A T I fundamentals practice test B( Real questions
with correct verified answers 2024 2025) 100%
Guaranteed pass;;GRADED A+!
A nurse is caring for a client who reports pain. When documenting the quality of the client's
pain on an initial pain assessment, the nurse should record which of the following? - ANSWER
"The pain is like a dull ache in my stomach"
A client who is non-ambulatory notifies the nurse that his trash can is on fire. After the nurse
confirms the presence of the fire, which of the following actions should the nurse take next? -
ANSWER Evacuate the client
A nurse is completing an admission assessment for a client who reports vomiting and diarrhea
for the past 3 days. Which of the following findings should the nurse expect? - ANSWER Rapid
heart rate
A nurse has accepted a verbal prescription for three tenths of a milligram of levothyroxine IV
stat for a client who has myxedema coma. How should the nurse transcribe the dosage of this
medication in the client's medical record? - ANSWER 0.3 mg
A nurse is preparing a heparin infusion for a client who was admitted to the facility with DVT.
The prescription reads: 25,000 units of heparin in 0.9% sodium chloride 250 mL to infuse at 800
units/hr. At what rate should the nurse set the infusion pump? (Round to the nearest whole
number) - ANSWER 8 mL/hr
A nurse is caring for a client who has a prescription for wound irrigation. Which of the following
actions should the nurse take? - ANSWER Cleanse the wound from the center outward.
,A nurse is caring for a client who is receiving fluid through a peripheral IV catheter. Which of the
following findings at the IV site should the nurse identify as indicating infiltration? - ANSWER
Skin blanching
A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the
following statements should the nurse identify as an indication that the client understands the
teaching? - ANSWER "When descending stairs, I will first shift my weight to my right leg"
A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through
and open system. Which of following action should the nurse take first? - ANSWER Tell the client
to keep the head of the bed elevated at least 30 degrees
A nurse is reviewing a client's medication prescription that reads, "digoxin 0.25 by mouth every
day." Which of the following components of the prescription should the nurse verify with the
provider? - ANSWER Medication dose
A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Which
of the following statements should the nurse identify as an indication that the client
understands the use of this assistive device? - ANSWER Clients should remove any hearing
devices before showering because expose to water can damage them
A nurse enters a client's room and finders her on the floor. The client's roommate reports that
the client was trying to get out of bed and fell over the side rail onto the floor. Which of the
following statements should the nurse document about the incident? - ANSWER "Client found
lying on floor"
A nurse on a medical unit is preparing to discharge a client to home. Which of the following
actions should the nurse take as part of the medication reconciliation process? - ANSWER
Compare prescriptions with medications the client received while at the facility
, A nurse is caring for a client who requires an informed consent for a surgical procedure. Which
of the following actions is the nurse's responsibility? - ANSWER Witness the client's signature on
the consent form
A nurse is planning an educational program for a group of adults at a senior living center. Which
of the following recommendation should the nurse include? - ANSWER "You should receive the
pneumococcal vaccine when you are 65 years old."
A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The
client's parter wants the client to have the blood transfusion. Which of the following actions
should the nurse take? - ANSWER Withhold the blood transfusion
A nurse is admitting a client who had rubella. Which of the follow types of transmission-based
precautions should the nurse initiate? - ANSWER Droplet
A nurse is administering IV fluids to a client. When monitoring for adverse effects, which of the
following assessments should the nurse identify as the priority? - ANSWER Auscultate lung
sounds
A middle adult client tells the nurse, "I feel so useless now that my children do not need me
anymore." Which of the following responses should the nurse make? - ANSWER People in
middle adulthood often find satisfaction in nurturing and guiding young people
The nurse is providing discharge teaching for a client who has a new prescription for a home
oxygen concentrator. Which of the following instructions should the nurse provide to the client
and his family? - ANSWER - Check the cord routinely for frays or tearing
- Consider purchasing a generator for power backup
- Observe for signs of hypoxia A
with correct verified answers 2024 2025) 100%
Guaranteed pass;;GRADED A+!
A nurse is caring for a client who reports pain. When documenting the quality of the client's
pain on an initial pain assessment, the nurse should record which of the following? - ANSWER
"The pain is like a dull ache in my stomach"
A client who is non-ambulatory notifies the nurse that his trash can is on fire. After the nurse
confirms the presence of the fire, which of the following actions should the nurse take next? -
ANSWER Evacuate the client
A nurse is completing an admission assessment for a client who reports vomiting and diarrhea
for the past 3 days. Which of the following findings should the nurse expect? - ANSWER Rapid
heart rate
A nurse has accepted a verbal prescription for three tenths of a milligram of levothyroxine IV
stat for a client who has myxedema coma. How should the nurse transcribe the dosage of this
medication in the client's medical record? - ANSWER 0.3 mg
A nurse is preparing a heparin infusion for a client who was admitted to the facility with DVT.
The prescription reads: 25,000 units of heparin in 0.9% sodium chloride 250 mL to infuse at 800
units/hr. At what rate should the nurse set the infusion pump? (Round to the nearest whole
number) - ANSWER 8 mL/hr
A nurse is caring for a client who has a prescription for wound irrigation. Which of the following
actions should the nurse take? - ANSWER Cleanse the wound from the center outward.
,A nurse is caring for a client who is receiving fluid through a peripheral IV catheter. Which of the
following findings at the IV site should the nurse identify as indicating infiltration? - ANSWER
Skin blanching
A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the
following statements should the nurse identify as an indication that the client understands the
teaching? - ANSWER "When descending stairs, I will first shift my weight to my right leg"
A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through
and open system. Which of following action should the nurse take first? - ANSWER Tell the client
to keep the head of the bed elevated at least 30 degrees
A nurse is reviewing a client's medication prescription that reads, "digoxin 0.25 by mouth every
day." Which of the following components of the prescription should the nurse verify with the
provider? - ANSWER Medication dose
A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Which
of the following statements should the nurse identify as an indication that the client
understands the use of this assistive device? - ANSWER Clients should remove any hearing
devices before showering because expose to water can damage them
A nurse enters a client's room and finders her on the floor. The client's roommate reports that
the client was trying to get out of bed and fell over the side rail onto the floor. Which of the
following statements should the nurse document about the incident? - ANSWER "Client found
lying on floor"
A nurse on a medical unit is preparing to discharge a client to home. Which of the following
actions should the nurse take as part of the medication reconciliation process? - ANSWER
Compare prescriptions with medications the client received while at the facility
, A nurse is caring for a client who requires an informed consent for a surgical procedure. Which
of the following actions is the nurse's responsibility? - ANSWER Witness the client's signature on
the consent form
A nurse is planning an educational program for a group of adults at a senior living center. Which
of the following recommendation should the nurse include? - ANSWER "You should receive the
pneumococcal vaccine when you are 65 years old."
A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The
client's parter wants the client to have the blood transfusion. Which of the following actions
should the nurse take? - ANSWER Withhold the blood transfusion
A nurse is admitting a client who had rubella. Which of the follow types of transmission-based
precautions should the nurse initiate? - ANSWER Droplet
A nurse is administering IV fluids to a client. When monitoring for adverse effects, which of the
following assessments should the nurse identify as the priority? - ANSWER Auscultate lung
sounds
A middle adult client tells the nurse, "I feel so useless now that my children do not need me
anymore." Which of the following responses should the nurse make? - ANSWER People in
middle adulthood often find satisfaction in nurturing and guiding young people
The nurse is providing discharge teaching for a client who has a new prescription for a home
oxygen concentrator. Which of the following instructions should the nurse provide to the client
and his family? - ANSWER - Check the cord routinely for frays or tearing
- Consider purchasing a generator for power backup
- Observe for signs of hypoxia A
