Ati Hesi Fundamental
- Practice Questions
And Answers 2023-
2024 best Grade A+
An elderly client with a fractured left hip is on strict
bedrest. Which nursing measure is essential to the
client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on
extremities.
C. Position the client laterally, prone, and dorsally in
sequence.
D. Gently lift the client when moving into a desired
position. - CORRECT ANSWER-To avoid shearing forces
when repositioning, the client should be lifted gently
across a surface (D). Reddened areas should not be
,massaged (A) since this may increase the damage to
already traumatized skin. To control pain and muscle
spasms, active range of motion (B) may be limited on the
affected leg. The position described in (C) is
contraindicated for a client with a fractured left hip.
Correct Answer: D
The nurse is administering medications through a
nasogastric tube (NGT) which is connected to suction.
After ensuring correct tube placement, what action
should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water. -
CORRECT ANSWER-The NGT should be flushed before,
after and in between each medication administered (B).
Once all medications are administered, the NGT should
be clamped for 20 minutes (A). (C and D) may be
implemented only after the tubing has been flushed.
Correct Answer: B
,A client who is in hospice care complains of increasing
amounts of pain. The healthcare provider prescribes an
analgesic every four hours as needed. Which action
should the nurse implement?
A. Give an around-the-clock schedule for administration
of analgesics.
B. Administer analgesic medication as needed when the
pain is severe.
C. Provide medication to keep the client sedated and
unaware of stimuli.
D. Offer a medication-free period so that the client can
do daily activities. - CORRECT ANSWER-The most
effective management of pain is achieved using an
around-the-clock schedule that provides analgesic
medications on a regular basis (A) and in a timely
manner. Analgesics are less effective if pain persists until
it is severe, so an analgesic medication should be
administered before the client's pain peaks (B). Providing
comfort is a priority for the client who is dying, but
sedation that impairs the client's ability to interact and
experience the time before life ends should be minimized
(C). Offering a medication-free period allows the serum
, drug level to fall, which is not an effective method to
manage chronic pain (D).
Correct Answer: A
When assessing a client with wrist restraints, the nurse
observes that the fingers on the right hand are blue.
What action should the nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse. - CORRECT ANSWER-The
priority nursing action is to restore circulation by
loosening the restraint (A), because blue fingers
(cyanosis) indicates decreased circulation. (C and D) are
also important nursing interventions, but do not have the
priority of (A). Pulse oximetry (B) measures the
saturation of hemoglobin with oxygen and is not
indicated in situations where the cyanosis is related to
mechanical compression (the restraints).
Correct Answer: A
- Practice Questions
And Answers 2023-
2024 best Grade A+
An elderly client with a fractured left hip is on strict
bedrest. Which nursing measure is essential to the
client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on
extremities.
C. Position the client laterally, prone, and dorsally in
sequence.
D. Gently lift the client when moving into a desired
position. - CORRECT ANSWER-To avoid shearing forces
when repositioning, the client should be lifted gently
across a surface (D). Reddened areas should not be
,massaged (A) since this may increase the damage to
already traumatized skin. To control pain and muscle
spasms, active range of motion (B) may be limited on the
affected leg. The position described in (C) is
contraindicated for a client with a fractured left hip.
Correct Answer: D
The nurse is administering medications through a
nasogastric tube (NGT) which is connected to suction.
After ensuring correct tube placement, what action
should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water. -
CORRECT ANSWER-The NGT should be flushed before,
after and in between each medication administered (B).
Once all medications are administered, the NGT should
be clamped for 20 minutes (A). (C and D) may be
implemented only after the tubing has been flushed.
Correct Answer: B
,A client who is in hospice care complains of increasing
amounts of pain. The healthcare provider prescribes an
analgesic every four hours as needed. Which action
should the nurse implement?
A. Give an around-the-clock schedule for administration
of analgesics.
B. Administer analgesic medication as needed when the
pain is severe.
C. Provide medication to keep the client sedated and
unaware of stimuli.
D. Offer a medication-free period so that the client can
do daily activities. - CORRECT ANSWER-The most
effective management of pain is achieved using an
around-the-clock schedule that provides analgesic
medications on a regular basis (A) and in a timely
manner. Analgesics are less effective if pain persists until
it is severe, so an analgesic medication should be
administered before the client's pain peaks (B). Providing
comfort is a priority for the client who is dying, but
sedation that impairs the client's ability to interact and
experience the time before life ends should be minimized
(C). Offering a medication-free period allows the serum
, drug level to fall, which is not an effective method to
manage chronic pain (D).
Correct Answer: A
When assessing a client with wrist restraints, the nurse
observes that the fingers on the right hand are blue.
What action should the nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse. - CORRECT ANSWER-The
priority nursing action is to restore circulation by
loosening the restraint (A), because blue fingers
(cyanosis) indicates decreased circulation. (C and D) are
also important nursing interventions, but do not have the
priority of (A). Pulse oximetry (B) measures the
saturation of hemoglobin with oxygen and is not
indicated in situations where the cyanosis is related to
mechanical compression (the restraints).
Correct Answer: A
