ATI: FUNDAMENTALS OF NURSING
CMS REVIEW BEST FOR 2024-2025
A nurse provides an introduction to a client as the first step of a
comprehensive physical examination. What strategies should the nurse
use with the client? (CORRECT ANSWER)-Use a mix of open and
close ended questions
-reduce environmental noise
-perform the general survery before the examination
A nurse in a provider's office is documenting findings following an
examination performed for a client new to the practice. What parameters
should the nurse include as part of the general survey? (CORRECT
ANSWER)-Posture
-Skin lesions
-Speech
A nurse is collecting data for a clients comprehensive physical
examination. After inspecting the client's abdomen, what should the
nurse perform next? (CORRECT ANSWER)Auscultation
A nurse is preparing to perform a comprehensive physical examination
of an older client. What interventions should the nurse use in
consideration of the client's age? (CORRECT ANSWER)-Plan to allow
plenty of time for position changes
-make sure the client has any essential sensory aids in place
,-Tell the client to take their time answering questions
-invite the client to use the bathroom before beginning the examination
A nure in a providers office is performing a physical examination of an
older client. Which part of the hands should the nurse use during
palpation for optimal assessment of skin temperature? (CORRECT
ANSWER)Dorsal surface
A nurse is caring for a client in the emergency department who has an
oral body tempertature of 38.3 'C, pulse rate 114/min, and respiratory
rate 22/min. What interventions should the nurse take? (CORRECT
ANSWER)-obtain culture specimens before initiating antimicrobials
-encourage the client to rest and limit activity
-assist client with oral hygiene frequently
A nurse is instructing an assistive personnel (AP) about caring for a
client who has a low platelet count. What instruction is priority for
measuring vital signs for this client? (CORRECT ANSWER)Do not
measure the client's temp rectally
A nurse is instructing a group of assistive personnel in measuring a
clients respiratory rate. What guidelines should the nurse include?
(CORRECT ANSWER)-place the client in semi-fowlers position
-have the client rest an arm across the abdomen
-observe one full respiratory cycle before counting the rate
, A nurse is measuring the BP of a client who has a fractured femur. The
BP reading is 140/94 mm Hg, and the client denies any history of
hypertension. What action should the nurse take first? (CORRECT
ANSWER)ask the client if they are having pain
A nurse is providing an admission assessment on a client. The nurse
determines the clients radial pulse rate is 68/min and the simultaneous
apical pulse rate is 84/min. What is the clients pulse deficit?
(CORRECT ANSWER)16/min;
Pulse deficit is the difference between apical and radial pulse rates. It
reflects the number of ineffective or nonperfusing heartbeats that do not
transmit pulsations to the peripheral pulse points
84-68= 16
A nurse in a providers office is preparing to test a clients cranial nerve
function. What directions should the nurse include when testing cranial
nerve V? (CORRECT ANSWER)Clench your teeth
Tell me when you feel a touch
A nurse is assessing a clients thyroid gland as part of a comprehensive
physical examination. What findings should the nurse expect?
(CORRECT ANSWER)-Palpating the thyroid in the lower half of the
neck
-Feeling the thyroid ascend as the client swallows
-Finding symmetric extension off the trachea on both sides of the
midline
CMS REVIEW BEST FOR 2024-2025
A nurse provides an introduction to a client as the first step of a
comprehensive physical examination. What strategies should the nurse
use with the client? (CORRECT ANSWER)-Use a mix of open and
close ended questions
-reduce environmental noise
-perform the general survery before the examination
A nurse in a provider's office is documenting findings following an
examination performed for a client new to the practice. What parameters
should the nurse include as part of the general survey? (CORRECT
ANSWER)-Posture
-Skin lesions
-Speech
A nurse is collecting data for a clients comprehensive physical
examination. After inspecting the client's abdomen, what should the
nurse perform next? (CORRECT ANSWER)Auscultation
A nurse is preparing to perform a comprehensive physical examination
of an older client. What interventions should the nurse use in
consideration of the client's age? (CORRECT ANSWER)-Plan to allow
plenty of time for position changes
-make sure the client has any essential sensory aids in place
,-Tell the client to take their time answering questions
-invite the client to use the bathroom before beginning the examination
A nure in a providers office is performing a physical examination of an
older client. Which part of the hands should the nurse use during
palpation for optimal assessment of skin temperature? (CORRECT
ANSWER)Dorsal surface
A nurse is caring for a client in the emergency department who has an
oral body tempertature of 38.3 'C, pulse rate 114/min, and respiratory
rate 22/min. What interventions should the nurse take? (CORRECT
ANSWER)-obtain culture specimens before initiating antimicrobials
-encourage the client to rest and limit activity
-assist client with oral hygiene frequently
A nurse is instructing an assistive personnel (AP) about caring for a
client who has a low platelet count. What instruction is priority for
measuring vital signs for this client? (CORRECT ANSWER)Do not
measure the client's temp rectally
A nurse is instructing a group of assistive personnel in measuring a
clients respiratory rate. What guidelines should the nurse include?
(CORRECT ANSWER)-place the client in semi-fowlers position
-have the client rest an arm across the abdomen
-observe one full respiratory cycle before counting the rate
, A nurse is measuring the BP of a client who has a fractured femur. The
BP reading is 140/94 mm Hg, and the client denies any history of
hypertension. What action should the nurse take first? (CORRECT
ANSWER)ask the client if they are having pain
A nurse is providing an admission assessment on a client. The nurse
determines the clients radial pulse rate is 68/min and the simultaneous
apical pulse rate is 84/min. What is the clients pulse deficit?
(CORRECT ANSWER)16/min;
Pulse deficit is the difference between apical and radial pulse rates. It
reflects the number of ineffective or nonperfusing heartbeats that do not
transmit pulsations to the peripheral pulse points
84-68= 16
A nurse in a providers office is preparing to test a clients cranial nerve
function. What directions should the nurse include when testing cranial
nerve V? (CORRECT ANSWER)Clench your teeth
Tell me when you feel a touch
A nurse is assessing a clients thyroid gland as part of a comprehensive
physical examination. What findings should the nurse expect?
(CORRECT ANSWER)-Palpating the thyroid in the lower half of the
neck
-Feeling the thyroid ascend as the client swallows
-Finding symmetric extension off the trachea on both sides of the
midline
