ATI fundamentals practice test B Questions with complete solutions

ATI fundamentals practice test B Questions with complete solutions A nurse on a medical unit is preparing to discharge a client to home. Which of the following actions should the nurse take as part of the medication reconciliation process? compare prescriptions with medications the client received while are the facility a nurse is reviewing a client's medication prescription that reads, "digoxin 0.25 by mouth every day." which of the following components of the prescription should the nurse verify with the provider? medication dose a nurse is teaching a group of nurses about the use of essential oils for aromatherapy. the nurse should include in the teaching that this therapy might be contraindicated for which of the following clients? a client who has asthma a nurse is admitting a client who has rubella. which of the following types of transmission-based precautions should the nurse initiate? droplet a nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. which of the following actions should the nurse take? gently shake the container of medication prior to administration a nurse is performing a peripheral vascular assessment for a client. when placing the bell of the stethoscope on the client's neck, the nurse hears the following sound. the sound indicates which of the following? narrowed arterial lumen a nurse is caring for a client who is refusing a blood transfusion for religious reasons. the client's partner wants the client to have the blood transfusion. which of the following actions should the nurse take? withhold the blood transfusion a nurse in an acute care facility is preparing a discharge summary for a client who is transferring to a long-term care facility. which of the following documentation should the nurse include? current medications a nurse is assessing an adult client who has been immobile for the past 3 weeks. for which of the following findings should the nurse intervene? erythema on pressure points a nurse is planning on teaching for a group of adolescents who each recently had surgical placement of an ostomy. which of the following methods should the nurse use as a pyschomotor approach to learning? practice sessions a nurse is caring for a client who reports pain. when documenting the quality of the client's pain on an initial pain assessment, the nurse should record which of the following client statements? the pain is like a dull ache in my stomach a nurse is reviewing practice guidelines with a group of newly licensed nurses. which of the following interventions should the nurse include that is within the RN scope of practice? initiate an enteral feeding through a gastrostomy tube A client who is nonambulatory notifies the nurse that his trash can is on fire. After the nurse confirms the fire, which of the following actions should the nurse take next? evacuate the client a nurse is discussing the use of herbal supplements for health promotion with a client. which of the following client statements indicates an understanding of herbal supplement use? i can take echinacea to improve my immune system a nurse enters a client's room and finds her on the floor. the client's roommate reports that the client was trying to get out of bed and fell over the side rail onto the floor. which of the following statements should the nurse document about this incident? client found lying on floor a nurse is performing a Romberg test during the physical assessment of a client. which of the following techniques should the nurse use? have the client stand with their arms at their sides and their feet together a nurse is teaching a client whose left leg is in a cast about using crutches. which of the following statements should the nurse identify as an indication that the client understands the teaching? when descending the stairs, i will first shift my weight to my right leg a nurse is preparing to administer multiple medications to a client who has an enteral feeding tube. which of the following actions should the nurse plan to take? flush the tube with 15 mL of sterile water a community health nurse is checking blood pressures for a group of clients at a community health screening. which of the following clients is at an increased risk for hypertension? a client who smokes one pack of cigarettes each day a nurse is planning care for a client who has vision loss. which of the following interventions should the nurse include in the plan of care to assist the client with feeding? arrange food in a consistent pattern on the client's plate a nurse is planning an educational program for a group of older adults at a senior living center. which of the following recommendations should the nurse include? you should receive a pneumococcal immunization every 10 years a nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. which of the following findings should the nurse expect? rapid heart rate a nurse is administering IV fluids to a client. when monitoring for adverse effects, which of the following assessments should the nurse identify as the priority? auscultate lung sounds a nurse is caring for a client who has decreased mobility. which of the following actions should the nurse take to decrease the client's risk of developing plantar flexion contractures? apply an ankle-foot orthotic device to the client's feet a nurse is planning care for a client who has tuberculosis. the nurse should use which of the following pieces of PPE when providing care for the client? N95 respirator a nurse in a surgical suite notes documentation on a client's medical record that he has a latex allergy. in preparation for the client's procedure, which of the following precautions should the nurse take? wrap monitoring cords with stockinette and tape them in place a nurse is assessing a client who received an IV fluid bolus for dehydration. which of the following findings should the nurse identify as an indication of fluid volume excess? distended neck veins a nurse is caring for a client who has limited mobility in his lower extremities. which of the following actions should the nurse take to prevent skin breakdown? have the client use a trapeze bar when changing position a nurse is caring for a client who is receiving pain medication through a patient-controlled analgesia pump. which of the following actions should the nurse take? instruct the family to refrain from pushing the button for the client while she is asleep a nurse has just inserted an NG tube for a client. which of the following findings should the nurse expect to confirm correct tube placement? an x-ray shows the end of the tube above the pylorus a home health nurse is completing an admission assessment of an older adult client who has their caregiver present. which of the following findings should the nurse identify as a potential indication of elder abuse? the caregiver insists on remaining in the room a nurse is preparing to transfer a client who can bear weight on lone leg from the bed to a chair. after securing a safe environment, which of the following actions should the nurse take next? assess the client for orthostatic hypotension a nurse is admitting a client who has been having frequent tonic-clonic seizures. which of the following actions should the nurse add to the client's plan of care? wrap blankets around all four sides of the bed a nurse is providing discharge teaching for a client who has a new prescription for a home oxygen concentrator. which of the following instructions should the nurse provide to the client and his family? 1) check the cord routinely for frays or tearing 2) consider purchasing a generator for power backup 3) observe for signs of hypoxia a nurse is caring for a client who has an NG tube and is receiving intermittent feedings through an open system. which of the following actions should the nurse take first? tell the client to keep the head of the bed elevated at least 30 degrees a nurse is caring for a client who has a terminal diagnosis and whose health is declining. the client request information about advance directives. which of the following responses should the nurse make? we can talk about advance directives, and i can also give you some brochures about them A nurse is calculating a client's fluid intake over the past 8 hr. Which of the following should the nurse plan to document on the client's intake and output record as 120 mL of fluid? 8 oz of ice chips a nurse is preparing to obtain a lower extremity blood pressure from a client and no longer palpates the popliteal pulse after 92 mm Hg. which of the following images displays the measurement in mm Hg to which the nurse should inflate the cuff when obtaining blood pressure? the one close to 120 mm Hg a nurse is caring for a client who has a prescription for wound irrigation. which of the following actions should the nurse take? cleanse the wound from the center outward A charge nurse is discussing the responsibility of nurses carig for clients who have C. difficile. Which of the following information should the nurse include in the teaching? a) Assign the client to a room with a negative air-flow system b) Use alcohol-based hand sanitizer when leaving the clients room c) clean contaminated surfaces in the clients room with a phenol solution d) have family members wear a gown and gloves when visiting have family members wear a gown and gloves when visiting a nurse is caring for a client who requires a 24 hr urine collection. which of the following statements by the client indicates an understanding of the teaching? i flushed what i urinated at 7 am and have saved all urine since a nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to mix together and administer subcutaneously. determine the correct order of steps for this procedure 1) inject 10 units of air into the bottle of NPH insulin 2) inject 5 units of air into the bottle of regular insulin 3) withdraw the correct dose of regular insulin from the bottle 4) withdraw the correct dose of NPH insulin from the bottle