CCC 1. ATI Fundamentals PN Funds Practice Set 3 of 4
comprehensive Questions and Answers with 100%
Correct Answers | Latest Version
Question 1.
A nurse is caring for a client who expresses anxiety about his impending surgery. Which of
the following is the appropriate action by the nurse? * Explore the client's feelings * Discuss
the competency of the surgeon * Review another individual's similar surgical experience *
Talk with the client's partner
Correct Answer: Explore the client's feelings - Asking the client to share his feelings
is a therapeutic communication technique that allays fear and anxiety.
Question 2.
A nurse is preparing an in service for a group of newly licensed nurses about the use of re-
straints. Which of the following should the nurse include as a criterion for implementing the
use of restraints? * The provider must re- new a restraint prescription every 8 hr * The
restraints should promote client safety and prevent injuries * The nurse has already
considered alternatives to restraint * The client must understand the need for the re- straints
Correct Answer: The nurse has already considered alternatives to restraint -
Restraints physically prevent a client from moving freely in the environment.
However, they are a last resort. The nurse must consider all other alternatives before
implementing a restraint device.
Question 3.
A nurse is caring for a client who is postoperative following abdominal surgery. The surgeon
initially prescribes a clear liquid diet. Which of the following items should the nurse include
on the client's tray? * Lemon sherbet * Plain yogurt * Cranberry juice * Carrot juice
Correct Answer: Cranberry juice - Cranberry juice is an acceptable component of a
clear liquid diet
Question 4.
A nurse is preparing to transfer a client from a bed to a chair. Which of the following actions
should the nurse perform first. * Determine if the client can bear weight * Place a transfer
belt on the client * Position the bed at an appropriate height * Assist the client to a seated
position
Correct Answer: Determine if the client can bear weight - Using nursing process, the
nurse should first determine if the client can bear weight.
, Question 5.
A nurse is admitting a client with a partial hearing impairment. Which of the following is a
priority action by the nurse? * Speak using a normal tone of voice * Determine if the client
uses a hearing aid * Stand directly in front of the client * Rephrase statements as needed
Correct Answer: Determine if the client uses a hearing aid - Using the nursing
process, assessment is the first action by the nurse.
Question 6.
A nurse is preparing to administer a soapsuds enema to an adult client. Which of the
following is an appropriate nursing action? * Put on sterile gloves * Assist the client to the left
Sims' position * Hang the enema container 24 inches above the anus * Insert the tubing
about 6 inches into the anus
Correct Answer: Assist the client to the left Sim's position - This position makes it
easier for the enema solution to flow by gravity into the sigmoid and descending
colon. The nurse should also have the client's right leg flexed to facilitate insertion.
Question 7.
A nurse is preparing to administer a flu vaccine, which of the following techniques should the
nurse use to locate the deltoid muscle? * By locating the center of the arm between the
elbow and the shoulder * By locating the midpoint of the lateral aspect of the upper arm * By
palpating the low- er edge of the acromion process and measuring 4 fingerwidths below to
the mid- point and center of the lateral aspect of the upper arm * By palpating the low- er
edge of the acromion process and measuring 4 inches below to the center of the lateral
aspect of the upper arm
Correct Answer: By palpating the lower edge of the acromion process and measuring
4 finger-widths below to the midpoint and center of the lateral aspect of the upper arm
- Palpating the lower edge of the acromion process and measuring 4 finger-widths
below the midpoint and the canter of the lateral aspect of the upper arm would be the
correct location to administer the medication.
Question 8.
A nurse is assisting with the development of a plan of care for a client who is Muslim. Which
of the following actions is appropriate to. Include in the plan? * Serve foods that have a
hot/cold balance * Serve milk products prior to meals * Request a meal tray without pork *
Remove tea and coffee from the trays
Correct Answer: Request a meal tray without pork - This is an appropriate action for a
client who is Muslim
comprehensive Questions and Answers with 100%
Correct Answers | Latest Version
Question 1.
A nurse is caring for a client who expresses anxiety about his impending surgery. Which of
the following is the appropriate action by the nurse? * Explore the client's feelings * Discuss
the competency of the surgeon * Review another individual's similar surgical experience *
Talk with the client's partner
Correct Answer: Explore the client's feelings - Asking the client to share his feelings
is a therapeutic communication technique that allays fear and anxiety.
Question 2.
A nurse is preparing an in service for a group of newly licensed nurses about the use of re-
straints. Which of the following should the nurse include as a criterion for implementing the
use of restraints? * The provider must re- new a restraint prescription every 8 hr * The
restraints should promote client safety and prevent injuries * The nurse has already
considered alternatives to restraint * The client must understand the need for the re- straints
Correct Answer: The nurse has already considered alternatives to restraint -
Restraints physically prevent a client from moving freely in the environment.
However, they are a last resort. The nurse must consider all other alternatives before
implementing a restraint device.
Question 3.
A nurse is caring for a client who is postoperative following abdominal surgery. The surgeon
initially prescribes a clear liquid diet. Which of the following items should the nurse include
on the client's tray? * Lemon sherbet * Plain yogurt * Cranberry juice * Carrot juice
Correct Answer: Cranberry juice - Cranberry juice is an acceptable component of a
clear liquid diet
Question 4.
A nurse is preparing to transfer a client from a bed to a chair. Which of the following actions
should the nurse perform first. * Determine if the client can bear weight * Place a transfer
belt on the client * Position the bed at an appropriate height * Assist the client to a seated
position
Correct Answer: Determine if the client can bear weight - Using nursing process, the
nurse should first determine if the client can bear weight.
, Question 5.
A nurse is admitting a client with a partial hearing impairment. Which of the following is a
priority action by the nurse? * Speak using a normal tone of voice * Determine if the client
uses a hearing aid * Stand directly in front of the client * Rephrase statements as needed
Correct Answer: Determine if the client uses a hearing aid - Using the nursing
process, assessment is the first action by the nurse.
Question 6.
A nurse is preparing to administer a soapsuds enema to an adult client. Which of the
following is an appropriate nursing action? * Put on sterile gloves * Assist the client to the left
Sims' position * Hang the enema container 24 inches above the anus * Insert the tubing
about 6 inches into the anus
Correct Answer: Assist the client to the left Sim's position - This position makes it
easier for the enema solution to flow by gravity into the sigmoid and descending
colon. The nurse should also have the client's right leg flexed to facilitate insertion.
Question 7.
A nurse is preparing to administer a flu vaccine, which of the following techniques should the
nurse use to locate the deltoid muscle? * By locating the center of the arm between the
elbow and the shoulder * By locating the midpoint of the lateral aspect of the upper arm * By
palpating the low- er edge of the acromion process and measuring 4 fingerwidths below to
the mid- point and center of the lateral aspect of the upper arm * By palpating the low- er
edge of the acromion process and measuring 4 inches below to the center of the lateral
aspect of the upper arm
Correct Answer: By palpating the lower edge of the acromion process and measuring
4 finger-widths below to the midpoint and center of the lateral aspect of the upper arm
- Palpating the lower edge of the acromion process and measuring 4 finger-widths
below the midpoint and the canter of the lateral aspect of the upper arm would be the
correct location to administer the medication.
Question 8.
A nurse is assisting with the development of a plan of care for a client who is Muslim. Which
of the following actions is appropriate to. Include in the plan? * Serve foods that have a
hot/cold balance * Serve milk products prior to meals * Request a meal tray without pork *
Remove tea and coffee from the trays
Correct Answer: Request a meal tray without pork - This is an appropriate action for a
client who is Muslim
