ATI fundamentals practice A Key Questions with
100% Correct Answers.
Terms in this set (57)
A nurse is evaluating a 3
client's use of a cane. Which The client should hold the cane on the stronger side of her
of the following actions body to increase support and maintain alignment.
should the nurse identify as
an indication of correct use?
1. The top of the cane
isparallel to the client's waist.
2. When walking, the
clientmoves the cane 46 cm
(18 in) forward.
3. The client holds
thecane on the stronger side
of her body.
4. The client moves
herstronger limb forward
with the cane.
,A nurse receives a report 4
about a client who has 0.9% The first action the nurse should take using the nursing
sodium chloride infusing IV process is to assess the client. If checking the IV tubing and
verifying an obstruction, the nurse might be able to facilitate
at 125mL/hr.
the flow of fluid through the tubing. This could re-establish
When the nurse performs the infusion rate the provider prescribed.
the initial assessment, he
notes that the client has
received only 80mL over the
last 2 hr. Which of the
following actions should the
nurse take first? 1.
Reposition the client.
2. Document the client's
IVintake in the medical
record.
3. Request a new IV
fluidprescription.
4. Check the IV tubing
forobstruction.
,A nurse is caring for a client 4
who requires an NG tube for Taking sips of water as the NG tube passes through the
stomach decompression. oropharynx will close the epiglottis over the trachea and
prevent the tube from passing into the trachea.
Which of the following
actions should the nurse take
when inserting the NG tube?
1. Position the client
withthe head of the bed
elevated to 30° prior to
insertion of the NG tube.
2. Remove the NG tube
ifthe client begins to gag or
choke.
3. Apply suction to the
NGtube prior to insertion.
4. Have the client take
sipsof water to promote
insertion of the NG tube into
the esophagus.
4
A nurse is reviewing a client's
This value is above the expected reference range of 3.5 to 5
fluid and electrolyte status. mEq/L, so the nurse should report this finding to the
Which of the following provider. This client is at risk for dysrhythmias.
findings should the nurse
report to the provider? 1.
BUN 15 mg/dL
2. Creatinine 0.8 mg/dL
3. Sodium 143 mEq/L
4. Potassium 5.4 mEq/L
, A nurse is providing 2
discharge instructions to a Clearing stairs of any object that could cause the client to
client who will be using a trip or require them to bend over while walking will
decrease the risk for falls.
walker. Which of the
following client statements
indicates an understanding
of the teaching?
1."I can place an extension
cord across my living room
to plug in my television."
2. "I will hire someone
totrim the tree that hangs
low over the stairs of my
front porch."
3. "I will place my
alarmclock on my bedroom
dresser across the room." 4.
"I will replace the old throw
rug in my kitchen with a new
one."
100% Correct Answers.
Terms in this set (57)
A nurse is evaluating a 3
client's use of a cane. Which The client should hold the cane on the stronger side of her
of the following actions body to increase support and maintain alignment.
should the nurse identify as
an indication of correct use?
1. The top of the cane
isparallel to the client's waist.
2. When walking, the
clientmoves the cane 46 cm
(18 in) forward.
3. The client holds
thecane on the stronger side
of her body.
4. The client moves
herstronger limb forward
with the cane.
,A nurse receives a report 4
about a client who has 0.9% The first action the nurse should take using the nursing
sodium chloride infusing IV process is to assess the client. If checking the IV tubing and
verifying an obstruction, the nurse might be able to facilitate
at 125mL/hr.
the flow of fluid through the tubing. This could re-establish
When the nurse performs the infusion rate the provider prescribed.
the initial assessment, he
notes that the client has
received only 80mL over the
last 2 hr. Which of the
following actions should the
nurse take first? 1.
Reposition the client.
2. Document the client's
IVintake in the medical
record.
3. Request a new IV
fluidprescription.
4. Check the IV tubing
forobstruction.
,A nurse is caring for a client 4
who requires an NG tube for Taking sips of water as the NG tube passes through the
stomach decompression. oropharynx will close the epiglottis over the trachea and
prevent the tube from passing into the trachea.
Which of the following
actions should the nurse take
when inserting the NG tube?
1. Position the client
withthe head of the bed
elevated to 30° prior to
insertion of the NG tube.
2. Remove the NG tube
ifthe client begins to gag or
choke.
3. Apply suction to the
NGtube prior to insertion.
4. Have the client take
sipsof water to promote
insertion of the NG tube into
the esophagus.
4
A nurse is reviewing a client's
This value is above the expected reference range of 3.5 to 5
fluid and electrolyte status. mEq/L, so the nurse should report this finding to the
Which of the following provider. This client is at risk for dysrhythmias.
findings should the nurse
report to the provider? 1.
BUN 15 mg/dL
2. Creatinine 0.8 mg/dL
3. Sodium 143 mEq/L
4. Potassium 5.4 mEq/L
, A nurse is providing 2
discharge instructions to a Clearing stairs of any object that could cause the client to
client who will be using a trip or require them to bend over while walking will
decrease the risk for falls.
walker. Which of the
following client statements
indicates an understanding
of the teaching?
1."I can place an extension
cord across my living room
to plug in my television."
2. "I will hire someone
totrim the tree that hangs
low over the stairs of my
front porch."
3. "I will place my
alarmclock on my bedroom
dresser across the room." 4.
"I will replace the old throw
rug in my kitchen with a new
one."
