ATI PN FUNDAMENTAL TEST 2
A nurse is discussing modes of transmission at a staff education session. Which of the
following should the nurse include as an example of the direct contact mode of transmission?
Select all that apply.
A. Blood spurting from an arterial wound splashes into a nurse's eye
B. A nurse has a needlestick injury
C. A mosquito bites a hiker in the woods.
D. A nurse finds a hole in their glove while handing a soiled dressing
E. A person fails to wash their hands after using the bathroom and touches a client.
A& E
A nurse in a residential care facility is assessing an older adult client. Which of the following
findings should the nurse identify as typical indications of infection in this client? Select all
that apply.
A. Urinary incontinence
B. Malasie
C. Acute confusion
D. fever
E. Agitation
A, B, and E.
A nurse is preparing to admit a client who is suspected of having pulmonary tuberculosis.
Which of the following actions should the nurse perform first?
A. Implement airborne precautions
B. Obtain a sputum culture
C. Administer antituberculosis medications
D. recommended a screening test for family members
A
A charge nurse is teaching a newly licensed nurse about the care of a client with MRSA. Which
of the following statements should the charge nurse identify as an indication that the new
nurse understands the teaching?
A. "I should obtain a specimen for culture and sensitivity after the first dose of antimicrobial."
B. "MRSA is usually resistant to vancomycin, so another antimicrobial will be prescribed."
C. "I will protect others from exposure when I transport the client outside of the room."
,D. "To decrease resistance, antimicrobial therapy is discontinued when the client is no longer
febrile."
C
A Nurse in a primary care clinic is assessing a client who has a history of herpes zoster. Which
of the following findings suggests that the client has postherpetic neuralgia?
A. Linear clusters of vesicles on the right shoulder
B. Purulent drainage from both eyes
C. Decreased white blood cell count
D. Report of continued pain following resolution of the rash
D
The nurse is reviewing the data on the client who has hypovolemia. The nurse should identify
which of the following findings is a manifestation of hypovolemia?
A. Increased Hct
B. Increased blood pressure.
C. Decreased urine specific gravity.
D. Decreased urine output.
E. Increased sodium level.
A, D, and E
A nurse is teaching a class about fluid and balances sort the following manifestations into
either hypovolemia or hypervolemia
Hypo: flat neck veins and sunken eye balls
Hyper: breath sounds with crackles, weight gain, decreased urine specific gravity
A nurse on a medical surgical unit is caring for a group of clients sort the following clients to
those at risk for hypovolemia/ hyper
Hypo: a client who has nasal gastric suctioning and a client who is taking diuretics
Hyper: a client who has syndrome of inappropriate diuretic hormone, and a client who has
cirrhosis
The nurse is reviewing the medical record of the client. The nurse should identify, which of
the following findings is a risk factor for the development of hypocalcemia?
A. Bariatric surgery.
B. Diarrhea.
C. Thyroid cancer.
, D. Diabetes mellitus.
E. Hyperlipidemia.
A, B, and C
A nurse is teaching a group of clients had to care for their colostomies which of the following
statements indicates an issue with self-concept?
A. I was having difficulties with attaching the appliance at first, but my partner was able to
help me.
B. I'll never be able to care for this at home. Can't you just send a nurse to the house?
C. I met a neighbor who also has a colostomy and they taught me a few things.
D. It can take me a while to get the hang of this. I have to admit I am pretty nervous.
B
A nurse is caring for a group of clients on a medical surgical unit which of the following clients
are at increased risk for body image disturbances? select all that apply
A. A client who had a laparoscopic appendectomy
B. A client who had a mastectomy
C. A client who had a left above the knee amputation
D. A client who had a cardiac catheterization.
E. A client who had a stroke with a right sided hemiplegia
B, C, and E
A nurse is caring for a client who is three days postoperative following a below, the knee
amputation as a result of a motor vehicle crash, which of the following statements indicates
the client has a distorted body image?
A. I'll be able to function exactly as I did before the accident.
B. I just can't stop crying.
C. I am so mad at the guy who hit us. I wish he lost a leg.
D. I don't even want to look at my leg. You can check the dressing.
D
A nurse is caring for a client who is recovering from a myocardial infraction and a cardiac
catheterization. The client states I am concerned that things might be a little you know
different with my partner when I get home which of the following statements should the
nurse make?
A. It sounds like something you should discuss with them when you get home.
B. It sounds like you were concerned about sexual functioning. Let's discuss your concerns.
A nurse is discussing modes of transmission at a staff education session. Which of the
following should the nurse include as an example of the direct contact mode of transmission?
Select all that apply.
A. Blood spurting from an arterial wound splashes into a nurse's eye
B. A nurse has a needlestick injury
C. A mosquito bites a hiker in the woods.
D. A nurse finds a hole in their glove while handing a soiled dressing
E. A person fails to wash their hands after using the bathroom and touches a client.
A& E
A nurse in a residential care facility is assessing an older adult client. Which of the following
findings should the nurse identify as typical indications of infection in this client? Select all
that apply.
A. Urinary incontinence
B. Malasie
C. Acute confusion
D. fever
E. Agitation
A, B, and E.
A nurse is preparing to admit a client who is suspected of having pulmonary tuberculosis.
Which of the following actions should the nurse perform first?
A. Implement airborne precautions
B. Obtain a sputum culture
C. Administer antituberculosis medications
D. recommended a screening test for family members
A
A charge nurse is teaching a newly licensed nurse about the care of a client with MRSA. Which
of the following statements should the charge nurse identify as an indication that the new
nurse understands the teaching?
A. "I should obtain a specimen for culture and sensitivity after the first dose of antimicrobial."
B. "MRSA is usually resistant to vancomycin, so another antimicrobial will be prescribed."
C. "I will protect others from exposure when I transport the client outside of the room."
,D. "To decrease resistance, antimicrobial therapy is discontinued when the client is no longer
febrile."
C
A Nurse in a primary care clinic is assessing a client who has a history of herpes zoster. Which
of the following findings suggests that the client has postherpetic neuralgia?
A. Linear clusters of vesicles on the right shoulder
B. Purulent drainage from both eyes
C. Decreased white blood cell count
D. Report of continued pain following resolution of the rash
D
The nurse is reviewing the data on the client who has hypovolemia. The nurse should identify
which of the following findings is a manifestation of hypovolemia?
A. Increased Hct
B. Increased blood pressure.
C. Decreased urine specific gravity.
D. Decreased urine output.
E. Increased sodium level.
A, D, and E
A nurse is teaching a class about fluid and balances sort the following manifestations into
either hypovolemia or hypervolemia
Hypo: flat neck veins and sunken eye balls
Hyper: breath sounds with crackles, weight gain, decreased urine specific gravity
A nurse on a medical surgical unit is caring for a group of clients sort the following clients to
those at risk for hypovolemia/ hyper
Hypo: a client who has nasal gastric suctioning and a client who is taking diuretics
Hyper: a client who has syndrome of inappropriate diuretic hormone, and a client who has
cirrhosis
The nurse is reviewing the medical record of the client. The nurse should identify, which of
the following findings is a risk factor for the development of hypocalcemia?
A. Bariatric surgery.
B. Diarrhea.
C. Thyroid cancer.
, D. Diabetes mellitus.
E. Hyperlipidemia.
A, B, and C
A nurse is teaching a group of clients had to care for their colostomies which of the following
statements indicates an issue with self-concept?
A. I was having difficulties with attaching the appliance at first, but my partner was able to
help me.
B. I'll never be able to care for this at home. Can't you just send a nurse to the house?
C. I met a neighbor who also has a colostomy and they taught me a few things.
D. It can take me a while to get the hang of this. I have to admit I am pretty nervous.
B
A nurse is caring for a group of clients on a medical surgical unit which of the following clients
are at increased risk for body image disturbances? select all that apply
A. A client who had a laparoscopic appendectomy
B. A client who had a mastectomy
C. A client who had a left above the knee amputation
D. A client who had a cardiac catheterization.
E. A client who had a stroke with a right sided hemiplegia
B, C, and E
A nurse is caring for a client who is three days postoperative following a below, the knee
amputation as a result of a motor vehicle crash, which of the following statements indicates
the client has a distorted body image?
A. I'll be able to function exactly as I did before the accident.
B. I just can't stop crying.
C. I am so mad at the guy who hit us. I wish he lost a leg.
D. I don't even want to look at my leg. You can check the dressing.
D
A nurse is caring for a client who is recovering from a myocardial infraction and a cardiac
catheterization. The client states I am concerned that things might be a little you know
different with my partner when I get home which of the following statements should the
nurse make?
A. It sounds like something you should discuss with them when you get home.
B. It sounds like you were concerned about sexual functioning. Let's discuss your concerns.
