*NURSING > QUESTIONS and ANSWERS > ATI Fundamentals Proctored Exam 2020 / 2021_100 Questions and Answers Graded A | ATI Fundamentals Pr (All)

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ATI Fundamentals Proctored Exam 2020 / 2021_100 Questions and Answers Graded A 1) A nurse is performing a Romberg's test during the physical assessment of a client. Which of the following technique... s should the nurse use? ANS: Have the client stand with her arms at her side and her feet together. 2) A nurse is planning an deduction session for an older adult client who has just learned that she has type 2 diabetes mellitus. Which of the following strategies should the nurse plan to use with this client? ANS: Allow extra time for the client to respond to questions 3) A nurse is teaching an older client who is at risk for osteoporosis about beginning a program of regular physical activity. Which of the following types of activity should the nurse recommend? ANS: Walking briskly 4) A nurse is assessing an adult client who has been immobile for the past 3 weeks. The nurse should identify that which of the following findings requires further intervention? ANS: Erythema on pressure points 5) 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? ANS: Gently shake the container of medication prior to administration. 6) 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? ANS: Check the client for injuries 7) A nurse is caring for a client who is expressing anger over his diagnosis of colorectal cancer. Which of the following actions should the nurse take? ANS: Reassure the client that this is an expected response to grief. 8) A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at an average risk for colon cancer, I should have routine screening. What does that involve?" Which of the following responses should the nurse make? ANS: "You should have a fecal occult blood test every year." 9) A nurse is preparing to administer multiple medications to a client who has an enteral feeding tube. Which of the following actions should the nurse plan to take? ANS: Flush the tube with 15 mL of sterile water. 10) A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take? ANS: Cleanse the wound from the center outward. 11) A nurse is providing care to four clients. Which of the following situations requires the nurse the complete an incident report? ANS: A client who has an IV infusion pump receives an additional 250 mL of IV fluid. 12) A nurse is caring for a client receiving fluid through a peripheral IV catheter. Which of the following findings at the IV site should the nurse identify as infiltration? ANS: Skin blanching 13) A nurse is preparing a change-of-shift report. Which of the following tools or documents should the nurse use to communicate continuity of care? ANS: Situation, background, assessment, and recommendation (SBAR) 14) A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the following types of transmission precautions should the nurse initiate? ANS: Contact precautions 15) A nurse is caring for a client who is having difficulty breathing. The client is lying in bed with a nasal cannula delivering oxygen. Which of the following interventions should the nurse take first? ANS: Assist the client to an upright position. 16) A nurse is reviewing a client's fluid and electrolyte status. Which of the following findings should the nurse report to the provider? ANS: Potassium 5.4 meq/L 17) 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? ANS: Stand close to the cabinet when lifting it. 18) A nurse is reviewing a client's medication prescription, which reads, "digoxin 0.25 by mouth every day. "Which of the following components of the prescription should the nurse question? ANS: The dose 19) A nurse is caring for a client who has had his diet prescription changed to a mechanical soft diet. Which of the following food items should the nurse remove from the client's breakfast tray? ANS: Fried Egg 20) A nurse is caring for a client who has terminal liver cancer. Which of the following statements should the nurse identify as an indication that the client is experiencing spiritual distress? ANS: "What could I have done to deserve this illness?" 21) 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 transfusion. Which of the following actions should the nurse take? ANS: Withhold the blood transfusion. 22) A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a new tracheostomy. Which of the following actions should the nurse plan to take? ANS: Select a suction catheter that is half the size of the lumen. 23) A nurse is caring for a client who has limited mobility in his lower extremities. Which of the following actions should the nurse take to prevent skin breakdown? ANS: Have the client use a trapeze bar when changing position. 24) A nurse is talking with the partner of an older adult male client who has dementia. The client's partner expresses frustration about finding time to manage household responsibilities while caring for his partner. The nurse should identify that he is going through which of the following types of role-performance stress? ANS: Role overload 25) A nurse in a long-term care facility is planning to perform hygiene care for a new resident. Which of the following assessment questions is the nurse's priority before beginning this procedure? ANS: "Are you able to help with your [Show More]

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