Crush Your ATI 2025 Fundamentals Proctored
RETAKE Exam: Ultimate Retake Guide EXAM
QUESTIONS AND WELL ELABORATED ANSWERS
(VERSIONS)
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 her body
the 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 hours
-which of the following actions should the nurse take first? - CORRECT
ANSWER -check the IV tubing for obstruction
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? - CORRECT ANSWER -have the client take sips of water
to promote insertion of the NG tube into the esophagus
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 discharge instruction to a client who will be using
a walker
-which of the following client statements indicates an understanding
of the teaching? - CORRECT ANSWER -"I will hire someone to trim
the tree that hangs low over the stairs of my front porch"
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 bath
-measure the client's BP after the nurse administers an
antihypertensive medication
-use a communication board to ask what the client wants for lunch
a nurse is caring for a client who is expressing anger about his
diagnosis of colorectal cancer
-which of the following actions should the nurse take? - CORRECT
ANSWER -reassure the client that this is an expected response to
grief
a nurse is preparing to apply a dressing for a client who has a stage 2
pressure injury
-which of the following types of dressing should the nurse use? -
CORRECT ANSWER -hydrocolloid
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 -press
gently on the tragus of the client's ear
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
ANSWER -subtract the amount of irrigate used from the client's urine
output
a nurse is initiating a protective environment for a client who has had
an allogenic 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
a nurse is planning strategies to manage time effectively for client
care
,-which of the following strategies should the nurse implement? -
CORRECT ANSWER -use the planning step of the nursing process to
prioritize client care delivery
a nurse is caring for a client who is postoperative following a knee
arthroplasty and requires the use of thigh-length sequential
compression sleeves
-which of the following actions should the nurse take? - CORRECT
ANSWER -make sure two fingers can fit under the sleeves
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 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 client's pain? - CORRECT ANSWER -"is your pain
sharp or dull?"
a nurse is providing discharge teaching to a client about self-
administering heparin. which of the following instructions should the
nurse include in the teaching? - CORRECT ANSWER -administer the
medication into the abdomen
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 teaching a client and his family how to care for the client's
tracheostomy at home
, -which of the following instructions should the nurse include in the
trachea? - CORRECT ANSWER -use tracheostomy covers when
outdoors
a nurse is caring for a client who has a terminal illness and is
approaching death. the client is short of breath and has noisy
respirations from secretions in their airway
-which of the following actions should the nurse take? - CORRECT
ANSWER -turn the client every 2 hours
a nurse is caring for a child who has a prescription for a blood
transfusion. the child's parents have refused the treatment due to their
religious beliefs
-which of the following actions should the nurse take? - CORRECT
ANSWER -examine personal values about the issue
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 admitting a client who is having an exacerbation of heart
failure
-in planning this client's care, when should the nurse initiate discharge
planning? - CORRECT ANSWER -during the admission process
a nurse is assessing a client who has required bed rest for the past
month
-which of the following findings should the nurse identify as an
indication that the client has developed thrombophlebitis? - CORRECT
ANSWER -calf swelling
a nurse is caring for a client who has dementia
-which of the following interventions should the nurse take to minimize
the risk for injury to the client? - CORRECT ANSWER -use a bed exit
alarm system
RETAKE Exam: Ultimate Retake Guide EXAM
QUESTIONS AND WELL ELABORATED ANSWERS
(VERSIONS)
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 her body
the 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 hours
-which of the following actions should the nurse take first? - CORRECT
ANSWER -check the IV tubing for obstruction
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? - CORRECT ANSWER -have the client take sips of water
to promote insertion of the NG tube into the esophagus
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 discharge instruction to a client who will be using
a walker
-which of the following client statements indicates an understanding
of the teaching? - CORRECT ANSWER -"I will hire someone to trim
the tree that hangs low over the stairs of my front porch"
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 bath
-measure the client's BP after the nurse administers an
antihypertensive medication
-use a communication board to ask what the client wants for lunch
a nurse is caring for a client who is expressing anger about his
diagnosis of colorectal cancer
-which of the following actions should the nurse take? - CORRECT
ANSWER -reassure the client that this is an expected response to
grief
a nurse is preparing to apply a dressing for a client who has a stage 2
pressure injury
-which of the following types of dressing should the nurse use? -
CORRECT ANSWER -hydrocolloid
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 -press
gently on the tragus of the client's ear
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
ANSWER -subtract the amount of irrigate used from the client's urine
output
a nurse is initiating a protective environment for a client who has had
an allogenic 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
a nurse is planning strategies to manage time effectively for client
care
,-which of the following strategies should the nurse implement? -
CORRECT ANSWER -use the planning step of the nursing process to
prioritize client care delivery
a nurse is caring for a client who is postoperative following a knee
arthroplasty and requires the use of thigh-length sequential
compression sleeves
-which of the following actions should the nurse take? - CORRECT
ANSWER -make sure two fingers can fit under the sleeves
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 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 client's pain? - CORRECT ANSWER -"is your pain
sharp or dull?"
a nurse is providing discharge teaching to a client about self-
administering heparin. which of the following instructions should the
nurse include in the teaching? - CORRECT ANSWER -administer the
medication into the abdomen
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 teaching a client and his family how to care for the client's
tracheostomy at home
, -which of the following instructions should the nurse include in the
trachea? - CORRECT ANSWER -use tracheostomy covers when
outdoors
a nurse is caring for a client who has a terminal illness and is
approaching death. the client is short of breath and has noisy
respirations from secretions in their airway
-which of the following actions should the nurse take? - CORRECT
ANSWER -turn the client every 2 hours
a nurse is caring for a child who has a prescription for a blood
transfusion. the child's parents have refused the treatment due to their
religious beliefs
-which of the following actions should the nurse take? - CORRECT
ANSWER -examine personal values about the issue
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 admitting a client who is having an exacerbation of heart
failure
-in planning this client's care, when should the nurse initiate discharge
planning? - CORRECT ANSWER -during the admission process
a nurse is assessing a client who has required bed rest for the past
month
-which of the following findings should the nurse identify as an
indication that the client has developed thrombophlebitis? - CORRECT
ANSWER -calf swelling
a nurse is caring for a client who has dementia
-which of the following interventions should the nurse take to minimize
the risk for injury to the client? - CORRECT ANSWER -use a bed exit
alarm system
