ATI RN Fundamentals B MOST RECENT SOLUTION
GRADED A+
A nurse is providing home care for a client who is receiving tube feedings and
medication through a gastrostomy tube. The family member providing the feedings
reports that the client has begun to have diarrhea. For which of the following practices
should the nurse intervene? - 100 correct answer as-The family member washes out the
feeding bag with warm water once every 24 hours
- 100 correct answer as-elevate HOB
A nurse is caring for a client who needs to maintain a positive nitrogen balance for
wound healing. Which of the following food items should the nurse recommend as a
good source of complete protein? - 100 correct answer as-cheddar cheese
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 she
understands the use of this assistive device?
a) "This type of hearing aid does not allow for fine tuning of volume."
b) "I shouldn't have trouble keeping the hearing aid in place during exercise."
c) "I expect to hear a whistling sound when I first insert the hearing aid."
d) "I will be sure to remove my hearing aid before taking a shower." - 100 correct
answer as-I will be sure to remove my hearing aid before taking a shower
A nurse is caring for a client who does not speak the same language as the nurse.
When working with the client through an interpreter, which of the following actions
should the nurse take? - 100 correct answer as-
A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the
following actions should the nurse take? - 100 correct answer as-45 angle
nurse enters a client's room and finds her on the floor. The client's roommate reports
that the client was trying to get out of bed and fell over the bedrail onto the floor. Which
of the following statements should the nurse document about this incident? - 100 correct
answer as-found on floor
nurse is planning care for a client who has fluid overload. Which of the following actions
should the nurse plan to take first? - 100 correct answer as-evaluate electrolytes
nurse is providing discharge teaching to a client who has a new prescription for a home
oxygen concentrator. Which of the following instructions should the nurse provide to the
client and his family? (Select all that apply.) - 100 correct answer as-check the cord,
purchase a generator
,nurse is caring for a client who has diarrhea due to shigella. Which of the following
precautions should the nurse take? - 100 correct answer as-wash her hands before and
after
A nurse is teaching a client and his family how to care for the client's tracheostomy at
home. Which of the following instructions should the nurse include in the teaching? -
100 correct answer as-use tracheostomy covers when outdoors
A nurse is caring for a client who is postoperative following knee arthroplasty and
requires the use of a thigh-length sequential compression device. Which of the following
actions should the nurse take? - 100 correct answer as-two fingers under the sleeve
nurse in a provider's office is obtaining the health and medication history of a client who
has a respiratory infection. The client tells the nurse that she is not aware of any
allergies, but that she did develop a rash the last time she was taking an antibiotic.
Which of the following information should the nurse give the client? - 100 correct answer
as-document exact medication you were taking
nurse on a medical unit is preparing to discharge a client to home. Which of the
following actions should the nurse take as part of the medication reconciliation process?
- 100 correct answer as-compare prescriptions w/ meds
nurse is preparing to transfer a client who can bear weight on one leg from the bed to a
chair. After securing a safe environment, which of the following actions should the nurse
take next? - 100 correct answer as-orthostatic HTN
nurse is admitting a client who has been having frequent tonic-clonic seizures. Which of
the following actions should the nurse add to the client's plan of care? - 100 correct
answer as-wrap blankets
nurse is reviewing the medical records of a client who has a pressure ulcer. Which of
the following findings should the nurse expect? - 100 correct answer as-albumin lvl 3
nurse is giving a change-of-shift report about a client he admitted earlier that day who
has pneumonia. Which of the following pieces of information is the priority for the nurse
to provide? - 100 correct answer as-Breath
nurse is caring for a client who has an indwelling urinary catheter. Which of the following
assessment findings indicates that the catheter requires irrigation? - 100 correct answer
as-bladder scan shows 525 ml
nurse is caring for a client who has a respiratory infection. Which of the following
techniques should the nurse use when performing nasotracheal suctioning for the
client? - 100 correct answer as-intermittent suction
,nurse in a long-term care facility is caring for a client who dies during the nurse's shift.
Identify the sequence in which the nurse should perform the following steps. - 100
correct answer as-
nurse is calculating a client's fluid intake over the past 8 hr. Which of the following items
should the nurse plan to document on the client's intake and output record as 120 mL of
fluid? - 100 correct answer as-8 oz ice chips
nurse is caring for a client who is postoperative. When the nurse prepares to change
her dressing, she says, "Every time you change my bandage, it hurts so much." Which
of the following interventions is the nurse's priority action? - 100 correct answer as-pain
meds
nurse receives report about a client who has 0.9% sodium chloride infusing IV at 125
mL/hr. When the nurse performs the initial assessment, he notes that the client has
received only 80 mL over the last 2 hr. Which of the following actions should the nurse
take first? - 100 correct answer as-check IV tubing
nurse is caring for a client who has a terminal diagnosis and whose health is declining.
The client requests information about advance directives. Which of the following
responses should the nurse make? - 100 correct answer as-we can talk about advance
directives, and I can also give you some brochures about them."
nurse is caring for a client who is receiving parenteral fluid therapy via a peripheral IV
catheter. After which of the following observations should the nurse remove the IV
catheter? - 100 correct answer as-
nurse is caring for a client who has pharyngeal diphtheria. Which of the following types
of transmission precautions should the nurse initiate? - 100 correct answer as-droplet
nurse is completing an admission assessment of an older adult client. Which of the
following findings should the nurse identify as a potential indication of abuse? - 100
correct answer as-bruises
- 100 correct answer as-might help me to listen to music while i'm lying in bed
nurse is caring for a child who has a prescription for a blood transfusion. The parents
have refused the treatment due to religious beliefs. Which of the following actions
should the nurse take? - 100 correct answer as-examine personal values
nurse has an order to remove sutures from a client. After retrieving the suture remover
kit and applying sterile gloves, which of the following actions should the nurse take
next? - 100 correct answer as-clean sutures along the incision site
, nurse on a medical-surgical unit is caring for a client who has a new prescription for
wrist restraints. Which of the following actions should the nurse take? - 100 correct
answer as-pad the client's wrist before
nurse is preparing to administer 750 mL of 0.9% sodium chloride IV to infuse over 7 hr.
The nurse should set the infusion pump to deliver how many mL/hr? - 100 correct
answer as-107
nurse is planning care for a client who has had a stroke, resulting in aphasia and
dysphagia. Which of the following tasks should the nurse assign to an assistive
personnel - 100 correct answer as-assis client w/partial bed bath, measure BP,
communication board
nurse is planning teaching for a group of adolescents who each recently had surgical
placement of an ostomy. Which of the following methods should the nurse use as a
psychomotor approach to learning? - 100 correct answer as-practice
nurse is auscultating the anterior chest of a client newly admitted to a medical-surgical
unit. - 100 correct answer as-normal BS
nurse is initiating a protective environment for a client who has had an allogeneic stem
cell transplant. Which of the following precautions should the nurse plan for this client? -
100 correct answer as-make sure the client wears a mask
A middle adult client tells the nurse, "I feel so useless now that my children do not need
me anymore." Which of the following responses should the nurse make? - 100 correct
answer as-people in middle adulthood often find satisfaction in nurturing and guiding
young people
A nurse is reviewing evidence-based practice principles about administration of oxygen
therapy with a newly licensed nurse. Which of the following actions should the nurse
include? - 100 correct answer as-regulate oxygen
nurse is preparing to insert an IV catheter into a client's arm prior to initiating IV fluid
therapy. Which of the following interventions should the nurse implement to prevent
infection? - 100 correct answer as-thread the iv
nurse is admitting a client who is having an exacerbation of heart failure. In planning this
client's care, when should the nurse initiate discharge planning? - 100 correct answer
as-during the admission
nurse is performing a skin assessment of a client who has a lesion on his anterior thigh
and expresses concern about skin cancer. Which of the following findings should the
nurse report to the provider as a possible indication of a skin malignancy? - 100 correct
answer as-an uneven shape
GRADED A+
A nurse is providing home care for a client who is receiving tube feedings and
medication through a gastrostomy tube. The family member providing the feedings
reports that the client has begun to have diarrhea. For which of the following practices
should the nurse intervene? - 100 correct answer as-The family member washes out the
feeding bag with warm water once every 24 hours
- 100 correct answer as-elevate HOB
A nurse is caring for a client who needs to maintain a positive nitrogen balance for
wound healing. Which of the following food items should the nurse recommend as a
good source of complete protein? - 100 correct answer as-cheddar cheese
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 she
understands the use of this assistive device?
a) "This type of hearing aid does not allow for fine tuning of volume."
b) "I shouldn't have trouble keeping the hearing aid in place during exercise."
c) "I expect to hear a whistling sound when I first insert the hearing aid."
d) "I will be sure to remove my hearing aid before taking a shower." - 100 correct
answer as-I will be sure to remove my hearing aid before taking a shower
A nurse is caring for a client who does not speak the same language as the nurse.
When working with the client through an interpreter, which of the following actions
should the nurse take? - 100 correct answer as-
A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the
following actions should the nurse take? - 100 correct answer as-45 angle
nurse enters a client's room and finds her on the floor. The client's roommate reports
that the client was trying to get out of bed and fell over the bedrail onto the floor. Which
of the following statements should the nurse document about this incident? - 100 correct
answer as-found on floor
nurse is planning care for a client who has fluid overload. Which of the following actions
should the nurse plan to take first? - 100 correct answer as-evaluate electrolytes
nurse is providing discharge teaching to a client who has a new prescription for a home
oxygen concentrator. Which of the following instructions should the nurse provide to the
client and his family? (Select all that apply.) - 100 correct answer as-check the cord,
purchase a generator
,nurse is caring for a client who has diarrhea due to shigella. Which of the following
precautions should the nurse take? - 100 correct answer as-wash her hands before and
after
A nurse is teaching a client and his family how to care for the client's tracheostomy at
home. Which of the following instructions should the nurse include in the teaching? -
100 correct answer as-use tracheostomy covers when outdoors
A nurse is caring for a client who is postoperative following knee arthroplasty and
requires the use of a thigh-length sequential compression device. Which of the following
actions should the nurse take? - 100 correct answer as-two fingers under the sleeve
nurse in a provider's office is obtaining the health and medication history of a client who
has a respiratory infection. The client tells the nurse that she is not aware of any
allergies, but that she did develop a rash the last time she was taking an antibiotic.
Which of the following information should the nurse give the client? - 100 correct answer
as-document exact medication you were taking
nurse on a medical unit is preparing to discharge a client to home. Which of the
following actions should the nurse take as part of the medication reconciliation process?
- 100 correct answer as-compare prescriptions w/ meds
nurse is preparing to transfer a client who can bear weight on one leg from the bed to a
chair. After securing a safe environment, which of the following actions should the nurse
take next? - 100 correct answer as-orthostatic HTN
nurse is admitting a client who has been having frequent tonic-clonic seizures. Which of
the following actions should the nurse add to the client's plan of care? - 100 correct
answer as-wrap blankets
nurse is reviewing the medical records of a client who has a pressure ulcer. Which of
the following findings should the nurse expect? - 100 correct answer as-albumin lvl 3
nurse is giving a change-of-shift report about a client he admitted earlier that day who
has pneumonia. Which of the following pieces of information is the priority for the nurse
to provide? - 100 correct answer as-Breath
nurse is caring for a client who has an indwelling urinary catheter. Which of the following
assessment findings indicates that the catheter requires irrigation? - 100 correct answer
as-bladder scan shows 525 ml
nurse is caring for a client who has a respiratory infection. Which of the following
techniques should the nurse use when performing nasotracheal suctioning for the
client? - 100 correct answer as-intermittent suction
,nurse in a long-term care facility is caring for a client who dies during the nurse's shift.
Identify the sequence in which the nurse should perform the following steps. - 100
correct answer as-
nurse is calculating a client's fluid intake over the past 8 hr. Which of the following items
should the nurse plan to document on the client's intake and output record as 120 mL of
fluid? - 100 correct answer as-8 oz ice chips
nurse is caring for a client who is postoperative. When the nurse prepares to change
her dressing, she says, "Every time you change my bandage, it hurts so much." Which
of the following interventions is the nurse's priority action? - 100 correct answer as-pain
meds
nurse receives report about a client who has 0.9% sodium chloride infusing IV at 125
mL/hr. When the nurse performs the initial assessment, he notes that the client has
received only 80 mL over the last 2 hr. Which of the following actions should the nurse
take first? - 100 correct answer as-check IV tubing
nurse is caring for a client who has a terminal diagnosis and whose health is declining.
The client requests information about advance directives. Which of the following
responses should the nurse make? - 100 correct answer as-we can talk about advance
directives, and I can also give you some brochures about them."
nurse is caring for a client who is receiving parenteral fluid therapy via a peripheral IV
catheter. After which of the following observations should the nurse remove the IV
catheter? - 100 correct answer as-
nurse is caring for a client who has pharyngeal diphtheria. Which of the following types
of transmission precautions should the nurse initiate? - 100 correct answer as-droplet
nurse is completing an admission assessment of an older adult client. Which of the
following findings should the nurse identify as a potential indication of abuse? - 100
correct answer as-bruises
- 100 correct answer as-might help me to listen to music while i'm lying in bed
nurse is caring for a child who has a prescription for a blood transfusion. The parents
have refused the treatment due to religious beliefs. Which of the following actions
should the nurse take? - 100 correct answer as-examine personal values
nurse has an order to remove sutures from a client. After retrieving the suture remover
kit and applying sterile gloves, which of the following actions should the nurse take
next? - 100 correct answer as-clean sutures along the incision site
, nurse on a medical-surgical unit is caring for a client who has a new prescription for
wrist restraints. Which of the following actions should the nurse take? - 100 correct
answer as-pad the client's wrist before
nurse is preparing to administer 750 mL of 0.9% sodium chloride IV to infuse over 7 hr.
The nurse should set the infusion pump to deliver how many mL/hr? - 100 correct
answer as-107
nurse is planning care for a client who has had a stroke, resulting in aphasia and
dysphagia. Which of the following tasks should the nurse assign to an assistive
personnel - 100 correct answer as-assis client w/partial bed bath, measure BP,
communication board
nurse is planning teaching for a group of adolescents who each recently had surgical
placement of an ostomy. Which of the following methods should the nurse use as a
psychomotor approach to learning? - 100 correct answer as-practice
nurse is auscultating the anterior chest of a client newly admitted to a medical-surgical
unit. - 100 correct answer as-normal BS
nurse is initiating a protective environment for a client who has had an allogeneic stem
cell transplant. Which of the following precautions should the nurse plan for this client? -
100 correct answer as-make sure the client wears a mask
A middle adult client tells the nurse, "I feel so useless now that my children do not need
me anymore." Which of the following responses should the nurse make? - 100 correct
answer as-people in middle adulthood often find satisfaction in nurturing and guiding
young people
A nurse is reviewing evidence-based practice principles about administration of oxygen
therapy with a newly licensed nurse. Which of the following actions should the nurse
include? - 100 correct answer as-regulate oxygen
nurse is preparing to insert an IV catheter into a client's arm prior to initiating IV fluid
therapy. Which of the following interventions should the nurse implement to prevent
infection? - 100 correct answer as-thread the iv
nurse is admitting a client who is having an exacerbation of heart failure. In planning this
client's care, when should the nurse initiate discharge planning? - 100 correct answer
as-during the admission
nurse is performing a skin assessment of a client who has a lesion on his anterior thigh
and expresses concern about skin cancer. Which of the following findings should the
nurse report to the provider as a possible indication of a skin malignancy? - 100 correct
answer as-an uneven shape
