ATI Fundamentals Exam Questions and Answers

ATI Fundamentals Exam Questions and Answers A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1 mL of the medication from a 2 mL vial. Which of the following actions should the nurse take? A. Ask another nurse to observe the medication wastage. B. Notify the pharmacy when wasting the medication C. Lock the remaining medication in the controlled substances cabinet. D. Dispose of the vial with the remaining medication in a sharps container. -Answer-A. Ask another nurse to observe the medication wastage. A nurse is preparing to administer 0.9=% NaCl 750 mL IV to infuse over 7 hrs. The nurse should set the infusion pump to deliver how many mL/hr? Round the answer to the nearest whole number. -Answer-107 mL/hr A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client asks, "What would happen if I arrived at the emergency department and I had difficulty breathing?" Which of the following responses should the nurse make? A. "We would consult the person appointed by your health care proxy to make decisions." B. "We would give you oxygen through a tube in your nose." C. You would be unable to change your previous wishes about your care." D. We would insert a breathing tube while we evaluate your condition." -Answer-B. "We would give you oxygen through a tube in your nose." A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse's priority? A. Request that a respiratory therapist discuss the technique for incentive spirometry with the client. B. Determine the reasons why the client is refusing to use the incentive spirometer. C. Document the client's refusal to participate in health restorative activities. D. Administer a pain medication to the client. -Answer-B. Determine the reasons why the client is refusing to use the incentive spirometer. A nurse is on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take? A. Pad the client's wrist before applying the restraints. B. Evaluate the client's circulation every 8 hr after application. C. Remove the restraints every 4 hr to evaluate the client's status. D. Secure the restraint ties to the bed's side rails. -Answer-A. Pad the client's wrist before applying the restraints. A nurse is talking with an older adult client who is contemplating retirement. The client states, "I keep thinking about how much I enjoy my job. I'm not sure I want to retire." Which of the following responses should the nurse make? A. "You would have so much more time to spend with your family." B. "You should consider a part-time job or doing volunteer work." C. "Let's talk about how the change in your job status will affect you." D. Why wouldn't you want to retire and relax?" -Answer-C. "Let's talk about how the change in your job status will affect you." A nurse is caring for a client who has pharyngeal diphtheria. Which of the following types of transmission precautions should the nurse initiate? A. Contact B. Droplet C. Airborne D. Protective -Answer-B. Droplet A nurse is caring for a group of clients. Which of the following actions should the nurse take to prevent the spread of infection? A. Carry a client's soiled linens out of the room in a mesh linen bag. B. Place a client who has tuberculosis in a room with negative-pressure airflow C. Provide disposable plates and utensils for a client who is HIV-positive. D. Dispose of a client's blood-saturated dressing in a trash bag inside a second trash bag. -Answer-B. Place a client who has tuberculosis in a room with negative-pressure airflow A nurse is assessing an older adult client's risk for falls. Which of the following assessments should the nurse use to identify the client's safety needs? (Select all that apply). Lacrimal apparatus Pupil clarity Appearance of bulbar conjunctivae Visual fields Visual acuity -Answer-Pupil clarity Visual fields Visual acuity A nurse in a long-term care facility is caring for a client who dies during the nurse's shift. Identify the sequence in which the nurse should perform the following steps. -Answer- Obtain the pronouncement of death from the provider. Remove tubes and indwelling lines. Wash the client's body. Ask the client's family members if they would like to view the body. Place a name tag on the body. A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0-10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching she received about pain management? A. "I think I should take pain medication more often, since it is not controlling my pain." B. Breathing faster will help me keep my mind off of the pain." C. "It might help me to listen to music while I'm laying in bed." D. I don't want to walk today because I have some pain. " -Answer-C. "It might help me to listen to music while I'm laying in bed." A nurse is teaching a client and his family how to care for the client's tracheostomy at home. Which of the following instructions should the nurse include in the teaching? A. Remove the outer cannula cautiously for routine cleaning. B. Use tracheostomy covers when outdoors. C. Use sterile technique when performing tracheostomy care at home. D. Cleanse irritated skin with full-strength hydrogen peroxide. -Answer-B. Use tracheostomy covers when outdoors. A nurse is admitting a client who is having an exacerbation of heart failure. In planning this client's care, when should the nurse initiate discharge planning? A. During the admission process B. As soo as the client's condition is stable. C. During the initial team conference D. After consulting with the client's family. -Answer-A. During the admission process A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client's pain?