FUNDAMENTALS ATI COMPREHENSIVE RETAKE FORM B | ALREADY
GRADED A+ BRAND NEW!!!!!!!!!!!!!!!!!!
. A nurse in an emergency department is assessing newly admitted client who is experiencing drooling and
hoarseness following a burn injury. Which of the following should actions should the nurse take first? A.
Obtain a baseline ECG.
B. Obtain a blood specimen for ABG analysis.
C. Insert an 18-gauge IV catheter.
D. Administer 100% humidified oxygen.
A nurse is planning care for a client who has unilateral paralysis and dysphagia following a right hemispheric
stroke. Which of the following interventions should the nurse include in the plan? A.
Place food on the left side of the client’s mouth when he is ready to eat.
B. Provide total care in performing the client’s ADLs.
C. Maintain the client on bed rest.
D. Place the client’s left arm on a pillow while he is sitting.
A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to
display aggressive behavior. Which of the following actions should the nurse take? A. Confront the client about
this behavior.
B. Express sympathy for the client’s situation.
C. Speak assertively to the client.
D. Stand within 30 cm (1 ft) of the client when speaking with them.
A nurse is caring for a client who is receiving brachytherapy for treatment of prostate cancer. Which of the
following actions should the nurse take? A. Cleanse equipment before removal from the client’s room.
, D.
B. Limit the client’s visitors to 30 min per day.
C. Discard the client’s linens in a double bag. Discard the radioactive source
in a biohazard bag
A nurse is assessing a client who has left-sided heart failure. Which of the following should the nurse
identify as a manifestation of pulmonary congestion? A. Frothy, pink sputum. B. Jugular vein distention.
C. Weight gain.
D..Bradypnea
A nurse is caring for a client who is in labor and requires augmentation of labor. Which of the following
conditions should the nurse recognize as a contraindication to the use of oxytocin. A. Diabetes mellitus.
B. Shoulder presentation.
C. Postterm with oligohydramnios. (I think Maternal Newborn Chapter 15 page 100)
D.Chorioamnionitis
A nurse is assessing a client who has left-sided heart failure. Which of the following should the nurse
identify as a manifestation of pulmonary congestion? A. Frothy, pink sputum. D. Jugular vein
distention.
E. Weight gain.
D.Bradypnea
A nurse is caring for a 5-month-old infant who has manifestations of severe dehydration and a prescription for
paternal fluid therapy. The guardian asks. “What are the indications that my baby needs an IV?” Which of the
following responses should the nurse make?
A. “Your baby needs an IV because she is not producing any tears”
B. “Your baby needs an IV because her fontanels are budging”
C. “Your baby needs an IV because she is breathing slower than normal”
D. “Your baby needs an IV because her heart rate is decreasing”
,D.
A nurse is providing teaching to a client who has heart failure and a new prescription for furosemide. Which of
the following statements should the nurse make?
A. “Taking furosemide can cause your potassium levels to be high”
B. “Eat foods that are high in sodium”
C. “Rise slowly when getting out of bed”
D. “Taking furosemide can cause you to be overhydrated”
A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder. Which of
the following interventions should the nurse take? A. Allow the client enough time to perform rituals. B.
Give the client autonomy in scheduling activities.
C. Discourage the client from exploring irrational fears.
D. Provide negative reinforcement for ritualistic behaviors.
A nurse is caring for a client who has depression and reports taking ST. John’s wort along with citalopram. The
nurse should monitor the client for which of the following conditions as a result of an interaction between these
substances?
A. Serotonin syndrome
B. Tardive dyskinesia C. Pseudo parkinsonism.
D. Acute dystonia.
A nurse is assessing a client who is receiving packed RBCs. Which of the following findings indicate fluid
overload?
A. Low back pain.
B. Dyspnea.
C. Hypotension.
D. Thready pulse.
, D.
A nurse is calculating a client’s expected date of delivery. The client’s last menstrual period began on April
. Using Nagele’s rule, what date should the nurse determine to be the client’s expected delivery date? (Use
mmdd format.)
0119 date
A nurse is discussing group treatment and therapy with a client. The nurse should include which of the
following as being a characteristic of a therapeutic group? A. The group is organized in an autocratic
structure.
B. The group encourages members to focus on a particular issue. (Mental Health Chapter 8 Page 42)
C. The group must be led by a licensed psychiatrist.
D. The group encourages clients to form dependent relationships.
31. A nurse manger is reviewing documentation with a newly licensed nurse. Which of the following notations
by the newly licensed nurse indicates an understanding of the teaching.
UNSURE IF ON THE REPORT
A. “OOB with assistance for breakfast”
B. “Given 2 mg MSO4 IM for report of pain”
C. “Dressing changed qd”
D. “Administered 8 u regular insulin sq.”
32. A nurse is preparing to administer eye drops to a school-age child. Identify the actions the nurse should
take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
1. Apply pressure to the lacrimal punctum.
2. Ask the child to look upward.
3. Pull the lower eyelid downward.