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BUNDLE: 2024 ATI EXAMS Questions & Answers, ALL ANSWERED, A+ GUIDE
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2024 ATI Proctored Exam Practice, Answered
2024 ATI Proctored Exam Practice, Answered-A nurse in an urgent care center is caring for a 15 year old client whose symptoms suggest a sexually transmitte... [Show More] d infection (STI). The client's parent is unavailable, but the client's grandmother accompanied the client to the clinic. Which of the following actions should the nurse take? - Have the adolescent sign the consent form A nurse is assisting with the administration of a client who will undergo a craniotomy. During the physical planning phase of the nursing process, to which of the following areas should the nurse contribute? - Establish client outcomes A nurse is reviewing adult cardiopulmonary resuscitation (CPR) with a newly licensed nurse. Which of the following steps should the nurse identify as the first response when performing CPR? - Confirm unresponsiveness A nurse is preparing a client who is scheduled for a hysterectomy for transport to the operating room. The client states she no longer wants the surgery. Which of the following actions should the nurse take? - Notify the provider about the client's decision A nurse is reinforcing teaching with a client about a surgical procedure that she will undergo later in the day. The client states that no one has spoken to her about this procedure before. Which of the following should the nurse take? - Stop reinforcing the teaching and check with the surgeon about informed consent A nurse is contributing to the plan of care for a client who had a stroke and is scheduled to receive feeding via a gastrostomy tube. Which of the following should the nurse recommend prior to initiating each feeding? - Elevate the head of the bed A nurse is assisting with preparing a client for discharge and providing instructions about performing dressing changes at home. Which of the following statements indicates that the client understands medical asepsis? - "I'll wash my hands before I remove the old dressing and again before putting on the new one." A nurse on a medical surgical unit is washing her hands prior to assisting with a surgical procedure. Which of the following actions by the nurse demonstrates proper surgical hand washing technique? - The nurse washes her hands held higher than her elbows A nurse is caring for a client who requires a chest x-ray. Prior to the client being transported for the procedure,which of the following actions should the nurse take first? - Identify the client using 2 identifiers A nurse is instructing an assistive personnel (AP) about proper hand hygiene. Which of the following statements by the AP indicates an understanding of the teaching? - "Sometimes, I should use soap and water rather than hand-rub to clean my hands." A nurse is preparing to change the bed linens of a client who has AIDS and is incontinent of stool. Which of the following personnel protective equipment (PPE) items should the nurse don prior to providing client care? - Gown, gloves A nurse is discussing fire safety with newly hired nurses. Which of the following actions is the priority if a fire occurs in the healthcare facility? - Evacuate clients from the unit A nurse is beginning her shift and reviewing the medication administration records (MAR's) for her clients. She notes a medication dosage above the safe range and sees that another nurse administered that dosage during the previous shift. Which of the following actions should the nurse take? - Call the provider to clarify the dosage A nurse is reviewing the use of side rails with an assistive personnel (AP). Which of the following statements by the AP indicates that further instruction is required? - "If the client seems confused, I'll raise all 4 side rails to prevent injury." A nurse enters a client's room and finds smoke coming from under the bed. What sequence of actions should the nurse take in this situation? - 1) Move the client out of the room 2) Pull the fire alarm 3) Shut all surrounding windows and doors 4) Attempt to put out the smoke with a fire extinguisher A nurse is supervising a newly licensed nurse who is caring for a client with streptococcal pharyngitis on transmission based precautions. Which of the following actions by the newly licensed nurse indicates an understanding of droplet precautions? - Assigning another client with the same infection to share the room with the client. [Show Less]
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ATI RN Fundamentals Proctored Exam Questions & Answers, 2024
ATI RN Fundamentals Proctored Exam Questions & Answers, 2024-A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP... [Show More] . Which of the following information should the nurse share with the AP? Select All. A. The roommate is up independently. B. The client ambulates w/his slippers on over his antiembolic stockings C. The client uses a front-wheeled walker when ambulating D. The client had pain medication 30 min ago E. The client is allergic to codeine F. The client ate 50% of his breakfast this morning - B, C, D A nurse is preparing an in-service program about delegation. Which of the following elements should she identify when presenting the 5 rights of delegation? Select all. A. Right client B. Right supervision/evaluation C. Right direction/communication D. Right time E. Right circumstances - B, C, E A and D are rights of medication administration A client is about to undergo an elective surgical procedure. Which of the following actions are appropriate for the nurse who is providing preop care regarding informed consent? Select all. A. Make sure the surgeon obtained the client's consent B. Witness the client's signature on the consent form C. Explain the risks and benefits of the procedure D. Describe the consequences of choosing not to have the surgery E. Tell the client about alternatives to having the surgery - A, B The rest of the choices are the surgeon's responsibility, not the nurse A nursing instructor is reviewing documentation w/a group of nursing students. Which of the following legal guidelines should they follow when documenting a client's record? Select all. A. Cover errors w/correction fluid, & write in the correct info B. Put the date & time on all entries C. Document objective data, leaving out opinions D. Use as many abbreviations as possible E. Wait until the end of the shift to document - B, C The skin barrier covering a client's intestinal fistula keeps falling off when she stands up to ambulate. The nurse has reapplied it twice during the shift, but it remains intact only when the client is supine in bed. The nurse telephoned the physical therapist about the difficulties containing the drainage from the fistula, so the therapist didn't ambulate the client today. The client sat in a chair during lunch w/an absorbent pad over the fistula. The client ate all the food on her tray. The wound care nurse confirmed that she will see the client later today. The client states she feels frustrated at not having physical therapy, but the nurse thinks the client welcomed having a day to rest. Which of the following information should the nurse include in the change-of-shift report? Select all. A. The physical therapist didn't ambulate the client today B. The skin barrier's seal stays on in bed but loosens when the - A, B, D A nurse is receiving a provider's prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? Select all. A. Repeat the details of the prescription back to the provider B. Have another nurse listen to the telephone prescription C. Obtain the prescriber's signature on the prescription within 24hrs D. Decline the verbal prescription because it is not an emergency situation E. Tell the charge nurse that the provider has prescribed morphine by telephone - A, B, C A client who is postop following a knee arthroplasty is concerned about the adverse effects of the medication he is receiving for pain management. Which of the following members of the interprofessional care team may assist the client in understanding the medication's effects? Select all. A. Provider B. CNA C. Pharmacist D. RN E. Respiratory therapist - A, C, D A nursing instructor is acquainting a group of nursing students w/the roles of the various members of the health care team they will encounter on a medical-surgical unit. When she gives examples of the types of tasks CNAs may perform, which of the following client activities should she include? Select all. A. Bathing B. Ambulating C. Toileting D. Determining pain level E. Measuring vital signs - A, B, C, E Determining pain level requires assessment, which is the job of the licensed personnel. A nurse in a provider's office is preparing to assess a young adult male client's musculoskeletal system as part of a comprehensive physical examination. Which of the following findings should the nurse expect? Select all. A. A concave thoracic spine posteriorly B. An exaggerated lumbar curvature C. A concave lumbar spine posteriorly D. An exaggerated thoracic curvature E. Muscles slightly larger on his dominant side - C, E A nurse is preforming a neurosensory examination for a client. Which of the following tests should the nurse preform to test the client's balance? Select all. A. Romberg test B. Heel-to-toe walk C. Snellen test D. Spinal accessory function E. Rosenbaum test - A, B C and E test visual acuity , D tests cranial nerve XI is intact by asking the client to shrug shoulders without complication. A nurse is collecting data from an older adult client as part of a neurosensory examination. Which of the following findings should the nurse expect as changes associated w/aging? Select all. A. Slower light touch sensation B. Some vision & hearing decline C. Slower fine finger movement D. Some short-term memory decline E. Slower superficial pain sensation - B, C, D [Show Less]
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ATI Proctored Fundamentals Exam Review Questions & Answers
ATI Proctored Fundamentals Exam Review Questions & Answers-A nurse is caring for a client who has a Clostridium difficile infection and is in contact isola... [Show More] tion. Which of the following actionA nurse is caring for a client who has a Clostridium difficile infection and is in contact isolation. Which of the following actions should the nurse take? - A (Wear gloves when changing the client's gown) A nurse is caring for an adult client in the terminal stages of lung cancer who refuses any further treatment. The nurse should provide care that facilitates which of the following outcomes? - D (Supports self-determination) A nurse manager is providing teaching to a group of newly licensed nurses about ways that clients acquire health care-associated infections (HAIs). Which of the following routes of infection should the manager identify as an iatrogenic HAI? - D (Infection acquired from a diagnostic procedure) A nurse is supervising a newly licensed nurse who is caring fro a client with streptococcal pharyngitis and is on transmission-based precautions. Which of the following actions by the newly licensed nurse indicates an understanding of droplet precautions? - C (Assigning another client with the same infection to share the room with a client) A nurse is admitting a client who has tuberculosis. In addition to standard precautions, which of the following transmission-based precautions should the nurse add to the client's plan of care? - B (Airborne) A nurse is preparing to perform mouth care for an unresponsive client. Which of the following actions should the nurse plan to take? - C (Raise the level of the bed) A nurse is providing nutritional teaching to a group of client's Which of the following definitions for the recommended dietary allowance (RDA) should the nurse include in the teaching? - B (The RDA defines the level of nutrient intake that meets the needs of healthy people in various groups) A nurse is screening a client who has an S-Shaped spinal column with unequal shoulder heights. The nurse should identify these findings as manifestations of which of the following abnormalities? - A (Scoliosis) A nurse is performing a breast examination for a female client. Which of the following techniques should the nurse use first? - A (Inspect both breasts simultaneously) A nurse rates a client's biceps reflex as a 2+. Which of the following characteristics should the nurse document about the client's reflexes? - B (Average) A nurse is teaching a client about lifestyle changes to manage a chronic illness. Which of the following strategies should the nurse use first to help the client make a commitment to these lifestyle changes? - D (Help the client identify ways that these changes will result in positive personal outcomes) A nurse is teaching a group of young adults. Which of the following should the nurse identify as an expected development task for this age group? - A (Independent moral development) A middle aged adult client is discussing future plans with the nurse. Which of the following statements should the nurse identify as an indication that the client is having difficulty achieving Erikson's developmental task for the age group? - A (We miss our daughter so much that we are going to move closer to her.) A nurse is teaching a middle-aged female client about disease prevention and health maintenance. Which of the following diagnostic tests should the nurse recommend as part of this client's routine health screening? - C (Eye examination every 2 years) A nurse is teaching a middle-aged adult client about health promotion and disease prevention. The nurse should inform the client that which of the following changes could occur? - A (Decreased estrogen and testosterone production) A nurse is teaching a newly licensed nurse about pain management in clients age 65 and older. Which of the following pieces of information should the nurse include in the teaching? - B (Clients who are age 65 or older are reluctant to report pain.) A nurse is providing preoperative teaching to a client who is scheduled for arthroplasty in the next month and may require a blood transfusion. The client expresses concern about the risk of acquiring an infection from the blood transfusion. Which of the following statements should the nurse share with the client? [Show Less]
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ATI RN Concept Based Assessment Level 1, Exam Questions & Answers
ATI RN Concept Based Assessment Level 1, Exam Questions & Answers-A nurse is caring for a client who is 2 days postoperative following an above-the-knee am... [Show More] putation. The client states he is experiencing a dull, burning pain in the leg that was amputated. Which of the following actions should the nurse take to treat the client's neuropathic pain? - Administer a beta-blocking medication to the client. (The nurse should administer a beta-blocking medication to the client. This classification of medication has been shown to relieve the phantom limb pain manifestations of constant dull and burning type pain.) A newly licensed nurse asks a charge nurse where to find information about scope of practice for registered nurses. Which of the following responses should the charge nurse make? - "The state board of nursing can provide this information" (each state develops a nurse practice act, which defines scope of practice for nurses in that state. This practice act is available on the board of nursing website for each state.) A nurse is planning care to prevent a catheter-related bloodstream infection for a client who is receiving IV fluid therapy. Which of the following interventions should the nurse include in the plan? - Perform hand hygiene before touching the IV tubing. (The nurse should perform thorough hand hygiene before touching any part of the infusion system or the client to reduce the risk of catheter-related blood stream infections.) A nurse is creating a plan of care for a client who is non-ambulatory and has bladder and bowel incontinence. Which of the following interventions should the nurse include to prevent skin breakdown? - Offer the client a glass of water every two hour when repositioning. (The nurse should offer the client a glass of water every two hours on the clients repositioning schedule. This helps prevent dehydration, which increases the risk of skin breakdown.) A nurse is teaching a young adult female client about health screening for breast cancer. Which of the following statements by the client indicates an understanding of breast self-examination (BSE)? - "I should expect to feel a firm ridge along the bottom curve of each breast." (The nurse should instruct the client at a firm ridge is expected along the bottom curve of each breast. The client should be able to feel this area during the BSE. Performing a BSE promotes breast self awareness so that the client knows how her breast normally feel. The awareness increases the clients ability to identify changes that require further evaluation.) A nurse is caring for an adolescent who is in critical condition following a motor vehicle crash which he was the passenger. The clients parent shout at the nurse, asking why her son is dying instead of the driver. Which of the following actions should the nurse take to provide emotional support to the parent? - Inform the parent that anger is a natural response when dealing with loss. (The nurse should identify that the parent is in the anger stage of grief. The nurse should assist the parent to understand that anger is a natural response to loss and encourage her to talk about her feelings.) A nurse is teaching an older adult client about accessing electronic resources for healthcare information on the internet. Which of the following statements should the nurse include in the teaching? - "Websites ending in '.gov' are reliable sites for obtaining health information from government agencies." (The nurse should teach the client how to select reliable internet websites when researching health care information. The nurse should identify that websites ending in '.gov' and '.edu' are considered reliable and credible sources for health information. Websites ending in '.com' should not be used for researching credible healthcare information.) A nurse enters a clients room and finds the client lying on the floor. The client states that on the way to the bathroom her "knee locked," causing her to fall. Which of the following actions should the nurse take first? - Check the client for injuries. (The first action the nurse should take when using the nursing process is to assess the client. The nurse should first check the client for injuries and measure vital signs to help determine physiologic stability. The nurse should also inform the provider of the clients fall and of the assessment findings.) A nurse is teaching a client who has rheumatoid arthritis about chronic pain management. Which of the following statements by the client indicates an understanding of the teaching? - "I should use a warm paraffin dip for my hands and feet." (The nurse should instruct the client to dip her hands and feet in warm paraffin to alleviate pain and stiffness. The client can more easily perform hand and finger exercises following the treatment.) A community health nurse is planning prevention strategies for hypertension among members of her community. The nurse should identify that which of the following ethnic groups in the community is at greatest risk of developing hypertension? - African American (Evidence-based practice indicates that individuals of AA ethnicity have the highest prevalence of hypertension. Therefore, the nurse should identify community members of this ethnicity are at greatest risk of developing hypertension.) A nurse is preparing to extinguish a small fire in a clients room. Which of the following actions should the nurse take when using the fire extinguisher? - Slide the pin on top of the fire extinguisher straight out. (The nurse should pull the pin on top of the fire extinguisher to allow for use to extinguish the fire.) A nurse is preparing to administer intermittent external nutrition via a clients NG tube. In which order should the nurse take the following actions? - 1. Assist the client to an upright position. 2. Aspirate 5 mL of gastric contents. 3. Test the pH of gastric aspirate. 4. Measure gastric residual volume. 5. Flush the NG tube with 30 mL of water. (First, the nurse should assist the client into high Fowler's position or raise the HOB at least 30 degrees to help prevent aspiration. Then, the nurse should verify the tubes placement by aspirating 5 mL of gastric contents and then testing the pH. Then, the nurse should check for gastric residual volume. Excessive GRV is an indication of delayed gastric emptying, which places the client at risk of aspiration if additional formula is given. Finally, the nurse should flush the tubing with 30 mL of water to ensure the tube is clear and patent.) A nurse is caring for a 47-year-old female client who had urinary incontinence. Which of the following actions should the nurse take first? - Obtain a specimen from the client for culture. (The first action the nurse should take when using the nursing process is assessment. The nurse should obtain a urine specimen from the client to rule out a UTI. If it is a determined the client has RBC's and WBC's in the urine, the specimen will require a culture. If it is determined that the client has a UTI, this will require treatment before any further assessment of incontinence would be indicated.) A nurse is talking with a client who has a major depressive disorder. The client states, "Nobody cares if I'm around or not." Which of the following responses should the nurse make? - "It sounds as though you're feeling hopeless." (This statement by the nurse is an example of restraining, which is a therapeutic response. This technique restates the main idea the client has expressed and allows the client to clarify any misunderstanding.) A charge nurse is teaching a group of newly licensed nurses how to prevent errors during administration of blood transfusions. Which of the following actions should the nurse include? - Use a new blood administration tubing set for each blood bag infused. (The nurse should use a new blood infusion tubing set for each component of blood. A blood infusion set should not be reused, even for the same client.) A nurse is caring for a client who has C. diff infection and is incontinent of stool following a long-term antibiotic therapy. Which of the following actions should the nurse take? - Wear a gown when providing care for the client. (The nurse should wear a gown when providing care for a client who has C. diff infection and is incontinent of stool. Applying a clean, water-resistant gown prior to entering the clients room prevents the nurses clothing from becoming contaminated while caring for the client. The nurse should remove the gown prior to exiting the clients room.) A nurse is providing discharge teaching about nutrition management to a client who has COPD. Which of the following instructions should the nurse include in the teaching? - Have a high-calorie protein drink between meals. (The nurse should encourage a client who has COPD to drink a high-calorie protein drink between meals. Anorexia is a manifestation of COPD and this added nutritional intake promotes weight gain.) A nurse is caring for a client who has dysphagia following a stroke. Which of the following actions should the nurse take to facilitate safe swallowing and decrease the risk of aspiration? - Delay the clients meal-time if he is fatigued. (To facilitate safe swallowing and decrease the risk of aspiration, the nurse should encourage the client to test prior to meal-time. If the client is fatigued, the nurse should delay the meal-time and give the client time to rest.) 120 mg x 0.8 mL/80 mg= - 1.2 mL A nurse is teaching the parent of a toddler about home injury prevention. When discussing snacks, which of the following statements by the parent indicates an understanding of the teaching? - "I can give her watermelon pieces after I remove the seeds." (The nurse should inform the parent that toddlers can easily choke on seeds from fruits, such as watermelon seeds or cherry pits, because of their round shape and size. Removing the seeds and cutting the watermelon into pieces provides the toddler with a nutritious snack that does not increase the toddler's risk of foreign body obstruction.) [Show Less]
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ATI RN Concept Based Assessment Level 2, Exam Questions & Answers
ATI RN Concept Based Assessment Level 2, Exam Questions & Answers-A nurse is providing postoperative education for a client following a laparoscopic cholec... [Show More] ystectomy for cholelithiasis. Which of the following client statements indicates an understanding of the teaching? a- "The adhesive bandages on my incision will fall off as the incision heals." b- "I will be able to take a shower in 1 week." c- "I will need to follow a liquid diet for the first 3 days after surgery." d- "I can begin to resume my normal activity level in 2 weeks. - CORRECT: a- The nurse should instruct the client that the small adhesive bandages will lose their adhesiveness in 7 to 10 days. The client can then remove the bandages or allow the bandages to fall off over time as the incision heals. INCORRECT: b- The nurse should instruct the client that she can shower or bathe the day following the surgery. c- The nurse should instruct the client to resume a regular diet following surgery and slowly introduce foods containing fat to determine tolerance. d- The nurse should instruct the client to rest for the first 24 hours following surgery and then begin resuming normal activities. The client should be able to resume usual activities within 1 week. A nurse is assessing a client who has Graves' disease. Which of the following findings should the nurse expect? a- Somnolence b- Cold intolerance c- Exophthalmos d- Dry, scaly skin - CORRECT: c- The nurse should expect a client who has Graves' disease, an autoimmune form of hyperthyroidism, to experience exophthalmos, which is protrusion of the eyeballs. INCORRECT: a- The nurse should expect a client who has hyperthyroidism to experience insomnia. Somnolence is a common manifestation of HYPOthyroidism. b- The nurse should expect a client who has hyperthyroidsim to experience heat intolerance. cold intolerance is a common manifestation of HYPOthyroidism d- The nurse should expect a client who has hyperthyroidism to exhibit warm, moist, and smooth skin. Cool, dry scaly skin is a common manifestation of HYPOthyroidsim. A nurse is teaching a client who has scabies about a new prescription for lindane lotion. Which of the following client statements indicates an understanding of the treatment for this parasitic infection? a- "I will apply the lotion once a day for 1 week." b_ "I will rub the lotion thoroughly from my face to my toes." c- "I will wash the lotion off 12 hours after I apply it." d- " I should avoid bathing for 6 hours prior to applying the lotion." - CORRECT: c- The nurse should instruct the client to apply the lotion and leave it in place fore 8 to 12 hours and then remove it by washing it off. INCORRECT: a- The nurse should instruct the client to apply the lotion, once. If live mites are still present, the nurse should instruct the client to reapply a second application one week following the first application. b- The nurse should instruct the client to apply approximately 60mL of the lotion in a thin film covering the body from the neck down. d- The nurse should instruct the client to bathe with soap and water, dry the skin well, and allow it to cool prior to applying the lotion. A nurse is teaching a client who has GERD about ways to prevent reflux. Which of the following information should the nurse include in the teaching? a- Drink tomato juice with the breakfast meal. b- Suck on peppermint when having indigestion. c- Elevate the head of the bed 10 cm (4 in) using wooden blocks d- Plan to finish eating at least 3 hours before bedtime. - CORRECT: d- The nurse should encourage the client not to eat anything at least 3 hours before bedtime to prevent reflux. INCORRECT: a- The nurse should tell the client not to drink tomato juice or any acidic beverages because acidic beverages can increase reflux. b- The nurse should encourage the client not to suck on peppermint because it increases reflux. c- The nurse should instruct the client to elevate the head of the bed 15.2 to 30.5 cm (6 to 12 in) by placing a foam wedge under the head of the bed to decrease reflux. A nurse is teaching a client who has a deep-vein thrombosis about a new prescription for warfarin. Which of the following client statements indicates an understanding of the teaching? a- "I will stop taking the medication immediately if I experience nausea." b- "I should contact my provider if I notice a pink-tinged color to my urine." c- "I will increase my dietary intake of spinach." d- "I will not be able to use an electric razor while I am taking this medication." - CORRECT: b- The nurse should instruct the client to monitor for blood in the urine. The client should report a pink-tinged urine color to the provider. [Show Less]
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ATI Testing Level 1 Proctored Exam Questions & Answers
ATI Testing Level 1 Proctored Exam Questions & Answers-A nurse stands facing a patient to demonstrate active range-of-motion exercises. Which of the follow... [Show More] ing should the nurse do when demonstrating hyperextension of the hip? - Move the leg behind the body As a nurse ambulates an unsteady patient, the patient becomes light-headed and begins to fall. Which of the following interventions by the nurse is appropriate in this situation? - Extend one leg and allow the patient to slide down it. A nurse is performing a physical assessment on a patient and instructs the patient to stand with his feet together and arms at his sides. The purpose of positioning the patient in this manner is to test which of the following? - Balance A nurse is caring for a hospitalized patient who is performing active range-of-motion exercises. Which of the following body movements should indicate to the nurse the patient has full range of motion of the shoulder? - Flexing the shoulder by raising the arm from a side position to a 180 degree angle A nurse is observing an assistive personnel (AP) who is using a mechanical lift with a hammock sling to transfer a patient from the bed to a chair. The nurse should intervene if the AP - Leaves the bed in the lowest position throughout the procedure. A nurse is about to transfer to a chair a patient who has a weak left leg. Which of the following actions by the nurse demonstrates correct transfer technique? - Aligning the nurse's knees with the patient's knees just before the transfer A nurse in the emergency department is caring for a patient who has knee injury. The patient will be discharged and will be using a pair of axillary crutches for the first time. Which of the following instructions should the nurse include when discharging this patient? - Hold the crutches on the unaffected side when preparing to sit in a chair. A nurse who is administering a return-flow enema to a patient should instill 100 mL of enema fluid and then - Lower the container to allow the solution to flow back out While a nurse is administering a cleansing enema, the patient reports abdominal cramping. Which of the following is the appropriate intervention? - Lower the enema fluid container A nurse is administering an enema medicated with sodium polystyrene sulfonate (Kayexalate) to an older adult patient who has hyperkalemia. The nurse should insert the tip of the rectal tube - 7.5 cm to 10 cm (3 to 4 in) A patient who is postoperative is experiencing abdominal distention and is having difficulty expelling flatus. The nurse should anticipate receiving an order from the provider for which of the following types of enemas? - Return-flow A nurse is preparing to administer a cleansing enema to a patient who is prone to fecal incontinence due to poor sphincter control and is unlikely to retain the enema solution. Which of the following interventions is appropriate for this patient? - Place the patient in the dorsal recumbent position on a bedpan A nurse is preparing the to administer an oil-retention enema to a patient who has constipation. The nurse explains that the patient should try to retain the instilled oil for - At least 30 min, but preferably as long as he can A nurse is preparing an older adult patient to which of the following positions? - Left lateral with the right leg flexed A nurse is preparing to administer the first of two large-volume, cleansing enemas prescribed for a patient in preparation for a diagnostic procedure. Which of the following is an appropriate step in the procedure? - Warm the enema solution prior to instillation Nasogastric tube feedings are an appropriate choice for a patient who - is postoperative following laryngectomy A patient with a gastric ileus postoperatively requires nutritional support for approximately 2 weeks. Which of the following types of feeding tubes is appropriate for this patient? - Nasointestinal tube To determine how much of the length of a nasoenteric tube to insert, a nurse should measure the distance from the tip of the patient's nose to the earlobe and from the earlobe to the - Xiphoid process plus 20 to 30 cm more A nurse inserting a nasogastric tube asks the patient to flex her head toward her check after the tube passes through the nasopharynx. The action facilitates proper insertion of the tube by - Closing off the glottis A nurse is providing teaching to a patient who is receiving the intermittent nasogastric feedings. Which of the following should the nurse instruct the patient to report immediately? - Persistent coughing [Show Less]
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ATI RN Fundamentals Online Practice 2024 A, Exam Questions & Answers
ATI RN Fundamentals Online Practice 2024 A, Exam Questions & Answers-A nurse is administering 1 L of 0.9% sodium chloride to a client who is postoperative ... [Show More] and has fluid volume deficit. Which of the following changes should the nurse identify as an indication that the treatment was successful? Increase in hematocrit increase in respiratory rate Decrease in heart rate Decrease in capillary refill time - Correct Answer: Decrease in heart rate Fluid volume deficit causes tachycardia. With correction of the imbalance, the heart rate should return to the expected range. Incorrect Answers: Increase in hematocrit: Fluid volume deficit causes an increase in hematocrit level due to depletion of extracellular fluid. With correction of the imbalance, the hematocrit level should decrease. increase in respiratory rate Fluid volume deficit causes an increase in respiratory rate. With correction of the imbalance, the respiratory rate should return to the expected range. Decrease in capillary refill time Fluid volume deficit slows capillary refill. With correction of the imbalance, capillary refill time should return to the expected range. A nurse is caring for a client who is scheduled to be transferred to a long-term care facility. The client's family questions the nurse about the reasons for the transfer. Which of the following responses made by the nurse is appropriate? "The transfer of your family member is being done because the provider knows what's best." "Would you like it if we discussed the transfer with your family member?" "Why are you so concerned about this transfer?" "I know how you feel. My parent had to be transferred to a long-term care facility." - Correct Answer: "Would you like it if we discussed the transfer with your family member?" This response facilitates therapeutic communication and provides general leads while maintaining client confidentiality. Incorrect Answers: "The transfer of your family member is being done because the provider knows what's best." This is a defensive response which can hinder further communication. "Why are you so concerned about this transfer?" Asking a why question can make the recipient defensive which can hinder further communication. "I know how you feel. My parent had to be transferred to a long-term care facility." This is a sympathetic response, which can interfere with a therapeutic relationship. A nurse is reviewing the laboratory results of a female client who has hypovolemia. Which of the following laboratory result would be a priority for the nurse report to the provider? BUN 21 mg/dL (10 to 20 mg/dL) Creatinine 1.4 mg/dL (0.5 to 1.1 mg/dL) Sodium 132 mEq/L (136 to 145 mEq/L) Potassium 5.8 mEq/L (3.5 to 5 mEq/L) - Correct Answer: Potassium 5.8 mEq/L (3.5 to 5 mEq/L) When using the urgent versus nonurgent approach to client care, the nurse should determine that this potassium level is above the expected reference range and should be reported to the provider. Potassium affects the contractility of the heart and this client would be at risk for developing dysrhythmias. Incorrect answers: BUN 21 mg/dL (10 to 20 mg/dL) This BUN level is slightly above the expected reference range and is an expected non-urgent finding for a client who has hypovolemia; therefore, there is another laboratory result that is a priority for the nurse to report to the provider. Creatinine 1.4 mg/dL (0.5 to 1.1 mg/dL) This creatinine level is slightly above the expected reference range and is an expected non-urgent finding for a client who has hypovolemia; therefore, there is another laboratory result that is a a priority for the nurse to report to the provider. Sodium 132 mEq/L (136 to 145 mEq/L) This sodium level is slightly below the expected reference range and is an expected non-urgent finding for a client who has hypovolemia; therefore, there is another laboratory result that is a priority for the nurse to report to the provider. A nurse is caring for a client who reports difficulty falling asleep. Which of the following recommendations should the nurse make? "Drink a cup of hot cocoa before bedtime." "Maintain a consistent time to wake up each day." "Exercise 1 hour before going to bed." "Watch a television program in bed before going to sleep." - Correct Answer: "Maintain a consistent time to wake up each day." The client should maintain a consistent time for waking up and going to sleep. This helps to establish an internal sense of sleep and waking on a daily basis and helps to maintain it over time. This will help promote sleep for the client. Incorrect Answers: "Drink a cup of hot cocoa before bedtime." Cocoa contains caffeine, which is a stimulant that can interfere with sleep. "Exercise 1 hour before going to bed." Exercising within 2 hr of bedtime can interfere with sleep. "Watch a television program in bed before going to sleep." The client should avoid watching television in bed before going to sleep to reduce stimulation in order to promote rest. A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of following actions should the nurse take? Pad the client's wrist before applying the restraints. Evaluate the client's circulation every 8 hr after application. Remove the restraints every 4 hr to evaluate the client's status. Secure the restraint ties to the bed's side rails. - Correct Answer: Pad the client's wrist before applying the restraints. The use of restraints without padding can abrade the client's skin, resulting in client injury. Incorrect Answers: Evaluate the client's circulation every 8 hr after application. The nurse should evaluate the client's circulation, range of motion, vital signs, and overall status every 15 min after initial application of restraints. Remove the restraints every 4 hr to evaluate the client's status. The nurse should remove the restraints at least every 2 hr to reposition the client and assess needs for hygiene and toileting. Secure the restraint ties to the bed's side rails. The nurse should secure the restraint ties to a part of the bed frame that moves with the client to reduce the risk of injury. A client who is nonambulatory notifies the nurse that their trash can is on fire. After the nurse confirms the presence of the fire, which of the following actions should the nurse take next? Activate the emergency fire alarm. Extinguish the fire. Evacuate the client. Confine the fire. - Correct Answer: Evacuate the client. According to the RACE mnemonic, the first action in response to a fire is to rescue the clients, moving them to a safe area. Incorrect Answers: Activate the emergency fire alarm. According to the RACE mnemonic, the second action in response to a fire is to activate the alarm. Extinguish the fire. According to the RACE mnemonic, the fourth action in response to a fire is to attempt to extinguish the fire. Confine the fire. According to the RACE mnemonic, the third action in response to a fire is to contain the fire by closing all the doors and windows in the area. The nurse should also turn off oxygen and electrical equipment in the area of the fire. 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? - 107 mL/hr A nurse is assessing four adult clients. Which of the following physical assessment techniques should the nurse use? Use the Face, Legs, Activity, Cry, and Consolability (FLACC) pain rating scale for a client who is experiencing pain. Ensure the bladder of the blood pressure cuff surrounds 80% of the client's arm. Obtain an apical heart rate by auscultating at the third intercostal space left of the sternum. Palpate the client's abdomen before auscultating bowel sounds. - Correct Answer: Ensure the bladder of the blood pressure cuff surrounds 80% of the client's arm. The nurse should use a blood pressure cuff with a bladder that surrounds 80% of the client's arm circumference to give an accurate reading. [Show Less]
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ATI RN Fundamentals Online Practice 2024 B, Exam Questions & Answers
ATI RN Fundamentals Online Practice 2024 B, Exam Questions & Answers-A charge nurse is observing a newly licensed nurse prepare a sterile field for a dress... [Show More] ing change. Which of the following actions by the newly licensed nurse requires intervention by the charge nurse? The newly licensed nurse places the cap of a bottle of sterile saline solution on the sterile field. The newly licensed nurse places sterile objects 2.5 cm (1 in) within the border of the field. The newly licensed nurse holds the bottle of sterile saline outside the edge of the field when pouring. The sterile field is positioned at the level of the newly licensed nurse's waist. - Correct Answer: The newly licensed nurse places the cap of a bottle of sterile saline solution on the sterile field. The newly licensed nurse should place the cap with the sterile side up on a clean surface because the outer edges are unsterile and will contaminate the sterile field. Incorrect Answer: The newly licensed nurse places sterile objects 2.5 cm (1 in) within the border of the field. The edges of the sterile field are considered contaminated. Therefore, the nurse should place all sterile items inside the 2.5 cm (1 in) border of the field. The newly licensed nurse holds the bottle of sterile saline outside the edge of the field when pouring. The newly licensed nurse should hold the bottle of sterile saline outside the edge of the field when pouring to prevent contaminating the field. The sterile field is positioned at the level of the newly licensed nurse's waist. An object that is below waist level is considered nonsterile. Positioning the table at waist level does not require intervention. A client demonstrates anger when the nurse does not respond within 5 min of ringing for the nurse. Which of the following is an appropriate response by the nurse? "I'm sorry, but another client needed my attention." "I could not arrive any sooner. What can I do for you?" "We had an emergency on the unit and that was a priority, but now I'm here." "That must be frustrating for you. How can I help you right now?" - Correct Answer: "That must be frustrating for you. How can I help you right now?" This response is therapeutic because the nurse is acknowledging the client's feelings and offering help. Incorrect Answer: "I'm sorry, but another client needed my attention." This response is nontherapeutic because the nurse is responding defensively. "I could not arrive any sooner. What can I do for you?" This response is nontherapeutic because the nurse is responding defensively. "We had an emergency on the unit and that was a priority, but now I'm here." This response is nontherapeutic because the nurse is responding defensively. A home health nurse is completing an admission assessment of an older adult client who has their caregiver present. Which of the following findings should the nurse identify as potential indications of elder abuse? The caregiver is the client's financial power of attorney. The client is in a wheelchair with the wheels locked. The client reports receiving a full bath twice each week. The caregiver insists on remaining in the room. - Correct Answer: The caregiver insists on remaining in the room. A caregiver who refuses to leave the room during an admission assessment can be an indication of potential mistreatment of the client who is receiving care. The nurse should evaluate the client for additional signs of potential mistreatment throughout the admission assessment. Incorrect Answer: The caregiver is the client's financial power of attorney. Having a caregiver who is the client's financial power of attorney allows the caregiver to perform necessary financial transactions on the client's behalf. This it is not an indication of elder abuse. The client is in a wheelchair with the wheels locked. If the client uses a wheelchair, it is important to lock the wheels when the client is stationary to keep the client safe. Locking the wheels of a wheelchair is not an indication of elder abuse. The client reports receiving a full bath twice each week. Neglect is a form of abuse or mistreatment that is characterized by omission of necessary care. Although hygiene is an important part of care for all clients, a full bath is not necessary every day for older adults due to the adverse effects it can have on fragile skin. Therefore, a full bath twice each week is sufficient for effective care and is not an indication of neglect or elder abuse. 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 a routine screening. What does that involve?" Which of the following responses should the nurse make? "I'll get a blood sample from you and send it for a screening test." "Beginning at age 60, you should have a colonoscopy." "You should have a fecal occult blood test every year." "The recommendation is to have a sigmoidoscopy every 10 years." - Correct Answer: "You should have a fecal occult blood test every year." Colorectal cancer screening for clients who are at average risk begins at age 45. One option for screening is a fecal occult blood test annually. Incorrect Answer: "I'll get a blood sample from you and send it for a screening test." Blood tests do not detect colorectal cancer. One option for screening is a double-contrast barium enema every 5 years. "Beginning at age 60, you should have a colonoscopy." Colorectal cancer screening for clients who are at average risk begins at age 50. One option for screening is a colonoscopy every 10 years. "The recommendation is to have a sigmoidoscopy every 10 years." One option for screening is a flexible sigmoidoscopy every 5 years. A nurse in a medical-surgical unit is caring for six clients. Complete the following sentence by using the list of options. The first client the nurse should assess is _____ followed by _____. Client 1: Client is admitted with a new diagnosis of rheumatoid arthritis.Client 2: Client has a history of hyperlipidemia. Atorvastatin 20 mg PO administered as prescribed.Client 3: Client is 1 day postoperative. Reports pain as 8 on a scale of 0 to 10. Morphine 5 mg subcutaneous administered as prescribed.Client 4: Client is admitted with a new diagnosis of heart failure.Client 5: Client has a stage 2 pressure injury on the left heel.Client 6: Client is admitted with a new diagnosis of diabetes mellitus. - Correct Answer (1): Client 3 When using the airway, breathing, circulation approach to client care, the nurse should determine that this client is the priority client to assess. The client has an oxygen saturation that is less than the expected reference range, which is an indication of hypoxia. Correct Answer (2): [Show Less]
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ATI Pharmacology Proctored exam 2024/2025 Questions & Answers (LATEST 2024 /2025UPDATE)
ATI Pharmacology Proctored exam 2024/2025 Questions & Answers (LATEST 2024 /2025UPDATE)-A provider prescribes phenobarbital for a client who has a seizure ... [Show More] disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication? A. One B. Two C. Three D. Four - A. One (Medications with long half-lives remain at their therapeutic levels between doses for long periods of time. The nurse should expect to administer this medication once a day.) A staff educator is reviewing medication dosages and factors that influence medication metabolism with a group of nurses at an in-service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages? (Select all that apply.) A. Increased renal secretion B. Increased medication-metabolizing enzymes C. Liver failure D. Peripheral vascular disease E. Concurrent use of medication the same pathway metabolizes - C. Liver failure E. Concurrent use of medication the same pathway metabolizes C. Liver failure decreases metabolism and thus increases the concentration of a medication. This requires decreasing the dosage. E. When the same pathway metabolizes two medications, they compete for metabolism, thereby increasing the concentration of one or both medications. This requires decreasing the dosage of one or both A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (Select all that apply.) A. Have the client lie on her side. B. Ask the client to look up at the ceiling. C. Tell the client to blink when the drops enter her eye. D. Drop the medication into the center of the client's conjunctival sac. E. Instruct the client to close her eye gently after instillation - B. Ask the client to look up at the ceiling. D. Drop the medication into the center of the client's conjunctival sac. E. Instruct the client to close her eye gently after instillation (B. The client should look upward to keep the drops from falling onto her cornea. D. The nurse should drop the medication into the center of the conjunctival sac to promote distribution. E. The client should close her eye gently to promote distribution of the medication) A nurse is completing discharge teaching for a client who has a new prescription for transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. "I will clean the site with an alcohol swab before I apply the patch." B. "I will rotate the application sites weekly." C. "I will apply the patch to an area of skin with no hair." D. "I will place the new patch on the site of the old patch. - C. "I will apply the patch to an area of skin with no hair." (The client should apply the patch to a hairless area of skin to promote absorption of the medication.) A nurse reviewing a client's medical record notes a new prescription for verifying the trough level of the client's medication. Which of the following actions should the nurse take? A. Obtain a blood specimen immediately prior to administering the next dose of medication. B. Verify that the client has been taking the medication for 24 hr before obtaining a blood specimen. C. Ask the client to provide a urine specimen after the next dose of medication. D. Administer the medication,and obtain a blood specimen 30 min late - A. Obtain a blood specimen immediately prior to administering the next dose of medication. (To verify trough levels of a medication, the nurse should obtain a blood specimen immediately before administering the next dose of medication.) A nurse is preparing a client's medications. Which of the following actions should the nurse take in following legal practice guidelines? (Select all that apply.) A. Maintain skill competency. B. Determine the dosage. C. Monitor for adverse effects. D. Safeguard medications. E. Identify the client's diagnosis - A. Maintain skill competency. C. Monitor for adverse effects. D. Safeguard medications. (A.maintaining skill competency and using appropriate administration techniques are legal responsibilities of the nurse C. A nurse is legally responsible for monitoring for side and adverse effects of medication D. Safeguarding of medications, such as controlled substances, is a legal responsibility of the nurse) A nurse reviewing a client's health record notes a new prescription for Lisinopril 10 mg PO once every day. The nurse should identify this as which of the following types of prescription? A. Single B. Stat C. Routine D. Standing - C. Routine (A routine or standard prescription identifies medications to give on a regular schedule with or without a termination date or a specific number of doses. The nurse will administer this medication every day until the provider discontinues it.) A nurse is reviewing a new prescription for Ondansetron 4 mg PO PRN for nausea and vomiting for a client who has Hyperemesis Gravidarum. The nurse should clarify which of the following parts of the prescription with the provider? A. Name B. Dosage C. Route D. Frequency - D. Frequency (This prescription does not include the time or frequency of medication administration. The nurse must clarify this with the prescribing provide) A nurse is admitting a client and completing a preassessment before administering medications. Which of the following data should the nurse include in the preassessment? (Select all that apply.) A. Use of herbal teas B. Daily fluid intake C. Current health status D. Previous surgical history E. Food allergies - A. Use of herbal teas C. Current health status E. Food allergies (A. The nurse should inquire about the client's use of herbal products, which often contain caffeine, prior to medication administration because caffeine can affect medication biotransformation C. The nurse should review the client's current health status because new prescriptions can cause alterations in current health status E. The nurse should inquire about food allergies during the preassessment to identify any potential reactions or interactions) A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone prescription. Which of the following statements should the nurse identify as an indication that the newly licensed nurse understands the process? A. "A second nurse enters the prescription into the client's medical record." B. "Another nurse should listen to the phone call." C. "The provider can clarify the prescription when he signs the health record." D. "I should omit the 'read back' if this is a one time prescription - B. "Another nurse should listen to the phone call." (A second nurse should listen to a telephone prescription to prevent errors in communication.) A nurse is preparing to administer vancomycin 1 g by intermittent IV bolus. Available is vancomycin 1 g in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should adjust the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Do not use a trailing zero. - 22 A nurse is preparing to administer clindamycin 200 mg by intermittent IV bolus. The amount available is clindamycin injection 200 mg in 100 mL 0.9% sodium chloride (0.9% NaCl) to infuse over 30 min. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Do not use a trailing zero. - 200 A nurse is preparing to administer furosemide 80 mg PO daily. The amount available is furosemide oral solution 10 mg/1 mL. how many mL should the nurse administer? (Round the answer to the nearest whole number. Do not use a trailing zero.) - 8 A nurse is preparing to administer Haloperidol 2 mg PO every 12 hr. The amount available is haloperidol 1 mg/tablet. how many tablets should the nurse administer? (Round the answer to the nearest whole number. Do not use a trailing zero. - 2 A nurse is preparing to administer Amoxicillin 20 mg/kg/day PO to divide equally every 12 hr to a preschooler who weighs 44 lb. The amount available is amoxicillin suspension 250 mg/5 mL. how many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Do not use a trailing zero.) - 4 A nurse is preparing to administer heparin 15,000 units subcutaneously every 12 hr. The amount available is heparin injection 20,000 units/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Do not use a trailing zero. - 0.8 A nurse is preparing to administer acetaminophen 650 mg PO every 6 hr PRN for pain. The amount available is acetaminophen liquid 500 mg/5 mL. how many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero. - 6.5 A nurse is preparing to administer dextrose 5% in water (D5W) 750 mL IV to infuse over 6 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Do not use a trailing zero. - 125 A nurse is assessing a client's IV infusion site. Which of the following findings should the nurse identify as an indication of phlebitis? (Select all that apply.) A. Pallor B. Dampness C. Erythema D. Coolness E. Pain - C. Erythema E. Pain (C. Erythema at the insertion site is a manifestation of phlebitis. E.Pain at the insertion site is a manifestation of phlebitis.) A nurse manager is reviewing the facility's policies for IV therapy with the members of his team. The nurse manager should remind the team that which of the following techniques helps minimize the risk of catheter embolism? A. Performing hand hygiene before and after IV insertion B. Rotating IV sites at least every 72 hr C. Minimizing tourniquet time D. Avoiding reinserting the needle into an IV catheter - D. Avoiding reinserting the needle into an IV catheter (The nurse manager should remind the members of the team to avoid reinserting the stylet needle into an IV catheter. This action can result in severing the end of the catheter and consequently cause a catheter embolism) A nurse is preparing to initiate IV therapy for an older adult client. Which of the following actions should the nurse plan to take? A. Use a disposable razor to remove excess hair on the extremity. B. Select the back of the client's hand to insert the IV catheter. C. Distend the veins by using a blood pressure cuff. D. Direct the client to raise his arm above his heart - C. Distend the veins by using a blood pressure cuff. (The nurse should distend the veins using a blood pressure cuff to reduce overfilling of the vein,which can result in a hematoma) A nurse assessing a client's IV catheter insertion site notes a hematoma. Which of the following actions should the nurse take? (Select all that apply.) A. Stop the infusion. B. Apply alcohol to the insertion site. C. Apply warm compresses to the insertion site D. Elevate the client's arm. E. Obtain a specimen for culture at the insertion site - C. Apply warm compresses to the insertion site D. Elevate the client's arm. (C. Warm compresses can help promote healing of a hematoma. D. Elevation of the arm helps reduce edema, which can cause pressure and pain and additional bleeding in the area of the hematoma.) A nurse in a clinic is caring for a group of clients. The nurse should contact the provider about a potential contraindication to a medication for which of the following clients? (Select all that apply.) A. A client at 8 weeks of gestation who asks for an Influenza immunization B. A client who takes Prednisone and has a possible Fungal infection C. A client who has chronic liver disease and is taking Hydrocodone D. A client who has Peptic Ulcer Disease, takes Sucralfate, and tells the nurse she has started taking OTC Aluminum Hydroxide E. A client who has a prosthetic heart valve, takes Warfarin, and reports a suspected pregnancy - B. A client who takes Prednisone and has a possible Fungal infection C. A client who has chronic liver disease and is taking Hydrocodone E. A client who has a prosthetic heart valve, takes Warfarin, and reports a suspected pregnancy [Show Less]
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