ATI RN FUNDAMENTALS online practice 2019 A EXAM 202
ACTUAL EXAM COMPLETE QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY
GRADED A+
1.A nurse is teaching a client and his family how to care for the client's
tracheostomy at home. Which of the following instructions should the
nurse include in the teaching?
a. remove the outer cannula cautiously for routine cleaning
b. use tracheostomy covers when outdoors
c. use sterile technique when performing tracheostomy care at home
d. cleanse irritated skin with full-strength hydrogen peroxide: b. use
tracheosto- my covers when outdoors
-tracheostomy covers protect the client's airway from cold air, dust, and
other airborne particles
2.A home health nurse is performing a follow-up visit for a client who has a
gastrostomy tube through which they receive intermittent feedings and
med- ications. The client has recently developed diarrhea. Which of the
following findings should the nurse identify as a possible cause of the
diarrhea?
a. the client is receiving formula at room temperature
b. the feedings infuse at a slow, continuous drip over 8 hr each night
c. the client's caregiver washes out the feeding bag with warm water
once every 24 hr
d. the client's caregiver flushes the tubing with water before and after
To get this or any other Exam contact ()
, adminis- tering medications: c. the client's caregiver washes out the
feeding bag with warm water once every 24 hr
-feeding bags should be washed out after each feeding and replaced wit
a new feeding bag every 24 hr to prevent bacterial contamination. The
nurse should reinforce this information with the client's caregiver to avoi
future contamination
3.A nurse is talking with an older adult client who is contemplating
retirement. The client states, "I keep thinking about how much I enjoy my
job. I'm not sure I want to retire." Which of the following responses should
the nurse make?
a. "You would have so much more time to spend with your family."
b. "You should consider getting a part-time job or doing volunteer work."
c. "Let's talk about how the change in your job status will affect you."
d. "Why wouldn't you want to retire and relax?": c. "Let's talk about
how the change in your job status will affect you."
-this response is therapeutic because the nurse is encouraging the client
to verbalize feelings about the life transition of retirement
4.A nurse is assessing a client who reports increased pain following
physical therapy. Which of the following questions should the nurse ask
when assess- ing the quality of the client's pain?
a. "Is your pain constant or intermittent?"
b. "What would you rate your pain on a scale of 0 to 10."
To get this or any other Exam contact ()
, c. "Does the pain radiate?"
d. "Is your pain sharp or dull?": d. "Is your pain sharp or dull?"
-asking the client whether the pain is sharp, dull, crushing, throbbing,
aching, burning, electric-like, or shooting helps determine the quality of
the pain.
5.A nurse is caring for a client who is expressing anger about his
diagnosis of colorectal cancer. Which of the following actions should the
nurse take?
a. discuss the risk factors of colon cancer
b. focus teaching on what the client will need to do in the future to manage
his illness
c. provide the client with written information about the phases of loss and grie
d. reassure the client that this is an expected response to grief: d. reassure
the client that this is an expected response to grief
-during the anger stage of the client's psychosocial adaptation to illness,
the nurse should support the client and explain that this is an expected
reaction to a cancer diagnosis
6.A nurse on a medical-surgical unit is caring for a client who has a new
prescription for wrist restraints. Which of the following actions should
the nurse take?
a. pad the client's wrist before applying the restraints
b. evaluate the client's circulation every 8 hr after application
c. remove the restraints every 4 hr to evaluate the client's status
d. secure the restraint ties to the bed's side rails: a. pad the client's wrist
To get this or any other Exam contact ()
, before applying the restraints
-the use of restraints without padding can abrade the client's skin,
resulting in client injury
7.A nurse is performing a home safety assessment for a client who is re-
ceiving supplemental oxygen. Which of the following observations should
the nurse identify as proper safety protocol?
a. the client uses a wool blanket on their bed
b. the client uses nonacetone nail polish remover
c. the client stores an extra oxygen tank on its side under their bed
d. the client has a weekly inspection checklist for oxygen equipment: b.
the client uses nonacetone nail polish remover
-the client should use nonflammable materials, such as nonacetone nail
polish remover, while using supplemental oxygen
8.A nurse is caring for a client who has a respiratory infection. Which of
the following techniques should the nurse use when performing
nasotracheal suctioning for the client?
a. insert the suction catheter while the client is swallowing
To get this or any other Exam contact ()
ACTUAL EXAM COMPLETE QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY
GRADED A+
1.A nurse is teaching a client and his family how to care for the client's
tracheostomy at home. Which of the following instructions should the
nurse include in the teaching?
a. remove the outer cannula cautiously for routine cleaning
b. use tracheostomy covers when outdoors
c. use sterile technique when performing tracheostomy care at home
d. cleanse irritated skin with full-strength hydrogen peroxide: b. use
tracheosto- my covers when outdoors
-tracheostomy covers protect the client's airway from cold air, dust, and
other airborne particles
2.A home health nurse is performing a follow-up visit for a client who has a
gastrostomy tube through which they receive intermittent feedings and
med- ications. The client has recently developed diarrhea. Which of the
following findings should the nurse identify as a possible cause of the
diarrhea?
a. the client is receiving formula at room temperature
b. the feedings infuse at a slow, continuous drip over 8 hr each night
c. the client's caregiver washes out the feeding bag with warm water
once every 24 hr
d. the client's caregiver flushes the tubing with water before and after
To get this or any other Exam contact ()
, adminis- tering medications: c. the client's caregiver washes out the
feeding bag with warm water once every 24 hr
-feeding bags should be washed out after each feeding and replaced wit
a new feeding bag every 24 hr to prevent bacterial contamination. The
nurse should reinforce this information with the client's caregiver to avoi
future contamination
3.A nurse is talking with an older adult client who is contemplating
retirement. The client states, "I keep thinking about how much I enjoy my
job. I'm not sure I want to retire." Which of the following responses should
the nurse make?
a. "You would have so much more time to spend with your family."
b. "You should consider getting a part-time job or doing volunteer work."
c. "Let's talk about how the change in your job status will affect you."
d. "Why wouldn't you want to retire and relax?": c. "Let's talk about
how the change in your job status will affect you."
-this response is therapeutic because the nurse is encouraging the client
to verbalize feelings about the life transition of retirement
4.A nurse is assessing a client who reports increased pain following
physical therapy. Which of the following questions should the nurse ask
when assess- ing the quality of the client's pain?
a. "Is your pain constant or intermittent?"
b. "What would you rate your pain on a scale of 0 to 10."
To get this or any other Exam contact ()
, c. "Does the pain radiate?"
d. "Is your pain sharp or dull?": d. "Is your pain sharp or dull?"
-asking the client whether the pain is sharp, dull, crushing, throbbing,
aching, burning, electric-like, or shooting helps determine the quality of
the pain.
5.A nurse is caring for a client who is expressing anger about his
diagnosis of colorectal cancer. Which of the following actions should the
nurse take?
a. discuss the risk factors of colon cancer
b. focus teaching on what the client will need to do in the future to manage
his illness
c. provide the client with written information about the phases of loss and grie
d. reassure the client that this is an expected response to grief: d. reassure
the client that this is an expected response to grief
-during the anger stage of the client's psychosocial adaptation to illness,
the nurse should support the client and explain that this is an expected
reaction to a cancer diagnosis
6.A nurse on a medical-surgical unit is caring for a client who has a new
prescription for wrist restraints. Which of the following actions should
the nurse take?
a. pad the client's wrist before applying the restraints
b. evaluate the client's circulation every 8 hr after application
c. remove the restraints every 4 hr to evaluate the client's status
d. secure the restraint ties to the bed's side rails: a. pad the client's wrist
To get this or any other Exam contact ()
, before applying the restraints
-the use of restraints without padding can abrade the client's skin,
resulting in client injury
7.A nurse is performing a home safety assessment for a client who is re-
ceiving supplemental oxygen. Which of the following observations should
the nurse identify as proper safety protocol?
a. the client uses a wool blanket on their bed
b. the client uses nonacetone nail polish remover
c. the client stores an extra oxygen tank on its side under their bed
d. the client has a weekly inspection checklist for oxygen equipment: b.
the client uses nonacetone nail polish remover
-the client should use nonflammable materials, such as nonacetone nail
polish remover, while using supplemental oxygen
8.A nurse is caring for a client who has a respiratory infection. Which of
the following techniques should the nurse use when performing
nasotracheal suctioning for the client?
a. insert the suction catheter while the client is swallowing
To get this or any other Exam contact ()
