ATI FUNDAMENTALS PRACTICE A, B, & FINAL, ATI FUNDAMENTALS REVIEW WITH COMPLETE SOLUTIONS

ATI FUNDAMENTALS PRACTICE A, B, & FINAL, ATI FUNDAMENTALS REVIEW WITH COMPLETE SOLUTIONS A nurse is caring for a client who is receiving IV therapy via a peripheral catheter. The nurse should identify that which of the following findings is an indication of infiltration? - Answer Edema at the infusion site A nurse is providing discharge teaching to a client who is recovering from lung cancer. The provider instructed the client that he could resume lower-intensity activities of daily living. Which of the following activities should the nurse recommend to the client? - Answer Washing dishes A nurse is caring for a client who has acute renal failure. Which of the following assessments provides the most accurate measure of the client's fluid status? - Answer Daily weight A nurse is planning to assess the abdomen of a client who reports feeling bloated for several weeks. Which of the following methods of assessment should the nurse use first? - Answer Inspection A nurse is explaining the use of written consent forms to a newly-licensed nurse. The nurse should ensure that a written consent form has been signed by which of the following clients? - Answer A client who has a prescription for a transfusion of packed red blood cells A nurse in a long-term care facility is admitting a client who is incontinent and smells strongly of urine. His partner, who has been caring for him at home, is embarrassed and apologizes for the smell. Which of the following responses should the nurse make? - Answer "It must be difficult to care for someone who is confined to bed." A nurse in a provider's office is assessing a client who has heart failure. The client has gained weight since her last visit and her ankles are edematous. Which of the following findings by the nurse is another clinical manifestation of fluid volume excess? - Answer Bounding pulse A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following actions should the nurse take first after discovering that the client's wound has eviscerated? - Answer Cover the incision with a moist sterile dressing. A nurse is teaching a client who has lower extremity weakness how to use a four-point crutch gait. Which of the following instructions should the nurse include in the teaching? - Answer "Bear weight on both of your legs." A nurse in a provider's office is collecting information from an older adult client who reports that he has been taking acetaminophen 500 mg/day for severe joint pain. The nurse should instruct the client that large doses of acetaminophen could cause which of the following adverse effects? - Answer Liver Damage A nurse is planning to document care provided for a client. Which of the following abbreviations should the nurse use? - Answer PC for after meals A nurse is responding to a parent's question about his infant's expected physical development during the first year of life. Which of the following information should the nurse include? - Answer A 10-month-old infant can pull up to a standing position. An assistive personnel (AP) is assisting a nurse with the care of a female client who has an indwelling urinary catheter. Which of the following actions by the AP indicates a need for further teaching? - Answer The AP hangs the collection bag at the level of the bladder. A nurse is reviewing a client's medication prescription, which reads, "digoxin 0.25 by mouth every day." Which of the following components of the prescription should the nurse question? - Answer The dose A client who reports shortness of breath requests her nurse's help in changing positions. After repositioning the client, which of the following actions should the nurse take next? - Answer Observe the rate, depth, and character of the client's respirations. A nurse is caring for a client who, while sitting in a chair, starts to experience a seizure. Which of the following actions should the nurse take? - Answer Lower the client to the floor and place a pad under the client's head. A home health nurse is planning to provide health promotion activities for a group of clients in the community. Which of the following activities is an example of the nurse promoting primary prevention? - Answer Educating clients about the recommended immunization schedule for adults A nurse is using the I-SBAR communication tool to provide the client's provider with information about the client. The nurse should convey the client's pain status in which portion of the report? - Answer Assessment A newly licensed nurse is preparing to administer medications to a client. The nurse notes that the provider has prescribed a medication that is unfamiliar to her. Which of the following actions should the nurse take? - Answer Consult the medication reference book available on the unit. A nurse is providing oral care for a client who is unconscious. Which of the following actions should the nurse take? - Answer Place the client in a lateral position with the head turned to the side before beginning the procedure. A nurse is planning to perform passive range-of-motion exercises for a client. Which of the following actions should the nurse take? - Answer Repeat each joint motion five times during each session. A nurse is teaching a client who is postoperative how to use a flow-oriented incentive spirometer. Which of the following instructions should the nurse include? - Answer Cough deeply after each use. A nurse is teaching a client how to self-administer insulin. Which of the following actions should the nurse take to evaluate the client's understanding of the process within the pyschomotor domain of learning? - Answer Have the client demonstrates the procedure. A nurse is providing teaching about food choices to a client who has a prescription for a clear liquid diet. Which of the following selections by the client indicates an understanding of the teaching? - Answer Gelatin A nurse is performing a neurological assessment for a client. Which of the following examinations should the nurse use to check the client's balance? - Answer Romberg test A nurse in a provider's office is reviewing the laboratory findings of a client who reports chills and aching joints. The nurse should identify which of the following findings as an indication that the client has an infection? - Answer WBC 15,000 mm3 A nurse is preparing to administer an intramuscular injection to a young adult client. Which of the following injection sites is the safest for this client? - Answer Ventrogluteal A nurse is applying an ice bag to the ankle of a client following a sports injury. Which of the following actions should the nurse take? - Answer Fill the bag two-thirds full with ice. A nurse is caring for a client who is 48 hr postoperative following a small bowel resection. The client reports gas pains in the periumbilical area. The nurse should plan care based on which of the following factors contributing to this postoperative complication? - Answer Impaired peristalsis of the intestines A client is being discharged home with oxygen therapy via a nasal cannula. Which of the following instructions should the nurse provide to the client and family? - Answer Wear cotton clothing to avoid static electricity. A nurse is planning to insert a nasogastric tube for a client after explaining the procedure. The client states, "You are not putting that hose down my throat." Which of the following statements should the nurse make? - Answer "I can see that this is upsetting you." A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should the nurse plan to take? - Answer Position the client on his left side. A nurse on a surgical unit is receiving a client who had abdominal surgery from the postanesthesia care unit. Which of the following assessments should the nurse make first? - Answer Airway A nurse is caring for a client who has a prescription for a vest restraint. Which of the following actions should the nurse take? - Answer Tie the restraint with a quick-release knot. A nurse is cqaring for a client who has a fecal impaction. Before digital removal of the mass, which of the following types of enemas should the nurse plan to administer to soften the feces? - Answer Oil retention A nurse is providing education about cultural and religious traditions and rituals related to death for the assistive personnel on the unit. Which of the following information should the nurse include? - Answer People whopractice Judaism stay with the body of the deceased until burial. A nurse is reviewing the correct use of a fire extinguisher with a client. Which of the following actions should the nurse direct the client to take first? - Answer A nurse is preparing to provide chest physiotherapy for a client who has left lower lobe atelectasis. Which of the following actions should the nurse plan to take? - Answer Place the client in Trendelenburg's position. A nurse is planning care for a client who is postoperative and has a history of poor nutritional intake. Which of the following actions should the nurse include in the plan of care to promote wound healing? - Answer Provide a protein intake of 1.5 g/kg of body weight per day. A nurse is caring for a client who has a terminal illness. Which of the following findings indicates that the client's death is imminent? - Answer Cold extremities