ATI EXAM vc
Exam Solution vc
VATI Fundamentals Virtual ATI Fundamentals (pre) Vir
vc vc vc vc vc vc
tual ATI Fundamentals Review VATI Fundamentals 202
vc vc vc vc vc vc
6 A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERI
vc vc vc vc vc vc vc
FIED ANSWERS (584CE) vc vc
QUESTION 1 vc
A nurse is preparing to mix short acting and intermediate acting insulin in one syringe t
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o administer to a client who has type 1 diabetes mellitus. Identify the sequence the nurs
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e should follow
vc vc
ANSWER
To mix insulin from two vials in the same syringe, the nurse should first draw up a volume of air equal t
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
o the volume of insulin from the intermediate-
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acting insulin vial. The nurse should then inject the volume of air equal to the amount of insulin to with
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
draw from the intermediate-
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acting insulin vial, making sure the needle does not touch the insulin. Next, the nurse should inject the v
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
olume of air equal to the insulin dose from the short-
vc vc vc vc vc vc vc vc vc vc
acting insulin vial. Then, the nurse should withdraw the prescribed amount of insulin from the short-
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
acting insulin vial. Lastly, the nurse should withdraw the prescribed amount of insulin from the interme
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
diate-acting insulin vial. The insulins are now mixed and ready to administer.
vc vc vc vc vc vc vc vc vc vc vc
QUESTION 2 vc
A nurse is providing teaching about cough etiquette to a client who has influenza. Which
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
of the following instructions should the nurse include in the teaching?
vc vc vc vc vc vc vc vc vc vc
ANSWER
"Cover your mouth and nose with a tissue when coughing" The nurse should instruct the client to cover
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
their nose and mouth with a tissue when coughing. The client should discard the tissue promptly in the
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nearest trash container vc vc
QUESTION 3 vc
,A nurse is planning care for a client who has a history of seizures. Which of the following
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interventions should the nurse include in the plan of care?
c vc vc vc vc vc vc vc vc vc
ANSWER
Ensure oral suction equipment is at the bedside; to prevent aspiration of oral secretions during seizure
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 4 vc
A nurse is assessing an older adult client who has become increasingly confused and agit
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ated in the last 48 hrs. Which of the following conditions should the nurse expect?
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
UTI According to EBP, the RN should expect the client who has a UTI to become increasingly confused a
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
nd agitated. Confusion and agitation in older adult clients often result from a systemic infection, such as
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a UTI or pneumonia
vc vc vc
QUESTION 5 vc
A nurse is assessing a client who has an NG tube and is receiving continuous enteral feed
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ings. The nurse auscultates coarse crackles in the client's lungs. After discontinuing the f
vc vc vc vc vc vc vc vc vc vc vc vc vc
eeding, which of the following actions should the nurse take next?
vc vc vc vc vc vc vc vc vc vc
ANSWER
Turn client onto side The greatest risk to this client is aspiration from possible dislodgment of the NG tu
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
be and aspirated stomach contents into the respiratory tract.
vc vc vc vc vc vc vc vc
QUESTION 6 vc
A nurse is assessing a client for hearing acuity by performing the Rinne Test. Which of th
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e following actions should the nurse take?
vc vc vc vc vc vc
ANSWER
Move a vibrating tuning fork's prongs in front of the client's left or right ear canal. The nurse should per
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
form the Rinne test by placing the handle of a vibrating tuning fork on the client's mastoid process and t
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
hen moving the vibrating prongs 1 to 2 cm (0.4 to 0.8 in) in front of the client's left or right ear canal. T
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
he Rinne test compares bone conduction with air conduction. The client is expected to hear sound cond
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
uction by air for twice as long as bone conduction.
vc vc vc vc vc vc vc vc vc
QUESTION 7 vc
A nurse is completing a preadmission interview for a client who is to undergo surgery th
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e following day. The client reports a latex allergy. Which of the following interventions s
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
hould the nurse include when planning care? (SATA)
vc vc vc vc vc vc vc
ANSWER
, Notify ancillary departments of the client's allergy Label the surgical suite as latex-
vc vc vc vc vc vc vc vc vc vc vc vc
free Ensure latex allergy cart is available
vc vc vc vc vc vc
QUESTION 8 vc
A nurse is preparing to transfer a pt who weighs 136 kg/300 lb from a bed to a stretcher
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
with the aid of an AP. Which of the following actions should the nurse take?
c vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Use an air-assisted transfer device to move the client. The nurse should place an air-
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
assisted device under the client prior to transfers to prevent injury. An air-
vc vc vc vc vc vc vc vc vc vc vc vc
assisted transfer device is an inflatable mattress that minimizes friction to smoothly and efficiently mov
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e the client from the bed to the stretcher. In addition, at least two caregivers should assist with the tran
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
sfer of a client who weighs 136 kg (300 lb).
vc vc vc vc vc vc vc vc vc
QUESTION 9 vc
A home health nurse is performing a home assessment for an older adult client. which of
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
the following statements by the client should alert the nurse to suggesst additional safet
c vc vc vc vc vc vc vc vc vc vc vc vc vc
y measures?
vc
ANSWER
""I use space heaters to keep warm in the winter" A common environmental hazard in the home is the u
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
se of space heaters, which can increase the risk of fire.
vc vc vc vc vc vc vc vc vc vc
QUESTION 10 vc
A nurse is admitting a client who is to undergo a surgical procedure. Underlying the Pati
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ent Self- vc
determination act (PSDA) which of the following actions is the nurse's responsibility reg vc vc vc vc vc vc vc vc vc vc vc vc
arding the pts advance directives? vc vc vc vc
ANSWER
Ask the client if they have created advance directives. The PSDA requires facilities to provide informatio
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
n to clients about their rights under state law to make decisions, including the right to refuse treatment
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
and formulate advance directives. Under the act, staff should ask the client if they have advance directiv
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
es, and the nurse should document the client's response in the medical record.
vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 11 vc
A RN is preparing to administer opthalmic drops to a client. Which of the following actio
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ns should the nurse take?
vc vc vc vc
ANSWER
Exam Solution vc
VATI Fundamentals Virtual ATI Fundamentals (pre) Vir
vc vc vc vc vc vc
tual ATI Fundamentals Review VATI Fundamentals 202
vc vc vc vc vc vc
6 A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERI
vc vc vc vc vc vc vc
FIED ANSWERS (584CE) vc vc
QUESTION 1 vc
A nurse is preparing to mix short acting and intermediate acting insulin in one syringe t
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
o administer to a client who has type 1 diabetes mellitus. Identify the sequence the nurs
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e should follow
vc vc
ANSWER
To mix insulin from two vials in the same syringe, the nurse should first draw up a volume of air equal t
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
o the volume of insulin from the intermediate-
vc vc vc vc vc vc vc
acting insulin vial. The nurse should then inject the volume of air equal to the amount of insulin to with
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
draw from the intermediate-
vc vc vc
acting insulin vial, making sure the needle does not touch the insulin. Next, the nurse should inject the v
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
olume of air equal to the insulin dose from the short-
vc vc vc vc vc vc vc vc vc vc
acting insulin vial. Then, the nurse should withdraw the prescribed amount of insulin from the short-
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
acting insulin vial. Lastly, the nurse should withdraw the prescribed amount of insulin from the interme
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
diate-acting insulin vial. The insulins are now mixed and ready to administer.
vc vc vc vc vc vc vc vc vc vc vc
QUESTION 2 vc
A nurse is providing teaching about cough etiquette to a client who has influenza. Which
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
of the following instructions should the nurse include in the teaching?
vc vc vc vc vc vc vc vc vc vc
ANSWER
"Cover your mouth and nose with a tissue when coughing" The nurse should instruct the client to cover
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
their nose and mouth with a tissue when coughing. The client should discard the tissue promptly in the
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
nearest trash container vc vc
QUESTION 3 vc
,A nurse is planning care for a client who has a history of seizures. Which of the following
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
interventions should the nurse include in the plan of care?
c vc vc vc vc vc vc vc vc vc
ANSWER
Ensure oral suction equipment is at the bedside; to prevent aspiration of oral secretions during seizure
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 4 vc
A nurse is assessing an older adult client who has become increasingly confused and agit
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ated in the last 48 hrs. Which of the following conditions should the nurse expect?
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
UTI According to EBP, the RN should expect the client who has a UTI to become increasingly confused a
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
nd agitated. Confusion and agitation in older adult clients often result from a systemic infection, such as
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
a UTI or pneumonia
vc vc vc
QUESTION 5 vc
A nurse is assessing a client who has an NG tube and is receiving continuous enteral feed
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ings. The nurse auscultates coarse crackles in the client's lungs. After discontinuing the f
vc vc vc vc vc vc vc vc vc vc vc vc vc
eeding, which of the following actions should the nurse take next?
vc vc vc vc vc vc vc vc vc vc
ANSWER
Turn client onto side The greatest risk to this client is aspiration from possible dislodgment of the NG tu
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
be and aspirated stomach contents into the respiratory tract.
vc vc vc vc vc vc vc vc
QUESTION 6 vc
A nurse is assessing a client for hearing acuity by performing the Rinne Test. Which of th
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e following actions should the nurse take?
vc vc vc vc vc vc
ANSWER
Move a vibrating tuning fork's prongs in front of the client's left or right ear canal. The nurse should per
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
form the Rinne test by placing the handle of a vibrating tuning fork on the client's mastoid process and t
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
hen moving the vibrating prongs 1 to 2 cm (0.4 to 0.8 in) in front of the client's left or right ear canal. T
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
he Rinne test compares bone conduction with air conduction. The client is expected to hear sound cond
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
uction by air for twice as long as bone conduction.
vc vc vc vc vc vc vc vc vc
QUESTION 7 vc
A nurse is completing a preadmission interview for a client who is to undergo surgery th
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e following day. The client reports a latex allergy. Which of the following interventions s
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
hould the nurse include when planning care? (SATA)
vc vc vc vc vc vc vc
ANSWER
, Notify ancillary departments of the client's allergy Label the surgical suite as latex-
vc vc vc vc vc vc vc vc vc vc vc vc
free Ensure latex allergy cart is available
vc vc vc vc vc vc
QUESTION 8 vc
A nurse is preparing to transfer a pt who weighs 136 kg/300 lb from a bed to a stretcher
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
with the aid of an AP. Which of the following actions should the nurse take?
c vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Use an air-assisted transfer device to move the client. The nurse should place an air-
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
assisted device under the client prior to transfers to prevent injury. An air-
vc vc vc vc vc vc vc vc vc vc vc vc
assisted transfer device is an inflatable mattress that minimizes friction to smoothly and efficiently mov
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e the client from the bed to the stretcher. In addition, at least two caregivers should assist with the tran
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
sfer of a client who weighs 136 kg (300 lb).
vc vc vc vc vc vc vc vc vc
QUESTION 9 vc
A home health nurse is performing a home assessment for an older adult client. which of
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
the following statements by the client should alert the nurse to suggesst additional safet
c vc vc vc vc vc vc vc vc vc vc vc vc vc
y measures?
vc
ANSWER
""I use space heaters to keep warm in the winter" A common environmental hazard in the home is the u
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
se of space heaters, which can increase the risk of fire.
vc vc vc vc vc vc vc vc vc vc
QUESTION 10 vc
A nurse is admitting a client who is to undergo a surgical procedure. Underlying the Pati
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ent Self- vc
determination act (PSDA) which of the following actions is the nurse's responsibility reg vc vc vc vc vc vc vc vc vc vc vc vc
arding the pts advance directives? vc vc vc vc
ANSWER
Ask the client if they have created advance directives. The PSDA requires facilities to provide informatio
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
n to clients about their rights under state law to make decisions, including the right to refuse treatment
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
and formulate advance directives. Under the act, staff should ask the client if they have advance directiv
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
es, and the nurse should document the client's response in the medical record.
vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 11 vc
A RN is preparing to administer opthalmic drops to a client. Which of the following actio
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ns should the nurse take?
vc vc vc vc
ANSWER
