ATI FUNDAMENTAL 2019 FORUM A WITH
NGN
FORUM A
1. A nurse is preparing to insert a peripheral IV catheter into a client’s arm. Which of the following
... [Show More] is
appropriate actions should the nurse take to help dilate the vein.
a. Apply a cool compress to the vein for 10min.
b. Dangle the client’s arm over the edge of the bed.
c. Instruct the client to flex their arm with hand open.
d. Stroke the skin near the vein in an upward direction.
2. *A nurse is teaching a client about performing breast-examination. Which of the following statements
by the client indicates an understanding of the teaching?
a. I should use the palm of my hand to apply pressure to each breast.
b. I should make circular motions with my fingertips under my arms.
c. I should perform my self-exam the week that my period starts.
d. I should make different patterns on each breast when I do my self-exam.
3. A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse
take?
a. Change the pouch once every 24hr.
b. Rub the peristomal skin dry after cleaning.
c. Ensure the pouch is 0.32cm (1/2inch) larger than the stoma.
d. Apply the pouch while the skin barrier is still damp
4. A nurse is obtaining informed consent from a client who is scheduled for surgery. The client states, I
don’t want to go for the procedure. Which of the following actions should the nurse take?
a. Express approval of the client’s decision to not have the procedure.
b. Discuss alternative treatments with client.
c. Document the client decision in the medical record.
d. Explain to the client the risks involved with not having the procedure. -
5. **A charge nurse in a long-term facility is preparing an educational program about delirium for
newly hired nurses. Which of this should the nurse plan to include?
a. Delirium has an abrupt onset.
b. Delirium does not affect a client’s sleep cycle.
c. Delirium has a slow progression.
d. Delirium does not affect a client’s perception of her environment.
6. A nurse is obtaining a health history while admitting a client. The client tells the nurse, I am under a
lot of stress right now. Which of the following manifestations should the nurse expect?
a. Elevated heart rate
B. Decreased urine output.
c. Increased salivation
d. Constricted pupils
7. A nurse is caring for a client who has a new prescription for negative-pressure therapy for a chronic
wound. The nurse is unfamiliar with procedure. Which of the following resources should the nurse
consult to learn more about the intervention?
a. The policy and procedure manual
b. The client’s plan of care
c. The medical safety data sheet
d. The nurse practice act.
8. **A nurse is teaching a newly licensed nurse about the care of a client who has a methicillinresistant staphylococcus aureus (MRSA) infection. Which of the following statements by the newly
licensed nurse indicated an understanding of the teaching?
a. I will tell the client’s visitors to wear a mask when they are within 3 feet of the client.
b. I will wear an N95 respirator mask when caring for the client.
c. I will place the client in a private room.
d. I will remove my gown before my gloves after providing client care.
9. A nurse enters the room of a client who has a seizure disorder. The client is sitting in a chair and
begins to experience a seizure. Which of the following actions should the nurse take first?
a. Loosen the client’s clothing.
b. Moves items in the room away from the client.
c. Help the client lie on the floor.
d. Turn the client onto their side.
10. A nurse is preparing to administer diphenhydramine 20mg orally to a 6-year-old child who has
difficulty swallowing pills. Available is diphenhydramine 12.5 mg/5ml oral syrup. Which of the following
images indicates the correct number of ML the nurse should administer? (Round the answer to the
nearest whole number).
20mg X (5mL/12.5mg) = 8mL
11. A nurse is caring for a client who has influenza and isolation precautions in place. Which of the
following actions should the nurse take to prevent the spread of infection?
a. Administer metronidazole.
b. Wear a mask when working within 3 feet of the client.
c. Don protective eyewear before entering the room.
d. Place the client in a negative airflow room.
12. A nurse is caring for a client who was recently diagnosed with a terminal illness. The client tells the
nurse, “I am looking forward to seeing my grandchildren grow up” The nurse should identify that the
client is experiencing which of the following stages of grief.
a. Denial
b. Acceptance
c. Anger
d. Bargaining
13. A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG tube.
Which of the following actions should the nurse take?
a. Apply the restraints to allow as little movements as possible.
b. Allow room for two fingers to fit between the client’s skin and the restraints.
c. Remove the restraints every 4 hr.
d. Attach the restraints securely to the side rails of the client’s bed.
14. A nurse is inserting an NG tube for a client who requires gastric decompression. Which of the
following actions should the nurse take to verify proper placement of the tube?
a. Auscultate 2.5 cm (1 in) above the umbilicus while injecting 15 ML of sterile water.
b. Measure the pH of the gastric aspirate.
c. Place the end of the NG tube in water to observe for bubbling.
d. Assess the client for a gag reflex.
15. A nurse is caring for a client who has brain cancer and is transferring to hospice care. The client’s
son tells the nurse “I don’t know what to tell my dad if he asks how he is going to die” Which of the
following is an appropriate response by the nurse?
a. Let’s talk more about your dad’s condition.
b. I think that you should discuss this with the hospice nurse.
c. The social worker will help you answer those questions.
d. Try to help your dad enjoy this time as much as he can.
16. **A nurse is reviewing a client’s intake and output and notes the following: 0.9% sodium chloride
600 ML IV infusion, cefazolin 250 mg in dextrose 5% in water 100 ML intermittent IV bolus, 200ML
emesis, 40 ML voided urine, and 20 ML urine from straight to the reservation. The nurse should
record the client’s net fluid intake oz as how many ML? (Round the answer to the nearest whole
number. Use a leading zero if it applies)
-Intake= 600ml+100ml=700ml
-Output=200 +40+20=260ml
440mL
17.A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which
of the following instructions should the nurse include in the teaching? (Select All That Apply)
a. Empty the ostomy pouch when it becomes one-third full of contents.
b. Place a piece of gauze over the stoma while changing the pouch.
c. Use povidone -iodine to clean around the stoma.
d. Cut the opening of the pouch ½ of an inch larger than the stoma.
e. Expect the stoma to turn a purple -blue color as it heals.
18.A nurse is preparing to suction a client’s tracheostomy tube. Which of the following actions should the
nurse plan to take?
a. Apply intermittent suction during catheter insertion.
b. Decrease suction pressure to 150 mm Hg if the Oxygen saturation level drop during suctioning.
c. Hyper oxygenate the client manually for 30 to 60 seconds before suctioning.
d. Suction the client’s airway for 20 seconds with each pass.
19.A nurse on a medical surgical unit is providing care for four clients. The nurse should identify which of
the following situations as an ethical dilemma?
A surgeon who removed the wrong kidney during a surgical procedure refuse to take responsibility for
her actions.
A client who has a new colostomy refuses to take instructions from the ostomy therapist because she
does not like him.
A client who has Crohn’s disease reports that his prescription drug plan will not pay for his medication.
The family of a client who has a terminal illness asks that the provider not tell the client the diagnosis.
20.A nurse is assessing the body temperature of an adult client using a temporal artery thermometer.
Which of the following actions should the nurse take? (Select all that apply).
a. Hold the client’s hair aside while performing the procedure.
b. Move the probe in a circular motion to obtain the reading.
c. Document the client’s temperature with “AX” next to the value.
d. Slide the probe across the client’s forehead.
e. Pull the client’s pinna up and back.
21**A nurse is documenting client care, which of the following abbreviations should the nurse use?
a. SQ for subcutaneous
b. SS for sliding scale.
c. BRP for bathroom privileges
d. OJ for orange juice
22. A nurse is preparing to administer several medications to a client. Which of the following data should
the nurse plan to use to confirm the client’s identity?
a. The client’s telephone number
b. The client’s room number
c. The client’s admitting diagnosis.
d. The name of the client’s next of kin. [Show Less]