse to provide? the client's breath sounds.
a. Admitting diagnosis
b. Breath sounds
c. Body temperature
d. Diagnostic test results
A nurse is preparing to transfer a client who can bear c
weight on one leg from the bed to a chair. After securing The first action the nurse should take when using the nursing process is to assess
a safe environment, which of the following actions should the client. The nurse should determine the client's risk for falling or fainting during
the nurse take next? the transfer by assisting the client to sit and dangle the feet on the side of the
a. Rock the client up to a standing position. bed. The nurse should assess for dizziness and a significant drop in blood
b. Pivot on the foot that is the farthest from the chair. pressure before assisting the client to stand and transfer into the chair.
c. Assess the client for orthostatic hypotension.
d. Apply a gait belt to the client.
A nurse is teaching an older adult client who is at risk for a
osteoporosis about beginning a program of regular Weight-bearing exercises are essential for maintaining bone mass, which helps to
physical activity. Which of the following types of activity prevent osteoporosis. Walking engages older adult clients in this preventive and
should the nurse recommend? therapeutic strategy.
a. Walking briskly
b. Riding a bicycle
c. Performing isometric exercises
d. Engaging in high-impact aerobics
, A nurse is caring for a client who has terminal liver a
cancer. Which of the following statements should the The client's terminal illness might prompt the client to review their life and
nurse identify as an indication that the client is question its meaning. A manifestation of the client's spiritual distress is asking why
experiencing spiritual distress? this illness is happening to them.
a. "What could I have done to deserve this illness?"
b. "I blame medical science for not curing me."
c. "Where is my daughter at a time like this?"
d. "Will I ever begin to feel in charge of my life again?"
A nurse is reviewing protocol in preparation for b
suctioning secretions from a client who has a new The nurse should select a suction catheter that is half the size of the lumen to
tracheostomy. Which of the following actions should the prevent hypoxemia and trauma to the mucosa.
nurse plan to take?
a. Use a resuscitation bag with 80% oxygen prior to the
procedure.
b. Select a suction catheter that is half the size of the
lumen.
c. Place the end of the suction catheter in water-soluble
lubricant.
d. Adjust the wall suction apparatus to a pressure of 170
mm Hg.
A nurse is caring for a client who requires an NG tube for d
stomach decompression. Which of the following actions Taking sips of water as the NG tube passes through the oropharynx will close the
should the nurse take when inserting the NG tube? epiglottis over the trachea and prevent the tube from passing into the trachea.
a. Position the client with the head of the bed elevated to
30° prior to insertion of the NG tube.
b. Remove the NG tube if the client begins to gag or
choke.
c. Apply suction to the NG tube prior to insertion.
d. Have the client take sips of water to promote insertion
of the NG tube into the esophagus.
A nurse is reviewing a clients medication prescription that c
reads, "digoxin 0.25 by mouth every day." Which of the In the prescription, the medication dose is not complete. The number 0.25 should
following components of the prescription to the nurse be followed by a unit of measurement, such as mg, to clarify the amount the nurse
verify with the provider? should administer.
a. Medication name
b. Route of administration
c. Medication dose
d. Frequency of administration
A nurse is evaluating a client's use a cane. Which of the c
following actions should the nurse identify as an The client should hold the cane on the stronger side of their body to increase
indication of correct use? support and maintain alignment.
a. The top of the cane is parallel to the client's waist.
b. When walking, the client moves the cane 46 cm (18 in)
forward.
c. The client holds the cane on the stronger side of their
body.
d. The client moves their stronger limb forward with the
cane.
