ATI FUNDAMENTALS PRACTICE TEST A

ATI FUNDAMENTALS PRACTICE TEST A A nurse is administering an otic medication to an older adult client. Which of the following actions should the nurse take to ensure that the medication reaches the inner ear? A) Press gently on the tragus of the client's ear. B) Pack a small piece of cotton deep into the client's ear canal. C) Move the client's auricle down and back toward her head. D) Tilt the client's head backward for 5 min. - Answer - A) Press gently on the tragus of the client's ear. A nurse is providing care to four clients. Which of the following situations requires the nurse to complete an incident report? A) A nurse tied a client's restraint straps to the moveable part of the bed frame. B) An assistive personnel placed a surgical mask on a client who has tuberculosis before transporting her to radiology. C) A nurse administers a medication to a client 30 min before the dose is due. D) A client who has an IV infusion pump receives an additional 250 mL of IV fluid. - Answer - D) A client who has an IV infusion pump receives an additional 250 mL of IV fluid. A nurse is caring for a client who is expressing anger over his diagnosis of colorectal cancer. Which of the following actions should the nurse take? A) Discuss the risk factors for colon cancer. B) Focus teaching on what the client will need to do in the future to manage his illness. C) Provide the client with written information about the phases of loss and grief. D) Reassure the client that this is an expected response to grief. - Answer - D) Reassure the client that this is an expected response to grief. A nurse is preparing to administer multiple medications to a client who has an enteral feeding tube. Which of the following actions should the nurse plan to take? A) Dissolve each medication in 5 mL of sterile water. B) Draw up medications together in the syringe. C) Push the syringe plunger gently when feeling resistance. D) Flush the tube with 15 mL of sterile water. - Answer - D) Flush the tube with 15 mL of sterile water. A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair. To prevent self-injury, which of the following actions should the nurse take when lifting this object? A) Bend at the waist. B) Keep his feet close together. C) Use his back muscles for lifting. D) Stand close to the cabinet when lifting it. - Answer - D) Stand close to the cabinet when lifting it. A nurse is caring for a client who reports pain. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record which of the following client statements? A) "I'm having mild pain." B) "The pain is like a dull ache in my stomach." C) "I notice that the pain gets worse after I eat." D) "The pain makes me feel nauseous." - Answer - B) "The pain is like a dull ache in my stomach." A nurse is reviewing a client's fluid and electrolyte status. Which of the following findings should the nurse report to the provider? A) BUN 15 mg/dL B) Creatinine 0.8 mg/dL C) Sodium 143 mEq/L D) Potassium 5.4 mEq/L - Answer - D) Potassium 5.4 mEq/L A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use? A) The top of the cane is parallel to the client's waist. B) When walking, the client moves the cane 46 cm (18 in) forward. C) The client holds the cane on the stronger side of her body. D) The client moves her stronger limb forward with the cane. - Answer - C) The client holds the cane on the stronger side of her body. A nurse is assisting a client who is postoperative with the use of an incentive spirometer. Into which of the following positions should the nurse place the client? A) Side-lying B) Supine C) Semi-Fowler's D) Trendelenburg - Answer - C) Semi-Fowler's A charge nurse is discussing the responsibility of nurses caring for clients who have a Clostridium difficile infection. Which of the following information should the nurse include in the teaching? A) Assign the client to a room with a negative air-flow system. B) Use alcohol-based hand sanitizer when leaving the client's room. C) Clean contaminated surfaces in the client's room with a phenol solution. D) Have family members wear a gown and gloves when visiting. - Answer - D) Have family members wear a gown and gloves when visiting. A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1 mL of the medication from a 2 mL vial. Which of the following actions should the nurse take? A) Ask another nurse to observe the medication wastage. B) Notify the pharmacy when wasting the medication. C) Lock the remaining medication in the controlled substances cabinet. D) Dispose of the vial with the remaining medication in a sharps container. - Answer - A) Ask another nurse to observe the medication wastage. A nurse is performing a peripheral vascular assessment for a client. When placing the bell of the stethoscope on the client's neck, she hears the following sound. This sound indicates which of the following? (Click on the audio button to listen to the clip.) A) Narrowed arterial lumen B) Distended jugular veins C) Impaired ventricular contraction D) Asynchronous closure of the aortic and pulmonic valves - Answer - A) Narrowed arterial lumen A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. Which of the following actions should the nurse take? A) Place the client in a side-lying position. B) Instill 15 mL of irrigation fluid into the catheter with each flush. C) Subtract the amount of irrigant used from the client's urine output. D) Perform the irrigation using a 20-mL syringe. - Answer - C) Subtract the amount of irrigant used from the client's urine output.