ATI fundamentals practice test B
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 - CORRECT
ANSWER-have family members wear a gown and gloves when visiting
a charge nurse is observing a newly licensed nurse prepare a sterile field for a
dressing change. which of the following actions by the newly licensed nurse requires
intervention by the charge nurse? - CORRECT ANSWER-the newly licensed nurse
places the cap of a bottle of sterile saline solution on the sterile field
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? -
CORRECT ANSWER-evacuate the client
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? - CORRECT ANSWER-a client who smokes one pack of cigarettes
each day
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? - CORRECT ANSWER-the
caregiver insists on remaining in the room
a middle adult client tells the nurse, "i feel so useless now that my children do not
need me anymore." which of the following responses should the nurse make? -
CORRECT ANSWER-people in middle adulthood often find satisfaction in nurturing
and guiding young people
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? - CORRECT ANSWER-client found lying on floor
a nurse has accepted a verbal prescription "for three tenths of a milligram of
levothyroxine IV stat" for a client who has a myxedema coma. How should the nurse
, transcribe the dosage of this medication in the client's medical record? - CORRECT
ANSWER-0.3 mg
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? - CORRECT
ANSWER-an x-ray shows the end of the tube above the pylorus
a nurse in a clinic is caring for a middle adult client who states, "the doctor says that,
since i am at an average risk for colon cancer, i should have a routine screening.
what does this involve?" which of the following responses should the nurse make? -
CORRECT ANSWER-you should have a fecal occult blood test every year
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? - CORRECT ANSWER-wrap monitoring cords
with stockinette and tape them in place
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? - CORRECT ANSWER-current medications
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? -
CORRECT ANSWER-auscultate lung sounds
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? -
CORRECT ANSWER-wrap blankets around all four sides of the bed
a nurse is admitting a client who has rubella. which of the following types of
transmission-based precautions should the nurse initiate? - CORRECT
ANSWER-droplet
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? - CORRECT ANSWER-distended neck veins
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? - CORRECT
ANSWER-erythema on pressure points
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? - CORRECT ANSWER-8 oz of ice chips
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 - CORRECT
ANSWER-have family members wear a gown and gloves when visiting
a charge nurse is observing a newly licensed nurse prepare a sterile field for a
dressing change. which of the following actions by the newly licensed nurse requires
intervention by the charge nurse? - CORRECT ANSWER-the newly licensed nurse
places the cap of a bottle of sterile saline solution on the sterile field
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? -
CORRECT ANSWER-evacuate the client
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? - CORRECT ANSWER-a client who smokes one pack of cigarettes
each day
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? - CORRECT ANSWER-the
caregiver insists on remaining in the room
a middle adult client tells the nurse, "i feel so useless now that my children do not
need me anymore." which of the following responses should the nurse make? -
CORRECT ANSWER-people in middle adulthood often find satisfaction in nurturing
and guiding young people
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? - CORRECT ANSWER-client found lying on floor
a nurse has accepted a verbal prescription "for three tenths of a milligram of
levothyroxine IV stat" for a client who has a myxedema coma. How should the nurse
, transcribe the dosage of this medication in the client's medical record? - CORRECT
ANSWER-0.3 mg
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? - CORRECT
ANSWER-an x-ray shows the end of the tube above the pylorus
a nurse in a clinic is caring for a middle adult client who states, "the doctor says that,
since i am at an average risk for colon cancer, i should have a routine screening.
what does this involve?" which of the following responses should the nurse make? -
CORRECT ANSWER-you should have a fecal occult blood test every year
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? - CORRECT ANSWER-wrap monitoring cords
with stockinette and tape them in place
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? - CORRECT ANSWER-current medications
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? -
CORRECT ANSWER-auscultate lung sounds
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? -
CORRECT ANSWER-wrap blankets around all four sides of the bed
a nurse is admitting a client who has rubella. which of the following types of
transmission-based precautions should the nurse initiate? - CORRECT
ANSWER-droplet
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? - CORRECT ANSWER-distended neck veins
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? - CORRECT
ANSWER-erythema on pressure points
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? - CORRECT ANSWER-8 oz of ice chips
