RN Fundamentals Online Practice 2019 A (UPDATED 2022) | NURS 5603 RN Fundamentals Online Practice 2019 A_2022/2023

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ATI RN Fundamentals Online Practice 2019 A Student Testing 1. A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of the following findings should t... he nurse identify as a potential indication of a skin malignancy? a. A lesion with uniform pigmentation b. New appearance of petechiae c. A mole with asymmetrical appearance d. The presence of a papule 2. A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client’s pain? a. “Is your pain constant or intermittent?” b. “What would you rate your pain on a scale of 0 – 10?” c. “Does the pain radiate?” d. “Is your pain sharp or dull?” 3. A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation? a. Verify the client’s name on their identification bracelete with the medication administration record. b. Call the pharmacy to determine whether the client’s medications are available. c. Compare the client’s home medications with the provider’s prescriptions. d. Place the client’s home medication bottles in a secure location. 4. A nurse is auscultating the anterior chest of a client who has newly admitted to a medical-surgical unit. Listen to the audio clip of what the nurse auscultates through the stethoscope and identify the type of breath sounds. a. Normal breath sounds. 5. A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions should the nurse take? a. Administer the medications with the needle at a 45 degree angle. b. Administer the medication into the client’s nondominant arm. c. Pull the client’s skin laterally or downward prior to administration. d. Massage the injection site after administration. 6. 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? a. Place the client in a side-lying position. b. Instill 15 mL of irrigation fluid into the catheter with each flush. c. Subtract the amount of irrigant used from the client’s urine output. d. Perform the irrigation using a 20-mL syringe. 7. A nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury. Which of the following types of dressing should the nurse use? a. Alginate b. Gauze c. Transparent d. Hydrocolloid 8. A nurse is providing discharge teaching to a client about self-administering heparin. Which of the following instructions should the nurse include in the teaching? a. Insert the needle at a 15 degree angle. b. Aspirate for blood return prior to administration c. Administer the medication into the abdomen d. Massage the site following the injection. 9. A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take? a. Pad the client’s wrist before applying the restraints. b. Evaluate the client’s circulation every 8 hr after application c. Remove the restraints every 4 hr to evaluate the client’s status d. Secure the restraint ties to the bed’s side rails. 10. 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? a. Make sure the client’s room has at least six air exchanges per hour. b. Make sure the client wears a mask when outside her room if there is construction in the area. c. Place the client in a private room with negative-pressure airflow. d. Wear an N95 respirator when giving the client direct care. 11. A nurse is caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the risk for injury to the client? a. Use a bed exit alarm system b. Raise four side rails while the client is in bed c. Apply on soft wrist restraint d. Dim the lights in the client’s room. 12. A 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? a. _107_ mL/hr 13. A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication for which of the following therapies? a. Biofeedback b. Aloe c. Feverfew d. Acupuncture 14. A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair. To prevent self-injury, which of the following actions should the nurse take when lifting this object? a. Bend at the waist b. Keep his feet close together c. Use his back muscles for lifting d. Stand close to the cabinet when lifting it. 15. A nurse is talking with an older adult client who is contemplating retirement. The client states, “I keep thinking about how much I enjoy my job. I’m not sure I want to retire.” Which of the following responses should the nurse make? a. “You would have so much more time to spend with your family.” b. “You should consider getting a part-time job or doing volunteer work.” c. “Let’s talk about how the change in your job status will affect you.” d. “Why wouldn’t you want to retire and relax?” 16. A nurse is caring for a client who is postoperative. When the nurse prepares to change her dressing, she says “Every time you change my bandage, it hurts so much.” Which of the following interventions is the nurse’s priority action? a. Encourage the client to relax and take deep breaths during the dressing change. b. Educate the client about the importance of the dressing change to prevent infection. c. Assist the client to a comfortable position for the dressing change. d. Administer pain medication 45 min before changing the client’s dressing. 17. A nurse is assessing a client’s readiness to learn about insulin self-administration. Which of the following statements should the nurse identify as an indication the client is ready to learn? a. “I can concentrate best in the morning.” b. “It is difficult to read the instructions because my glasses are at home.” c. “I’m wondering why I need to learn this.” d. “You will have to talk to my wife about this.” 18. 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? a. The top of the cane is parallel to the client’s waist. b. When walking, the client moves the cane 46 cm (18 in) forward. c. The client holds the cane on the stronger side of her body. d. The client moves her stronger limb forward with the cane. 19. A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching? a. “Use the complete name of the medication magnesium sulfate.” b. “Delete the space between the numerical dose and the unit of measure.” c. “Write the letter U when noting the dosage of insulin.” d. “Use the abbreviation SC when indicating an injection.” 20. A nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of thigh-length sequential compression sleeves. Which of the following actions should the nurse take? a. Assist the client into a prone position. b. Place a sleeve over the top of each leg with the opening at the knee. c. Make sure two fingers can fit under the sleeves. d. Set the ankle pressure at 65 mm Hg. 21. A nurse in a long-term care facility is caring for a client who dies during the nurse’s shift. Identify the sequence in which the nurse should perform the following steps. a. Obtain the pronouncement of the death from the provider. b. Remove tubes and indwelling lines c. Wash the client’s body d. Ask the client’s family members if they would like to view the body e. Place a name tag on the body 22. A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first? a. Check the client for injuries. b. Move hazardous objects away from the client. c. Notify the provider. d. Ask the client to describe how she felt prior to the fall. 23. A nurse is caring for a client who has an aggressive form of prostate cancer. The provider briefly discusses treatment options and leaves the client’s room. When the nurse asks if the client would like to discuss any concerns, the client declines. Which of the following statements should the nurse make? a. “I will return shortly after I document this in your record.” b. “Most men live a long time with prostate cancer.” c. “I am available to talk if you should change your mind.” d. “I will make a referral to a cancer support group for you.” 24. A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client asks, “What would happen if I arrived at the emergency department and I had difficulty breathing?” Which of the following responses should the nurse make? a. “We would consult the person appointed by your health care proxy to make decisions.” b. “We would give you oxygen through a tube in your nose.” c. “You would be unable to change your previous wishes about your care.” d. “We would insert a breathing tube while we evaluate your condition.” 25. A nurse is caring for a client who has diarrhea due to shigella. Which of the following precautions should the nurse implement for this client? a. Have the client wear a mask when receiving visitors. b. Limit the client’s time with visitors to no more than 30 min per day c. Assign the client to a room with negative-pressure airflow exchange d. Wear a gown when caring for the client 26. A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0-10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching, she received about pain management? a. “I think I should take my pain medication more often, since it is not controlling my pain.” b. “Breathing faster will help me keep my mind off of the pain.” c. “It might help me to listen to music while I’m lying in bed.” d. “I don’t want to walk today because I have some pain.” 27. A nurse is administering an otic medication to an older adult client. Which of the following actions should the nurse take to ensure that the medication reaches the inner ear? a. Press gently on the tragus of the client’s ear. b. Pack a small piece of cotton deep into the client’s ear canal c. Move the client’s auricle down and back toward her head. d. Tilt the client’s head backward for 5 min. 28. A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Which of the following observations should the nurse identify as proper safety protocol? a. The client uses a wool blanket on their bed b. The client uses nonacetone nail polish remover c. The client stores an extra oxygen tank on its side under their bed d. The client has a weekly inspection checklist for oxygen equipment. 29. A nurse is reviewing evidence-based practice principles about administration of oxygen therapy with a newly licensed nurse. Which of the following actions should the nurse include? a. Regulate the flow ate by aligning the rate with the top of the ball inside the flow meter. b. Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min. c. Make sure the reservoir bag of partial rebreathing mask remains deflated. d. Use petroleum jelly to lubricate the client’s nares, face, and lips. 30. A nurse is reviewing a client’s fluid and electrolyte status. Which of the following findings should the nurse report to the provider? a. BUN 15 mg/dL b. Creatinine 0.8 mg/dL c. Sodium 143 mEq/L d. Potassium 5.4 mEq/L [Show More]

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