Fundamentals ATI Practice B QUESTIONS
AND VERIFIED ANSWERS| 100%
CORRECT
A nurse is administering IV fluid to an older adult client. The nurse should perform
which priority assessment to monitor for adverse effects?
A) Auscultate lung sounds.
B) Measure urine output.
C) Monitor blood pressure readings.
D) Monitor serum electrolyte levels. - ANSWER
auscultate lung sounds ( bc fluid volume overload is a complication of IV therapy)
A charge nurse is discussing the responsibility of nurses caring for clients who
have a Clostridium difficile infection. Which of the following information should
the nurse include in the teaching?
A) Assign the client to a room with a negative air-flow system.
B) Use alcohol-based hand sanitizer when leaving the client's room.
C) Clean contaminated surfaces in the client's room with a phenol solution.
D) Have family members wear a gown and gloves when visiting. -
ANSWER have family members wear a gown and gloves when
visiting
a nurse is giving change-of-shift report about a client they admitted earlier that day
who has pneumonia. which of the following pieces of information is the priority
for the nurse to provide?
a. admitting diagnosis
b. breath sounds
c. body temperature
d. diagnostic test results - ANSWER breath sounds
,A nurse is planning teaching for a group of adolescents who each recently had
surgical placement of an ostomy. Which of the following methods should the nurse
use as a psychomotor approach to learning?A) Role play
B) Group discussions
C) Question-ANSWER meetings
D) Practice sessions - ANSWER practice sessions
a nurse is caring for a client who reports difficulty falling asleep. which of the
following recommendations should the nurse make?
a. drink a cup of hot cocoa before bedtime
b. maintain a consistent time to wake up each day
c. exercise 1 hour before going to bed
d. watch a television program in bed before going to sleep - ANSWER
maintain a consistent time to wake up each day
a nurse is admitting a client who has rubella. which of the following types of
transmission-based precautions should the nurse initiate?
a. droplet
b. airborne
c. contact
d. protective environment - ANSWER droplet
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?
a. this type of hearing aid does not allow for fine tuning of volume
b. I shouldn't have trouble keeping the hearing aid in place during exercise
c. I expect to hear a whistling sound when I first insert the hearing aid
d. I will be sure to remove my hearing aid before taking a shower -
ANSWER I will be sure to remove my hearing aid before taking a
shower
, A nurse is caring for a client who has an NG tube and is receiving intermittent
feedings through an open system. Which of the following actions should the nurse
take first?A) Rinse the feeding bag with water between feedings.
B) Tell the client to keep the head of the bed elevated at least 30°.
C) Make sure the enteral formula is at room temperature.
D) Wipe the top of the formula can with alcohol. - ANSWER
tell the client to keep the head of the bed elevated at least 30°
a nurse is planning care for a client who has tuberculosis. the nurse should use
which of the following pieces of personal protective equipment when providing
care for the client?
a. gown
b. N95 respirator
c. shoe covers
d. surgical cap - ANSWER N95 respirator
A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to
a client. Which of the following actions should the nurse take?
A) Gently shake the container of medication prior to administration.
B) Transfer the medication to a medicine cup.
C) Place the client in a semi-Fowler's position prior to medication administration.
D) Verify the dosage by measuring the liquid before administering it. -
ANSWER gently shake the container of medication prior to
administration
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? (Click on the audio button to listen to the
clip.)
A) Narrowed arterial lumen
B) Distended jugular veins
C) Impaired ventricular contraction
D) Asynchronous closure of the aortic and pulmonic valves - ANSWER
narrowed arterial lumen
AND VERIFIED ANSWERS| 100%
CORRECT
A nurse is administering IV fluid to an older adult client. The nurse should perform
which priority assessment to monitor for adverse effects?
A) Auscultate lung sounds.
B) Measure urine output.
C) Monitor blood pressure readings.
D) Monitor serum electrolyte levels. - ANSWER
auscultate lung sounds ( bc fluid volume overload is a complication of IV therapy)
A charge nurse is discussing the responsibility of nurses caring for clients who
have a Clostridium difficile infection. Which of the following information should
the nurse include in the teaching?
A) Assign the client to a room with a negative air-flow system.
B) Use alcohol-based hand sanitizer when leaving the client's room.
C) Clean contaminated surfaces in the client's room with a phenol solution.
D) Have family members wear a gown and gloves when visiting. -
ANSWER have family members wear a gown and gloves when
visiting
a nurse is giving change-of-shift report about a client they admitted earlier that day
who has pneumonia. which of the following pieces of information is the priority
for the nurse to provide?
a. admitting diagnosis
b. breath sounds
c. body temperature
d. diagnostic test results - ANSWER breath sounds
,A nurse is planning teaching for a group of adolescents who each recently had
surgical placement of an ostomy. Which of the following methods should the nurse
use as a psychomotor approach to learning?A) Role play
B) Group discussions
C) Question-ANSWER meetings
D) Practice sessions - ANSWER practice sessions
a nurse is caring for a client who reports difficulty falling asleep. which of the
following recommendations should the nurse make?
a. drink a cup of hot cocoa before bedtime
b. maintain a consistent time to wake up each day
c. exercise 1 hour before going to bed
d. watch a television program in bed before going to sleep - ANSWER
maintain a consistent time to wake up each day
a nurse is admitting a client who has rubella. which of the following types of
transmission-based precautions should the nurse initiate?
a. droplet
b. airborne
c. contact
d. protective environment - ANSWER droplet
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?
a. this type of hearing aid does not allow for fine tuning of volume
b. I shouldn't have trouble keeping the hearing aid in place during exercise
c. I expect to hear a whistling sound when I first insert the hearing aid
d. I will be sure to remove my hearing aid before taking a shower -
ANSWER I will be sure to remove my hearing aid before taking a
shower
, A nurse is caring for a client who has an NG tube and is receiving intermittent
feedings through an open system. Which of the following actions should the nurse
take first?A) Rinse the feeding bag with water between feedings.
B) Tell the client to keep the head of the bed elevated at least 30°.
C) Make sure the enteral formula is at room temperature.
D) Wipe the top of the formula can with alcohol. - ANSWER
tell the client to keep the head of the bed elevated at least 30°
a nurse is planning care for a client who has tuberculosis. the nurse should use
which of the following pieces of personal protective equipment when providing
care for the client?
a. gown
b. N95 respirator
c. shoe covers
d. surgical cap - ANSWER N95 respirator
A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to
a client. Which of the following actions should the nurse take?
A) Gently shake the container of medication prior to administration.
B) Transfer the medication to a medicine cup.
C) Place the client in a semi-Fowler's position prior to medication administration.
D) Verify the dosage by measuring the liquid before administering it. -
ANSWER gently shake the container of medication prior to
administration
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? (Click on the audio button to listen to the
clip.)
A) Narrowed arterial lumen
B) Distended jugular veins
C) Impaired ventricular contraction
D) Asynchronous closure of the aortic and pulmonic valves - ANSWER
narrowed arterial lumen