ATI RN FUNDAMENTALS PROCTORED 2024 WITH
NGN LATEST TEST BANK 170 QUESTIONS AND
CORRECT DETAILED ANSWERWERS WITH
RATIONALES (VERIFIED ANSWERWERS) |ALREADY
GRADED A+
A nurse is caring for a client who has been sitting in a chair for 3 hrs. Which of the following problems is
the client at risk for developing?
A. Stasis of secretions
B. Muscle atrophy
C. Pressure ulcer
D. Fecal impaction - ANSWERWER-ANSWERwer: C
Unrelieved pressure over a bony prominence for too long increases the risk of a pressure ulcer
A-sitting will help prevent stasis of secretions
B and D-these are from prolonged bed rest
A nurse is caring for a client who is on bed rest. Which of the following interventions should the nurse
implement to maintain the patency of the client's airway?
A. Encourage isometric exercises
B. Suction Q8 hr
C. Give low-dose heparin
D. Promote incentive spirometer use - ANSWERWER-ANSWERwer: D. it helps keep airways open
and prevent atelectasis
A-this strengthens skeletal muscles
B-this is not indicated
C-helps prevent thrombus formation
A nurse is caring for a client who is postop. Which of the following nursing interventions reduce the risk
of thrombus development? Select all.
A. Instruct the client not to use the Valsalva maneuver
,B. Apply elastic stockings
C. Review lab values for total protein level
D. Place pillows under the client's knees & lower extremities
E. Assist the client to change position often - ANSWERWER-B, E
A nurse is instructing a postop client about the sequential compression device the provider has
prescribed. Which of the following statements should indicate to the nurse that the client understands
the teaching?
A. "This device will keep me from getting sores on my skin."
B. "This thing will keep the blood pumping through my leg."
C. "With this thing on, my leg muscles won't get weak."
D. "This device is going to keep my joints in good shape." - ANSWERWER-B.
sequential pressure devices promote venous return in the deep veins of the legs & thus help prevent
thrombus formation
To promote the safe use of a cane for a client who is recovering from a minor musculoskeletal injury of
the left lower extremity, which of the following instructions should the nurse provide? Select all.
A. Hold the cane on the right side
B. Keep 2 points of support on the floor
C. Place the cane 15in in front of the feet before advancing
D. After advancing the cane, move the weaker leg forward
E. Advance the stronger leg so that it aligns evenly w/the cane - ANSWERWER-A, B, D
C-the client should place the cane 6-10 inches in front before advancing not 15
E-the client should advance the stronger leg past the cane not aligned w/it
A nurse is assessing the pain level of a client who has come to the ER reporting severe abd. pain. The
nurse asks the client whether he has nausea & has been vomiting. The nurse is assessing which of the
following?
A. Presence of associated symptoms
B. Location of the pain
,C. Pain quality
D. Aggravating & relieving factors - ANSWERWER-A.
this is a common symptom people have when experiencing pain
A nurse is assessing a client who is reporting severe pain despite analgesia. The nurse can best assess the
intensity of the client's pain by:
A. asking what precipitates the pain
B. questioning the client about the location of the pain
C. offering the client a pain scale to measure his pain
D. using open-ended questions to identify the situation - ANSWERWER-C.
pain scale can measure the amount and intensity of the pain
A nurse is obtaining hx from a client who has pain. The nurse's guiding principle throughout this process
should be that:
A. some clients exaggerate their level of pain
B. pain must have an identifiable source to justify the use of opioids.
C. objective data are essential in assessing pain D. pain is whatever the client says it is - ANSWERWER-
D the client is the best source of information in their pain, it is a subjective experience
A nurse is caring for a client who is receiving morphine via a PCA infusion device after abd. surgery.
Which of the following statements indicates that the client knows how to use the device?
A. "I'll wait to use the device until it's absolutely necessary."
B. "I'll be careful about pushing the button so I don't get an overdose."
C. "I should tell the nurse if the pain doesn't stop after I use this device."
D. "I will ask my son to push the dose button when I am sleeping." - ANSWERWER-C.
The client should let the nurse know if not receiving adequate pain control, so they can reevaluate the
pain control plan
A nurse is monitoring a client who is receiving opioid analgesia for adv effects of the med. Which of the
following effects should the nurse anticipate? Select all.
, A. Urinary incontinence
B. Diarrhea
C. Bradypnea
D. Orthostatic hypotension
E. Nausea - ANSWERWER-C, D, E
Urinary retention, not incontinence is an adv effect of these meds as well as constipation, not diarrhea.
A nurse is assessing a client who takes haloperidol (Haldol) for the tx of schizophrenia. Which of the
following findings should the nurse document as extrapyramidal symptoms (EPS)? Select all.
A. Orthostatic hypotension
B. Fine motor tremors
C. Acute dystonias
D. Decreased level of consciousness
E. Uncontrollable restlessness - ANSWERWER-B, C, E
A and D are adverse effects, but not EPS
A nurse is providing teaching about managing anticholinergic effects for a client who has a new
prescription for oxybutunin (Ditropan XL). Which of the following are appropriate to include in the
teaching? Select all.
A. Take frequent sips of water
B. Wear sunglasses when exposed to sunlight
C. Use a soft toothbrush when brushing teeth
D. Take the medication w/an antacid
E. Urinate prior to taking the med - ANSWERWER-A, B, E
side effects of this med include: dry mouth, photophobia, and urinary retention
A nurse is reviewing the reported meds of a client who was recently admitted. The meds include
cimetidine (Tagamet) & imipramine hydrochloride (Tofranil). Knowing that cimetidine decreases the
NGN LATEST TEST BANK 170 QUESTIONS AND
CORRECT DETAILED ANSWERWERS WITH
RATIONALES (VERIFIED ANSWERWERS) |ALREADY
GRADED A+
A nurse is caring for a client who has been sitting in a chair for 3 hrs. Which of the following problems is
the client at risk for developing?
A. Stasis of secretions
B. Muscle atrophy
C. Pressure ulcer
D. Fecal impaction - ANSWERWER-ANSWERwer: C
Unrelieved pressure over a bony prominence for too long increases the risk of a pressure ulcer
A-sitting will help prevent stasis of secretions
B and D-these are from prolonged bed rest
A nurse is caring for a client who is on bed rest. Which of the following interventions should the nurse
implement to maintain the patency of the client's airway?
A. Encourage isometric exercises
B. Suction Q8 hr
C. Give low-dose heparin
D. Promote incentive spirometer use - ANSWERWER-ANSWERwer: D. it helps keep airways open
and prevent atelectasis
A-this strengthens skeletal muscles
B-this is not indicated
C-helps prevent thrombus formation
A nurse is caring for a client who is postop. Which of the following nursing interventions reduce the risk
of thrombus development? Select all.
A. Instruct the client not to use the Valsalva maneuver
,B. Apply elastic stockings
C. Review lab values for total protein level
D. Place pillows under the client's knees & lower extremities
E. Assist the client to change position often - ANSWERWER-B, E
A nurse is instructing a postop client about the sequential compression device the provider has
prescribed. Which of the following statements should indicate to the nurse that the client understands
the teaching?
A. "This device will keep me from getting sores on my skin."
B. "This thing will keep the blood pumping through my leg."
C. "With this thing on, my leg muscles won't get weak."
D. "This device is going to keep my joints in good shape." - ANSWERWER-B.
sequential pressure devices promote venous return in the deep veins of the legs & thus help prevent
thrombus formation
To promote the safe use of a cane for a client who is recovering from a minor musculoskeletal injury of
the left lower extremity, which of the following instructions should the nurse provide? Select all.
A. Hold the cane on the right side
B. Keep 2 points of support on the floor
C. Place the cane 15in in front of the feet before advancing
D. After advancing the cane, move the weaker leg forward
E. Advance the stronger leg so that it aligns evenly w/the cane - ANSWERWER-A, B, D
C-the client should place the cane 6-10 inches in front before advancing not 15
E-the client should advance the stronger leg past the cane not aligned w/it
A nurse is assessing the pain level of a client who has come to the ER reporting severe abd. pain. The
nurse asks the client whether he has nausea & has been vomiting. The nurse is assessing which of the
following?
A. Presence of associated symptoms
B. Location of the pain
,C. Pain quality
D. Aggravating & relieving factors - ANSWERWER-A.
this is a common symptom people have when experiencing pain
A nurse is assessing a client who is reporting severe pain despite analgesia. The nurse can best assess the
intensity of the client's pain by:
A. asking what precipitates the pain
B. questioning the client about the location of the pain
C. offering the client a pain scale to measure his pain
D. using open-ended questions to identify the situation - ANSWERWER-C.
pain scale can measure the amount and intensity of the pain
A nurse is obtaining hx from a client who has pain. The nurse's guiding principle throughout this process
should be that:
A. some clients exaggerate their level of pain
B. pain must have an identifiable source to justify the use of opioids.
C. objective data are essential in assessing pain D. pain is whatever the client says it is - ANSWERWER-
D the client is the best source of information in their pain, it is a subjective experience
A nurse is caring for a client who is receiving morphine via a PCA infusion device after abd. surgery.
Which of the following statements indicates that the client knows how to use the device?
A. "I'll wait to use the device until it's absolutely necessary."
B. "I'll be careful about pushing the button so I don't get an overdose."
C. "I should tell the nurse if the pain doesn't stop after I use this device."
D. "I will ask my son to push the dose button when I am sleeping." - ANSWERWER-C.
The client should let the nurse know if not receiving adequate pain control, so they can reevaluate the
pain control plan
A nurse is monitoring a client who is receiving opioid analgesia for adv effects of the med. Which of the
following effects should the nurse anticipate? Select all.
, A. Urinary incontinence
B. Diarrhea
C. Bradypnea
D. Orthostatic hypotension
E. Nausea - ANSWERWER-C, D, E
Urinary retention, not incontinence is an adv effect of these meds as well as constipation, not diarrhea.
A nurse is assessing a client who takes haloperidol (Haldol) for the tx of schizophrenia. Which of the
following findings should the nurse document as extrapyramidal symptoms (EPS)? Select all.
A. Orthostatic hypotension
B. Fine motor tremors
C. Acute dystonias
D. Decreased level of consciousness
E. Uncontrollable restlessness - ANSWERWER-B, C, E
A and D are adverse effects, but not EPS
A nurse is providing teaching about managing anticholinergic effects for a client who has a new
prescription for oxybutunin (Ditropan XL). Which of the following are appropriate to include in the
teaching? Select all.
A. Take frequent sips of water
B. Wear sunglasses when exposed to sunlight
C. Use a soft toothbrush when brushing teeth
D. Take the medication w/an antacid
E. Urinate prior to taking the med - ANSWERWER-A, B, E
side effects of this med include: dry mouth, photophobia, and urinary retention
A nurse is reviewing the reported meds of a client who was recently admitted. The meds include
cimetidine (Tagamet) & imipramine hydrochloride (Tofranil). Knowing that cimetidine decreases the
