RN ATI FUNDAMENTALS PRACTICE
ASSESSMENT A WITH QUESTIONS AND
WELL VERIFIED ANSWERS [ALREADY
GRADED A+], REAL EXAM!! REAL
EXAM !!!
A nurse is caring for a client who is refusing a blood transfusion for religious reasons.
The client's partner wants the client to have the blood transfusion. Which of the
following actions should the nurse take? - ANS✔✔--Withhold the blood
transfusion.
Patients who are competent have the right to refuse
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? -
ANS✔✔--Distended neck veins
,Symptoms of fluid volume excess include distended neck veins, edema,
tachycardia, crackles in the lungs, dyspnea, a bounding pulse, and an increase in
blood pressure.
The nurse should prevent any contact of these cords and devices with the client's
skin by covering them with a nonlatex barrier material, such as stockinette, and
using nonlatex tape to secure them.
A nurse is preparing to delegate client care tasks to an assistive personnel (AP). Which
of the following tasks should the nurse delegate? - ANS✔✔--Ambulating a client
who is postoperative
teaching.
The nurse can delegate tasks to the AP that do not require special skills,
assessment, or teaching
A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic
shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the
client's vital signs every 15 min and to report back in 1 hr. Which of the following actions
should the nurse take next? - ANS✔✔--Notify the nursing manager
The greatest risk to the client is not receiving timely intervention for a deterioration in
physiological status; therefore, the next action the nurse should take is to activate the
chain of command to ensure that the client receives the necessary care.
A nurse is planning care of an adolescent who is postoperative following a lumbar
laminectomy. Which of the following interventions should the nurse include in the plan of
care? - ANS✔✔--Allow the adolescent to make decisions regarding his daily routine.
, A nurse in a surgical suite notes documentation on a client's medical record that they
have a latex allergy. In preparation for the client's procedure, which of the following
precautions should the nurse take? - ANS✔✔--Wrap monitoring cords with
stockinette and tape them in place
A nurse is caring for a client who is having difficulty breathing. The client is supine and
is receiving supplemental oxygen via a nasal cannula.
Which of the following interventions should the nurse take first? - ANS✔✔--Assist the
client to an upright position
According to evidence-based practice the nurse should assist the client to an upright
position. This assists with chest expansion and increases the effectiveness of the
existing supplemental oxygen.
A nurse 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? - ANS✔✔--Pad
the client's wrist before applying the restraints.
The use of restraints without padding can abrade the client's skin, resulting in client
injury.
A nurse is planning care of an adolescent who is postoperative following a lumbar
laminectomy. Which of the following interventions should the nurse include in the plan of
care? - ANS✔✔--Allow the adolescent to make decisions regarding his daily routine.
A nurse in a surgical suite notes documentation on a client's medical record that they
have a latex allergy. In preparation for the client's procedure, which of the following
precautions should the nurse take? - ANS✔✔--Wrap monitoring cords with
stockinette and tape them in place
A nurse is caring for a client who is scheduled to be transferred to a long-term care
facility. The client's family questions the nurse about the reasons for the transfer. Which
of the following responses made by the nurse is appropriate? - ANS✔✔--"Would you
like it if we discussed the transfer with your family member?"
ASSESSMENT A WITH QUESTIONS AND
WELL VERIFIED ANSWERS [ALREADY
GRADED A+], REAL EXAM!! REAL
EXAM !!!
A nurse is caring for a client who is refusing a blood transfusion for religious reasons.
The client's partner wants the client to have the blood transfusion. Which of the
following actions should the nurse take? - ANS✔✔--Withhold the blood
transfusion.
Patients who are competent have the right to refuse
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? -
ANS✔✔--Distended neck veins
,Symptoms of fluid volume excess include distended neck veins, edema,
tachycardia, crackles in the lungs, dyspnea, a bounding pulse, and an increase in
blood pressure.
The nurse should prevent any contact of these cords and devices with the client's
skin by covering them with a nonlatex barrier material, such as stockinette, and
using nonlatex tape to secure them.
A nurse is preparing to delegate client care tasks to an assistive personnel (AP). Which
of the following tasks should the nurse delegate? - ANS✔✔--Ambulating a client
who is postoperative
teaching.
The nurse can delegate tasks to the AP that do not require special skills,
assessment, or teaching
A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic
shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the
client's vital signs every 15 min and to report back in 1 hr. Which of the following actions
should the nurse take next? - ANS✔✔--Notify the nursing manager
The greatest risk to the client is not receiving timely intervention for a deterioration in
physiological status; therefore, the next action the nurse should take is to activate the
chain of command to ensure that the client receives the necessary care.
A nurse is planning care of an adolescent who is postoperative following a lumbar
laminectomy. Which of the following interventions should the nurse include in the plan of
care? - ANS✔✔--Allow the adolescent to make decisions regarding his daily routine.
, A nurse in a surgical suite notes documentation on a client's medical record that they
have a latex allergy. In preparation for the client's procedure, which of the following
precautions should the nurse take? - ANS✔✔--Wrap monitoring cords with
stockinette and tape them in place
A nurse is caring for a client who is having difficulty breathing. The client is supine and
is receiving supplemental oxygen via a nasal cannula.
Which of the following interventions should the nurse take first? - ANS✔✔--Assist the
client to an upright position
According to evidence-based practice the nurse should assist the client to an upright
position. This assists with chest expansion and increases the effectiveness of the
existing supplemental oxygen.
A nurse 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? - ANS✔✔--Pad
the client's wrist before applying the restraints.
The use of restraints without padding can abrade the client's skin, resulting in client
injury.
A nurse is planning care of an adolescent who is postoperative following a lumbar
laminectomy. Which of the following interventions should the nurse include in the plan of
care? - ANS✔✔--Allow the adolescent to make decisions regarding his daily routine.
A nurse in a surgical suite notes documentation on a client's medical record that they
have a latex allergy. In preparation for the client's procedure, which of the following
precautions should the nurse take? - ANS✔✔--Wrap monitoring cords with
stockinette and tape them in place
A nurse is caring for a client who is scheduled to be transferred to a long-term care
facility. The client's family questions the nurse about the reasons for the transfer. Which
of the following responses made by the nurse is appropriate? - ANS✔✔--"Would you
like it if we discussed the transfer with your family member?"
