ATI Fundamentals Practice Questions and solutions

ATI Fundamentals Practice Questions and solutions

A nurse is assessing a client who has required bed rest for the past month. Which of the following findings should the nur
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




identify as an indication that the client has developed thrombophlebitis?
mi mi mi mi mi mi mi mi mi mi




Bladder distention mi




Decreased blood pressure mi mi




Calf swelling mi




Diminished bowel sounds - answersCalf swelling mi mi mi mi mi




A nurse is administering an optic medication to an older adult client. Which of the following actions should the nurse take
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




ensure that the medication reaches the inner ear?
mi mi mi mi mi mi mi mi




Press gently on the tracks of the clients ear
mi mi mi mi mi mi mi mi




Pack a small piece of cotton deep into the clients ear canal
mi mi mi mi mi mi mi mi mi mi mi




Move the client's auricle down and back toward her head
mi mi mi mi mi mi mi mi mi




Tilt the client's head backward for 5 min - answersPress gently on the tragus of the clients ear
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




following actions should the nurse take?
mi mi mi mi mi mi




Pad the client's wrist before applying the restraints
mi mi mi mi mi mi mi




Evaluate the client's circulation every 8 hr after application mi mi mi mi mi mi mi mi




Remove the restraints every 4 hr to evaluate the client's status mi mi mi mi mi mi mi mi mi mi




Secure the restraints to the bed's side rails - answersPad the client's wrists before applying the restraints
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




reconciliation?
mi




Verify the client's name on their identification bracelet with the medication administration record
mi mi mi mi mi mi mi mi mi mi mi mi




Call the pharmacy to determine whether the client's medications are available
mi mi mi mi mi mi mi mi mi mi




Compare the clients home medications with the provider's prescriptions mi mi mi mi mi mi mi mi




Place the client's home medication bottles in a secure location - answersCompare the client's home medications with th
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




provider's prescriptions
mi mi




The nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7 hr. The nurse should set the infusio
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




trailing zero.) - answers107 mL/hr
mi mi mi mi mi





mimimimimi mimimimimi

,A nurse is planning care for a client who has had a stroke, resulting in aphasia and dysphagia. Which of the following task
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




should the nurse assign to an assistive personnel (AP)? (Select all that apply.)
mi mi mi mi mi mi mi mi mi mi mi mi mi




Assist the client with a partial bed bath mi mi mi mi mi mi mi




Measure the client's BP after the nurse administers antihypertensive medication. mi mi mi mi mi mi mi mi mi




Test the client's swallowing ability by providing thickened liquids
mi mi mi mi mi mi mi mi




Use a communications board to ask what the client wants for lunch
mi mi mi mi mi mi mi mi mi mi mi




Irrigate the client's indwelling catheter - answersAssist the client with a partial bed bath
mi mi mi mi mi mi mi mi mi mi mi mi mi




Measure the client's BP after the nurse administers antihypertensive medication. mi mi mi mi mi mi mi mi mi




Use a communications board to ask what the client wants for lunch
mi mi mi mi mi mi mi mi mi mi mi




A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. Which of the following actio
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




should the nurse take?
mi mi mi mi




Place the client in a side-lying position mi mi mi mi mi mi




Instill 15 mL of irrigation fluid into the catheter with each flush
mi mi mi mi mi mi mi mi mi mi mi




Subtract the amount of irritant used from the clients urine output mi mi mi mi mi mi mi mi mi mi




Perform the irrigation using a 20 mL syringe - answersSubtract the amount of irritant used from the client's urine output
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




A home health nurse is performing a follow-up visit for a client who has a gastrostomy tube through which they receive
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




intermittent feedings & medications. The client has recently developed diarrhea. Which of the following findings should
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




the nurse identify as a possible cause of the diarrhea?
mi mi mi mi mi mi mi mi mi mi




The client is receiving normal formula at room temperature
mi mi mi mi mi mi mi mi




The feedings infuse at a slow, continuous drip over 8 hr each night.
mi mi mi mi mi mi mi mi mi mi mi mi




The client's caregiver washes of the feeding bag with warm water once every 24 hr
mi mi mi mi mi mi mi mi mi mi mi mi mi mi




The client's caregiver flush's the tubing before and after administering medications. - answersThe client's caregiver
mi mi mi mi mi mi mi mi mi mi mi mi mi mi




washes of the feeding bag with warm water once every 24 hr
mi mi mi mi mi mi mi mi mi mi mi mi




A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




following precautions should the nurse plan for this client?
mi mi mi mi mi mi mi mi mi




Make sure the client's room has at least six air exchanges per hour.
mi mi mi mi mi mi mi mi mi mi mi mi




Make sure the client wears a mask when outside her room if there's construction in the area.
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




Place the client in a private room with negatives-pressure airflow.
mi mi mi mi mi mi mi mi mi




mimimimimi mimimimimi