ATI RN (NGN) FUNDAMENTALS REVISION
STUDY QUESTIONS AND ANSWERS RATED
A.
The client reported fever, chills, cough, and night sweats for the past 2
weeks
the nurse is placing the client on isolation precautions. which of the
following interventions should the nurse include?
-wear an N95 mask when caring for the client
-place a container for soiled linens inside the client's room
-place the client in a negative airflow room
-remove the mask after exiting the client's room
-wear a sterile, water-resistant gown if within 3 feet of the client.
Verified Answer --wear an N95 mask when caring for the client
-place a container for soiled linens inside the client’s room
-place the client in a negative airflow room
-remove mask after exiting the client’s room
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?
-Ask another nurse to observe the medication wastage.
-Notify the pharmacy when wasting the medication.
-Lock the remaining medication in the controlled substances cabinet.
-Dispose of the vial with the remaining medication in a sharps container.
Verified Answer -Ask another nurse to observe the medication wastage.
,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?
-Place the client in a side-lying position
-Instill 15 mL of irrigation fluid into the catheter with each flush
-Subtract the amount of irritant used from the clients urine output
-Perform the irrigation using a 20 mL syringe
Verified Answer -Subtract the amount of irritant used from the clients urine
output
A nurse is teaching a client & his family how to care for the client's
tracheotomy at home Which of the following instructions should the nurse
include in the teaching?
-Remove the outer cannula cautiously for routine cleaning
-Use tracheostomy covers when outdoors
-Use sterile technique when performing tracheostomy care at home
-Cleanse irritated skin w/ full strength hydrogen peroxide
Verified Answer -Use tracheostomy covers when outdoors
A nurse is educating a client who has a terminal illness about declining
resuscitation in a living will. The client asks, "What will happen if I arrived
at the emergency department & I had difficulty breathing?" Which of the
following responses should the nurse make?
-"We would consult the person appointed by your health care proxy to
make decisions."
-"We would give you oxygen through a tube in your nose."
-"You would be unable to change your previous wishes about your care."
,-"We would insert a breathing tube while we evaluate your condition."
Verified Answer -"We would give you oxygen through a tube in your
nose."
the nurse should first , ...... followed by........
Verified Answer --review medications that might be causing confusion
- using other methods to keep the client safe
A nurse is initiating a protective environment for a client who has had an
allogeneic stem cell transplant. Which of the following precautions should
the nurse plan for this client?
-Make sure the client's room has at least six air exchanges per hour.
-Make sure the client wears a mask when outside her room if there's
construction in the area.
-Place the client in a private room with negatives-pressure airflow.
-Wear an N95 respirator when giving client direct care.
Verified Answer -Make sure the client wears a mask when outside her
room if there's construction in the area.
The nurse is preparing to administer 0.9% sodium chloride 750 mL IV to
infuse over 7 hr. The nurse should set the infusion pump to deliver how
many mL/hr? (Round to the nearest whole number. Use a leading zero if it
applies. Do not use a trailing zero.)
Verified Answer -107 mL/hr
A nurse is admitting a client who has an abdominal wound with a large
amount of purple tissue drainage. Which of the following types of
transmission precautions should the nurse initiate?
Protective environment
Airborne precautions
, Droplet precautions
Contact precautions
Verified Answer -Contact precautions
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?
-Discuss the risk factors for colon cancer.
-Focus teaching on what the client will need to do in the future to manage
his illness.
-Provide the client with written information about the phases of loss &
grief.
-Reassure the client that this is an expected response to grief.
Verified Answer --Reassure the client that this is an expected response to
grief.
A nurse is caring for a client who is postoperative following a knee
arthroplasty & requires the use of thigh-length sequential compression
sleeves. Which of the following actions should the nurse take?
-Assist the client into a prone position
-Place a sleeve over the top of each leg with the opening at the knee
-Make sure two finger can fit under the sleeves
-Set ankle pressure at 65 mmHg
Verified Answer --Make sure two finger can fit under the sleeves
A nurse is preparing to apply a dressing for a client who has a stage 2
pressure injury. Which of the following types of dressings should the nurse
use?
Alienate
Gauze
STUDY QUESTIONS AND ANSWERS RATED
A.
The client reported fever, chills, cough, and night sweats for the past 2
weeks
the nurse is placing the client on isolation precautions. which of the
following interventions should the nurse include?
-wear an N95 mask when caring for the client
-place a container for soiled linens inside the client's room
-place the client in a negative airflow room
-remove the mask after exiting the client's room
-wear a sterile, water-resistant gown if within 3 feet of the client.
Verified Answer --wear an N95 mask when caring for the client
-place a container for soiled linens inside the client’s room
-place the client in a negative airflow room
-remove mask after exiting the client’s room
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?
-Ask another nurse to observe the medication wastage.
-Notify the pharmacy when wasting the medication.
-Lock the remaining medication in the controlled substances cabinet.
-Dispose of the vial with the remaining medication in a sharps container.
Verified Answer -Ask another nurse to observe the medication wastage.
,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?
-Place the client in a side-lying position
-Instill 15 mL of irrigation fluid into the catheter with each flush
-Subtract the amount of irritant used from the clients urine output
-Perform the irrigation using a 20 mL syringe
Verified Answer -Subtract the amount of irritant used from the clients urine
output
A nurse is teaching a client & his family how to care for the client's
tracheotomy at home Which of the following instructions should the nurse
include in the teaching?
-Remove the outer cannula cautiously for routine cleaning
-Use tracheostomy covers when outdoors
-Use sterile technique when performing tracheostomy care at home
-Cleanse irritated skin w/ full strength hydrogen peroxide
Verified Answer -Use tracheostomy covers when outdoors
A nurse is educating a client who has a terminal illness about declining
resuscitation in a living will. The client asks, "What will happen if I arrived
at the emergency department & I had difficulty breathing?" Which of the
following responses should the nurse make?
-"We would consult the person appointed by your health care proxy to
make decisions."
-"We would give you oxygen through a tube in your nose."
-"You would be unable to change your previous wishes about your care."
,-"We would insert a breathing tube while we evaluate your condition."
Verified Answer -"We would give you oxygen through a tube in your
nose."
the nurse should first , ...... followed by........
Verified Answer --review medications that might be causing confusion
- using other methods to keep the client safe
A nurse is initiating a protective environment for a client who has had an
allogeneic stem cell transplant. Which of the following precautions should
the nurse plan for this client?
-Make sure the client's room has at least six air exchanges per hour.
-Make sure the client wears a mask when outside her room if there's
construction in the area.
-Place the client in a private room with negatives-pressure airflow.
-Wear an N95 respirator when giving client direct care.
Verified Answer -Make sure the client wears a mask when outside her
room if there's construction in the area.
The nurse is preparing to administer 0.9% sodium chloride 750 mL IV to
infuse over 7 hr. The nurse should set the infusion pump to deliver how
many mL/hr? (Round to the nearest whole number. Use a leading zero if it
applies. Do not use a trailing zero.)
Verified Answer -107 mL/hr
A nurse is admitting a client who has an abdominal wound with a large
amount of purple tissue drainage. Which of the following types of
transmission precautions should the nurse initiate?
Protective environment
Airborne precautions
, Droplet precautions
Contact precautions
Verified Answer -Contact precautions
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?
-Discuss the risk factors for colon cancer.
-Focus teaching on what the client will need to do in the future to manage
his illness.
-Provide the client with written information about the phases of loss &
grief.
-Reassure the client that this is an expected response to grief.
Verified Answer --Reassure the client that this is an expected response to
grief.
A nurse is caring for a client who is postoperative following a knee
arthroplasty & requires the use of thigh-length sequential compression
sleeves. Which of the following actions should the nurse take?
-Assist the client into a prone position
-Place a sleeve over the top of each leg with the opening at the knee
-Make sure two finger can fit under the sleeves
-Set ankle pressure at 65 mmHg
Verified Answer --Make sure two finger can fit under the sleeves
A nurse is preparing to apply a dressing for a client who has a stage 2
pressure injury. Which of the following types of dressings should the nurse
use?
Alienate
Gauze
