ATI Fundamentals practice Test B
A nurse is caring for a client who reports pain. When documenting the quality of
the client's pain on an initial pain assessment, the nurse should record which of the
following? - ANSWER "The pain is like a dull ache in my stomach"
A client who is non-ambulatory notifies the nurse that his trash can is on fire. After
the nurse confirms the presence of the fire, which of the following actions should
the nurse take next? - ANSWER Evacuate the client
A nurse is completing an admission assessment for a client who reports vomiting
and diarrhea for the past 3 days. Which of the following findings should the nurse
expect? - ANSWER Rapid heart rate
A nurse has accepted a verbal prescription for three tenths of a milligram of
levothyroxine IV stat for a client who has myxedema coma. How should the nurse
transcribe the dosage of this medication in the client's medical record? -
ANSWER 0.3 mg
A nurse is preparing a heparin infusion for a client who was admitted to the facility
with DVT. The prescription reads: 25,000 units of heparin in 0.9% sodium chloride
250 mL to infuse at 800 units/hr. At what rate should the nurse set the infusion
pump? (Round to the nearest whole number) - ANSWER 8 mL/hr
, A nurse is caring for a client who has a prescription for wound irrigation. Which of
the following actions should the nurse take? - ANSWER Cleanse the
wound from the center outward.
A nurse is caring for a client who is receiving fluid through a peripheral IV
catheter. Which of the following findings at the IV site should the nurse identify as
indicating infiltration? - ANSWER Skin blanching
A nurse is teaching a client whose left leg is in a cast about using crutches. Which
of the following statements should the nurse identify as an indication that the client
understands the teaching? - ANSWER "When descending stairs, I will
first shift my weight to my right leg"
A nurse is caring for a client who has an NG tube and is receiving intermittent
feedings through and open system. Which of following action should the nurse
take first? - ANSWER Tell the client to keep the head of the bed
elevated at least 30 degrees
A nurse is reviewing a client's medication prescription that reads, "digoxin 0.25 by
mouth every day." Which of the following components of the prescription should
the nurse verify with the provider? - ANSWER Medication dose
A nurse is caring for a client who has recently started using a behind-the-ear
hearing aid. Which of the following statements should the nurse identify as an
indication that the client understands the use of this assistive device? -
ANSWER Clients should remove any hearing devices before showering
because expose to water can damage them
A nurse is caring for a client who reports pain. When documenting the quality of
the client's pain on an initial pain assessment, the nurse should record which of the
following? - ANSWER "The pain is like a dull ache in my stomach"
A client who is non-ambulatory notifies the nurse that his trash can is on fire. After
the nurse confirms the presence of the fire, which of the following actions should
the nurse take next? - ANSWER Evacuate the client
A nurse is completing an admission assessment for a client who reports vomiting
and diarrhea for the past 3 days. Which of the following findings should the nurse
expect? - ANSWER Rapid heart rate
A nurse has accepted a verbal prescription for three tenths of a milligram of
levothyroxine IV stat for a client who has myxedema coma. How should the nurse
transcribe the dosage of this medication in the client's medical record? -
ANSWER 0.3 mg
A nurse is preparing a heparin infusion for a client who was admitted to the facility
with DVT. The prescription reads: 25,000 units of heparin in 0.9% sodium chloride
250 mL to infuse at 800 units/hr. At what rate should the nurse set the infusion
pump? (Round to the nearest whole number) - ANSWER 8 mL/hr
, A nurse is caring for a client who has a prescription for wound irrigation. Which of
the following actions should the nurse take? - ANSWER Cleanse the
wound from the center outward.
A nurse is caring for a client who is receiving fluid through a peripheral IV
catheter. Which of the following findings at the IV site should the nurse identify as
indicating infiltration? - ANSWER Skin blanching
A nurse is teaching a client whose left leg is in a cast about using crutches. Which
of the following statements should the nurse identify as an indication that the client
understands the teaching? - ANSWER "When descending stairs, I will
first shift my weight to my right leg"
A nurse is caring for a client who has an NG tube and is receiving intermittent
feedings through and open system. Which of following action should the nurse
take first? - ANSWER Tell the client to keep the head of the bed
elevated at least 30 degrees
A nurse is reviewing a client's medication prescription that reads, "digoxin 0.25 by
mouth every day." Which of the following components of the prescription should
the nurse verify with the provider? - ANSWER Medication dose
A nurse is caring for a client who has recently started using a behind-the-ear
hearing aid. Which of the following statements should the nurse identify as an
indication that the client understands the use of this assistive device? -
ANSWER Clients should remove any hearing devices before showering
because expose to water can damage them
