ATI RN FUNDAMENTALS ONLINE PRACTICE 2024 A WITH NGN QUESTIONS AND ANSWERS

A nurse is admitting a client who has an abdominal wound with a large amount of purple tissue drainage. Which of the following types of transmission precautions should the nurse initiate? Protective environment Airborne precautions Droplet precautions Contact precautions Contact precautions A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take? -Discuss the risk factors for colon cancer. -Focus teaching on what the client will need to do in the future to manage his illness. -Provide the client with written information about the phases of loss & grief. -Reassure the client that this is an expected response to grief. -Reassure the client that this is an expected response to grief. A nurse is caring for a client who is postoperative following a knee arthroplasty & requires the use of thigh-length sequential compression sleeves. Which of the following actions should the nurse take? -Assist the client into a prone position -Place a sleeve over the top of each leg with the opening at the knee -Make sure two finger can fit under the sleeves -Set ankle pressure at 65 mmHg -Make sure two finger can fit under the sleeves A nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury. Which of the following types of dressings should the nurse use? Alienate Gauze Transparent Hydrocolloid Hydrocolloid A nurse is preparing an education program for the staff about advocacy. Which of the following information should the nurse include? -Advocacy ensures clients' safety, health, & rights. -Advocacy series that nurses are able to explain their own actions. -Advocacy ensures that nurses follow through on their promises to clients. -Advocacy ensures fairness in client care delivery and use of resources. Advocacy ensures clients' safety, health, & rights. A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation? -Verify the client's name on their identification bracelet with the medication administration record -Call the pharmacy to determine whether the client's medications are available -Compare the clients home medications with the provider's prescriptions -Place the client's home medication bottles in a secure location Compare the clients home medications with the provider's prescriptions A nurse is assessing an older adult client's risk for falls. Which of the following assessments should the nurse use to identify the client's safety need? (Select all that apply) -Lacrimal apparatus -Pupil clarity -Appearance of bulbar conjunctivae -Visual fields -Visual acuity Pupil clarity Visual fields Visual acuity A nurse is providing discharge instructions to a client who will be using a walker. Which of the following client statements indicates an understanding of the teaching? -"I can place an extension cord across my living room to plug in my television." -"I will hire someone to trim the tree that hangs low over the stairs of my front porch." -"I will place my alarm clock on my bedroom dresser across the room." -"I will replace the old throw rug in my kitchen with a new one." -"I will hire someone to trim the tree that hangs low over the stairs of my front porch." A nurse is reviewing a client's fluid & electrolyte status. Which of the following findings should the nurse report to the provider? BUN 15 mg/dL Creatinine 0.8 mg/dL Sodium 143 mEq/L Potassium 5.4 mEq/L Potassium 5.4 mEq/L nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. the nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min & to report back in 1 hr. Which of the following actions should the nurse take next? -Document the providers statement in the medical record -Complete an incident report -Consult the facility's risk manager -Notify the nursing manager Notify the nursing manager The client states: "I am unable to eat anything without vomiting" select 3 tasks the nurse should delegate -document the client's vitals -measure the client's intake and output -transfer the client from wheelchair to bed -insert an NG tube for the client -collect data about the client's pain level. -document the client's vitals -measure the clients intake and output -transfer the client from wheelchair to bed A nurse is administering 1 L of 0.9% sodium chloride to a client who is postoperative and has fluid volume deficit. Which of the following changes should the nurse identify as an indication that the treatment was successful? -Increase hematocrit -Increase respiratory rate -Decrease heart rate -Decrease in capillary refill time -Decrease heart rate A nurse is planning strategies to manage time effectively for client care. Which of the following strategies should the nurse implement? -Combine client care tasks when caring for multiple clients -Wait until the end of the shift to document client care -Use the planning step of the nursing process to prioritize client care delivery -Allow for interruptions in tasks to discuss client care issues with colleagues Use the planning step of the nursing process to prioritize client care delivery A nurse is talking with the partner of a client who has dementia. The client's partner expresses frustration about finding time to manage household responsibilities while caring for their partner. The nurse should identify that the partner is experiencing which of the following types of role-performance stress? Role ambiguity Sick role Role overload Role conflict Role overload The client reported fever, chills, cough, and night sweats for the past 2 weeks the nurse is placing the client on isolation precautions. which of the following interventions should the nurse include? -wear an N95 mask when caring for the client -place a container for soiled linens inside the client's room -place the client in a negative airflow room -remove the mask after exiting the client's room -wear a sterile, water-resistant gown if within 3 feet of the client. -wear an N95 mask when caring for the client -place a container for soiled linens inside the clients room -place the client in a negative airflow room -remove mask after exiting the clients room A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1 mL of the medication from a 2 mL vial. Which of the following actions should the nurse take? -Ask another nurse to observe the medication wastage. -Notify the pharmacy when wasting the medication. -Lock the remaining medication in the controlled substances cabinet. -Dispose of the vial with the remaining medication in a sharps container. Ask another nurse to observe the medication wastage. A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. Which of the following actions should the nurse take? -Place the client in a side-lying position -Instill 15 mL of irrigation fluid into the catheter with each flush -Subtract the amount of irritant used from the clients urine output -Perform the irrigation using a 20 mL syringe Subtract the amount of irritant used from the clients urine output A nurse is teaching a client & his family how to care for the client's tracheotomy at home Which of the following instructions should the nurse include in the teaching? -Remove the outer cannula cautiously for routine cleaning -Use tracheostomy covers when outdoors -Use sterile technique when performing tracheostomy care at home -Cleanse irritated skin w/ full strength hydrogen peroxide Use tracheostomy covers when outdoors A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client asks, "What will happen if I arrived at the emergency department & I had difficulty breathing?" Which of the following responses should the nurse make? -"We would consult the person appointed by your health care proxy to make decisions." -"We would give you oxygen through a tube in your nose." -"You would be unable to change your previous wishes about your care." -"We would insert a breathing tube while we evaluate your condition." "We would give you oxygen through a tube in your nose." the nurse should first , ...... followed by........ -review medications that might be causing confusion - using other methods to keep the client safe A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client? -Make sure the client's room has at least six air exchanges per hour. -Make sure the client wears a mask when outside her room if there's construction in the area. -Place the client in a private room with negatives-pressure airflow. -Wear an N95 respirator when giving client direct care. Make sure the client wears a mask when outside her room if there's construction in the area. The nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7 hr. The nurse should set the infusion pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 107 mL/hr A nurse is teaching for a client who has heart failure. which of the following 3 statements by the client indicates an understanding of the teaching ? -"I have been weighing myself every other morning" -"i am trying to decrease my intake of foods with potassium" -i" i am limiting my sodium intake to 2 grams daily" -" i am eating fewer potato chips and more fruit for snacks" -" i will lie down and rest after meals" -" i know to call my doctor if i gain 3 pounds or more in 2 days" - i am limiting my sodium intake to 2 grams daily" -i am eating fewer potato chips and more fruit for snacks -i know to call my doctor if i gain 3 pounds or more in 2 days" A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use? -The top of the cane is parallel to the client's waist -When walking, the client moves the cane 46 cm (18 in) forward -The client holds the cane on the stronger side of her body -The client moves her stronger limb forward with the cane -The client holds the cane on the stronger side of her body A nurse is caring for a client who requires an Ng tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube? -Position the client with the head of the bed elevated 30 degrees prior to insertion of the NG tube. -Remove the NG tube if the client begins to gag or choke. -Apply suction to the NG tube prior to insertion. -Have the client take sips of water to promote insertion of the NG tube into the esophagus. Have the client take sips of water to promote insertion of the NG tube into the esophagus.