121 COMPLETE SOLUTIONS A+
Fundamentals ATI EXAM review 2024
121 COMPLETE SOLUTIONS A+
A nurse is assisting with conducting a home hazard assessment for a client who has
dementia. Which of the following findings indicates an understanding of home safety?
- An extension cord is secured under a rug
- A toaster is plugged in when not in use
- The water heater is set to 55c (131f)
- The edges of stairs are marked with brightly colored tape - ANSWER-The edges of
stairs are marked with brightly colored tape
The nurse should instruct the client to mark edges of stairs with brightly colored tape to
alert the client of the steps and reduce the risk of fall.
A nurse is caring for a client who is experiencing a seizure. Which of the following
actions should the nurse take?
-Record the time and length of the seizure
-Restrain the clients extremes
-Place the client in the prone position
-Monitor the clients hemoglobin level - ANSWER-Record the time and length of the
seizure
The nurse should monitor the length of time of the seizure to evaluate the type of
seizure and determine treatment required.
A nurse is caring for a client who is at risk for suicide. Which of the following actions
should the nurse take? (Select all that apply)
-Place the client on round-the-clock surveillance
- Remove objects from the room that the client could use to harm themselves
- Search items brought into the clients room by visitors
- Refrain from asking the client if they intend to harm themselves
- Screen the client for suicidal ideations - ANSWER-Place the client on round the clock
surveillance
Remove objects from the room that the client could use to harm themselves
Search items brought into the clients room by visitors
,Fundamentals ATI EXAM review 2024
121 COMPLETE SOLUTIONS A+
Screen the client for suicidal ideations
A nurse is caring for a client who has an indwelling urinary catheter in place. Which of
the following actions is the priority for the nurse to take to reduce the clients risk of
developing a healthcare associated infection?
- Wipe down the clients bedside table with an antiseptic wipe.
- Conduct informal audits of medical records to identify the number of healthcare
associated infections
- Perform hand hygiene
Instruct the client on ways to reduce the risk for infection - ANSWER-Perform hand
hygiene
According to evidence-based practice, hand hygiene among medical professionals,
clients, and visitors is the priority intervention to reduce the risk for the client to develop
a healthcare-associated infection.
A nurse is checking a clients allergy bracelet before administering a medication and
finds the client is allergic to that medication. The nurse does not administer the
medication to the client. This is an example of which of the following unexpected
events?
- Near miss event
- Client safety event
- Adverse event
- Sentinel event - ANSWER-Near miss event
A near-miss event is an error that could have harmed the client which almost occurs,
but was caught and avoided. The nurse noted the client had an allergy to the
medication prior to administering it, avoiding harm to the client.
A nurse is preparing a poster about fire safety for a community health fair. The nurse
should include on the poster that which of the following components contains needed
elects for fire to occur? (SATA)
- Carbon dioxide
- Nitrogen
- Cooking oil
- Oxygen
- Heat - ANSWER-Cooking oil
Oxygen
Heat
,Fundamentals ATI EXAM review 2024
121 COMPLETE SOLUTIONS A+
A nurse is assisting with teaching a class about evidence based protocols established
by the CDC to prevent healthcare associated infections (HAIs). Which of the following
infections should the nurse include? (SATA)
- Influenza infection
- Catheter associated urinary tract infection
- Mycobacterium tuberculosis infection
- Central line associated bloodstream infection
- Surgical site infection - ANSWER-Catheter associated urinary tract infection
Central line associated bloodstream infection
Surgical site infection
A nurse is assisting with teaching a class about warning signs from a co-worker that
might indicate future workplace violence. Which of the following behaviors should the
nurse include?
- Legitimate absenteeism
- Strict adherence to facility policies
- Consistent adequate work performance
- frequent reports of not being treated fairly - ANSWER-frequent reports of not being
treated fairly
The nurse should include that persistent complaining and voicing that they are not being
treated fairly is a warning sign for possible future workplace violence by a co-worker.
A nurse is assisting with teaching a newly licensed nurse about electrical safety. Which
of the following actions by the newly licensed nurse indicates an understanding of the
teaching?
- The nurse plugs in a sequential compression device with wet hands
- The nurse holds onto the plug to unplug a clients electronic blood pressure machine
- The nurse rolls the clients bed over an electrical cord
- The nurse uses an extension cord to plug in a clients smart infusion pump - ANSWER-
The nurse holds onto the plug to unplug a clients electronic blood pressure machine
The nurse should instruct the newly licensed nurse to hold onto the plug, rather than the
cord, to unplug electric cords. Pulling on the cord can damage the cord, and result in an
electric shock that could injure the nurse or the client.
A nurse is assisting with teaching a class about hospital-acquired injuries. The nurse
should include which of the following is a hospital-acquired injury? (SATA)
, Fundamentals ATI EXAM review 2024
121 COMPLETE SOLUTIONS A+
- Blood transfusion incompatibility
- Wrong site surgery
- Ineffective insulin usage
- Dysphagia following a stroke
- Dehydration due to diarrhea - ANSWER-Blood transfusion incompatibility
Wrong site surgery
Ineffective insulin usage
A nurse is assisting with teaching a class about events that require an occurrence
report. Which of the following events should the nurse include? (SATA)
- A clients visitor falls in the hallway
- A nurse forgets their computer password
- A client develops an unexpected reaction to a medication
- A clients dentures are lost
- An antibiotic was administered to a client 30 min after the scheduled time - ANSWER-
A clients visitor falls in the hallway
A client develops an unexpected reaction to a medication
A clients dentures are lost
A nurse is preparing to administer medications to a client. Which of the following
information should the nurse use to identify the client? (SATA)
- The client's full name
- The client's date of birth
- The client's telephone number
- The client's diagnosis
- The client's room number - ANSWER-The client's full name
The client's date of birth
The client's telephone number
A nurse is a assisting with emergency care of a client who has been exposed to a
chemical toxin. Which of the following actions should the nurse take?
- Rinse the clients skin with water
- Remove the clients clothing by pulling it over their head
- Dispose of the clients clothing in a single biohazard bag