ATI RN FUNDAMENTALS PROCTORED 2024-2025 WITH NGN
LATEST TEST BANK 170 QUESTIONS AND CORRECT
DETAILED ANSWERWERS WITH RATIONALES (VERIFIED
ANSWERWERS) |ALREADY GRADED A+
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. - ANSWERwer-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 - ANSWERwer-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
-CleANSWERe irritated skin w/ full strength hydrogen peroxide - ANSWERwer-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." - ANSWERwer-"We would give
you oxygen through a tube in your nose."
the nurse should first , ...... followed by........ - ANSWERwer--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
trANSWERplant. 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. - ANSWERwer-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.) - ANSWERwer-107 mL/hr
A nurse is teaching for a client who has heart failure. which of the following 3 statements by the client
indicates an understanding of the teaching ?
-"I have been weighing myself every other morning"
-"i am trying to decrease my intake of foods with potassium"
-i" i am limiting my sodium intake to 2 grams daily"
-" i am eating fewer potato chips and more fruit for snacks"
-" i will lie down and rest after meals"
-" i know to call my doctor if i gain 3 pounds or more in 2 days" - ANSWERwer-- i am limiting my
sodium intake to 2 grams daily"
,-i am eating fewer potato chips and more fruit for snacks
-i know to call my doctor if i gain 3 pounds or more in 2 days"
A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as
an indication of correct use?
-The top of the cane is parallel to the client's waist
-When walking, the client moves the cane 46 cm (18 in) forward
-The client holds the cane on the stronger side of her body
-The client moves her stronger limb forward with the cane - ANSWERwer--The client holds the cane
on the stronger side of her body
A nurse is caring for a client who requires an Ng tube for stomach decompression. Which of the
following actions should the nurse take when inserting the NG tube?
-Position the client with the head of the bed elevated 30 degrees prior to insertion of the NG tube.
-Remove the NG tube if the client begins to gag or choke.
-Apply suction to the NG tube prior to insertion.
-Have the client take sips of water to promote insertion of the NG tube into the esophagus. -
ANSWERwer-Have the client take sips of water to promote insertion of the NG tube into the
esophagus.
A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following
actions should the nurse plan to take?
-Insert the catheter at a 45 degree angle
-Place the client's arm in a dependent position
-Shave excess hair from the insertion site
-Initiate IV therapy in the veins of the hand - ANSWERwer-Place the client's arm in a dependent
position
A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair. To prevent self-
injury, which of the following actions should the nurse take when lifting this object?
Bend at the waist
, Keep his feet close together
Use his back muscles for lifting
Stand close to the cabinet when lifting it - ANSWERwer-Stand close to the cabinet when lifting it
A nurse is caring for a client who has a terminal illness & is approaching death. The client is short of
breath & has noisy respirations from secretions in their airway. Which of the following actions should
the nurse take?
Turn the client every 2 hr
Administer an antiemetic ever 6 hr
Hold oral care
Increase the room's temperature - ANSWERwer-Turn the client every 2 hr
the nurse is proving teaching for the client who has diarrhea. select 4 instructions that the nurse should
include in the teaching
-increase intake of high-calcium foods
-eat probiotic foods such as yogurt
-avoid alcohol while experiencing diarrhea
-eat raw veggies
-eat three large meals a day
-avoid caffeine while experiencing diarrhea
-drink hot liquids several times a day
-drink carbonated beverages to replace lost fluids
-follow a low-fiber diet - ANSWERwer--eat probiotic foods such as yogurt
-avoid alcohol while experiencing diarrhea
-avoid caffeine while experiencing diarrhea
-follow a low-fiber diet
A nurse is admitting a client who is having an exacerbation of heart failure. In planning this client's care,
when should the nurse initiate discharge planning?
During the admission process
LATEST TEST BANK 170 QUESTIONS AND CORRECT
DETAILED ANSWERWERS WITH RATIONALES (VERIFIED
ANSWERWERS) |ALREADY GRADED A+
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. - ANSWERwer-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 - ANSWERwer-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
-CleANSWERe irritated skin w/ full strength hydrogen peroxide - ANSWERwer-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." - ANSWERwer-"We would give
you oxygen through a tube in your nose."
the nurse should first , ...... followed by........ - ANSWERwer--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
trANSWERplant. 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. - ANSWERwer-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.) - ANSWERwer-107 mL/hr
A nurse is teaching for a client who has heart failure. which of the following 3 statements by the client
indicates an understanding of the teaching ?
-"I have been weighing myself every other morning"
-"i am trying to decrease my intake of foods with potassium"
-i" i am limiting my sodium intake to 2 grams daily"
-" i am eating fewer potato chips and more fruit for snacks"
-" i will lie down and rest after meals"
-" i know to call my doctor if i gain 3 pounds or more in 2 days" - ANSWERwer-- i am limiting my
sodium intake to 2 grams daily"
,-i am eating fewer potato chips and more fruit for snacks
-i know to call my doctor if i gain 3 pounds or more in 2 days"
A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as
an indication of correct use?
-The top of the cane is parallel to the client's waist
-When walking, the client moves the cane 46 cm (18 in) forward
-The client holds the cane on the stronger side of her body
-The client moves her stronger limb forward with the cane - ANSWERwer--The client holds the cane
on the stronger side of her body
A nurse is caring for a client who requires an Ng tube for stomach decompression. Which of the
following actions should the nurse take when inserting the NG tube?
-Position the client with the head of the bed elevated 30 degrees prior to insertion of the NG tube.
-Remove the NG tube if the client begins to gag or choke.
-Apply suction to the NG tube prior to insertion.
-Have the client take sips of water to promote insertion of the NG tube into the esophagus. -
ANSWERwer-Have the client take sips of water to promote insertion of the NG tube into the
esophagus.
A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following
actions should the nurse plan to take?
-Insert the catheter at a 45 degree angle
-Place the client's arm in a dependent position
-Shave excess hair from the insertion site
-Initiate IV therapy in the veins of the hand - ANSWERwer-Place the client's arm in a dependent
position
A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair. To prevent self-
injury, which of the following actions should the nurse take when lifting this object?
Bend at the waist
, Keep his feet close together
Use his back muscles for lifting
Stand close to the cabinet when lifting it - ANSWERwer-Stand close to the cabinet when lifting it
A nurse is caring for a client who has a terminal illness & is approaching death. The client is short of
breath & has noisy respirations from secretions in their airway. Which of the following actions should
the nurse take?
Turn the client every 2 hr
Administer an antiemetic ever 6 hr
Hold oral care
Increase the room's temperature - ANSWERwer-Turn the client every 2 hr
the nurse is proving teaching for the client who has diarrhea. select 4 instructions that the nurse should
include in the teaching
-increase intake of high-calcium foods
-eat probiotic foods such as yogurt
-avoid alcohol while experiencing diarrhea
-eat raw veggies
-eat three large meals a day
-avoid caffeine while experiencing diarrhea
-drink hot liquids several times a day
-drink carbonated beverages to replace lost fluids
-follow a low-fiber diet - ANSWERwer--eat probiotic foods such as yogurt
-avoid alcohol while experiencing diarrhea
-avoid caffeine while experiencing diarrhea
-follow a low-fiber diet
A nurse is admitting a client who is having an exacerbation of heart failure. In planning this client's care,
when should the nurse initiate discharge planning?
During the admission process
