ATI Fundamentals Test Exam 2 2025
pp pp pp pp pp
Questions And Verified Answers 100%
pp pp pp pp pp
pp Correct (2025/2026 Real Expected Exam)
pp pp pp pp
Graded A+ Latest.
pp pp pp pp
pp
A ppnurse ppin ppa ppmedical-surgical ppunit ppis ppcaring ppfor ppsix ppclients. pp
pp
Complete ppthe ppfollowing ppsentence ppby ppusing ppthe pplist ppof ppoptions. pp
pp
The ppfirst ppclient ppthe ppnurse ppshould ppassess ppis pp_____ ppfollowed ppby pp_____. pp
pp
Client pp1: ppClient ppis ppadmitted ppwith ppa ppnew ppdiagnosis ppof pprheumatoid pparthritis.Client pp2:
ppClient pphas ppa pphistory ppof pphyperlipidemia. ppAtorvastatin pp20 ppmg ppPO ppadministered ppas
ppprescribed.Client pp3: ppClient ppis pp1 ppday pppostoperative. ppReports pppain ppas pp8 ppon ppa ppscale
ppof pp0 ppto pp10. ppMorphine pp5 ppmg ppsubcutaneous ppadministered ppas ppprescribed.Client pp4:
ppClient ppis ppadmitted ppwith ppa ppnew ppdiagnosis ppof ppheart ppfailure.Client pp5: ppClient pphas ppa
ppstage pp2 pppressure ppinjury ppon ppthe ppleft ppheel.Client pp6: ppClient ppis ppadmitted ppwith ppa ppnew
ppdiagnosis ppof ppdiabetes ppmellitus. pp- ppCorrect ppAnswer pp(1): ppClient pp3 pp
When ppusing ppthe ppairway, ppbreathing, ppcirculation ppapproach ppto ppclient ppcare, ppthe ppnurse
ppshould ppdetermine ppthat ppthis ppclient ppis ppthe pppriority ppclient ppto ppassess. ppThe ppclient pphas ppan
ppoxygen ppsaturation ppthat ppis ppless ppthan ppthe ppexpected ppreference pprange, ppwhich ppis ppan
ppindication ppof pphypoxia. pp
pp
Correct ppAnswer pp(2): pp
Client pp4 pp
When ppusing ppthe ppairway, ppbreathing, ppcirculation ppapproach ppto ppclient ppcare, ppthe ppnurse
ppshould ppdetermine ppthat ppthis ppclient ppis ppthe ppnext pppriority ppclient ppto ppassess. ppThe ppclient
pphas ppa pppotassium pplevel ppthat ppis ppless ppthan ppthe ppexpected ppreference pprange, ppwhich ppplaces
ppthe ppclient ppat pprisk ppfor ppdysrhythmias. pp
pp
Incorrect ppAnswers pp(1): pp
Client pp1 ppis ppincorrect. ppThe ppnurse ppshould ppassess ppthis ppclient ppbecause ppthe ppclient's ppC-
reactive ppprotein ppis ppgreater ppthan ppthe ppexpected ppreference pprange, ppwhich ppis ppan
ppindication ppof ppinflammation. ppHowever, ppthere ppis ppanother ppclient ppthe ppnurse ppshould
ppassess ppfirst. pp
pp
Client pp2 ppis ppincorrect. ppThe ppnurse ppshould ppassess ppthis ppclient ppbecause ppthe ppclient's
ppcholesterol pplevel pp
pp
is ppgreater ppthan ppthe ppexpected ppreference pprange, ppwhich ppplaces ppthem ppat pprisk ppfor
ppcoronary ppheart
pp
disease. ppHowever, ppthere ppis ppanother ppclient ppthe ppnurse ppshould
ppassess ppfirst.
pp
Incorrect ppAnswers pp(2): pp
Client pp5 ppis ppincorrect. ppThe ppnurse ppshould ppassess ppthis ppclient ppbecause pptheir ppprealbumin
pplevel ppis ppless ppthan ppthe ppexpected ppreference pprange, ppwhich ppplaces ppthem ppat pprisk ppfor
ppdelayed ppwound pphealing. ppHowever, ppthis ppclient ppis ppnot ppthe ppnext pppriority ppclient ppto
ppassess. pp
,pp
Client pp6 ppis ppincorrect. ppThe ppnurse ppshould ppassess ppthis ppclient ppbecause pptheir ppglycosylated
pphemoglobin pplevel ppis ppgreater ppthan ppthe ppexpected ppreference pprange, ppwhich ppindicates
pppoor ppdiabetic ppcontrol. ppHowever, ppthis ppclient ppis ppnot ppthe ppnext pppriority ppclient ppto
ppassess. pp
pp
A ppnurse ppis ppcaring ppfor ppa ppclient ppwho pphas ppCOPD. pp
pp
Select ppthe pp3 ppfindings ppthat pprequire ppfollow-up. pp
pp
Breath ppsounds pp
Blood pppressure pp
Oxygen ppsaturation pp
Temperature pp
Heart pprate pp- ppCorrect ppAnswer: pp
Breath ppSounds pp
Crackles ppare ppcaused ppby ppmucous ppin ppthe ppairways ppand ppare ppa ppmanifestation ppof
pppneumonia. pp
Decreased ppbreath ppsounds ppindicate ppdecreased ppventilation ppand pprequire ppfollow-up ppby ppthe
ppnurse. pp
pp
Oxygen ppSaturation pp
The ppclient's ppoxygen ppsaturation ppis ppbelow ppthe ppexpected ppreference pprange ppof pp95% ppto
pp100%, ppindicating pphypoxia, ppand pprequires ppfollow-up ppby ppthe ppnurse. pp
pp
Temperature pp
The ppclient's pptemperature ppis ppgreater ppthan ppthe ppexpected ppreference pprange, ppindicating ppan
ppinfection, ppand pprequires ppfollow-up ppby ppthe ppnurse. pp
pp
Incorrect ppAnswer: pp
Blood pppressure ppis ppincorrect. ppThe ppclient's ppblood pppressure ppis ppwithin ppthe ppexpected
ppreference pprange ppand ppdoes ppnot pprequire ppfollow-up ppby ppthe ppnurse. pp
pp
Heart pprate ppis ppincorrect. ppThe ppclient's ppheart pprate ppis ppwithin ppthe ppexpected ppreference
pprange ppof pp60 ppto pp
pp
100/min ppand ppdoes ppnot pprequire ppfollow-up ppby ppthe
ppnurse.
pp
A ppnurse ppin ppthe ppemergency ppdepartment pp(ED) ppis ppcaring ppfor ppa ppclient ppwho ppreports
ppabdominal pppain. pp pp
pp
Based ppon ppthe ppclient's ppclinical ppfindings, ppwhich ppof ppthe ppfollowing ppactions ppshould ppthe
ppnurse pptake? pp
pp
Select ppall ppthat
ppapply.
pp
Assist ppthe ppclient ppto ppa ppleft ppside-lying ppposition ppwith ppthe ppright ppknee ppflexed. pp
Prepare ppthe ppclient ppfor ppa ppchest ppx-ray. pp
Administer ppa ppcleansing ppenema. pp
Auscultate ppthe ppclient's ppbowel ppsounds. pp
Perform ppa ppmanual ppdigital ppexamination ppof ppthe ppclient's pprectum. pp
Administer ppoxycodone ppextended-release pptablets. pp
,Prepare ppthe ppclient ppfor ppNG pptube ppplacement. pp- ppCorrect ppAnswer: pp
Assist ppthe ppclient ppto ppa ppleft ppside-lying ppposition ppwith ppthe ppright ppknee ppflexed pp pp
The ppnurse ppshould ppplace ppthe ppclient ppin ppa ppleft ppside-lying ppposition ppwith ppthe ppright ppknee
ppflexed ppprior ppto ppadministering ppan ppenema. ppBecause ppthe ppprovider ppprescribed ppa
ppcleansing ppenema ppfor ppthe ppclient, ppthe ppnurse ppshould ppprepare ppthe ppclient ppfor ppthe
ppprocedure. pp
pp
Administer ppa ppcleansing ppenema pp pp
The ppnurse ppshould ppadminister ppa ppcleansing ppenema ppfor ppthe ppclient ppas ppa ppresult ppof ppthe
ppprovider's ppprescription. ppA ppcleansing ppenema ppis ppintended ppto ppassist ppwith ppbowel
ppelimination ppand ppremove ppany ppimpacted ppfecal ppmatter ppindicated ppby ppthe ppabdominal ppx-
ray. pp
pp
Auscultate ppthe ppclient's ppbowel ppsounds pp pp
The ppnurse ppshould ppauscultate ppthe ppclient's ppbowel ppsounds ppto ppdetermine ppthe ppstatus ppof
ppthe ppclient's ppperistalsis. ppThis ppis ppa ppnecessary pppart ppof ppdetermining ppthe pppresence ppof
ppbowel ppsounds, ppwhich ppare ppan ppindication ppof ppthe ppstatus ppof ppthe ppclient's ppgastrointestinal
pptract. pp
pp
Perform ppa ppmanual ppdigital ppexamination ppof ppthe ppclient's pprectum pp
The ppnurse ppshould ppperform ppa ppmanual ppdigital ppexamination ppof ppthe ppclient's pprectum ppto
ppdetermine ppif ppimpacted ppstool ppis pppresent. ppThis ppis ppa pppart ppof ppthe ppnecessary ppevaluation
ppof ppthe ppstatus ppof ppthe ppclient's ppgastrointestinal pptract. pp
pp
Incorrect ppAnswer: pp
Prepare ppthe ppclient ppfor ppa ppchest ppx-ray ppis ppincorrect. ppA ppchest ppx-ray ppis pptypically
ppperformed ppfor ppa ppclient ppwho pphas ppan ppimpairment ppof ppthe ppupper ppthorax ppor pplungs, ppnot
ppthe ppabdomen. ppThe ppclient pphas ppalready ppreceived ppan ppabdominal ppx-ray; pptherefore, ppa
ppchest ppx-ray ppis ppnot ppnecessary. pp
pp
Prepare ppthe ppclient ppfor ppNG pptube ppplacement ppis ppincorrect. ppThe ppnurse ppshould ppnot
ppprepare ppthe ppclient pp
pp
for ppplacement ppof ppan ppNG pptube ppbecause ppthere ppis ppno ppindication ppor
ppprescription ppto ppdo ppso.
Placement ppof ppan ppNG pptube ppis pprequired ppwhen ppthere ppis ppan ppobstruction ppof ppthe
ppgastrointestinal pptract
pp
and ppperistalsis ppis
ppabsent.
pp
A ppnurse ppis ppcaring ppfor ppa ppclient ppwho ppasks ppabout ppthe pppurpose ppof ppadvance ppdirectives.
ppWhich ppof ppthe pp
pp
following ppstatements ppshould ppthe ppnurse
ppmake?
pp
"They ppallow ppthe ppcourt ppto ppoverrule ppan ppadult ppclient's pprefusal ppof ppmedical
pptreatment." pp"They ppindicate ppthe ppform ppof pptreatment ppa ppclient ppis ppwilling ppto ppaccept
ppin ppthe ppevent ppof ppa ppserious ppillness." pp
"They pppermit ppa ppclient ppto ppwithhold ppmedical ppinformation ppfrom pphealth ppcare
pppersonnel." pp"They ppallow pphealth ppcare pppersonnel ppin ppthe ppemergency ppdepartment ppto
ppstabilize ppa ppclient's ppcondition." pp- ppCorrect ppAnswer: pp
, "They ppindicate ppthe ppform ppof pptreatment ppa ppclient ppis ppwilling ppto ppaccept ppin ppthe ppevent ppof
ppa ppserious ppillness." pp
Advance ppdirectives ppinclude ppa ppliving ppwill, ppwhich pppermits ppclients ppto ppdirect ppthe
pptreatment ppthey ppwill ppreceive ppin ppthe ppevent ppof ppa ppmedical ppemergency ppor ppserious
ppillness. pp
pp
Incorrect ppAnswer: pp
"They ppallow ppthe ppcourt ppto ppoverrule ppan ppadult ppclient's pprefusal ppof ppmedical pptreatment." pp
A ppcourt ppcan pponly ppoverrule ppan ppadult ppclient's pprefusal ppof ppmedical pptreatment ppif ppthe
ppclient ppis pplegally ppincompetent. pp
pp
"They pppermit ppa ppclient ppto ppwithhold ppmedical ppinformation ppfrom pphealth ppcare
pppersonnel." ppThe ppAmericans ppwith ppDisabilities ppAct, ppnot ppadvance ppdirectives, ppprotects
ppthe ppprivacy ppof ppa ppclient ppwho ppchooses ppnot ppto ppdisclose ppa ppmedical ppdisability. pp
pp
"They ppallow pphealth ppcare pppersonnel ppin ppthe ppemergency ppdepartment ppto ppstabilize ppa
ppclient's ppcondition." pp
The ppEmergency ppMedical ppTreatment ppand ppActive ppLabor ppAct, ppnot ppadvance ppdirectives,
ppdirects ppemergency pppersonnel ppto ppprovide ppscreening ppand ppstabilizing ppcare ppbefore
ppdischarging ppor pptransferring ppclients ppto ppanother ppfacility. pp
pp
A ppnurse ppis ppcaring ppfor ppa ppclient ppwho pphas ppa ppprescription ppfor pp5 ppunits ppof ppregular
ppinsulin ppand pp10 ppunits ppof ppNPH ppinsulin ppto ppmix pptogether ppand ppadminister
ppsubcutaneously. ppDetermine ppthe ppcorrect pporder ppof ppsteps ppfor ppthis ppprocedure. pp pp
pp
Inject pp5 ppunits ppof ppair ppinto ppthe ppbottle ppof ppregular ppinsulin pp
Withdraw ppthe ppcorrect ppdose ppof ppNPH ppinsulin ppfrom ppthe ppbottle pp
Inject pp10 ppunits ppof ppair ppinto ppthe ppbottle ppof ppNPH ppinsulin pp
Withdraw ppthe ppcorrect ppdose ppof ppregular ppinsulin ppfrom ppthe ppbottle pp- ppCorrect ppAnswer: pp
Inject pp10 ppunits ppof ppair ppinto ppthe ppbottle ppof ppNPH ppinsulin pp
Inject pp5 ppunits ppof ppair ppinto ppthe ppbottle ppof ppregular ppinsulin pp
Withdraw ppthe ppcorrect ppdose ppof ppregular ppinsulin ppfrom ppthe ppbottle pp
Withdraw ppthe ppcorrect ppdose ppof ppNPH ppinsulin ppfrom ppthe ppbottle pp
pp
The ppnurse ppshould ppfirst ppinject ppair ppinto ppthe ppvial ppof ppNPH ppinsulin ppwithout pptouching ppthe
ppneedle ppto ppthe ppsolution. ppNext, ppthe ppnurse ppshould ppinject ppair ppinto ppthe ppvial ppof ppregular
ppinsulin ppand ppwithdraw ppthe ppcorrect ppamount ppof ppthe ppregular ppinsulin. ppFinally, ppthe ppnurse
ppshould ppinsert ppthe ppneedle ppinto ppthe ppNPH ppinsulin ppvial ppand ppwithdraw ppthe ppcorrect
ppamount ppof ppNPH ppinsulin. ppThe ppnurse ppshould ppfollow ppthese ppsteps ppto ppprevent
ppcontaminating ppthe ppregular ppinsulin ppwith ppNPH ppinsulin. pp
pp
A ppnurse ppis ppperforming ppa ppRomberg pptest ppduring ppthe ppphysical ppassessment ppof ppa
ppclient. ppWhich ppof pp
pp
the ppfollowing pptechniques ppshould ppthe ppnurse
ppuse?
pp
Touch ppthe ppface ppwith ppa ppcotton ppball. pp
Apply ppa ppvibrating pptuning ppfork ppto ppthe ppclient's ppforehead. pp
Have ppthe ppclient ppstand ppwith pptheir pparms ppat pptheir ppsides ppand pptheir ppfeet pptogether. pp
Perform ppdirect pppercussion ppover ppthe pparea ppof ppthe ppkidneys. pp- ppCorrect ppAnswer: pp
Have ppthe ppclient ppstand ppwith pptheir pparms ppat pptheir ppsides ppand pptheir ppfeet pptogether. pp
pp pp pp pp pp
Questions And Verified Answers 100%
pp pp pp pp pp
pp Correct (2025/2026 Real Expected Exam)
pp pp pp pp
Graded A+ Latest.
pp pp pp pp
pp
A ppnurse ppin ppa ppmedical-surgical ppunit ppis ppcaring ppfor ppsix ppclients. pp
pp
Complete ppthe ppfollowing ppsentence ppby ppusing ppthe pplist ppof ppoptions. pp
pp
The ppfirst ppclient ppthe ppnurse ppshould ppassess ppis pp_____ ppfollowed ppby pp_____. pp
pp
Client pp1: ppClient ppis ppadmitted ppwith ppa ppnew ppdiagnosis ppof pprheumatoid pparthritis.Client pp2:
ppClient pphas ppa pphistory ppof pphyperlipidemia. ppAtorvastatin pp20 ppmg ppPO ppadministered ppas
ppprescribed.Client pp3: ppClient ppis pp1 ppday pppostoperative. ppReports pppain ppas pp8 ppon ppa ppscale
ppof pp0 ppto pp10. ppMorphine pp5 ppmg ppsubcutaneous ppadministered ppas ppprescribed.Client pp4:
ppClient ppis ppadmitted ppwith ppa ppnew ppdiagnosis ppof ppheart ppfailure.Client pp5: ppClient pphas ppa
ppstage pp2 pppressure ppinjury ppon ppthe ppleft ppheel.Client pp6: ppClient ppis ppadmitted ppwith ppa ppnew
ppdiagnosis ppof ppdiabetes ppmellitus. pp- ppCorrect ppAnswer pp(1): ppClient pp3 pp
When ppusing ppthe ppairway, ppbreathing, ppcirculation ppapproach ppto ppclient ppcare, ppthe ppnurse
ppshould ppdetermine ppthat ppthis ppclient ppis ppthe pppriority ppclient ppto ppassess. ppThe ppclient pphas ppan
ppoxygen ppsaturation ppthat ppis ppless ppthan ppthe ppexpected ppreference pprange, ppwhich ppis ppan
ppindication ppof pphypoxia. pp
pp
Correct ppAnswer pp(2): pp
Client pp4 pp
When ppusing ppthe ppairway, ppbreathing, ppcirculation ppapproach ppto ppclient ppcare, ppthe ppnurse
ppshould ppdetermine ppthat ppthis ppclient ppis ppthe ppnext pppriority ppclient ppto ppassess. ppThe ppclient
pphas ppa pppotassium pplevel ppthat ppis ppless ppthan ppthe ppexpected ppreference pprange, ppwhich ppplaces
ppthe ppclient ppat pprisk ppfor ppdysrhythmias. pp
pp
Incorrect ppAnswers pp(1): pp
Client pp1 ppis ppincorrect. ppThe ppnurse ppshould ppassess ppthis ppclient ppbecause ppthe ppclient's ppC-
reactive ppprotein ppis ppgreater ppthan ppthe ppexpected ppreference pprange, ppwhich ppis ppan
ppindication ppof ppinflammation. ppHowever, ppthere ppis ppanother ppclient ppthe ppnurse ppshould
ppassess ppfirst. pp
pp
Client pp2 ppis ppincorrect. ppThe ppnurse ppshould ppassess ppthis ppclient ppbecause ppthe ppclient's
ppcholesterol pplevel pp
pp
is ppgreater ppthan ppthe ppexpected ppreference pprange, ppwhich ppplaces ppthem ppat pprisk ppfor
ppcoronary ppheart
pp
disease. ppHowever, ppthere ppis ppanother ppclient ppthe ppnurse ppshould
ppassess ppfirst.
pp
Incorrect ppAnswers pp(2): pp
Client pp5 ppis ppincorrect. ppThe ppnurse ppshould ppassess ppthis ppclient ppbecause pptheir ppprealbumin
pplevel ppis ppless ppthan ppthe ppexpected ppreference pprange, ppwhich ppplaces ppthem ppat pprisk ppfor
ppdelayed ppwound pphealing. ppHowever, ppthis ppclient ppis ppnot ppthe ppnext pppriority ppclient ppto
ppassess. pp
,pp
Client pp6 ppis ppincorrect. ppThe ppnurse ppshould ppassess ppthis ppclient ppbecause pptheir ppglycosylated
pphemoglobin pplevel ppis ppgreater ppthan ppthe ppexpected ppreference pprange, ppwhich ppindicates
pppoor ppdiabetic ppcontrol. ppHowever, ppthis ppclient ppis ppnot ppthe ppnext pppriority ppclient ppto
ppassess. pp
pp
A ppnurse ppis ppcaring ppfor ppa ppclient ppwho pphas ppCOPD. pp
pp
Select ppthe pp3 ppfindings ppthat pprequire ppfollow-up. pp
pp
Breath ppsounds pp
Blood pppressure pp
Oxygen ppsaturation pp
Temperature pp
Heart pprate pp- ppCorrect ppAnswer: pp
Breath ppSounds pp
Crackles ppare ppcaused ppby ppmucous ppin ppthe ppairways ppand ppare ppa ppmanifestation ppof
pppneumonia. pp
Decreased ppbreath ppsounds ppindicate ppdecreased ppventilation ppand pprequire ppfollow-up ppby ppthe
ppnurse. pp
pp
Oxygen ppSaturation pp
The ppclient's ppoxygen ppsaturation ppis ppbelow ppthe ppexpected ppreference pprange ppof pp95% ppto
pp100%, ppindicating pphypoxia, ppand pprequires ppfollow-up ppby ppthe ppnurse. pp
pp
Temperature pp
The ppclient's pptemperature ppis ppgreater ppthan ppthe ppexpected ppreference pprange, ppindicating ppan
ppinfection, ppand pprequires ppfollow-up ppby ppthe ppnurse. pp
pp
Incorrect ppAnswer: pp
Blood pppressure ppis ppincorrect. ppThe ppclient's ppblood pppressure ppis ppwithin ppthe ppexpected
ppreference pprange ppand ppdoes ppnot pprequire ppfollow-up ppby ppthe ppnurse. pp
pp
Heart pprate ppis ppincorrect. ppThe ppclient's ppheart pprate ppis ppwithin ppthe ppexpected ppreference
pprange ppof pp60 ppto pp
pp
100/min ppand ppdoes ppnot pprequire ppfollow-up ppby ppthe
ppnurse.
pp
A ppnurse ppin ppthe ppemergency ppdepartment pp(ED) ppis ppcaring ppfor ppa ppclient ppwho ppreports
ppabdominal pppain. pp pp
pp
Based ppon ppthe ppclient's ppclinical ppfindings, ppwhich ppof ppthe ppfollowing ppactions ppshould ppthe
ppnurse pptake? pp
pp
Select ppall ppthat
ppapply.
pp
Assist ppthe ppclient ppto ppa ppleft ppside-lying ppposition ppwith ppthe ppright ppknee ppflexed. pp
Prepare ppthe ppclient ppfor ppa ppchest ppx-ray. pp
Administer ppa ppcleansing ppenema. pp
Auscultate ppthe ppclient's ppbowel ppsounds. pp
Perform ppa ppmanual ppdigital ppexamination ppof ppthe ppclient's pprectum. pp
Administer ppoxycodone ppextended-release pptablets. pp
,Prepare ppthe ppclient ppfor ppNG pptube ppplacement. pp- ppCorrect ppAnswer: pp
Assist ppthe ppclient ppto ppa ppleft ppside-lying ppposition ppwith ppthe ppright ppknee ppflexed pp pp
The ppnurse ppshould ppplace ppthe ppclient ppin ppa ppleft ppside-lying ppposition ppwith ppthe ppright ppknee
ppflexed ppprior ppto ppadministering ppan ppenema. ppBecause ppthe ppprovider ppprescribed ppa
ppcleansing ppenema ppfor ppthe ppclient, ppthe ppnurse ppshould ppprepare ppthe ppclient ppfor ppthe
ppprocedure. pp
pp
Administer ppa ppcleansing ppenema pp pp
The ppnurse ppshould ppadminister ppa ppcleansing ppenema ppfor ppthe ppclient ppas ppa ppresult ppof ppthe
ppprovider's ppprescription. ppA ppcleansing ppenema ppis ppintended ppto ppassist ppwith ppbowel
ppelimination ppand ppremove ppany ppimpacted ppfecal ppmatter ppindicated ppby ppthe ppabdominal ppx-
ray. pp
pp
Auscultate ppthe ppclient's ppbowel ppsounds pp pp
The ppnurse ppshould ppauscultate ppthe ppclient's ppbowel ppsounds ppto ppdetermine ppthe ppstatus ppof
ppthe ppclient's ppperistalsis. ppThis ppis ppa ppnecessary pppart ppof ppdetermining ppthe pppresence ppof
ppbowel ppsounds, ppwhich ppare ppan ppindication ppof ppthe ppstatus ppof ppthe ppclient's ppgastrointestinal
pptract. pp
pp
Perform ppa ppmanual ppdigital ppexamination ppof ppthe ppclient's pprectum pp
The ppnurse ppshould ppperform ppa ppmanual ppdigital ppexamination ppof ppthe ppclient's pprectum ppto
ppdetermine ppif ppimpacted ppstool ppis pppresent. ppThis ppis ppa pppart ppof ppthe ppnecessary ppevaluation
ppof ppthe ppstatus ppof ppthe ppclient's ppgastrointestinal pptract. pp
pp
Incorrect ppAnswer: pp
Prepare ppthe ppclient ppfor ppa ppchest ppx-ray ppis ppincorrect. ppA ppchest ppx-ray ppis pptypically
ppperformed ppfor ppa ppclient ppwho pphas ppan ppimpairment ppof ppthe ppupper ppthorax ppor pplungs, ppnot
ppthe ppabdomen. ppThe ppclient pphas ppalready ppreceived ppan ppabdominal ppx-ray; pptherefore, ppa
ppchest ppx-ray ppis ppnot ppnecessary. pp
pp
Prepare ppthe ppclient ppfor ppNG pptube ppplacement ppis ppincorrect. ppThe ppnurse ppshould ppnot
ppprepare ppthe ppclient pp
pp
for ppplacement ppof ppan ppNG pptube ppbecause ppthere ppis ppno ppindication ppor
ppprescription ppto ppdo ppso.
Placement ppof ppan ppNG pptube ppis pprequired ppwhen ppthere ppis ppan ppobstruction ppof ppthe
ppgastrointestinal pptract
pp
and ppperistalsis ppis
ppabsent.
pp
A ppnurse ppis ppcaring ppfor ppa ppclient ppwho ppasks ppabout ppthe pppurpose ppof ppadvance ppdirectives.
ppWhich ppof ppthe pp
pp
following ppstatements ppshould ppthe ppnurse
ppmake?
pp
"They ppallow ppthe ppcourt ppto ppoverrule ppan ppadult ppclient's pprefusal ppof ppmedical
pptreatment." pp"They ppindicate ppthe ppform ppof pptreatment ppa ppclient ppis ppwilling ppto ppaccept
ppin ppthe ppevent ppof ppa ppserious ppillness." pp
"They pppermit ppa ppclient ppto ppwithhold ppmedical ppinformation ppfrom pphealth ppcare
pppersonnel." pp"They ppallow pphealth ppcare pppersonnel ppin ppthe ppemergency ppdepartment ppto
ppstabilize ppa ppclient's ppcondition." pp- ppCorrect ppAnswer: pp
, "They ppindicate ppthe ppform ppof pptreatment ppa ppclient ppis ppwilling ppto ppaccept ppin ppthe ppevent ppof
ppa ppserious ppillness." pp
Advance ppdirectives ppinclude ppa ppliving ppwill, ppwhich pppermits ppclients ppto ppdirect ppthe
pptreatment ppthey ppwill ppreceive ppin ppthe ppevent ppof ppa ppmedical ppemergency ppor ppserious
ppillness. pp
pp
Incorrect ppAnswer: pp
"They ppallow ppthe ppcourt ppto ppoverrule ppan ppadult ppclient's pprefusal ppof ppmedical pptreatment." pp
A ppcourt ppcan pponly ppoverrule ppan ppadult ppclient's pprefusal ppof ppmedical pptreatment ppif ppthe
ppclient ppis pplegally ppincompetent. pp
pp
"They pppermit ppa ppclient ppto ppwithhold ppmedical ppinformation ppfrom pphealth ppcare
pppersonnel." ppThe ppAmericans ppwith ppDisabilities ppAct, ppnot ppadvance ppdirectives, ppprotects
ppthe ppprivacy ppof ppa ppclient ppwho ppchooses ppnot ppto ppdisclose ppa ppmedical ppdisability. pp
pp
"They ppallow pphealth ppcare pppersonnel ppin ppthe ppemergency ppdepartment ppto ppstabilize ppa
ppclient's ppcondition." pp
The ppEmergency ppMedical ppTreatment ppand ppActive ppLabor ppAct, ppnot ppadvance ppdirectives,
ppdirects ppemergency pppersonnel ppto ppprovide ppscreening ppand ppstabilizing ppcare ppbefore
ppdischarging ppor pptransferring ppclients ppto ppanother ppfacility. pp
pp
A ppnurse ppis ppcaring ppfor ppa ppclient ppwho pphas ppa ppprescription ppfor pp5 ppunits ppof ppregular
ppinsulin ppand pp10 ppunits ppof ppNPH ppinsulin ppto ppmix pptogether ppand ppadminister
ppsubcutaneously. ppDetermine ppthe ppcorrect pporder ppof ppsteps ppfor ppthis ppprocedure. pp pp
pp
Inject pp5 ppunits ppof ppair ppinto ppthe ppbottle ppof ppregular ppinsulin pp
Withdraw ppthe ppcorrect ppdose ppof ppNPH ppinsulin ppfrom ppthe ppbottle pp
Inject pp10 ppunits ppof ppair ppinto ppthe ppbottle ppof ppNPH ppinsulin pp
Withdraw ppthe ppcorrect ppdose ppof ppregular ppinsulin ppfrom ppthe ppbottle pp- ppCorrect ppAnswer: pp
Inject pp10 ppunits ppof ppair ppinto ppthe ppbottle ppof ppNPH ppinsulin pp
Inject pp5 ppunits ppof ppair ppinto ppthe ppbottle ppof ppregular ppinsulin pp
Withdraw ppthe ppcorrect ppdose ppof ppregular ppinsulin ppfrom ppthe ppbottle pp
Withdraw ppthe ppcorrect ppdose ppof ppNPH ppinsulin ppfrom ppthe ppbottle pp
pp
The ppnurse ppshould ppfirst ppinject ppair ppinto ppthe ppvial ppof ppNPH ppinsulin ppwithout pptouching ppthe
ppneedle ppto ppthe ppsolution. ppNext, ppthe ppnurse ppshould ppinject ppair ppinto ppthe ppvial ppof ppregular
ppinsulin ppand ppwithdraw ppthe ppcorrect ppamount ppof ppthe ppregular ppinsulin. ppFinally, ppthe ppnurse
ppshould ppinsert ppthe ppneedle ppinto ppthe ppNPH ppinsulin ppvial ppand ppwithdraw ppthe ppcorrect
ppamount ppof ppNPH ppinsulin. ppThe ppnurse ppshould ppfollow ppthese ppsteps ppto ppprevent
ppcontaminating ppthe ppregular ppinsulin ppwith ppNPH ppinsulin. pp
pp
A ppnurse ppis ppperforming ppa ppRomberg pptest ppduring ppthe ppphysical ppassessment ppof ppa
ppclient. ppWhich ppof pp
pp
the ppfollowing pptechniques ppshould ppthe ppnurse
ppuse?
pp
Touch ppthe ppface ppwith ppa ppcotton ppball. pp
Apply ppa ppvibrating pptuning ppfork ppto ppthe ppclient's ppforehead. pp
Have ppthe ppclient ppstand ppwith pptheir pparms ppat pptheir ppsides ppand pptheir ppfeet pptogether. pp
Perform ppdirect pppercussion ppover ppthe pparea ppof ppthe ppkidneys. pp- ppCorrect ppAnswer: pp
Have ppthe ppclient ppstand ppwith pptheir pparms ppat pptheir ppsides ppand pptheir ppfeet pptogether. pp
