ATI Fundamentals Proctored Exam | Questions and Answers |LATEST UPDATE 2023/ 2024

ATI Fundamentals Proctored Exam | Questions and Answers |LATEST UPDATE 2023/ 2024 1.A nurse is caring for a client who has been sitting in a chair for 3 hrs. Which of the following problems is the client at risk for developing? A. Stasis of secretions B. Muscle atrophy C. Pressure ulcer D. Fecal impaction - ANSWER Answer: C Unrelieved pressure over a bony prominence for too long increases the risk of a pressure ulcer A-sitting will help prevent stasis of secretions B and D-these are from prolonged bed rest 2. A nurse is caring for a client who is on bed rest. Which of the following interventions should the nurse implement to maintain the patency of the client's airway? A. Encourage isometric exercises B. Suction Q8 hr C. Give low-dose heparin D. Promote incentive spirometer use - ANSWER Answer: D. it helps keep airways open and prevent atelectasis A-this strengthens skeletal muscles B-this is not indicated C-helps prevent thrombus formation 3. A nurse is caring for a client who is postop. Which of the following nursing interventions reduce the risk of thrombus development? Select all. A. Instruct the client not to use the Valsalva maneuver B. Apply elastic stockings C. Review lab values for total protein level D. Place pillows under the client's knees & lower extremities E. Assist the client to change position often - ANSWER B, E 4. A nurse is instructing a postop client about the sequential compression device the provider has prescribed. Which of the following statements should indicate to the nurse that the client understands the teaching? A. "This device will keep me from getting sores on my skin." B. "This thing will keep the blood pumping through my leg." C. "With this thing on, my leg muscles won't get weak." D. "This device is going to keep my joints in good shape." - ANSWER B. sequential pressure devices promote venous return in the deep veins of the legs & thus help prevent thrombus formation 5. To promote the safe use of a cane for a client who is recovering from a minor musculoskeletal injury of the left lower extremity, which of the following instructions should the nurse provide? Select all. A. Hold the cane on the right side B. Keep 2 points of support on the floor C. Place the cane 15in in front of the feet before advancing D. After advancing the cane, move the weaker leg forward E. Advance the stronger leg so that it aligns evenly w/the cane - ANSWER A, B, D C-the client should place the cane 6-10 inches in front before advancing not 15 E-the client should advance the stronger leg past the cane not aligned w/it 6. A nurse is assessing the pain level of a client who has come to the ER reporting severe abd. pain. The nurse asks the client whether he has nausea & has been vomiting. The nurse is assessing which of the following? A. Presence of associated symptoms B. Location of the pain C. Pain quality D. Aggravating & relieving factors - ANSWER A. this is a common symptom people have when experiencing pain 7. A nurse is assessing a client who is reporting severe pain despite analgesia. The nurse can best assess the intensity of the client's pain by: A. asking what precipitates the pain B. questioning the client about the location of the pain C. offering the client a pain scale to measure his pain D. using open-ended questions to identify the situation - ANSWER C. pain scale can measure the amount and intensity of the pain 8. A nurse is obtaining hx from a client who has pain. The nurse's guiding principle throughout this process should be that: A. some clients exaggerate their level of pain B. pain must have an identifiable source to justify the use of opioids. C. objective data are essential in assessing pain D. pain is whatever the client says it is - ANSWER D the client is the best source of information in their pain, it is a subjective experience