CCC-1. ATI Fundamentals PN Funds Practice , Set 4 of 4
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Question 1.
A nurse is reinforcing preoperative teaching for a client who will undergo abdominal surgery.
The nurse explains that the client will wear antiembolism stockings after the procedure.
When the client asks what the stockings do, which of the following is an appropriate nursing
response? * "They'll protect your legs and heels from skin breakdown." * "They'll help keep
you warm immediately after surgery." * "They'll help improve your circulation to keep blood
from pooling in your legs." * "They'll make it easier for you to do leg exercises after surgery."
Correct Answer: "They'll improve your circulation to keep blood from pooling in your
leg." - Antiembolism stockings promote venous return from the legs, thus helping to
prevent venous thrombosis (clot formation) and peripheral edema.
Question 2.
A client is about to undergo an elective surgical procedure. Which of the following is the role
of the nurse providing preoperative care regarding informed consent? * Obtain the client's
consent. * Witness the client's signature. * Explain the risks and benefits of the procedure. *
Describe the consequences of choosing to do nothing.
Correct Answer: Witness the client's signature - It is the nurse's responsibility to
witness the client's signing of the consent form, and to verify that the client is
consenting voluntarily and appears to be competent to do so. The nurse should also
verify the client understands the information the person performing the procedure
gave to the client.
Question 3.
A nurse is planning care for a client who is anorexic and showing signs of malnutrition. When
reviewing the laboratory values, which of the following test should. The nurse expect to be
low? * D-dimer * Troponin * Creatinine * Albumin
Correct Answer: Albumin - The nurse should expect to find a low albumin which
reflects the nutritional condition of the client over an extended period of time.
Question 4.
A nurse makes a medication error. She immediately assesses the client and determines that
the client has had no untoward effects of the error. The nurse decides not to report the error
because no harm came to the client. Which of the following ethical principles did the nurse
violate? * Autonomy * Beneficence * Veracity *Confidentiality
Correct Answer: Veracity - Veracity is the duty to tell the truth. The nurse violated the
ethical principle of veracity when she chose not to report the error instead of being
truthful.
, Question 5.
A nurse is reinforcing teaching with a new group of assistive person- al (AP) about the
importance of hand hygiene. Which of the following statements should the nurse include? * If
you wear gloves, you do not have to wash your hands. * Hand hygiene is crucial in
preventing the spread of germs. * Use an alcohol rub when your hands are visibly soiled. * If
you don't have an infection, your hands won't infect others.
Correct Answer: Hand hygiene is crucial in preventing the spread of germs - Hand
hygiene is one of the most effective ways to pre- vent the transmission of pathogens.
Either the nurse or the client may have micro-organisms on or in their body that do
not harm them but may harm others.
Question 6.
A nurse is caring for a client who has pneumonia and has been re- ceiving oxygen therapy
for several days. When collecting data from the client, the nurse should identify which of the
following findings as an indication of an adverse of oxygen therapy? * Cracks in oral mucous
membranes * Poor skin turgor * Tachycardia * Excessive pulmonary secretions
Correct Answer: Cracks in oral mucous membranes - Oxygen therapy, especially
when long-term or without sufficient humidification, is extremely drying to the nasal
and oral mucous and can cause cracks.
Question 7.
A nurse is assisting a client during ambulatory when the liens begins to fall. Which of the
following actions should the nurse take? * Provide support by holding the client's arm. * Lean
the client toward the wall. * Lower the client to the floor. * Assume a narrow base of support.
Correct Answer: Lower the client to the floor - This is an appropriate action. The
nurse should gently lower the client to the floor.
Question 8.
A nurse is caring for a client who is postoperative following a cholecystectomy and is
reporting of pain. Which of the following actions should the nurse take? (SATA) * Offer the
client a back rub * Look for nonverbal pain indicators * Identify the client's pain level * Assist
the client to ambulate * Change the client's position
Correct Answer: Offer the client a back rub. - Nonpharmacological comfort measures
can improve pain management. Identify the client's pain level- the nurse should use a
standard scale to determine and document the severity of the client's pain. Change
the client's position - Nonpharmacological comfort measure can improve pain
management
comprehensive Questions and Answers with 100%
Correct Answers | Latest Version
Question 1.
A nurse is reinforcing preoperative teaching for a client who will undergo abdominal surgery.
The nurse explains that the client will wear antiembolism stockings after the procedure.
When the client asks what the stockings do, which of the following is an appropriate nursing
response? * "They'll protect your legs and heels from skin breakdown." * "They'll help keep
you warm immediately after surgery." * "They'll help improve your circulation to keep blood
from pooling in your legs." * "They'll make it easier for you to do leg exercises after surgery."
Correct Answer: "They'll improve your circulation to keep blood from pooling in your
leg." - Antiembolism stockings promote venous return from the legs, thus helping to
prevent venous thrombosis (clot formation) and peripheral edema.
Question 2.
A client is about to undergo an elective surgical procedure. Which of the following is the role
of the nurse providing preoperative care regarding informed consent? * Obtain the client's
consent. * Witness the client's signature. * Explain the risks and benefits of the procedure. *
Describe the consequences of choosing to do nothing.
Correct Answer: Witness the client's signature - It is the nurse's responsibility to
witness the client's signing of the consent form, and to verify that the client is
consenting voluntarily and appears to be competent to do so. The nurse should also
verify the client understands the information the person performing the procedure
gave to the client.
Question 3.
A nurse is planning care for a client who is anorexic and showing signs of malnutrition. When
reviewing the laboratory values, which of the following test should. The nurse expect to be
low? * D-dimer * Troponin * Creatinine * Albumin
Correct Answer: Albumin - The nurse should expect to find a low albumin which
reflects the nutritional condition of the client over an extended period of time.
Question 4.
A nurse makes a medication error. She immediately assesses the client and determines that
the client has had no untoward effects of the error. The nurse decides not to report the error
because no harm came to the client. Which of the following ethical principles did the nurse
violate? * Autonomy * Beneficence * Veracity *Confidentiality
Correct Answer: Veracity - Veracity is the duty to tell the truth. The nurse violated the
ethical principle of veracity when she chose not to report the error instead of being
truthful.
, Question 5.
A nurse is reinforcing teaching with a new group of assistive person- al (AP) about the
importance of hand hygiene. Which of the following statements should the nurse include? * If
you wear gloves, you do not have to wash your hands. * Hand hygiene is crucial in
preventing the spread of germs. * Use an alcohol rub when your hands are visibly soiled. * If
you don't have an infection, your hands won't infect others.
Correct Answer: Hand hygiene is crucial in preventing the spread of germs - Hand
hygiene is one of the most effective ways to pre- vent the transmission of pathogens.
Either the nurse or the client may have micro-organisms on or in their body that do
not harm them but may harm others.
Question 6.
A nurse is caring for a client who has pneumonia and has been re- ceiving oxygen therapy
for several days. When collecting data from the client, the nurse should identify which of the
following findings as an indication of an adverse of oxygen therapy? * Cracks in oral mucous
membranes * Poor skin turgor * Tachycardia * Excessive pulmonary secretions
Correct Answer: Cracks in oral mucous membranes - Oxygen therapy, especially
when long-term or without sufficient humidification, is extremely drying to the nasal
and oral mucous and can cause cracks.
Question 7.
A nurse is assisting a client during ambulatory when the liens begins to fall. Which of the
following actions should the nurse take? * Provide support by holding the client's arm. * Lean
the client toward the wall. * Lower the client to the floor. * Assume a narrow base of support.
Correct Answer: Lower the client to the floor - This is an appropriate action. The
nurse should gently lower the client to the floor.
Question 8.
A nurse is caring for a client who is postoperative following a cholecystectomy and is
reporting of pain. Which of the following actions should the nurse take? (SATA) * Offer the
client a back rub * Look for nonverbal pain indicators * Identify the client's pain level * Assist
the client to ambulate * Change the client's position
Correct Answer: Offer the client a back rub. - Nonpharmacological comfort measures
can improve pain management. Identify the client's pain level- the nurse should use a
standard scale to determine and document the severity of the client's pain. Change
the client's position - Nonpharmacological comfort measure can improve pain
management
