ATI Fundamentals 2020 Proctored Exam /Fundamentals ATI Proctored Exam 2020 (Verified & 100% Correct)
A nurse is teaching an assistive personnel about a
... [Show More] upper body mechanics to prevent injury. Which ofthe following actions by the AP demonstrate an understanding of the teaching?
The AP keeps the object he is lifting close to his body
a nurse is assessing a client who is immobile and notices a red area over the client’s coccyx. Which of the following actions should the nurse take?
Change the clients position every 4 hours
Apply petroleum base ointment in the red area
Assess the red area for blanching
Use friction when cleansing the client’s skin
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?
The radial vein on the left wrist
The cephalic vein in the left distal forearm
The basilic vein in the right antecubital fossa
The cephalic vein on the back of the right hand
a nurse is preparing to administer a medication into a client by the intradermal route after applying gloves and cleaning the site with an antiseptic swab. In what order should the nurse take the steps to administer the medication? (move steps into box 1- 4 priority)
1.Use a nondominated hand to stretch the skin
Insert the needle at an angle
inject the medication
Withdrawal the needle
Activate the needle safety device
a nurse is providing teaching to a client about colorectal cancer prevention guidelines. Which of the following recommendations should the nurse include?
Intake of dietary fiber
Have a fecal occult blood test every 2 years
Reduce intake of red meats
Have a colonoscopy every 3 years
a nurse is planning care to prevent skin breakdown for a client who is immobile and is urinary incontinent. Which of the following actions should the nurse include in the plan of care?
Reposition the client every 4 hours
Arrange for an alternating pressure mattress
Apply cornstarch to the skin
Request a prescription for an indwelling urinary catheter
a nurse is preparing to apply a condom catheter for a client who is uncircumcised which of the following actions should the nurse plan to take?
Place adhesive tape directly on the penis
Allow 2.5 to 5 m between the end of the catheter and the tip of the penis
Keep foreskin in a retractable position after application of the catheter
Change the condom catheter every 3 days
a nurse is teaching a client who had an enucleation about care of an artificial eye. Which of the following information should the include in the teaching? (select all that apply)
Store the artificial eye in the label container filled with 0.9% sodium chloride irrigation remove from the artificial eye by retracting the upper eyelid
Apply pressure just below artificial eye to break the suction
Clear the artificial eye with hydrogen peroxide before storing
Retract the upper and lower lids to reinsert the artificial eye
a nurse is reviewing client confidentiality with a newly licensed nurse. The nurse should identify which of the following examples as a violation of HIPPA?
Faxing medical information about the client to a provider’s office
Teaching a client discharge instruction with his partner present
Giving a telephone report to a surgical nurse and sending the client to the surgical suite
Discussing the clients transfer to a long-term care facility with a nurse from another unit
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?
Determine areas of resonance across the abdomen using a systematic approach
Expose the clients abdomen to look for changes in appearance
Perform abdominal palpation by pressing gently with the finger pads
Use the diaphragm of the stethoscope to listen for bowel sounds
a nurse is providing care for a client who is to undergo a total laryngectomy. Which of the followinginterventions is the nurses priority?
Determine the client’s reading ability
Review the use of an artificial larynx
With the client schedule a support session
For the client explain the techniques of esophageal speech
a home care nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (select all that apply)
will use the bars when getting in and out of the bath tub
I need to check my medications for expiration dates
I need to have a fire escape plan with my family
I will apply tape over frayed areas of electrical cords
I need to set my hot water heater to 140 degrees Fahrenheit
a nurse is assessing a client’s cranial nerve VII. Which of the following responses should the nurse expect?
The client has a symmetrical smile
The client’s tongue is in a midline position
The client turns his head against resistance
The clients pupils constrict and responds to light
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? Offer pain medication
Palpate the abdomen
Auscultate bowel sounds
Administer an antiemetic
a nurse is caring for a client who recently received a diagnosis of terminal cancer. Which of the following statements by the clients partner indicates maladaptive coping? Don’t understand why he can’t get better and return to work
cook for him at home and work hard to prepare a nutritious meals
I am going to ask my daughter to come and stay for a week
I don’t know if I will be able to meet his physical needs
a nurse is planning care for a client who has a stage 1 pressure ulcer on the right heel. The nurse should anticipate application of which of the following dressings?
Dry gauge
Transparent
Calcium alginate
Hydrogel [Show Less]