ATI FUNDAMENTAL RETAKE EXAM LEVEL 2 2024
VERSION 70 EXAM QUESTIONS WITH DETAIED VERIFIED
ANSWERS /A+ GRADE ASSURED
Fundamental Retake #2 Level 2,
... [Show More] Corrected
1) A nurse is caring for a client who has a tracheostomy which of the following actions should the nurse take?
A) Cotton tip applicator to clean the inside of the cannula
B) Soak the outer cannula in warm soapy tap water
C) Cleanse the skin around the stoma with normal saline
D) Secure the tracheostomy ties to allow one finger to fit snuggly underneath
2) A nurse is planning care for client who is scheduled for an intravenous pyelogram. Which of the following actions is
appropriate for the nurse to include?
A) Ensure the client is free of metal objects
B) Administer 240 ml (8oz) oral contrast before the procedure
C) Monitor the client for pain in the suprapubic region
D) Assist the client with a bowel cleansing
3) A nurse is testing a client for conduction deafness by performing the Weber’s tests. which of the following actions
should the nurse take when performing the test?
A) Move a vibrating tuning fork in front of the clients canals one after the other
B) Place the base of the vibrating tuning fork on the top of the client’s head
C) Place the base of a vibrating tuning fork on the client’s mastoid process
D) Count how many seconds a client can hear a tuning fork after it has been struck
4) A nurse is planning care for a client who has a new prescription for parental nutrition in 20% dextrose and fat emulsion.
Which of the following is the appropriate action to indicate in the plan of care?
A) Prepare the client for a central venous line
B) Change the PN infusion bag every 48 hours
C) Administer the PN and fat emulsion separately
D) Obtain a random blood glucose daily
*5) A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a
newly licensed nurse indicates understanding in the teaching?
A) Each element has a range 1 to 5 points
B) The higher the score the higher the pressure ulcer risk
C) The client’s age is part of the measurement
D) The scale measures six elements
*6) A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is
the nurse’s priority?
A) Determine the client’s reading ability
B) Review the use of an artificial larynx
C) With the client schedule a support session
D) For the client explain the techniques of esophageal speech
7) A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is
appropriate for the nurse to recommend?
A) Eat a light carbohydrate snack before bedtime
B) Exercise 1 hour before bedtime
C) Drink a cup of hot cocoa before bedtime
D) Take a 30 min nap daily
8) A nurse in an emergency department is assessing a client who reports a right lower quadrant pain, nausea and vomiting
for the past 48 hours? Which of the following actions should the nurse take first?
A) Offer pain medication
B) Palpate the abdomen
C) Auscultate bowel sounds
D) Administer an antiemetic
9) A nurse is teaching a client how to self-administer daily low dose heparin injections. Which of the following factors is
most likely to increase the client’s motivation to learn?
A) The client’s belief that his needs will be met through education
B) The nurse explaining the need for education to the client
C) The client seeking family approval by agreeing to a teaching plan
D) The nurse’s empathy about the client having to self-inject
10) A nurse is caring for a client who has restraints to each extremity. Which of the following assessment should the nurse
perform first?
A) Elimination needs
B) Comfort level
C) Peripheral pulses
D) Skin integrity
11) A charge nurse is monitoring the documentation of the medication by a newly licensed nurse. The charge nurse should
intervene if the newly licensed nurse uses which of the following abbreviations?
A) OJ for orange juice
B) SQ for subcutaneous
C) SS for sliding scale
D) BRP for bathroom privileges
12) A nurse is caring for a client who has tuberculosis. Which of the following precautions should the nurse plan to
implement?
A) Contact
B) Droplet
C) Airborne
D) Protection
13) A nurse is caring for a client receiving continuous enteral feedings through an NG tube. Which of the following is an
unexpected finding?
A) Diarrhea one time in a 24-hour period
B) A weight gain of 0.9 (2lb) in 2 days
C) A gastric residual of 300 mL at the end of the shift
D) A blood glucose level of 110
14) A nurse is preparing a sterile field to assist with nurturing a client’s laceration. Which of the following actions should
the nurse plan to take?
A) Pour the sterile solution with the bottle held 20 cm (8 in) above the sterile bowl
B) Hold the bottle of sterile solution so that the label is facing the palm of the hand
C) Place the lid of the sterile solution bottle face down on the sterile drape
D) Apply sterile gloves before opening the bottle of sterile solution
15) A nurse is preparing to administer several medications to a client via NG tube to a client who is receiving continuous
enteral feeding. Which of the following actions should the nurse take first?
A) Dilute each crushed medication with sterile water
B) Mix the medications together in a single syringe
C) Combine the medications with the formula
D) Flush the NG tube with 5 mL of sterile water prior to administration
16) A nurse is reviewing the medication record of a client who asks about the use of magnet therapy for pain relief. The
nurse should identify that which of the following findings is a contraindication for receiving this type of therapy?
A) The client who has an implanted defibrillator
B) The client who has a prescription for metoprolol
C) The client is allergic to penicillin
D) The client has a history of alcohol use disorder
17) A nurse is assessing the skin of a client who has worked outdoors for the past 30 years. Which of the following
findings is a priority?
A) A flat, nonpalpable, discolored area of skin
B) A change in the appearance of a mole on the shoulder
C) Skin tags in the neck region
D) Atrophic wart on the left index finger
18) a nurse is preparing to insert an iv catheter for a client following a right mastectomy. Which of the following
veins should the nurse select when initiating an IV therapy?
A) The radial vein on the left wrist
B) The cephalic vein in the left distal forearm
C) The basilic vein in the right antecubital fossa
D) The cephalic vein on the back of the right hand
19) a nurse is caring for a client who has wrists restraints after an episode of violent behavior. Which of the
following actions should the nurse take?
A) Tie the restraints to the side rale
B) Secure restraints with a square knot
C) Remove one restraint at a time
D) Remove the restraints every 3 hours
20) Dosage Calculation- Gentamicin 2mg/kg/220 lb.= 200
21) A nurse is assessing a client who has diabetes prior to performing a blood glucose test. Which of the following
findings should indicate to the nurse the client has hyperglycemia?
A) Thirst
B) Confusion
C) Cool Skin
D) Shakiness
22) A nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden severe
abdominal pain. Which of the following actions should the nurse take first?
A) Determine areas of resonance across the abdomen using a systematic approach
B) Expose the client’s abdomen to look for changes in appearance
C) Perform abdominal palpation by pressing gently with the finger pads
D) Use the diaphragm of the stethoscope to listen for bowel sounds
23) a nurse is caring for a client who is receiving continuous enteral feedings through gastrostomy tubes. Which of the
following actions should the nurse take?
A) Heat the formula to 105 degrees Fahrenheit
B) Flush the tubing with 10 ml of water every 2 hours
C) Change the tubing every 72 hours
D) Aspirate residual volume every 4 hours
24) A nurse is teaching an older adult client who has type 2 diabetes mellitus about how to care for corns and calluses
toes. Which of the following statements by the client indicates understanding of the teaching?
A) I can apply lotion to soften the calluses as long as I don’t put lotion between my toes
B) I can place an oval corn pad over toes that have corns as longs as a remove the pad weekl [Show Less]