ATI PN Fundamentals Online Practice 2020 A

1. A nurse is reinforcing teaching about health promotion with a group of young adult clients. Which of the following information should the nurse include? - Young adults should receive a dental assessment every 6 months. 2. A nurse is caring for a client who has a prescription for a potassium supplement. The client tells the nurse that the pill is too large to swallow and refuses to take it. The nurse offers to break the pill into two smaller pieces. The nurse is demonstrating which of the following ethical principles? - beneficence 3. A client who has advanced cancer tells the nurse that they have a difficult time talking to anyone about the illness. Which of the following actions should the nurse take to encourage therapeutic communication? - Let the client know that, as their nurse, they are available and willing to listen. 4. A nurse has delegated various client care tasks to the assistive personnel (AP) on the care team. Which of the following actions by the AP should the nurse identify as correct? - Donning a mask to measure the vital signs of a client who has pertussis 5. A nurse is caring for a client who is postoperative and is experiencing nausea and vomiting. The nurse should identify which of the following findings as indications that the client has fluid volume deficit? – - Cool extremities - Orthostatic hypotension - Flat neck veins 6. A nurse is taking notes of client information on a piece of paper while receiving report. Which of the following actions should the nurse take to dispose of the paper? - Shred the paper in a secure container. 7. A nurse is reinforcing teaching with a client about the use of crutches. Which of the following actions by the client indicates an understanding of the teaching? - The client advances the unaffected leg first while climbing stairs. 8. A nurse is providing wound care for a group of clients. Which of the following wounds should the nurse identify as healing by secondary intention? - A stage 3 pressure injury on the coccyx 9. A nurse is preparing to administer a topical medication to a client. Which of the following actions should the nurse take? - Compare the label of the medication container with the medication administration record three times. 10. A nurse is reinforcing preoperative teaching with a client about how to turn, cough, and deep breathe. Which of the following statements by the client indicates an understanding of the teaching? - "This can help prevent pneumonia." 11. A nurse is reinforcing teaching about hospice care measures with the family of a client who is dying. Which of the following statements by a member of the client's family indicates an understanding of the teaching? - "We will keep her room cool to help her breathe better." 12. A nurse is planning to perform wound irrigation for a client who has a large abdominal wound. Which of the following actions should the nurse plan to take? - Administer an analgesic 30 min before starting the procedure. 13. A nurse is planning care for a client who is disoriented and at risk for falls. Which of the following interventions should the nurse include? – - Ensure that the client is wearing nonskid slippers. - Place the client in a room near the nurses' station. - Reinforce teaching about how to use the call bell. 14. A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent urinary tract infections? - Drain urine from the tubing before ambulation 15. A nurse is collecting data from a client who has an NG tube set to low intermittent suction. Which of the following findings indicates hypomagnesemia? - Positive Chvostek's sign 16. A nurse is using Maslow's hierarchy of needs in assisting with discharge planning for a client. Which of the following activities should the nurse recommend as the priority for this client? - Attend an exercise program 17. A nurse is caring for a client who is receiving continuous NG tube feedings. The nurse listens to the client's bowel sounds. Which of the following actions should the nurse take? - Decrease the rate of the feeding 18. A nurse is reinforcing teaching about the use of crutches with a client who has a fractured right tibia and fibula. Which of the following statements by the client indicates an understanding of the teaching? - "I will be sure to keep the crutch tips dry." 19. A nurse is caring for a client who has metastatic cancer and practices Catholicism. The client asks the nurse to discuss the afterlife with them. Which of the following statements by the nurse assists in meeting the client's spiritual needs? - "Tell me what the afterlife means to you." 20. A nurse is contributing to a plan of care for a client who has a new prescription for a wrist restraint. Which of the following actions should the nurse include in the plan? - Pad bony prominences on the wrist 21. A charge nurse smells smoke, enters the visitor restroom, and sees flames in the trash can. What is the sequence of actions that the nurse should take? – - Evacuate clients from the area is the first step. - Pull the lever on the fire alarm box is the second step. - Close the fire doors on the unit is the third step. - Use a fire extinguisher to put out the fire is the fourth step. 22. A nurse is reinforcing preoperative teaching with a client who speaks a different language than the nurse. Which of the following actions should the nurse take? - Provide handouts written in the client's primary language. 23. A nurse is caring for four clients who are required to provide informed consent for treatment. The nurse should identify that which of the following clients is able to provide informed consent? - An 18-year-old client who has acute appendicitis 24. A nurse is reviewing the vital signs of four adult clients. Which of the following findings requires further data collection by the nurse? - A client who has a pulse rate of 110/min 25. A nurse is preparing to remove a client's peripheral IV catheter. After performing hand hygiene and applying clean gloves, which of the following actions should the nurse take first? - Clamp the infusion tubing. 26. A nurse is assisting with a presentation to a group of older adults at a community center about hypothermia and hyperthermia. Which of the following information should the nurse include about age-related changes? - Circulation becomes less efficient with age. 27. A nurse is reinforcing teaching with a client about the prevention of stress injuries. Which of the following instructions should the nurse include? - "When lifting a heavy object, keep it close to your body." 28. A nurse is calculating the intake and output for a client over the last 8 hr. The client is receiving a continuous IV infusion at 150 mL/hr and had 4 oz of juice and 0.5 L of water. How many mL of fluid should the nurse document as the client's intake for the last 8 hr? (Round your answer to the nearest whole number.) - 1820 mL