ATI Fundamentals practice Test C Questions and Answers 100% Pass

ATI Fundamentals practice Test C Questions and Answers 100% Pass A nurse is planning to obtain the vital signs of a 2-year-old child who is experiencing diarrhea and who might have a right ear infection. Which of the following routes should the nurse use to obtain the temperature? Temporal A nurse is caring for a client who is in the terminal stage of cancer. Which of the following actions should the nurse takes when she observes the client crying? Sit and hold the client's hand A community health nurse is preparing a campaign about seasonal influenza. Which of the following plans should the nurse include as a secondary prevention? Screening groups of older adults in nursing care facilities for early influenza manifestations A nurse is teaching an assistive personnel (AP) about proper hand hygiene. Which of the following statements by the AP indicates an understanding of the teaching? "There are times I should use soap and water rather than an alcohol-based rub to clean my hands." A nurse is performing an abdominal assessment for an adult client. Identify the correct sequence of steps for this assessment. - Inspection - Auscultation - Percussion - Palpation A nurse at a screening clinic is assessing a client who reports a history of a heart murmur related to aortic valve stenosis. At which of the following anatomical areas should the nurse place the stethoscope to auscultate the aortic valve? Second intercostal space to the right of the sternum A nurse is measuring vital signs for a client and notices an irregularity in the pulse. Which of the following actions should the nurse take? Count the apical pulse rate for 1 minute, and describe the rhythm in the chart A nurse observes an assistive personnel (AP) preparing to obtain blood pressure with a regular size cuff for a client who is obese. Which of the following explanations should the nurse give the AP? "Using a cuff that is too small will result in an inaccurately high reading." A nurse is admitting a client who has decreased circulation in his left leg. Which of the following actions should the nurse take first? Evaluate pedal pulses A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse take first? Perform hand hygiene A nurse is caring for a client who requires a chest x-ray. Prior to the client being transported for the procedure, which of the following actions should the nurse take first? Identify the client using two identifiers A nurse is obtaining the blood pressure in a client's lower extremity. Which of the following actions should the nurse take? Place the bladder of the cuff over the posterior aspect of the thigh A nurse on a medical-surgical unit is washing her hands prior to assisting with a surgical procedure. Which of the following actions by the nurse demonstrates proper surgical hand-washing technique? The nurse washes with her hands held higher than her elbows A nurse is caring for a client who is unstable and has vital signs measured every 15 minutes by an electronic blood pressure machine. The nurse notes the machine begins to measure the blood pressure at varied intervals and the readings are inconsistent. Which of the following actions should the nurse take? Disconnect the machine, and measure the blood pressure manually every 15 minutes A nurse is preparing to perform mouth care for an unresponsive client. Which of the following actions should the nurse plan to take? Raise the level of the bed A nurse is inserting an IV catheter for a client that results in a blood spill on her gloved hand. The client has no documented bloodstream infection. Which of the following actions should the nurse take? Carefully remove the gloves and follow with hand hygiene A nurse is assessing the heart sounds of a client who has developed chest pain that becomes worse with inspiration. The nurse auscultates a high-pitched scratching sound during both systole and diastole with the diaphragm of the stethoscope positioned at the left sternal border. Which of the following heart sounds should the nurse document? Pericardial friction rub A nurse is teaching a group of older adults about expected changes of aging. Which of the following statement by a group member indicates that the teaching had been effective? "I should expect my heart rate to take longer to return to normal after exercise as I get older." A charge nurse is teaching adult cardiopulmonary resuscitation (CPR) to a group of newly licensed nurses. Which of the following actions should the charge nurse teach as the first response in CPR? Confirm unresponsiveness A nurse is providing preoperative teaching to a client who is scheduled for arthroplasty in the next month that might require a blood transfusion. The client expresses concern about the risk of acquiring an infection from the blood transfusion. Which of the following statements should the nurse make to the client? "Donate autologous blood before the surgery." A nurse is planning weight loss strategies for a group of clients who are obese. Which of the following actions by the nurse will improve t