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ATI FUNDAMENTALS PROCTORED WITH QUESTIONS AND CORRECT DETAILED ANSWERS(VERIFIED ANSWERS) GRADED A+|| BRAND NEW 2024 1 | P a g e

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ATI FUNDAMENTALS PROCTORED WITH QUESTIONS AND CORRECT DETAILED ANSWERS(VERIFIED ANSWERS) GRADED A+|| BRAND NEW 2024 1 | P a g e A nurse is caring for a client who requires a 24-hr urine collection. Which of the following statements by the client indicates an understanding of the teaching? ANSWER"I flushed what I urinated at 7:00 a.m. and have saved all urine since." A nurse is assessing a client who has been on bed rest for the past month. Which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis? ANSWERCalf Swelling A nurse manager is overseeing the care on a unit. Which of the following situations should the nurse manager identify as a violation of HIPAA 2 | P a g e guidelines? ANSWERA nurse asks a nurse from another unit to assist with her documentation. A nurse is caring for a client who requires bed rest and has a prescription for antiembolic stockings. Which of the following actions should the nurse take? ANSWERRemove the stockings at least once per shift. A nurse is administering IV fluid to an older adult client. The nurse should perform which priority assessment to monitor for adverse effects? ANSWERAuscultate Lung Sounds A nurse is teaching an older client who is at risk for osteoporosis about beginning a program of regular 3 | P a g e physical activity. Which of the following types of activity should the nurse recommend? ANSWERWalking Briskly A nurse is assessing an adult client who has been immobile for the past 3 weeks. The nurse should identify that which of the following findings requires further intervention? ANSWERErythema on pressure points 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? ANSWERCheck the client for injuries 4 | P a g e A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at an average risk for colon cancer, I should have routine screening. What does that involve?" Which of the following responses should the nurse make? ANSWER"You should have a fecal occult blood test every year." 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? ANSWER"Use the complete name of the medication magnesium sulfate." A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse 5 | P a g e take? ANSWERPlace the client in a room with negative-pressure airflow. Wear gloves when assisting the client with oral care. Use antimicrobial sanitizer for hand hygiene. A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to mix together and administer subcutaneously. Determine the correct order of steps for this procedure. ANSWERAir into NPH Air into Regular Draw up Regular Draw up NPH A nurse is reviewing practice guidelines with a group of newly licensed nurses. Which of the following interventions should the nurse include that 6 | P a g e is within the RN scope of practice? ANSWERInitiate an enteral feeding through a gastrostomy tube. A nurse is caring for a client who requires an NG tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube? ANSWERHave the client take sips of water to promote insertion of the NG tube into the esophagus. A nurse is assessing an older client's risk for falls. Which of the following assessments should the nurse use to identify the client's safety needs? ANSWERPupil Clarity Visual Fields 7 | P a g e Visual Acuity 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? ANSWERThe client holds the cane on the stronger side of her body. 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? ANSWERNarrowed Arterial Lumen A nurse is admitting a client who has varicella. Which of the following types of transmission 8 | P a g e precautions should the nurse initiate? ANSWERAirborne 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? ANSWERFlush the tube with 15 mL of sterile water. A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take? ANSWERCleanse the wound from the center outward. A nurse is providing care to four clients. Which of the following situations requires the nurse the 9 | P a g e complete an incident report? ANSWERA client who has an IV infusion pump receives an additional 250 mL of IV fluid. A nurse is caring for a client receiving fluid through a peripheral IV catheter. Which of the following findings at the IV site should the nurse identify as infiltration? ANSWERSkin Blanching A nurse is preparing a change-of-shift report. Which of the following tools or documents should the nurse use to communicate continuity of care? ANSWERSituation, Background, Assessment, and Recommendation (SBAR)

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Subido en
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