ATI Fundamentals Practice Test B Latest Exam | All 60 Questions and Answers | Professor Verified | Graded A+ 1. 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? - tell the client to keep the head of the bed elevated at least 30 degrees 2. A nurse is caring for a client who has a terminal diagnosis and whose health is declining. the client r equest information about advance directives. which of the following responses should the nurse make? - we can talk about advance directives, and i can also give you some brochures about them 3. A nurse is calculating a client's fluid intake over the past 8 hr. Which of the following should the nurse plan to document on the client's intake and output record as 120 mL of fluid? - 8 oz of ice chips 4. A nurse is preparing to obtain a lower extremity blood pressure from a client and no longer palpates the poplite al pulse after 92 mm Hg. which of the following images displays the measurement in mm Hg to which the nurse should inflate the cuff when obtaining blood pressure? - the one close to 120 mm Hg 5. A nurse is caring for a client who has a prescription for wound irrigation. which of the following actions should the nurse take? - cleanse the wound from the center outward 6. A charge nurse is discussing the responsibility of nurses carig for clients who have C. difficile. 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 clients room c) clean contaminated surfaces in the clients room with a phenol solution d) have family members wear a gown and gloves when visiting - have family members wear a gown and gloves when visiting 7. A nurse is caring for a client who requires a 24 hr urine collection. which of the following statements by the client indicates an understanding of the teaching? - i flushed what i urinated at 7 am and have saved all urine since 8. A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to mix together and administer subcutaneously. determine the correct order of steps for this procedure - 1) inject 10 units of air into the bottle of NPH insulin 2) inject 5 units of air into the bottle of regular insulin 3) withdraw the correct d ose of regular insulin from the bottle 4) withdraw the correct dose of NPH insulin from the bottle 9. 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? - compare prescriptions with medications the client received while are the facility 10. 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? - medication dose 11. A nurse is teaching a group of nurse s about the use of essential oils for aromatherapy. the nurse should include in the teaching that this therapy might be contraindicated for which of the following clients? - a client who has asthma 12. A nurse is admitting a client who has rubella. which of the following types of transmission -
based precautions should the nurse initiate? - droplet 13. 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? - gently shake the container of medication prior to administration 14. A nurse is performing a peripheral vascular assessment for a client. when placing the bell of the stethoscope on the client's neck, the nur se hears the following sound. the sound indicates which of the following? - narrowed arterial lumen 15. A nurse is caring for a client who is refusing a blood transfusion for religious reasons. the client's partner wants the client to have the blood transfus ion. which of the following actions should the nurse take? - withhold the blood transfusion
based precautions should the nurse initiate? - droplet 13. 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? - gently shake the container of medication prior to administration 14. A nurse is performing a peripheral vascular assessment for a client. when placing the bell of the stethoscope on the client's neck, the nur se hears the following sound. the sound indicates which of the following? - narrowed arterial lumen 15. A nurse is caring for a client who is refusing a blood transfusion for religious reasons. the client's partner wants the client to have the blood transfus ion. which of the following actions should the nurse take? - withhold the blood transfusion
