ATI Fundamentals -
Practice A
A nurse is evaluating a client's use of a cane. Which of the following actions
should the nurse identify as an indication of correct use? - CORRECT ANSWER The client holds the cane on the stronger side of her body.
A nurse receives report about a client who has 0.9% sodium chloride infusing IV at 125 mL/hr. When the nurse performs the initial assessment, he notes that the client has received only 80 mL over the last 2 hr. Which of
the following actions should the nurse take first? - CORRECT ANSWER Check the IV tubing for obstruction.
A nurse is caring for a client who requires an NG tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube? - CORRECT ANSWER Have the client take sips of water to promote insertion of the NG tube into the esophagus. A nurse is reviewing a client's fluid and electrolyte status. Which of the following findings should the nurse report to the provider? - CORRECT ANSWER Potassium 5.4 mEq/L
A nurse is providing discharge instructions to a client who will be using a walker. Which of the following statements indicates an understanding of the
teaching? - CORRECT ANSWER "I will hire someone to trim the tree that hangs low over the stairs of my front porch."
A nurse is planning care for a client who has had a stroke, resulting in aphasia and dysphagia. Which of the following tasks should the nurse assign to an assistive personnel (AP)? (Select all that apply.) - CORRECT ANSWER assist the client with a partial bed bath, measure the client's BP after the nurse administers an antihypertensive medication, use a communication board to ask what the client wants for lunch
A nurse is caring for a client who is expressing anger about the diagnosis of colorectal cancer. Which of the following actions should the nurse take? - CORRECT ANSWER Reassure the client that this is an expected response to grief.
Practice A
A nurse is evaluating a client's use of a cane. Which of the following actions
should the nurse identify as an indication of correct use? - CORRECT ANSWER The client holds the cane on the stronger side of her body.
A nurse receives report about a client who has 0.9% sodium chloride infusing IV at 125 mL/hr. When the nurse performs the initial assessment, he notes that the client has received only 80 mL over the last 2 hr. Which of
the following actions should the nurse take first? - CORRECT ANSWER Check the IV tubing for obstruction.
A nurse is caring for a client who requires an NG tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube? - CORRECT ANSWER Have the client take sips of water to promote insertion of the NG tube into the esophagus. A nurse is reviewing a client's fluid and electrolyte status. Which of the following findings should the nurse report to the provider? - CORRECT ANSWER Potassium 5.4 mEq/L
A nurse is providing discharge instructions to a client who will be using a walker. Which of the following statements indicates an understanding of the
teaching? - CORRECT ANSWER "I will hire someone to trim the tree that hangs low over the stairs of my front porch."
A nurse is planning care for a client who has had a stroke, resulting in aphasia and dysphagia. Which of the following tasks should the nurse assign to an assistive personnel (AP)? (Select all that apply.) - CORRECT ANSWER assist the client with a partial bed bath, measure the client's BP after the nurse administers an antihypertensive medication, use a communication board to ask what the client wants for lunch
A nurse is caring for a client who is expressing anger about the diagnosis of colorectal cancer. Which of the following actions should the nurse take? - CORRECT ANSWER Reassure the client that this is an expected response to grief.
