FUNDAMENTALS: ATI PRACTICE TEST
A QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
a nurse is evaluating a client's use of a cane
-which of the following actions should the nurse identify as an indication of correct use? - ANSWER -the
client holds the cane on the stronger side of her body
the nurse receives report about a client who has 0.9% sodium chloride infusing IV at 125 mL/hr. when
the nurse performs the initial assessment, he notes that the client has received only 80 mL over the last
2 hours
-which of the following actions should the nurse take first? - ANSWER -check the IV tubing for
obstruction
a nurse is caring for a client who requires an NG tube for stomach decompression
-which of the following actions should the nurse take when inserting the NG tube? - ANSWER -have the
client take sips of water to promote insertion of the NG tube into the esophagus
a nurse is reviewing a client's fluid and electrolyte status
-which of the following findings should the nurse report to the provider? - ANSWER -potassium 5.4
mEq/L
a nurse is providing discharge instruction to a client who will be using a walker
-which of the following client statements indicates an understanding of the teaching? - ANSWER -"I will
hire someone to trim the tree that hangs low over the stairs of my front porch"
a nurse is planning care for a client who has had a stroke, resulting in aphasia and dysphagia
-which of the following tasks should the nurse assign to an assistive personnel (AP)? - ANSWER -assist
the client with a partial bed bath
-measure the client's BP after the nurse administers an antihypertensive medication
-use a communication board to ask what the client wants for lunch
, a nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer
-which of the following actions should the nurse take? - ANSWER -reassure the client that this is an
expected response to grief
a nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury
-which of the following types of dressing should the nurse use? - ANSWER -hydrocolloid
a nurse is administering an otic medication to an older adult client
-which of the following actions should the nurse take to ensure that the medication reaches the inner
ear? - ANSWER -press gently on the tragus of the client's ear
a nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter
-which of the following actions should the nurse take? - ANSWER -subtract the amount of irrigate used
from the client's urine output
a nurse is initiating a protective environment for a client who has had an allogenic stem cell transplant
-which of the following precautions should the nurse plan for this client? - ANSWER -make sure the client
wears a mask when outside her room if there is construction in the area
a nurse is planning strategies to manage time effectively for client care
-which of the following strategies should the nurse implement? - ANSWER -use the planning step of the
nursing process to prioritize client care delivery
a nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of
thigh-length sequential compression sleeves
-which of the following actions should the nurse take? - ANSWER -make sure two fingers can fit under
the sleeves
a nurse is caring for a client who has a respiratory infection
-which of the following techniques should the nurse use when performing nasotracheal suctioning for
the client? - ANSWER -apply intermittent suction when withdrawing the catheter
A QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
a nurse is evaluating a client's use of a cane
-which of the following actions should the nurse identify as an indication of correct use? - ANSWER -the
client holds the cane on the stronger side of her body
the nurse receives report about a client who has 0.9% sodium chloride infusing IV at 125 mL/hr. when
the nurse performs the initial assessment, he notes that the client has received only 80 mL over the last
2 hours
-which of the following actions should the nurse take first? - ANSWER -check the IV tubing for
obstruction
a nurse is caring for a client who requires an NG tube for stomach decompression
-which of the following actions should the nurse take when inserting the NG tube? - ANSWER -have the
client take sips of water to promote insertion of the NG tube into the esophagus
a nurse is reviewing a client's fluid and electrolyte status
-which of the following findings should the nurse report to the provider? - ANSWER -potassium 5.4
mEq/L
a nurse is providing discharge instruction to a client who will be using a walker
-which of the following client statements indicates an understanding of the teaching? - ANSWER -"I will
hire someone to trim the tree that hangs low over the stairs of my front porch"
a nurse is planning care for a client who has had a stroke, resulting in aphasia and dysphagia
-which of the following tasks should the nurse assign to an assistive personnel (AP)? - ANSWER -assist
the client with a partial bed bath
-measure the client's BP after the nurse administers an antihypertensive medication
-use a communication board to ask what the client wants for lunch
, a nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer
-which of the following actions should the nurse take? - ANSWER -reassure the client that this is an
expected response to grief
a nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury
-which of the following types of dressing should the nurse use? - ANSWER -hydrocolloid
a nurse is administering an otic medication to an older adult client
-which of the following actions should the nurse take to ensure that the medication reaches the inner
ear? - ANSWER -press gently on the tragus of the client's ear
a nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter
-which of the following actions should the nurse take? - ANSWER -subtract the amount of irrigate used
from the client's urine output
a nurse is initiating a protective environment for a client who has had an allogenic stem cell transplant
-which of the following precautions should the nurse plan for this client? - ANSWER -make sure the client
wears a mask when outside her room if there is construction in the area
a nurse is planning strategies to manage time effectively for client care
-which of the following strategies should the nurse implement? - ANSWER -use the planning step of the
nursing process to prioritize client care delivery
a nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of
thigh-length sequential compression sleeves
-which of the following actions should the nurse take? - ANSWER -make sure two fingers can fit under
the sleeves
a nurse is caring for a client who has a respiratory infection
-which of the following techniques should the nurse use when performing nasotracheal suctioning for
the client? - ANSWER -apply intermittent suction when withdrawing the catheter
