ATI FUNDAMENTALS ONLINE PRACTICE ASSESSMENT B
A nurse in an emergency department (ED) is assisting in the care of a client. Click to
highlight the ndings that indicate the client might be malnourished.
Correct answer: Client is cachet with accid muscle tone
Skin is dry and scaly with bruises on extremities
Pulse rate 118/min
Abdomen is distended
BMI 17
A nurse in an emergency department is caring for a client. Complete the following
sentence. "The nurse should rst ______, followed by _____"
Correct answer: 1. Obtain a prescription that may be causing the client's confusion
2. Using alternative methods to keep the client safe
A nurse is contributing to the plan of care for four clients. For which of the following clients
should the nurse initiate airborne precautions?
Correct answer: A client who has measles
A nurse is caring for a client who is postoperative and is experiencing nausea and vomiting.
The nurse should identify which of the following ndings as indications that the client has
uid volume decit? (Select all that apply.)
Correct answer: Cool extremities
Orthostatic hypotension
Flat neck veins
A nurse is preparing to palpate a client's pulse. The nurse should recognize that which of
the following pulses is located on the top of the client's foot?
, Correct answer: Dorsalis pedis
A nurse is reinforcing teaching with the partner of a client who is immobile. Which of the
following instructions should the nurse give the partner about turning the client in bed?
Correct answer: "Tighten your stomach muscles"
A nurse is assisting with the admission of a client to a medical-surgical unit. Which of the
following ndings should the nurse identify as an indication that the client is
malnourished?
Correct answer: Pallor with scaly skin
A nurse is contributing to a plan of care for a client who has a new prescription for a wrist
restraint. Which of the following actions should the nurse include in the plan?
Correct answer: Pad bony prominences on the wrist
A nurse is reviewing the medical record of a female client who has heart failure. The nurse
should identify which of the following laboratory results as an indication that the client has
uid volume excess?
Correct answer: BUN 8 mg/dL (10 to 20 mg/dL)
A nurse is preparing to obtain a client's vital signs. Which of the following actions should
the nurse take when washing their hands?
Correct answer: Turn o the faucet with a clean towel after drying hands
A client who is scheduled to undergo surgery tells the nurse that they do not understand
the procedure and are reconsidering their decision to have it. Which of the following
actions should the nurse take?
Correct answer: Notify the charge nurse of the client's concerns.
A nurse in an emergency department (ED) is assisting in the care of a client. Click to
highlight the ndings that indicate the client might be malnourished.
Correct answer: Client is cachet with accid muscle tone
Skin is dry and scaly with bruises on extremities
Pulse rate 118/min
Abdomen is distended
BMI 17
A nurse in an emergency department is caring for a client. Complete the following
sentence. "The nurse should rst ______, followed by _____"
Correct answer: 1. Obtain a prescription that may be causing the client's confusion
2. Using alternative methods to keep the client safe
A nurse is contributing to the plan of care for four clients. For which of the following clients
should the nurse initiate airborne precautions?
Correct answer: A client who has measles
A nurse is caring for a client who is postoperative and is experiencing nausea and vomiting.
The nurse should identify which of the following ndings as indications that the client has
uid volume decit? (Select all that apply.)
Correct answer: Cool extremities
Orthostatic hypotension
Flat neck veins
A nurse is preparing to palpate a client's pulse. The nurse should recognize that which of
the following pulses is located on the top of the client's foot?
, Correct answer: Dorsalis pedis
A nurse is reinforcing teaching with the partner of a client who is immobile. Which of the
following instructions should the nurse give the partner about turning the client in bed?
Correct answer: "Tighten your stomach muscles"
A nurse is assisting with the admission of a client to a medical-surgical unit. Which of the
following ndings should the nurse identify as an indication that the client is
malnourished?
Correct answer: Pallor with scaly skin
A nurse is contributing to a plan of care for a client who has a new prescription for a wrist
restraint. Which of the following actions should the nurse include in the plan?
Correct answer: Pad bony prominences on the wrist
A nurse is reviewing the medical record of a female client who has heart failure. The nurse
should identify which of the following laboratory results as an indication that the client has
uid volume excess?
Correct answer: BUN 8 mg/dL (10 to 20 mg/dL)
A nurse is preparing to obtain a client's vital signs. Which of the following actions should
the nurse take when washing their hands?
Correct answer: Turn o the faucet with a clean towel after drying hands
A client who is scheduled to undergo surgery tells the nurse that they do not understand
the procedure and are reconsidering their decision to have it. Which of the following
actions should the nurse take?
Correct answer: Notify the charge nurse of the client's concerns.
