ATI Fundamentals - Practice A
Questions And Answers Update 2023
(A+)
A nurse is evaluating a client's use of a cane. Which of the following actions
... [Show More] should the
nurse identify as an indication of correct use? - Correct Answer-The client holds the
cane on the stronger side of her body.
A nurse receives report about a client who has 0.9% sodium chloride infusing IV at 125
mL/hr. When the nurse performs the initial assessment, he notes that the client has
received only 80 mL over the last 2 hr. Which of the following actions should the nurse
take first? - Correct Answer-Check the IV tubing for obstruction.
A nurse is caring for a client who requires an NG tube for stomach decompression.
Which of the following actions should the nurse take when inserting the NG tube? -
Correct Answer-Have the client take sips of water to promote insertion of the NG tube
into the esophagus.
A nurse is reviewing a client's fluid and electrolyte status. Which of the following findings
should the nurse report to the provider? - Correct Answer-Potassium 5.4 mEq/L
A nurse is providing discharge instructions to a client who will be using a walker. Which
of the following statements indicates an understanding of the teaching? - Correct
Answer-"I will hire someone to trim the tree that hangs low over the stairs of my front
porch."
A nurse is planning care for a client who has had a stroke, resulting in aphasia and
dysphagia. Which of the following tasks should the nurse assign to an assistive
personnel (AP)? (Select all that apply.) - Correct Answer-assist the client with a partial
bed bath, measure the client's BP after the nurse administers an antihypertensive
medication, use a communication board to ask what the client wants for lunch
A nurse is caring for a client who is expressing anger about the diagnosis of colorectal
cancer. Which of the following actions should the nurse take? - Correct AnswerReassure the client that this is an expected response to grief.
A nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury.
Which of the following types of dressing should the nurse use? - Correct AnswerHydrocolloid
A nurse is administering an otic medication to an older adult client. Which of the
following actions should the nurse take to ensure that the medication reaches the inner
ear. - Correct Answer-Press gently on the tragus of the client's ear.
A nurse is using an open irrigation technique to irrigate a client's indwelling urinary
catheter. Which of the following actions should the nurse take? - Correct AnswerSubtract the amount of irrigant used from the client's urine output.
A nurse is initiating a protective environment for a client who has had an allogeneic
stem cell transplant. Which of the following precautions should the nurse plan for this
client? - Correct Answer-Make sure the client wears a mask when outside her room if
there is construction in the area.
A nurse is auscultating the anterior chest of a client who was newly admitted to a
medical-surgical unit. Listen to the audio clip of what the nurse auscultates through the
stethoscope and identify the type of breath sounds. (Click on the audio button to listen
to the clip.) - Correct Answer-Normal breath sounds
A nurse is planning strategies to manage time effectively for client care. Which of the
following strategies should the nurse implement? - Correct Answer-Use the planning
step of the nursing process to prioritize client care delivery.
A nurse is caring for a client who is postoperative following a knee arthroplasty and
requires the use of thigh-length sequential compression sleeves. Which of the following
actions should the nurse take? - Correct Answer-Make sure two fingers can fit under the
sleeves.
A nurse is caring for a client who has a respiratory infection. Which of the following
techniques should the nurse use when performing nasotracheal suctioning for the
client? - Correct Answer-Apply intermittent suction when withdrawing the catheter.
A nurse is assessing a client who reports increased pain following physical therapy.
Which of the following questions should the nurse ask when assessing the quality of the
client's pain? - Correct Answer-"Is your pain sharp or dull?"
A nurse is providing discharge teaching to a client about self-administering heparin.
Which of the following instruction should the nurse include in the teaching? - Correct
Answer-Administer the medication into the abdomen.
A nurse is a long-term care facility is caring for a client who dies during the nurse's shift.
Identify the sequence in which the nurse should perform the following steps. (Move the
steps into the box on the right, placing them in the order of performance. Use all the
steps.) - Correct Answer-Obtain the pronouncement of death from the provider. Remove
tubes and indwelling lines. Wash the client's body. Ask the client's family members if
they would like to view the body. Place a name tag on the body.
A nurse is teaching a client and his family how to care for the client's tracheostomy at
home. Which of the following instructions should the nurse include in teaching?... [Show Less]