ATI Fundamental
1. Identify the client using two identifiers.: A nurse is caring for a client
who requires a chest x-ray. Prior to the client being transported for the
procedure, which of the following actions should the nurse take first?
2. Lock the wheels on the bed and stretcher.: A nurse is receiving a client
from the PACU who is postoperative following abdominal surgery. Which
of the following actions should the nurse take to transfer the client from
the stretcher to the bed?
3. Temporal: A nurse is planning to obtain the vital signs of a 2-year-old
child who is experiencing diarrhea and who might have a right ear
infection. Which of the following routes should the nurse use to obtain
the temperature?
4. Temperature: A nurse is planning care for a client who reports
abdominal pain. An assessment by the nurse reveals the client has a
temperature of 39.2° C (102.6° F), heart rate of 105/min, a soft
nontender abdomen, and menses overdue by 2 days. Which of the
following findings should be the nurse's priority?
5. The nurse washes with her hands held higher than her elbows.: A
nurse on a medical-surgical unit is washing her hands prior to
assisting with a surgical
procedure. Which of the following actions by the nurse demonstrates
proper surgical hand-washing technique?
6. Absent bowel sounds with distention: A nurse is caring for a client who
is postoperative and has paralytic ileus. Which of the following
abdominal assessments should the nurse expect?
7. Raise the level of the bed.: A nurse is preparing to perform mouth
care for an unresponsive client. Which of the following actions should
the nurse plan to take?
8. inspec
t
auscultate
percussion
palpate: AB Assessment
9. Inspect, Palpate, Percuss, Auscultate: Normal Assessment
10."I should expect my heart rate to take longer to return to normal after
exercise as I get older.": A nurse is teaching a group of older adults about
expected changes of aging. Which of the following statements by a
group member indicates that the teaching has been effective?
11.The signature on the preoperative consent form is the client's.: A nurse
1/
, ATI Fundamental
is witnessing a client sign an informed consent form for surgery. Which
of the following describes what the nurse is affirming by this action?
12.Place the bladder of the cuff over the posterior aspect of the thigh.:
The signature on the preoperative consent form is the client's.
13.Encourage the client to express his thoughts about death and dying.:
A nurse is caring for a client who has a terminal illness. The client
asks several
2/
1. Identify the client using two identifiers.: A nurse is caring for a client
who requires a chest x-ray. Prior to the client being transported for the
procedure, which of the following actions should the nurse take first?
2. Lock the wheels on the bed and stretcher.: A nurse is receiving a client
from the PACU who is postoperative following abdominal surgery. Which
of the following actions should the nurse take to transfer the client from
the stretcher to the bed?
3. Temporal: A nurse is planning to obtain the vital signs of a 2-year-old
child who is experiencing diarrhea and who might have a right ear
infection. Which of the following routes should the nurse use to obtain
the temperature?
4. Temperature: A nurse is planning care for a client who reports
abdominal pain. An assessment by the nurse reveals the client has a
temperature of 39.2° C (102.6° F), heart rate of 105/min, a soft
nontender abdomen, and menses overdue by 2 days. Which of the
following findings should be the nurse's priority?
5. The nurse washes with her hands held higher than her elbows.: A
nurse on a medical-surgical unit is washing her hands prior to
assisting with a surgical
procedure. Which of the following actions by the nurse demonstrates
proper surgical hand-washing technique?
6. Absent bowel sounds with distention: A nurse is caring for a client who
is postoperative and has paralytic ileus. Which of the following
abdominal assessments should the nurse expect?
7. Raise the level of the bed.: A nurse is preparing to perform mouth
care for an unresponsive client. Which of the following actions should
the nurse plan to take?
8. inspec
t
auscultate
percussion
palpate: AB Assessment
9. Inspect, Palpate, Percuss, Auscultate: Normal Assessment
10."I should expect my heart rate to take longer to return to normal after
exercise as I get older.": A nurse is teaching a group of older adults about
expected changes of aging. Which of the following statements by a
group member indicates that the teaching has been effective?
11.The signature on the preoperative consent form is the client's.: A nurse
1/
, ATI Fundamental
is witnessing a client sign an informed consent form for surgery. Which
of the following describes what the nurse is affirming by this action?
12.Place the bladder of the cuff over the posterior aspect of the thigh.:
The signature on the preoperative consent form is the client's.
13.Encourage the client to express his thoughts about death and dying.:
A nurse is caring for a client who has a terminal illness. The client
asks several
2/