ATI Online Practice RN Fundamentals - 2016 B, 2019
A, 2019 B Comprehensive Solutions for Every
Question EXAMS FROM THE BEST INSTITUTIONS
ACROSS THE GLOBE
A nurse is caring for a client who does not speak the same language as the nurse. When
working with the client through an interpreter, which of the following actions should the
nurse take?
a. talk directly to the client, instead of the interpreter, when speaking
b. use a family member as the client's interpreter
c. make sure that the interpreter has a college degree
d. avoid asking the client personal questions through the interpreter - -correct ans- -a. talk
directly to the client, instead of the interpreter, when speaking
A nurse is reviewing evidence-based practice principles about administration of oxygen
therapy with a newly licensed nurse. Which of the following actions should the nurse
include?
a. regulate the flow rate by aligning the rate with the top of the ball inside the flow meter
b. regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min
c. make sure the reservoir bag of a partial rebreathing mask remains deflated
d. use petroleum jelly to lubricate the client's nares, face, and lips - -correct ans- -b.
regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min
A nurse is completing an admission assessment of an older adult client. Which of the
following findings should the nurse identify as a potential indication of abuse?
,a. loss of skin turgor on the back of the hands
b. varicosities on the lower extremities
c. thick, discolored nails with ridges
d. bruises on the arms in various stages of healing - -correct ans- -d. bruises on the arms in
various stages of healing
A nurse is calculating a client's fluid intake over the past 8 hr. Which of the following should
the nurse plan to document on the client's intake and output record as 120 mL of fluid?
a. 2 cups of soup
b. 1 quart of water
c. 8 oz of ice chips
d. 6 oz of tea - -correct ans- -c. 8 oz of ice chips
nurse should document half the volume of ice chips
A nurse is planning care for a client who has fluid overload. Which of the following actions
should the nurse plan to take first?
a. reduce dietary sodium
b. administer a loop diuretic
c. evaluate electrolytes
d. restrict intake of oral fluids - -correct ans- -c. evaluate electrolytes
nurse would evaluate labs; sodium, potassium, BUN, Hgb, Hct, protein
, A nurse enters a client's room and finds her on the floor. The client's roommate reports that
the client was trying to get out of bed and fell over the bedrail onto the floor. Which of the
following statements should the nurse document about this incident?
a. "incident report completed"
b. "client climbed over the bedrails"
c. "client found lying on the floor"
d. "client was trying to get out of bed" - -correct ans- -c. "client found lying on the floor"
A nurse in a provider's office is obtaining the health and medication history of a client who
has a respiratory infection. The client tells the nurse that she is not aware of any allergies,
but that she did develop a rash the last time she was taking an antibiotic. Which of the
following information should the nurse give to the client?
a. "rashes are very common, especially if you have dry skin. did it go away on its own?"
b. "virtually all medications have adverse effects. it sounds like this could have been an
adverse effect of the antibiotic."
c. "it is unlikely that your doctor will prescribe an antibiotic for what seems to be a minor
viral infection, so we shouldn't be concerned about that rash."
d. "we need to document the exact medication you were taking because you might be
allergic to it." - -correct ans- -d. "we need to document the exact medication you were
taking because you might be allergic to it."
A nurse is preparing to transfer a client who can bear weight on one leg from the bed to a
chair. After securing a safe environment, which go the following actions should the nurse
take next?
a. rock the client up to a standing position
b. pivot on the foot that is the farthest from the chair
A, 2019 B Comprehensive Solutions for Every
Question EXAMS FROM THE BEST INSTITUTIONS
ACROSS THE GLOBE
A nurse is caring for a client who does not speak the same language as the nurse. When
working with the client through an interpreter, which of the following actions should the
nurse take?
a. talk directly to the client, instead of the interpreter, when speaking
b. use a family member as the client's interpreter
c. make sure that the interpreter has a college degree
d. avoid asking the client personal questions through the interpreter - -correct ans- -a. talk
directly to the client, instead of the interpreter, when speaking
A nurse is reviewing evidence-based practice principles about administration of oxygen
therapy with a newly licensed nurse. Which of the following actions should the nurse
include?
a. regulate the flow rate by aligning the rate with the top of the ball inside the flow meter
b. regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min
c. make sure the reservoir bag of a partial rebreathing mask remains deflated
d. use petroleum jelly to lubricate the client's nares, face, and lips - -correct ans- -b.
regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min
A nurse is completing an admission assessment of an older adult client. Which of the
following findings should the nurse identify as a potential indication of abuse?
,a. loss of skin turgor on the back of the hands
b. varicosities on the lower extremities
c. thick, discolored nails with ridges
d. bruises on the arms in various stages of healing - -correct ans- -d. bruises on the arms in
various stages of healing
A nurse is calculating a client's fluid intake over the past 8 hr. Which of the following should
the nurse plan to document on the client's intake and output record as 120 mL of fluid?
a. 2 cups of soup
b. 1 quart of water
c. 8 oz of ice chips
d. 6 oz of tea - -correct ans- -c. 8 oz of ice chips
nurse should document half the volume of ice chips
A nurse is planning care for a client who has fluid overload. Which of the following actions
should the nurse plan to take first?
a. reduce dietary sodium
b. administer a loop diuretic
c. evaluate electrolytes
d. restrict intake of oral fluids - -correct ans- -c. evaluate electrolytes
nurse would evaluate labs; sodium, potassium, BUN, Hgb, Hct, protein
, A nurse enters a client's room and finds her on the floor. The client's roommate reports that
the client was trying to get out of bed and fell over the bedrail onto the floor. Which of the
following statements should the nurse document about this incident?
a. "incident report completed"
b. "client climbed over the bedrails"
c. "client found lying on the floor"
d. "client was trying to get out of bed" - -correct ans- -c. "client found lying on the floor"
A nurse in a provider's office is obtaining the health and medication history of a client who
has a respiratory infection. The client tells the nurse that she is not aware of any allergies,
but that she did develop a rash the last time she was taking an antibiotic. Which of the
following information should the nurse give to the client?
a. "rashes are very common, especially if you have dry skin. did it go away on its own?"
b. "virtually all medications have adverse effects. it sounds like this could have been an
adverse effect of the antibiotic."
c. "it is unlikely that your doctor will prescribe an antibiotic for what seems to be a minor
viral infection, so we shouldn't be concerned about that rash."
d. "we need to document the exact medication you were taking because you might be
allergic to it." - -correct ans- -d. "we need to document the exact medication you were
taking because you might be allergic to it."
A nurse is preparing to transfer a client who can bear weight on one leg from the bed to a
chair. After securing a safe environment, which go the following actions should the nurse
take next?
a. rock the client up to a standing position
b. pivot on the foot that is the farthest from the chair
