ATI Fundamental Proctored Exam|
Fundamentals Proctored Exam| Graded
A+| Latest 2023/2024
81Q/A
A nurse is replacing the surgical dressings on a client who had abdominal surgery. Which of the following actions should the nurse take? - CORRECT ANSWER Don clean gloves to remove the old dressing
A nurse is caring for a client who had a mastectomy and has a self-
suctioning drainage evacuator in place. Which of the following actions should the nurse take to ensure proper operation of the device? - CORRECT ANSWER Collapse the device of air after emptying
A nurse is collecting a urine specimen for culture and sensitivity for a client who has a urinary tract infection. The client has an indwelling urinary catheter in place. Which of the following actions should the nurse take? - CORRECT ANSWER Clamp the tubing below the collection port
A nurse is providing teaching to a group of unit nurses about wound healing
by secondary intention. Which of the following information should the nurse include in the teaching? - CORRECT ANSWER Granulation tissue fills the wound during healing
A nurse is providing teaching to a client who has a new colostomy about proper care. Which of the following information should the nurse include in the teaching? - CORRECT ANSWER Cleanse the skin around the stoma with warm water
A nurse is helping a client change his hospital gown. The client has an IV infusion on an infusion pump. Which of the following actions should the nurse take first? - CORRECT ANSWER Remove the sleeve of the gown from the arm without the IV line
A nurse is changing the dressings for a client who has two Penrose drains near an abdominal incision. Which of the following adhering devices is the best choice for the nurse to use to decrease skin irritation? - CORRECT ANSWER Montgomery straps
A nurse is preparing to administer an intramuscular injection to a client who
is overweight. Which of the following sites should the nurse select for the injection? - CORRECT ANSWER The side hip between the iliac crest and anterior iliac spine A nurse is caring for a client who has an NG tube for intermittent enteral feedings. Which of the following actions should the nurse take? - CORRECT ANSWER Elevate the clients head of the bed 45 degrees before the feeding
A nurse is changing the dressings for a client recovering from an appendectomy following a ruptured appendix. The client's surgical wound is
healing by secondary intention. Which of the following observations should the nurse report to the provider? - CORRECT ANSWER A halo of erythema on the surrounding skin
A nurse is performing eye irrigation for a client who was exposed to smoke and ash. Which of the following actions should the nurse take? - CORRECT ANSWER Exert pressure on the bony prominences when holding the eyelids open
A nurse is assessing a client who has an onset of severe back pain of unknown origin. Which of the following questions should the nurse ask to encourage discussions with the client? - CORRECT ANSWER "What do you think caused the onset of your pain?"
Fundamentals Proctored Exam| Graded
A+| Latest 2023/2024
81Q/A
A nurse is replacing the surgical dressings on a client who had abdominal surgery. Which of the following actions should the nurse take? - CORRECT ANSWER Don clean gloves to remove the old dressing
A nurse is caring for a client who had a mastectomy and has a self-
suctioning drainage evacuator in place. Which of the following actions should the nurse take to ensure proper operation of the device? - CORRECT ANSWER Collapse the device of air after emptying
A nurse is collecting a urine specimen for culture and sensitivity for a client who has a urinary tract infection. The client has an indwelling urinary catheter in place. Which of the following actions should the nurse take? - CORRECT ANSWER Clamp the tubing below the collection port
A nurse is providing teaching to a group of unit nurses about wound healing
by secondary intention. Which of the following information should the nurse include in the teaching? - CORRECT ANSWER Granulation tissue fills the wound during healing
A nurse is providing teaching to a client who has a new colostomy about proper care. Which of the following information should the nurse include in the teaching? - CORRECT ANSWER Cleanse the skin around the stoma with warm water
A nurse is helping a client change his hospital gown. The client has an IV infusion on an infusion pump. Which of the following actions should the nurse take first? - CORRECT ANSWER Remove the sleeve of the gown from the arm without the IV line
A nurse is changing the dressings for a client who has two Penrose drains near an abdominal incision. Which of the following adhering devices is the best choice for the nurse to use to decrease skin irritation? - CORRECT ANSWER Montgomery straps
A nurse is preparing to administer an intramuscular injection to a client who
is overweight. Which of the following sites should the nurse select for the injection? - CORRECT ANSWER The side hip between the iliac crest and anterior iliac spine A nurse is caring for a client who has an NG tube for intermittent enteral feedings. Which of the following actions should the nurse take? - CORRECT ANSWER Elevate the clients head of the bed 45 degrees before the feeding
A nurse is changing the dressings for a client recovering from an appendectomy following a ruptured appendix. The client's surgical wound is
healing by secondary intention. Which of the following observations should the nurse report to the provider? - CORRECT ANSWER A halo of erythema on the surrounding skin
A nurse is performing eye irrigation for a client who was exposed to smoke and ash. Which of the following actions should the nurse take? - CORRECT ANSWER Exert pressure on the bony prominences when holding the eyelids open
A nurse is assessing a client who has an onset of severe back pain of unknown origin. Which of the following questions should the nurse ask to encourage discussions with the client? - CORRECT ANSWER "What do you think caused the onset of your pain?"
