ATI Fundamentals CMS 2023
Study online at https://quizlet.com/_f6zmmn
1. a nurse is assessing the heart sounds of a client pericardial friction rub
who has developed chest pain that becomes worse
with inspiration. the nurse auscultates a high-pitched
scratching sound during both systole and diastole with
the diaphragm of the stethoscope positioned at the
left sternal border. which heart sounds should the
nurse document?
2. a nurse is obtaining the blood pressure in a clients place the bladder of the
lower extremity. which action should the nurse take? cuff over the posterior as-
pect of the thigh
3. a charge nurse is teaching adult CPR to a group of new confirm unresponsiveness
nurses. which actions should the charge nurse teach
as the first response in CPR?
4. a nurse is caring for a client who requires a chest xray. identify the client using
prior to the client being transported for the procedure, two identifiers
which actions should the nurse take first?
5. a nurse is caring for a child who is postop following a administer analgesics to
tonsillectomy. which actions should the nurse take? the child on a routine
schedule throughout the
day and night
6. a nurse is providing teaching to a client who has heart the involvement of the
failure about how to reduce his daily intake of sodium. client in planning the
which factors is the most important in determining the change
clients ability to learn new dietary habits?
7. a charge nurse is observing a new nurse perform tra- obtaining cotton balls for
cheostomy care for a client. which actions by the new the trach care
nurse requires intervention?
, ATI Fundamentals CMS 2023
Study online at https://quizlet.com/_f6zmmn
8. a nurse is preparing to perform mouth care for an raise the level of the bed
unresponsive client. which actions should the nurse
plan to take?
9. a nurse is witnessing a client sign an informed consent the signature on the preop
form for surgery. which describes what the nurse is consent form is the clients
affirming by this action?
10. a nurse is preparing to provide tracheostomy care for perform hand hygiene
a client. which actions should the nurse take first?
11. a nurse is caring for an older adult client who becomes what worries you about
agitated when the nurse requests that the clients den- being without your teeth?
tures be removed prior to surgery. which responses
should the nurse make?
12. a nurse in an oncology clinic is assessing a client who i keep having night-
is undergoing treatment for ovarian cancer. which as- mares about my upcoming
sessment statements by the client indicates she is ex- surgery
periencing psychological distress?
13. a nurse on a med surg unit is caring for a client. which obtain client information
actions should the nurse take first when using the
nursing process?
14. a nurse is caring for an older adult client who is violent remove the restraints one
and attempting to disconnect her IV lines. the provider at a time
prescribes soft wrist restraints. which actions should
the nurse take while the client is in restraints?
15. a nurse is planning care for a client who reports ab- temperature
dominal pain. an assessment by the nurse reveals the
client has a temp of 102.6, HR of 105, a soft nontender
, ATI Fundamentals CMS 2023
Study online at https://quizlet.com/_f6zmmn
abdomen, and menses overdue by 2 days. which find-
ings should be the nurses priority?
16. a nurse is inserting an IV catheter for a client that re- carefully remove the
sults in a blood spill on her gloved hand. the client has gloves and follow with
no documented bloodstream infection. which action hand hygiene
should the nurse take?
17. a nurse is caring for a client who is post op and has absent bowel sounds with
paralytic ileum. which abdominal assessments should distention
the nurse expect?
18. a nurse is caring for a client who has type 1 diabetes tell me what i can do to
and is resistant to learning self-injection of insulin. help you overcome your
which statements should the nurse make? fear of giving yourself in-
jections
19. a nurse is recieving a client from the PACU who is lock the wheels on the bed
post op following abdominal surgery. which actions and stretcher
should the nurse make to transfer the client from the
stretcher to the bed?
20. a nurse is caring for a client who is in the terminal stage sit and hold the clients
of cancer. which actions should the nurse take when hand
she observes the client crying?
21. a nurse in the ED is assessing a client who reports grasp a skinfold on chest
diarrhea and decreased urination for 4 days. which under clavicle, release,
actions should the nurse take to assess the clients skin and note whether it
turgor? springs back
22. a nurse is caring for a client who has terminal illness.
the client asks several questions about the nurse's reli-
Study online at https://quizlet.com/_f6zmmn
1. a nurse is assessing the heart sounds of a client pericardial friction rub
who has developed chest pain that becomes worse
with inspiration. the nurse auscultates a high-pitched
scratching sound during both systole and diastole with
the diaphragm of the stethoscope positioned at the
left sternal border. which heart sounds should the
nurse document?
2. a nurse is obtaining the blood pressure in a clients place the bladder of the
lower extremity. which action should the nurse take? cuff over the posterior as-
pect of the thigh
3. a charge nurse is teaching adult CPR to a group of new confirm unresponsiveness
nurses. which actions should the charge nurse teach
as the first response in CPR?
4. a nurse is caring for a client who requires a chest xray. identify the client using
prior to the client being transported for the procedure, two identifiers
which actions should the nurse take first?
5. a nurse is caring for a child who is postop following a administer analgesics to
tonsillectomy. which actions should the nurse take? the child on a routine
schedule throughout the
day and night
6. a nurse is providing teaching to a client who has heart the involvement of the
failure about how to reduce his daily intake of sodium. client in planning the
which factors is the most important in determining the change
clients ability to learn new dietary habits?
7. a charge nurse is observing a new nurse perform tra- obtaining cotton balls for
cheostomy care for a client. which actions by the new the trach care
nurse requires intervention?
, ATI Fundamentals CMS 2023
Study online at https://quizlet.com/_f6zmmn
8. a nurse is preparing to perform mouth care for an raise the level of the bed
unresponsive client. which actions should the nurse
plan to take?
9. a nurse is witnessing a client sign an informed consent the signature on the preop
form for surgery. which describes what the nurse is consent form is the clients
affirming by this action?
10. a nurse is preparing to provide tracheostomy care for perform hand hygiene
a client. which actions should the nurse take first?
11. a nurse is caring for an older adult client who becomes what worries you about
agitated when the nurse requests that the clients den- being without your teeth?
tures be removed prior to surgery. which responses
should the nurse make?
12. a nurse in an oncology clinic is assessing a client who i keep having night-
is undergoing treatment for ovarian cancer. which as- mares about my upcoming
sessment statements by the client indicates she is ex- surgery
periencing psychological distress?
13. a nurse on a med surg unit is caring for a client. which obtain client information
actions should the nurse take first when using the
nursing process?
14. a nurse is caring for an older adult client who is violent remove the restraints one
and attempting to disconnect her IV lines. the provider at a time
prescribes soft wrist restraints. which actions should
the nurse take while the client is in restraints?
15. a nurse is planning care for a client who reports ab- temperature
dominal pain. an assessment by the nurse reveals the
client has a temp of 102.6, HR of 105, a soft nontender
, ATI Fundamentals CMS 2023
Study online at https://quizlet.com/_f6zmmn
abdomen, and menses overdue by 2 days. which find-
ings should be the nurses priority?
16. a nurse is inserting an IV catheter for a client that re- carefully remove the
sults in a blood spill on her gloved hand. the client has gloves and follow with
no documented bloodstream infection. which action hand hygiene
should the nurse take?
17. a nurse is caring for a client who is post op and has absent bowel sounds with
paralytic ileum. which abdominal assessments should distention
the nurse expect?
18. a nurse is caring for a client who has type 1 diabetes tell me what i can do to
and is resistant to learning self-injection of insulin. help you overcome your
which statements should the nurse make? fear of giving yourself in-
jections
19. a nurse is recieving a client from the PACU who is lock the wheels on the bed
post op following abdominal surgery. which actions and stretcher
should the nurse make to transfer the client from the
stretcher to the bed?
20. a nurse is caring for a client who is in the terminal stage sit and hold the clients
of cancer. which actions should the nurse take when hand
she observes the client crying?
21. a nurse in the ED is assessing a client who reports grasp a skinfold on chest
diarrhea and decreased urination for 4 days. which under clavicle, release,
actions should the nurse take to assess the clients skin and note whether it
turgor? springs back
22. a nurse is caring for a client who has terminal illness.
the client asks several questions about the nurse's reli-
