Verified Answers
A nurse is preparing to apply a dressing for a following statements indicates an understanding
client who has a stage 2 pressure injury. Which of the teaching? - ANSWER -B. I will hire
of the following types of dressing should the someone to trim the tree that hangs low over the
nurse use? - ANSWER -D. Hydrocolloid stairs of my front porch.
A nurse is caring for a client who has a terminal A nurse is preparing to administer enoxaparin
illness and is at the end of life. The nurse should subcutaneously to a client. Which of the following
recognize that which of the following statements actions should the nurse take? - ANSWER -
by the clients partner indicates effective coping? A. Administer the medication with the needle at a
- ANSWER -B. "I am relying on support 45 degree angle.
from our family during this time."
A nurse manager is preparing to review
A nurse is assessing an older adult client's risk medication documentation with a group of newly
for falls. Which of the following assessments licensed nurses. Which of the following
should the nurse use to identify the client's safety statements should the nurse manager plan to
needs? (Select all that apply) - ANSWER - include in the teaching? - ANSWER -A. Use
Pupil clarity, visual fields, visual acuity the complete name of the medication magnesium
sulfate.
A nurse is evaluating a client's use of a cane.
Which of the following actions should the nurse A nurse is talking with the partner of an older
identify as an indication of correct use? - adult male client who has dementia. The client's
ANSWER -C. The client holds the cane on partner expresses frustration about finding time
the stronger side of the body. to manage household responsibilities while
caring for his partner. The nurse should identify
that he is going through which of the following
types of role-performance stress? -
A nurse is initiating a protective environment for ANSWER -C. Role overload
a client who has had an allogeneic stem cell
transplant. Which of the following precautions
should the nurse plan for this client? -
ANSWER -B. Make sure the client wears a A nurse is preparing an education program for
mask when outside her room if there is staff about advocacy. Which of the following
construction in the area. information should the nurse include? -
ANSWER -A. Advocacy ensures clients
safety, health and rights.
A nurse is providing discharge instructions to a
client who will be using a walker. Which of the
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, Fundamentals ATI Practice Questions with
Verified Answers
A nurse is caring for a client who has a new The nurse is caring for a client who is receiving a
diagnosis of seizure disorder. Complete the unit of packed RBCs. Complete the following
sentence: The nurse should first address the sentence: The client has manifestations of
clients (_______) followed by the clients (______) as evidenced by the clients (______). -
(_______) - ANSWER -Physical safety, ANSWER -Allergic Reaction, Itching
Positioning
A nurse is reviewing a client's fluid and electrolyte
A nurse is caring for a client who requires an NG status. Which of the following findings should the
tube for stomach decompression. Which of the nurse report to the provider? - ANSWER -D.
following actions should the nurse take when Potassium 5.4 mEq/L (reference range 3.5-
inserting the NG tube? - ANSWER -D. 5mEq/L)
Have the client take sips of water to promote
insertion of the NG tube into the esophagus.
A nurse is teaching a client and his family how to
care for the clients tracheostomy at home. Which
A nurse is admitting a new client. Which of the of the following instructions should the nurse
following actions should the nurse take while include in the teaching? - ANSWER -B. Use
performing medication reconciliation? - tracheostomy covers when outdoors. To protect
ANSWER -C. Compare the clients home air wait from cold air, dust and other airborne
medications with the providers prescriptions. particles.
A nurse is providing discharge teaching to a A nurse is admitting a client who has an
client about self-administering heparin. Which of abdominal wound with a large amount of purulent
the following instructions should the nurse drainage. Which of the following types of
include in the teaching? - ANSWER -C. transmission precautions should the nurse
Administer the medication into the abdomen. initiate? - ANSWER -D. Contact
(This is because it helps reduce pain and Precautions.
bruising at the injection site)
A nurse is auscultating the anterior chest of a
A nurse is admitting a client who is having an client who was newly admitted to a medical-
exacerbation of heart failure. In planning this surgical unit. Listen to the audio clip of what the
clients care, when should the nurse initiate nurse auscultates though the stethoscope and
discharge planning? - ANSWER -A. During identify the type of breath sounds. -
the admission process. ANSWER -D. Normal breath sounds,
brochovesicular.
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