ATI Fundamental Proctored Exam| Fundamentals Proctored Exam| Graded A+| Latest {100% Verified} Pass Guarantee

ATI Fundamental Proctored Exam| Fundamentals Proctored
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Exam| Graded A+| Latest {100% Verified} Pass Guarantee
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1. A nurse is performing a straight urinary catheterization for a female client who has urinary retention.
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Which of the following actions indicates the nurse is maintaining sterile technique?
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Wiping the labia minora in an anteroposterior direction vt vt vt vt vt vt vt




2. A nurse in a rehabilitation facility is observing an assistive personnel (AP) help a client transfer from abed
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vt to a wheelchair. Which of the following actions indicates to the nurse that the AP understands how to
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vt perform this task? vt vt




Locking the brakes on the bed and the wheelchair before moving the client
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3. A nurse is preparing to administer a tuberculin skin test to a client. After performing hand hygiene,
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which of the following actions should the nurse take?
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Circle the injection area with a pen vt vt vt vt vt vt




4. A nurse is caring for a client who has major fecal incontinence and reports irritation in the perianal
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area. Which of the following actions should the nurse take first?
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Check the client's perineum vt vt vt




5. A nurse is caring for a client who is postoperative following a vaginal hysterectomy and asks for a
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vt drink. Her postoperative diet prescription states “clear liquids; advance diet as tolerated.” Which ofthe
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vt following responses should the nurse make? vt vt vt vt vt




I am going to listen to your abdomen.
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6. A nurse is changing the dressings for a client recovering from an appendectomy following a ruptured
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appendix. The client's surgical wound is healing by secondary intention. Which of the following
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vt observations should the nurse report to the provider? vt vt vt vt vt vt vt




Halo of erythema on the surrounding skin
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7. A nurse is caring for a client who just received a diagnosis of cancer. The client states, "I just don't
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know what I'm going to do now. Which of the following responses should the nurse make?
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Can you explain the concerns you're having right now?
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8. A nurse is caring for a client who has a stage III pressure ulcer on the heel. When preparing to
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irrigate the wound, which of the following actions should the nurse take first?
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Check the client's pain level vt vt vt vt




9. A nurse is calculating a client's intake for a 12-hr shift. The client had dextrose 5% in 0.45% sodium
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vt chloride infusing at 125 ml/hr, gentamicin 150 mg in 100 mL at 1400, famotidine 20 mg in 50 mL at
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1000 and 1600, 250 mL of blood over 2 hr, and a nasogastric flush of 30 ml every 2 hr. What is the
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total intake in milliliters that the nurse should document for this client for this 12-hr period?
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2130

,10. A nurse is caring for a client who is receiving a blood transfusion. The client reports flank pain, and
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vt the nurse notes reddish-brown urine in the client's urinary catheter bag. The nurse recognizes these
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manifestations as which of the following types of transfusion reactions?
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Hemolytic
11. A nurse is caring for a client who has a terminal illness. The client asks several questions about the
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vt nurse's religious beliefs related to death and dying. Which of the following actions should the nurse
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take?
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Encourage the client to express thoughts about death and dying vt vt vt vt vt vt vt vt vt




12. A nurse is caring for a client who reports feeling a pop after coughing without properly splinting an
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abdominal incision. On assessment, the nurse notes that the client's wound has eviscerated. Whichof
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vt the following actions should the nurse take? (SATA)
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Place the client in a supine position with the hips and knees flexed
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Cover the wound and intestine with a sterile, moistened dressing
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vt Monitor the client for manifestations of shock vt vt vt vt vt vt




13. A nurse is providing teaching to a client regarding protein intake. Which of the following foods
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should the nurse include as an example of an incomplete protein?
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Lentils
14. A nurse is providing discharge teaching for a client who has type 2 diabetes mellitus and will be caring
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vt for herself at home. The client expresses concerns about preparing an appropriate diet for herdiabetes
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vt due to her cultural beliefs and preferences. Which of the following responses should the nurse offer?
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The dietitian will help you choose foods you are used to that also meet your health needs.
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15. A nurse is caring for a client who has emphysema. The client has not stopped smoking cigarettes and
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states, "it's too late for me to quit." Which of the following actions should the nurse take?
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Assist the client in finding local smoking cessation assistance programs
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16. A nurse is collecting a specimen for culture from a clients infected wound. Which of the following
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actions should the nurse perform?
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Cleanse the wound with 0.9% sodium chloride irrigation
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17. A nurse is providing teaching about proper care to a client who has a new colostomy. Which of the
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following pieces of information should the nurse include in the teaching?
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Cleanse the skin around the stoma with warm watervt vt vt vt vt vt vt vt

,18. A nurse is preparing to administer an afternoon dose of ampicillin to a client. The client appears
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upset and refuses to take the medication before throwing the pill on the floor. Which of the
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vt following entries should the nurse enter into the client's medical record?
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The client threw the medication on the floor.
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19. A nurse is caring for a client who is 48 hr postoperative following a small bowel resection. The client
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reports gas pains in the periumbilical area. The nurse should plan care based on which of the
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vt following factors contributing to this postoperative complication?
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Impaired peristalsis of the intestines vt vt vt vt




20. A nurse is explaining Piaget's theory of cognitive development to a group of daycare providers for
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employees' children at an acute care facility. Which of the following activities should the nurse
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vt include as an example of concrete operational thinking?
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Collecting and trading game cards vt vt vt vt




21. A nurse is planning care for a group of clients receiving oxygen therapy. Which of the following
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clients should the nurse plan to see first?
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A client who has heart failure and is receiving 100% oxygen via partial rebreather mask
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22. A nurse is caring for a group of clients. Which of the following tasks should the nurse assign to an
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assistive personnel (AP)?
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Provide oral care to a client who cannot take oral fluids
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23. A nurse is assessing a client who reports nausea and vomiting for 2 days. Which of the following
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findings should indicate to the nurse that the client is experiencing fluid volume deficit?
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vt Increased heart rate vt vt




24. A nurse is caring for a client who has a BMI of 29 and expresses a desire to lose weight. Which of the
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following actions should the nurse take first?
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Determine the client's intention to change current eating habitsvt vt vt vt vt vt vt vt




25. A nurse is beginning a therapeutic relationship with a client. Which of the following actions shouldthe
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vt nurse take to convey empathy when using the therapeutic communication technique of active
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vt listening?
Assume an open position vt vt vt




26. A nurse is caring for a client who has the head of his bed elevated to a 45° angle with his knees
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slightly flexed. Which of the following positions should the nurse document for the client?
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vt Fowler's

, 27. A nurse is assessing a client who has a total calcium level of 12.7 mg/dL. Which of the following
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findings should the nurse expect?
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Depressed deep-tendon reflexes vt vt




28. A nurse is preparing to insert an indwelling urinary catheter for a male client. Which of the following
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locations should the nurse secure the urinary catheter tubing?
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Lower abdomen vt




29. A nurse is teaching a client about the use of a straight-legged cane. Which of the following client
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actions indicates an understanding of the teaching?
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The client holds the cane on the unaffected side.
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30. A nurse is planning to obtain the vital signs of a 2-year-old child who is experiencing diarrhea and
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may have a right ear infection. Which of the following routes should the nurse use to obtain the
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vt child's temperature? vt




Temporal
31. A nurse is teaching range-of-motion exercises to a client who has osteoarthritis. Which of the
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following client positions demonstrates an understanding of supination of the hand?
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The client holds the hand with the palm up.
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32. A nurse is assessing a client who has a sudden onset of severe back pain of unknown origin. Which ofthe
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vt following questions should the nurse ask to encourage discussion with the client?
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What do you think caused the onset of your pain?
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33. A nurse is preparing to administer an intramuscular injection to a client who is overweight. Which ofthe
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vt following sites should the nurse select for the injection?
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Side hip between the iliac crest and anterior iliac spine
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34. A nurse is caring for a middle-aged adult client. The nurse should identify which of the following
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vt statements as an indication that the client has completed Erikson's developmental task for her age
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group?
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I think I have done a good job with my children since they are all independent now.
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35. A nurse is supervising a newly licensed nurse who is administering a controlled substance. Which ofthe
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vt following actions by the newly licensed nurse indicates an understanding of the procedure? Asking
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vt another nurse to observe the disposal of an unused portion of the medication
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