ATI Fundamentals Nursing
Terms in this set (110)
A nurse asks a client to stand Cerebellar dysfunction
with her feet together and
her eyes open. After a few
seconds, the nurse asks the Cerebellar dysfunction causes a loss of position sense
client to close her eyes. If the (proprioception) which results in positive Romberg's sign.
client begins to fall, the
nurse should interpret this
finding as a positive Romberg's
test, indication what
alteration?
A nurse is caring for a client Standard precautions
who had human
immunodeficiency virus (HIV).
Which of the following types of
isolation
should the nurse implement to
prevent the transmission of
HIV?
a nurse is teaching a middle- eye examination every 2 years
aged female client about
disease prevention and health
maintenance.Which of the
following
diagnostic test should the nurse
recommend as part of the
client's routine? annual
papanicolaou (pap) testing
mammogram every 2 years
eye examination every 2
years annual
colonoscopy
,A nurse is explaining collecting and trading game cards
Piaget's theory of cognitive
development to a group
of
daycare providers for
employees' children at an
acute care facility. which of
the
following activities should
the nurse include as an
example of concrete
operational thinking?
playing in the sand
playing dress-up with
old clothes collecting
and trading game cards
describing interpersonal
relationships
A nurse is talking with a client Depression
whose
provider recently informed
him of terminal pancreatic
cancer. When the client
reports that he understands
the full impact of this
diagnosis, the nurse should
identify that the client is in
which of the following stages
of dying?
A nurse is planning care for Death is viewed as an interruption of what might have been
a young adult client who has
a terminal illness. Which of
the following concepts of
death should the nurse
consider for this client?
,A nurse is changing the Montgomery straps
dressings for a client who
has 2 Penrose drains near
an
abdominal incision. Which of
the following adhering devices
is the best choice for the
nurse to use to decrease
skin irritation?
A nurse is caring for an older Excessive wax in the ear canal
adult client who has an in-the-
canal hearing aid. The
client states that the hearing aid
is making a whistling sound.
The nurse should identify
which of the following factors as
the source for this sound?
A nurses planning to administer use the pain scale to determine the client's pain level
pain
medication to a client following
abdominal surgery. Which of
the following actions
should the nurse take first?
use the pain scale to
determine the client's pain
level
discuss the adverse effects of
pain medication with the
client
obtain the client's vital
signs check the
client's allergies
, a nurse is teaching a client I can still use my transcutaneous electrical nerve stimulation
who is using a patient- unit while I'm pushing the PCA button
controlled analgesia (PCA)
pump to deliver morphine for
pain management. which of
the following statements
should the nurse identify as
an indication that the client
understands the
instructions?
I'll limit pushing the button so I
don't get an overdose
if I push the button and still
have pain after 2 minutes, I'll
push it again
I'll ask my niece to push the
button when I am sleeping
I can still use my
transcutaneous electrical nerve
stimulation unit while I'm
pushing the PCA button
a nurse is preparing to request an x-ray of the client's abdomen
administer a bolus feeding to
a client through an NG tube
and observes that the exit
mark on the tube has moved
since the last feeding. Which of
the following actions should
the nurse plan to take?
auscultate over the stomach
while injecting air
request an x-ray of the
client's abdomen place the
head of the client's bed in a
flat position
administer the feeding if the
pH of the aspirated contents
is >6
A nurse in a same-day hearing aids
procedure unit is caring for
several clients who are
undergoing different types of
Terms in this set (110)
A nurse asks a client to stand Cerebellar dysfunction
with her feet together and
her eyes open. After a few
seconds, the nurse asks the Cerebellar dysfunction causes a loss of position sense
client to close her eyes. If the (proprioception) which results in positive Romberg's sign.
client begins to fall, the
nurse should interpret this
finding as a positive Romberg's
test, indication what
alteration?
A nurse is caring for a client Standard precautions
who had human
immunodeficiency virus (HIV).
Which of the following types of
isolation
should the nurse implement to
prevent the transmission of
HIV?
a nurse is teaching a middle- eye examination every 2 years
aged female client about
disease prevention and health
maintenance.Which of the
following
diagnostic test should the nurse
recommend as part of the
client's routine? annual
papanicolaou (pap) testing
mammogram every 2 years
eye examination every 2
years annual
colonoscopy
,A nurse is explaining collecting and trading game cards
Piaget's theory of cognitive
development to a group
of
daycare providers for
employees' children at an
acute care facility. which of
the
following activities should
the nurse include as an
example of concrete
operational thinking?
playing in the sand
playing dress-up with
old clothes collecting
and trading game cards
describing interpersonal
relationships
A nurse is talking with a client Depression
whose
provider recently informed
him of terminal pancreatic
cancer. When the client
reports that he understands
the full impact of this
diagnosis, the nurse should
identify that the client is in
which of the following stages
of dying?
A nurse is planning care for Death is viewed as an interruption of what might have been
a young adult client who has
a terminal illness. Which of
the following concepts of
death should the nurse
consider for this client?
,A nurse is changing the Montgomery straps
dressings for a client who
has 2 Penrose drains near
an
abdominal incision. Which of
the following adhering devices
is the best choice for the
nurse to use to decrease
skin irritation?
A nurse is caring for an older Excessive wax in the ear canal
adult client who has an in-the-
canal hearing aid. The
client states that the hearing aid
is making a whistling sound.
The nurse should identify
which of the following factors as
the source for this sound?
A nurses planning to administer use the pain scale to determine the client's pain level
pain
medication to a client following
abdominal surgery. Which of
the following actions
should the nurse take first?
use the pain scale to
determine the client's pain
level
discuss the adverse effects of
pain medication with the
client
obtain the client's vital
signs check the
client's allergies
, a nurse is teaching a client I can still use my transcutaneous electrical nerve stimulation
who is using a patient- unit while I'm pushing the PCA button
controlled analgesia (PCA)
pump to deliver morphine for
pain management. which of
the following statements
should the nurse identify as
an indication that the client
understands the
instructions?
I'll limit pushing the button so I
don't get an overdose
if I push the button and still
have pain after 2 minutes, I'll
push it again
I'll ask my niece to push the
button when I am sleeping
I can still use my
transcutaneous electrical nerve
stimulation unit while I'm
pushing the PCA button
a nurse is preparing to request an x-ray of the client's abdomen
administer a bolus feeding to
a client through an NG tube
and observes that the exit
mark on the tube has moved
since the last feeding. Which of
the following actions should
the nurse plan to take?
auscultate over the stomach
while injecting air
request an x-ray of the
client's abdomen place the
head of the client's bed in a
flat position
administer the feeding if the
pH of the aspirated contents
is >6
A nurse in a same-day hearing aids
procedure unit is caring for
several clients who are
undergoing different types of
