ATI FUNDAMENTALS PRACTICE EXAM

ATI FUNDAMENTALS PRACTICE EXAM A nurse is performing a skin assessment for a client who expresses concern for about skin cancer. Which of the following findings should the nurse identify as a potential indication of skin malignancy? - CORRECT ANSWER-A lesion with uniform pigmentation. New appearance of petechiae A mole with asymmetrical appearance *** The presence of papule A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the patient's pain? - CORRECT ANSWER-Is your pain constant or intermittent? Pain on a scale of 1 to 10 Does the pain radiate? Is your pain sharp or dull*** A nurse is admitting a new client. Which of the following should the nurse take when performing medication reconciliation? - CORRECT ANSWER-Verify name on id band with MAR Call pharmacy to determine if patients med are available Compare home medications with provider prescriptions*** Place clients medications in a secure place Auscultating breath sounds - CORRECT ANSWER-Normal Breath sounds A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions should the nurse take? - CORRECT ANSWER-administer the medication with the needle at a 45 degree angle 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? - CORRECT ANSWERSubtract the amount of irrigant used from the client's urine output. a nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury. which type of dressing should the nurse use? - CORRECT ANSWER-hydrocolloid-- (bc this type of dressing promotes healing in stage 2 pressure injuries by creating a moist wound bed What to include for self-administering heparin - CORRECT ANSWER-Inject in abdomen Which of the following actions should the nurse take for a client with wrist restraints - CORRECT ANSWER-pad the clients wrists before apply restraints A 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? - CORRECT ANSWER-Make sure the client wears a mask when outside her room if there is construction in the area? Minimize risk for client with dementia - CORRECT ANSWER-Use bed exit alarm 750ml over 7 hours - CORRECT ANSWER-107 ml/h a nurse is caring for a client who has herpes zoster and asks the runs about the use of complementary and alternative therapies for pain control. the nurse should inform inform the client that his condition is a contraindication for which of the following therapies? - CORRECT ANSWER-acupuncture 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? - CORRECT ANSWER-Stand close to the cabinet when lifting it. a nurse is talking with an older adult client who is contemplating retirement. the client states, 'I keep thinking about how much I enjoy my job. I'm not sure I want to retire.' which of the following responses should the nurse make? - CORRECT ANSWER-'let's talk about how the change in your job status will affect you a 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? - CORRECT ANSWERadminister pain mediation 45 min before changing the client's dressing nurse is assessing a client's readiness to learn about insulin self-administration. which of the following statements should the nurse identify as an indication that the client is ready to learn? - CORRECT ANSWER-I can concentrate best in the morning 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? - CORRECT ANSWER-The client holds the cane on the stronger side of the body A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching? - CORRECT ANSWER-"Use the complete name of the medication magnesium sulfate." A nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of a sequential compression device (SCD). What action should the nurse take? - CORRECT ANSWER-Place an SCD sleeve under each leg with the opening at the knee. A 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. - CORRECT ANSWER-Obtain the pronouncement of death from the provider Remove tubes and indwelling lines Wash the client's body Ask the client's family members if they would like to view the body Place a name tag on the body A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first? - CORRECT ANSWER-Check the client for injuries A nurse is caring for a client who has an aggressive form of prostate cancer. The provider briefly discusses treatment options and leaves the client's room. When the nurse asks if the client would like to discuss any concerns, the client declines. Which of the following statements should the nurse make? - CORRECT ANSWER-"I am available to talk if you should change your mind." A nurse is educating a client who has a terminal illness about her request to decline resuscitation in her living will. The client asks what would happen if she arrived at the emergency department and had difficulty breathing. Which of the following responses should the nurse provide? - CORRECT ANSWER-We will apply oxygen through a tube in your nose" a nurse is caring for a client who has diarrhea due to shigella. Which of the following precautions should the nurse take? - CORRECT ANSWER-gown A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0-10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching she received about pain management? - CORRECT ANSWER-"It might help me to listen to music while i'm lying in bed." 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? - CORRECT ANSWER-Pressing gently on the tragus of the client's ear. Home safety assessment for client receiving supplemental oxygen - CORRECT ANSWER-The client uses nonacetone nail polish remover. 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? - CORRECT ANSWER-regulate oxygen via nasal cannula at a flow rate no more than 6 L/min A nurse is reviewing a client's fluid and electrolyte status. Which of the following findings should the nurse report to the provider? - CORRECT ANSWER-Potassium 5.4 meq/L 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? - CORRECT ANSWER-The family member washed out the feeding bag with warm water once every 24 hours. A nurse is providing care to four clients. Which of the following for physical assessment - CORRECT ANSWER-ensure bp cuff bladder covers 8 percent of clients arm Manage time effectively - CORRECT ANSWER-Use planning step Actions nurse should take to prevent spread of infection - CORRECT ANSWER-place a client who has tuberculosis in a room with negative-pressure airflow. Client's partner indicates effective coping - CORRECT ANSWER-relying on help from family at this time A 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? - CORRECT ANSWER-Apply intermittent suction when withdrawing the catheter. A nurse is caring for a client who has a terminal illness and is approaching death. The client's respirations are noisy from secretions in her airway and she is short of breath. Which of the following actions should the nurse take? - CORRECT ANSWER-antiemetic A 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? - CORRECT ANSWER-""They indicate the form of treatment a client is willing to accept in the event of a serious illness." A 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 hrs. Which of the following actions should the nurse take first? - CORRECT ANSWER-Check the IV tubing for obstruction A 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 (AP)? - CORRECT ANSWER-. Assist the client with a partial bed bath2. Measure the client's BP after the nurse administers an antihypertensive medication3. use a communication board to ask what the client wants for lunch Discharge instructions patient with a walker - CORRECT ANSWER-Hire tree trimmer