{NGN} ATI PN FUNDAMENTALS PROCTORED EXAM 2026/
d d d d d d
400+QUESTIONS AND CORRECT VERIFIED ANSWERS WI d d d d d
TH RATIONALES/PN FUNDAMENTALS PROCTORED EXA
d d d d
M 2026- d
2027/100% VERIFIED/ALREADY GRADED A+/BRAND NEW d d d d
!!!
1. dAdcaregiverd isdplanningd tod collectd ad stoold specimendford ovad anddparasitesd fromdad clientdwhod hasdia
rrhea. Which of the following actions should the caregiver take when collecting the specimen?
d d d d d d d d d d d d d
A. Instruct the client to defecate into the toilet bowl
d d d d d d d d
InnacurateThe caregiver should have the client defecate into a bedpan or a container for stoolcoll
d d d d d d d d d d d d d d
ection. The toilet water can dilute and contaminate the liquid specimen.
d d d d d d d d d d
B. Transfer the specimen to a sterile container
d d d d d d
InnacurateThe caregiver should place the stool specimen in a clean container using a tonguedepressor.
d d d d d d d d d d d d d
C. Refrigerate the collected specimen d d d
InnacurateThe caregiver should send the collected stool specimen immediately to the laboratory af
d d d d d d d d d d d d
ter labeling the specimen properly to prevent contamination with microorganisms and keep thespec
d d d d d d d d d d d d
imen from getting cold.
d d d
D. Place the stool specimen collection container in a biohazard bag
d d d d d d d d d
RATIONALE:-
The caregiver should place the specimen collection container in a biohazard bag with the client la
d d d d d d d d d d d d d d d
bel on the container and the bag for easy identification. This will also prevent contaminationwith
d d d d d d d d d d d d d d d
microorganisms.
2. Ad caregiverd isd caringd ford ad clientd whod hasdad tracheostomydandd requiresdsuctioning.d Whichd ofd thef
ollowing actions should the caregiver take?
d d d d d
A. Hyper oxygenate the client before suctioning
d d d d d
RATIONALE:-
The caregiver should use a manual resuscitation bag to hyper oxygenate the client for severalmin
d d d d d d d d d d d d d d
utes prior to suctioning.
d d d
B. Insert the catheter during exhalation
d d d d
InnacurateThe caregiver should insert the catheter during inhalation
d d d d d d d
C. Apply suction during insertion of the catheter
d d d d d d
InnacurateApplying suction while inserting the catheter increases the risk of damage to thetrache d d d d d d d d d d d d
al mucosa and removes oxygen from the airways.
d d d d d d d
D. Apply suction for no more than 15 secs
d d d d d d d
InnacurateThe caregiver should apply suction for no more than 10 seconds
d d d d d d d d d d
3. Ad caregiverd isd providingd teachingd tod ad clientd regardingd proteind intake.d Whichd ofdthed following
foods should the caregiver include as an example of an incomplete protein?
d d d d d d d d d d d
A. Eggs
Innacuratethis is a complete protein, contains all of the essential amino acids necessary for the
d d d d d d d d d d d d d d
synthesis of protein in the body.
d d d d d
B. Soybeans
Innacuratethis is a complete protein, contains all of the essential amino acids necessary for thesy
d d d d d d d d d d d d d d
nthesis of protein in the body.
d d d d d
,C. Lentils
RATIONALE:-
Incomplete proteins are missing 1 or more of the essential amino acids necessary for the synthesis
d d d d d d d d d d d d d d d d
of protein in the body. Examples of incomplete proteins include lentils, vegetables,grains, nuts, and
d d d d d d d d d d d d d d
seeds.
D. Yogurt
Innacuratethis is a complete protein, contains all of the essential amino acids necessary for thesy
d d d d d d d d d d d d d d
nthesis of protein in the body.
d d d d d
4. Adcaregiverdisdcaringdfordadclientdwhodwasdadmitteddtodadlong-
term care facility for rehabilitationafter a total hip arthroplasty. At which of the following times sh
d d d d d d d d d d d d d d d
ould the caregiver begin discharge planning?
d d d d d
A. One week prior to the client‟s discharge
d d d d d d
InnacurateBeginning to plan for the client‟s discharge a week prior to the event might not allow suff d d d d d d d d d d d d d d d d
icient time for planning. The caregiver should begin discharge planning at the time of admission.
d d d d d d d d d d d d d d
dB. Upon the client‟s admission to the care facility
d d d d d d d d
RATIONALE:-
The caregiver should begin discharge planning at the time that the client is admitted to the facility.
d d d d d d d d d d d d d d d d
C. Once the discharge date is identified
d d d d d d
InnacurateBeginning to plan for the client‟s discharge once the discharge date is identified mightnot all d d d d d d d d d d d d d d
ow sufficient time for planning. The caregiver should begin discharge planning at the time of admission
d d d d d d d d d d d d d d d
.
D. When the client addresses the topic with the caregiver
d d d d d d d d d
InnacurateBeginning to plan for the client‟s discharge once the discharge date is identified mightnot all d d d d d d d d d d d d d d
ow sufficient time for planning. The caregiver should begin discharge planning at the time of admission
d d d d d d d d d d d d d d d
.
5. Adcaregiverd isd preparingd tod administerd ad cleansingd enemad tod adclient.d Whichd ofd thed followingact
ions should the caregiver plan to take?
d d d d d d
A. Insert the rectal tube 15.2 cm (6 in)d d d d d d d
InnacurateThe caregiver should insert the rectal tube 7 to 10 cm (3 to 4 in) d d d d d d d d d d d d d d
B. Wear sterile gloves to insert the tubing
d d d d d d
InnacurateThe caregiver should wear clean (nonsterile) gloves to prevent contamination.
d d d d d d d d d
C. Position the client on his left side d d d d d d
RATIONALE:-
Positioning is an important aspect of administering an enema. Having the client lie on his leftside facil
d d d d d d d d d d d d d d d d
itates the flow of the enema solution into the sigmoid and descending colon.
d d d d d d d d d d d d
D. Hold the solution bag 91 cm (36 inch) above the client‟s rectum
d d d d d d d d d d d
InnacurateThe caregiver should hold the solution bag 30 cm (12 in) above the client‟s rectum for alow
d d d d d d d d d d d d d d d d d
enema and 45 cm (18 in) for a high enema. If the caregiver holds the solution bag too high, thesolution
d d d d d d d d d d d d d d d d d d d
dmight run in too fast, causing discomfort and spasms that make retaining the enema more difficult.
d d d d d d d d d d d d d d d
5. Adcaregiverdisd caringd fordad clientd whodhasd bilateraldcatsd ond herdhands.d Whichd ofdthed followingact
ions should the caregiver take when assisting the client with feeding?
d d d d d d d d d d
A. Sit at the bedside when feeding the client
d d d d d d d
RATIONALE:-
,The caregiver should avoid appearing to be in a hurry. Sitting at the bedside provides the client withth
d d d d d d d d d d d d d d d d d
e caregiver‟s full attention during the feeding
d d d d d d
B. Order pureed foods d d
InnacurateWithout any mouth or throat injuries that make chewing or swallowing difficult, the cli d d d d d d d d d d d d d
ent should be served foods of an appropriate variety of textures. Pureed foods are for clients who ca
d d d d d d d d d d d d d d d d d
nnot chew, have difficultyswallowing, or do not have teeth.
d d d d d d d d d
C. Make sure feedings are provided at room temperature
d d d d d d d
InnacurateThe caregiver should ask the client if the food is the correct temperature
d d d d d d d d d d d d
D. Offer the client a drink of fluid after every bite
d d d d d d d d d
InnacurateIf the client is unable to communicate, the caregiver should offer the client fluids after every 3
d d d d d d d d d d d d d d d d d
or 4 mouthfuls. However, there is no indication that this client is unable to communicate.Therefore, the cl
d d d d d d d d d d d d d d d d
ient should tell the caregiver when she would like a drink.
d d d d d d d d d d
6. Ad caregiverd isd administeringd and IMdinjectiond tod ad 5-month-
old infant. Which of the followinginjection sites should the caregiver use?
d d d d d d d d d d
A. Deltoid
InnacurateThe caregiver can use the deltoid muscle for injecting small volumes of medication forchi
d d d d d d d d d d d d d
ldren 18 months of age or older, but its proximity to several nerves and arteries make it a riskier choic
d d d d d d d d d d d d d d d d d d d
e.
B. Ventrogluteal
InnacurateThis is a safe site for IM injections for clients older than 7 months.
d d d d d d d d d d d d d
C. Vastus lateralis d
RATIONALE:-
The caregiver should use the vastus lateralis site over the anterior thigh for IM injections for infantsand childr
d d d d d d d d d d d d d d d d d
en.
D. Dorsogluteal
InnacurateThis site is unsafe to use because of its proximity to the sciatic nerve and the superiorgluteal
d d d d d d d d d d d d d d d d d
nerve and artery. d d
7. Adcaregiverd isd caringd fordad clientdwhod hasd majordfecald incontinenced anddreportsd irritationd ind th
eperianal area. Which of the following actions should the caregiver take first?
d d d d d d d d d d d
A. Apply a fecal collection system d d d d
InnacurateThe caregiver should apply a fecal collection system to divert the feces away from thea
d d d d d d d d d d d d d d
rea of skin irritation; however, there is another action the caregiver should take first.
d d d d d d d d d d d d d
B. Apply a barrier cream d d d
InnacurateThe caregiver should apply a barrier cream to decrease skin breakdown in the perianal
d d d d d d d d d d d d d
area from the feces; however, there is another action the caregiver should take first.
d d d d d d d d d d d d d
C. Cleanse and dry the area d d d d
InnacurateThe caregiver should cleanse and dry the perianal area to decrease skin irritation;howe
d d d d d d d d d d d d
ver, there is another action the caregiver should take first.
d d d d d d d d d
D. Check the client‟s perineum d d d
RATIONALE:-The caregiver should apply the nursing process priority- d d d d d d d
setting framework to plan care and prioritize nursing actions. Each step of the nursing process builds on t
d d d d d d d d d d d d d d d d d
he previous step, beginningwith an assessment or data collection. Before the caregiver can formulate a pl
d d d d d d d d d d d d d d d
an of action, implementa nursing intervention, or notify a provider of a change in the client‟s status, the c
d d d d d d d d d d d d d d d d d d
aregiver must first collect adequate data from the client. Assessing or collecting additional data will prov
d d d d d d d d d d d d d d d
ide the caregiver with knowledge to make an appropriate decision. The priority nursing action is for the c
d d d d d d d d d d d d d d d d d
aregiver to collect more data by assessing the area of irritation.
d d d d d d d d d d
, 9. A caregiver is caring for a client who is receiving IV therapy via a peripheral catheter. The caregive
d d d d d d d d d d d d d d d d d
rshould identify that which of the following findings is an indication of infiltration?
d d d d d d d d d d d d
A. Redness at the infusion site d d d d
InnacurateRedness at the infusion site is an indication of phlebitis or infection. d d d d d d d d d d d
B. Edema at the infusion site d d d d
RATIONALE:-Edema due to fluid entering subcutaneous tissue is an indication of infiltration. d d d d d d d d d d d
C. Warmth at the infusion site d d d d
InnacurateWarmth at the infusion site is an indication of phlebitis or infection. d d d d d d d d d d d
D. Oozing of blood at the infusion site d d d d d d
InnacurateOozing of blood at the infusion site is an indication that the IV system is not intact.d d d d d d d d d d d d d d d d
10. A caregiver is caring for a client who reports not sleeping at night, which interferes with her ability t
d d d d d d d d d d d d d d d d d d
o function during the day. Which of the following interventions should the caregiver suggestto this client
d d d d d d d d d d d d d d d
?
A. Avoid beverages that contain caffeine d d d d
RATIONALE:-
Caffeine is a stimulant. The caregiver should suggest that the client avoid caffeinated beverages.
d d d d d d d d d d d d d
B. Take a sleep medication regularly at bedtime
d d d d d d
InnacurateSleep-
promoting medication is a last resort. The caregiver should not suggest this type ofmedication for the
d d d d d d d d d d d d d d d d
client before recommending other nonpharmacological interventions.
d d d d d
C. Watch television for 30 minutes in bed to relax prior to falling asleep
d d d d d d d d d d d d
InnacurateClients should associate going to bed with sleep. Therefore, the client should not getinto bed
d d d d d d d d d d d d d d
duntil she is sleepy. d d d
D. Advise the client to take several naps during the day
d d d d d d d d d
InnacurateNapping in the daytime can prevent sound sleep at night d d d d d d d d d
11. A caregiver is conducting an admission interview with a client. Which of the following pieces ofasse
d d d d d d d d d d d d d d d
ssment information should the caregiver collect during the introductory phase of the interview?
d d d d d d d d d d d d
dA. Clients level of comfort and ability to participate in the interview
d d d d d d d d d d d
RATIONALE:-
The caregiver should assess the client‟s level of comfort and establish a rapport during the introductor
d d d d d d d d d d d d d d d
y or orientation phase. The caregiver should engage in active listening and present a relaxed attitude to
d d d d d d d d d d d d d d d d d
place the client at ease and encourage client participation. This will assist thecaregiver in gaining the ne
d d d d d d d d d d d d d d d d
cessary data to formulate appropriate nursing diagnoses and outcomes.
d d d d d d d d
B. Previous illnesses and surgeries d d d
InnacurateThe caregiver should assess the client‟s health history, including previous illnesses andsurge
d d d d d d d d d d d
ries, during the working phase of the interview.
d d d d d d d
C. Events surrounding the client‟s recent illness
d d d d d
InnacurateThe caregiver should assess the client‟s health history, including events surrounding therece
d d d d d d d d d d d
nt or current illness, during the working phase of the interview.
d d d d d d d d d d
D. Sociocultural history d
InnacurateThe caregiver should assess the client‟s sociocultural history during the working phase ofthe interv
d d d d d d d d d d d d d
iew.
12. A caregiver is performing an abdominal assessment of a client. Which of the following positionssho
d d d d d d d d d d d d d d
uld the caregiver tell the client to assume for this examination?
d d d d d d d d d d
d d d d d d
400+QUESTIONS AND CORRECT VERIFIED ANSWERS WI d d d d d
TH RATIONALES/PN FUNDAMENTALS PROCTORED EXA
d d d d
M 2026- d
2027/100% VERIFIED/ALREADY GRADED A+/BRAND NEW d d d d
!!!
1. dAdcaregiverd isdplanningd tod collectd ad stoold specimendford ovad anddparasitesd fromdad clientdwhod hasdia
rrhea. Which of the following actions should the caregiver take when collecting the specimen?
d d d d d d d d d d d d d
A. Instruct the client to defecate into the toilet bowl
d d d d d d d d
InnacurateThe caregiver should have the client defecate into a bedpan or a container for stoolcoll
d d d d d d d d d d d d d d
ection. The toilet water can dilute and contaminate the liquid specimen.
d d d d d d d d d d
B. Transfer the specimen to a sterile container
d d d d d d
InnacurateThe caregiver should place the stool specimen in a clean container using a tonguedepressor.
d d d d d d d d d d d d d
C. Refrigerate the collected specimen d d d
InnacurateThe caregiver should send the collected stool specimen immediately to the laboratory af
d d d d d d d d d d d d
ter labeling the specimen properly to prevent contamination with microorganisms and keep thespec
d d d d d d d d d d d d
imen from getting cold.
d d d
D. Place the stool specimen collection container in a biohazard bag
d d d d d d d d d
RATIONALE:-
The caregiver should place the specimen collection container in a biohazard bag with the client la
d d d d d d d d d d d d d d d
bel on the container and the bag for easy identification. This will also prevent contaminationwith
d d d d d d d d d d d d d d d
microorganisms.
2. Ad caregiverd isd caringd ford ad clientd whod hasdad tracheostomydandd requiresdsuctioning.d Whichd ofd thef
ollowing actions should the caregiver take?
d d d d d
A. Hyper oxygenate the client before suctioning
d d d d d
RATIONALE:-
The caregiver should use a manual resuscitation bag to hyper oxygenate the client for severalmin
d d d d d d d d d d d d d d
utes prior to suctioning.
d d d
B. Insert the catheter during exhalation
d d d d
InnacurateThe caregiver should insert the catheter during inhalation
d d d d d d d
C. Apply suction during insertion of the catheter
d d d d d d
InnacurateApplying suction while inserting the catheter increases the risk of damage to thetrache d d d d d d d d d d d d
al mucosa and removes oxygen from the airways.
d d d d d d d
D. Apply suction for no more than 15 secs
d d d d d d d
InnacurateThe caregiver should apply suction for no more than 10 seconds
d d d d d d d d d d
3. Ad caregiverd isd providingd teachingd tod ad clientd regardingd proteind intake.d Whichd ofdthed following
foods should the caregiver include as an example of an incomplete protein?
d d d d d d d d d d d
A. Eggs
Innacuratethis is a complete protein, contains all of the essential amino acids necessary for the
d d d d d d d d d d d d d d
synthesis of protein in the body.
d d d d d
B. Soybeans
Innacuratethis is a complete protein, contains all of the essential amino acids necessary for thesy
d d d d d d d d d d d d d d
nthesis of protein in the body.
d d d d d
,C. Lentils
RATIONALE:-
Incomplete proteins are missing 1 or more of the essential amino acids necessary for the synthesis
d d d d d d d d d d d d d d d d
of protein in the body. Examples of incomplete proteins include lentils, vegetables,grains, nuts, and
d d d d d d d d d d d d d d
seeds.
D. Yogurt
Innacuratethis is a complete protein, contains all of the essential amino acids necessary for thesy
d d d d d d d d d d d d d d
nthesis of protein in the body.
d d d d d
4. Adcaregiverdisdcaringdfordadclientdwhodwasdadmitteddtodadlong-
term care facility for rehabilitationafter a total hip arthroplasty. At which of the following times sh
d d d d d d d d d d d d d d d
ould the caregiver begin discharge planning?
d d d d d
A. One week prior to the client‟s discharge
d d d d d d
InnacurateBeginning to plan for the client‟s discharge a week prior to the event might not allow suff d d d d d d d d d d d d d d d d
icient time for planning. The caregiver should begin discharge planning at the time of admission.
d d d d d d d d d d d d d d
dB. Upon the client‟s admission to the care facility
d d d d d d d d
RATIONALE:-
The caregiver should begin discharge planning at the time that the client is admitted to the facility.
d d d d d d d d d d d d d d d d
C. Once the discharge date is identified
d d d d d d
InnacurateBeginning to plan for the client‟s discharge once the discharge date is identified mightnot all d d d d d d d d d d d d d d
ow sufficient time for planning. The caregiver should begin discharge planning at the time of admission
d d d d d d d d d d d d d d d
.
D. When the client addresses the topic with the caregiver
d d d d d d d d d
InnacurateBeginning to plan for the client‟s discharge once the discharge date is identified mightnot all d d d d d d d d d d d d d d
ow sufficient time for planning. The caregiver should begin discharge planning at the time of admission
d d d d d d d d d d d d d d d
.
5. Adcaregiverd isd preparingd tod administerd ad cleansingd enemad tod adclient.d Whichd ofd thed followingact
ions should the caregiver plan to take?
d d d d d d
A. Insert the rectal tube 15.2 cm (6 in)d d d d d d d
InnacurateThe caregiver should insert the rectal tube 7 to 10 cm (3 to 4 in) d d d d d d d d d d d d d d
B. Wear sterile gloves to insert the tubing
d d d d d d
InnacurateThe caregiver should wear clean (nonsterile) gloves to prevent contamination.
d d d d d d d d d
C. Position the client on his left side d d d d d d
RATIONALE:-
Positioning is an important aspect of administering an enema. Having the client lie on his leftside facil
d d d d d d d d d d d d d d d d
itates the flow of the enema solution into the sigmoid and descending colon.
d d d d d d d d d d d d
D. Hold the solution bag 91 cm (36 inch) above the client‟s rectum
d d d d d d d d d d d
InnacurateThe caregiver should hold the solution bag 30 cm (12 in) above the client‟s rectum for alow
d d d d d d d d d d d d d d d d d
enema and 45 cm (18 in) for a high enema. If the caregiver holds the solution bag too high, thesolution
d d d d d d d d d d d d d d d d d d d
dmight run in too fast, causing discomfort and spasms that make retaining the enema more difficult.
d d d d d d d d d d d d d d d
5. Adcaregiverdisd caringd fordad clientd whodhasd bilateraldcatsd ond herdhands.d Whichd ofdthed followingact
ions should the caregiver take when assisting the client with feeding?
d d d d d d d d d d
A. Sit at the bedside when feeding the client
d d d d d d d
RATIONALE:-
,The caregiver should avoid appearing to be in a hurry. Sitting at the bedside provides the client withth
d d d d d d d d d d d d d d d d d
e caregiver‟s full attention during the feeding
d d d d d d
B. Order pureed foods d d
InnacurateWithout any mouth or throat injuries that make chewing or swallowing difficult, the cli d d d d d d d d d d d d d
ent should be served foods of an appropriate variety of textures. Pureed foods are for clients who ca
d d d d d d d d d d d d d d d d d
nnot chew, have difficultyswallowing, or do not have teeth.
d d d d d d d d d
C. Make sure feedings are provided at room temperature
d d d d d d d
InnacurateThe caregiver should ask the client if the food is the correct temperature
d d d d d d d d d d d d
D. Offer the client a drink of fluid after every bite
d d d d d d d d d
InnacurateIf the client is unable to communicate, the caregiver should offer the client fluids after every 3
d d d d d d d d d d d d d d d d d
or 4 mouthfuls. However, there is no indication that this client is unable to communicate.Therefore, the cl
d d d d d d d d d d d d d d d d
ient should tell the caregiver when she would like a drink.
d d d d d d d d d d
6. Ad caregiverd isd administeringd and IMdinjectiond tod ad 5-month-
old infant. Which of the followinginjection sites should the caregiver use?
d d d d d d d d d d
A. Deltoid
InnacurateThe caregiver can use the deltoid muscle for injecting small volumes of medication forchi
d d d d d d d d d d d d d
ldren 18 months of age or older, but its proximity to several nerves and arteries make it a riskier choic
d d d d d d d d d d d d d d d d d d d
e.
B. Ventrogluteal
InnacurateThis is a safe site for IM injections for clients older than 7 months.
d d d d d d d d d d d d d
C. Vastus lateralis d
RATIONALE:-
The caregiver should use the vastus lateralis site over the anterior thigh for IM injections for infantsand childr
d d d d d d d d d d d d d d d d d
en.
D. Dorsogluteal
InnacurateThis site is unsafe to use because of its proximity to the sciatic nerve and the superiorgluteal
d d d d d d d d d d d d d d d d d
nerve and artery. d d
7. Adcaregiverd isd caringd fordad clientdwhod hasd majordfecald incontinenced anddreportsd irritationd ind th
eperianal area. Which of the following actions should the caregiver take first?
d d d d d d d d d d d
A. Apply a fecal collection system d d d d
InnacurateThe caregiver should apply a fecal collection system to divert the feces away from thea
d d d d d d d d d d d d d d
rea of skin irritation; however, there is another action the caregiver should take first.
d d d d d d d d d d d d d
B. Apply a barrier cream d d d
InnacurateThe caregiver should apply a barrier cream to decrease skin breakdown in the perianal
d d d d d d d d d d d d d
area from the feces; however, there is another action the caregiver should take first.
d d d d d d d d d d d d d
C. Cleanse and dry the area d d d d
InnacurateThe caregiver should cleanse and dry the perianal area to decrease skin irritation;howe
d d d d d d d d d d d d
ver, there is another action the caregiver should take first.
d d d d d d d d d
D. Check the client‟s perineum d d d
RATIONALE:-The caregiver should apply the nursing process priority- d d d d d d d
setting framework to plan care and prioritize nursing actions. Each step of the nursing process builds on t
d d d d d d d d d d d d d d d d d
he previous step, beginningwith an assessment or data collection. Before the caregiver can formulate a pl
d d d d d d d d d d d d d d d
an of action, implementa nursing intervention, or notify a provider of a change in the client‟s status, the c
d d d d d d d d d d d d d d d d d d
aregiver must first collect adequate data from the client. Assessing or collecting additional data will prov
d d d d d d d d d d d d d d d
ide the caregiver with knowledge to make an appropriate decision. The priority nursing action is for the c
d d d d d d d d d d d d d d d d d
aregiver to collect more data by assessing the area of irritation.
d d d d d d d d d d
, 9. A caregiver is caring for a client who is receiving IV therapy via a peripheral catheter. The caregive
d d d d d d d d d d d d d d d d d
rshould identify that which of the following findings is an indication of infiltration?
d d d d d d d d d d d d
A. Redness at the infusion site d d d d
InnacurateRedness at the infusion site is an indication of phlebitis or infection. d d d d d d d d d d d
B. Edema at the infusion site d d d d
RATIONALE:-Edema due to fluid entering subcutaneous tissue is an indication of infiltration. d d d d d d d d d d d
C. Warmth at the infusion site d d d d
InnacurateWarmth at the infusion site is an indication of phlebitis or infection. d d d d d d d d d d d
D. Oozing of blood at the infusion site d d d d d d
InnacurateOozing of blood at the infusion site is an indication that the IV system is not intact.d d d d d d d d d d d d d d d d
10. A caregiver is caring for a client who reports not sleeping at night, which interferes with her ability t
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o function during the day. Which of the following interventions should the caregiver suggestto this client
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?
A. Avoid beverages that contain caffeine d d d d
RATIONALE:-
Caffeine is a stimulant. The caregiver should suggest that the client avoid caffeinated beverages.
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B. Take a sleep medication regularly at bedtime
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InnacurateSleep-
promoting medication is a last resort. The caregiver should not suggest this type ofmedication for the
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client before recommending other nonpharmacological interventions.
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C. Watch television for 30 minutes in bed to relax prior to falling asleep
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InnacurateClients should associate going to bed with sleep. Therefore, the client should not getinto bed
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duntil she is sleepy. d d d
D. Advise the client to take several naps during the day
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InnacurateNapping in the daytime can prevent sound sleep at night d d d d d d d d d
11. A caregiver is conducting an admission interview with a client. Which of the following pieces ofasse
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ssment information should the caregiver collect during the introductory phase of the interview?
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dA. Clients level of comfort and ability to participate in the interview
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RATIONALE:-
The caregiver should assess the client‟s level of comfort and establish a rapport during the introductor
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y or orientation phase. The caregiver should engage in active listening and present a relaxed attitude to
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place the client at ease and encourage client participation. This will assist thecaregiver in gaining the ne
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cessary data to formulate appropriate nursing diagnoses and outcomes.
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B. Previous illnesses and surgeries d d d
InnacurateThe caregiver should assess the client‟s health history, including previous illnesses andsurge
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ries, during the working phase of the interview.
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C. Events surrounding the client‟s recent illness
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InnacurateThe caregiver should assess the client‟s health history, including events surrounding therece
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nt or current illness, during the working phase of the interview.
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D. Sociocultural history d
InnacurateThe caregiver should assess the client‟s sociocultural history during the working phase ofthe interv
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iew.
12. A caregiver is performing an abdominal assessment of a client. Which of the following positionssho
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uld the caregiver tell the client to assume for this examination?
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