ATI FUNDAMENTALS PRACTICE A, B, & FINAL, ATI FUNDAMENTALS REVIEW WITH COMPLETE SOLUTIONS
A nurse is caring for a client who is receiving IV therapy via
... [Show More] a peripheral catheter. The nurse should
identify that which of the following findings is an indication of infiltration? - Answer Edema at the infusion
site
A nurse is providing discharge teaching to a client who is recovering from lung cancer. The provider
instructed the client that he could resume lower-intensity activities of daily living. Which of the following
activities should the nurse recommend to the client? - Answer Washing dishes
A nurse is caring for a client who has acute renal failure. Which of the following assessments provides
the most accurate measure of the client's fluid status? - Answer Daily weight
A nurse is planning to assess the abdomen of a client who reports feeling bloated for several weeks.
Which of the following methods of assessment should the nurse use first? - Answer Inspection
A nurse is explaining the use of written consent forms to a newly-licensed nurse. The nurse should ensure
that a written consent form has been signed by which of the following clients? - Answer A client who has
a prescription for a transfusion of packed red blood cells
A nurse in a long-term care facility is admitting a client who is incontinent and smells strongly of urine.
His partner, who has been caring for him at home, is embarrassed and apologizes for the smell. Which of
the following responses should the nurse make? - Answer "It must be difficult to care for someone who is
confined to bed."
A nurse in a provider's office is assessing a client who has heart failure. The client has gained weight
since her last visit and her ankles are edematous. Which of the following findings by the nurse is another
clinical manifestation of fluid volume excess? - Answer Bounding pulse
A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following
actions should the nurse take first after discovering that the client's wound has eviscerated? - Answer
Cover the incision with a moist sterile dressing.
A nurse is teaching a client who has lower extremity weakness how to use a four-point crutch gait. Which
of the following instructions should the nurse include in the teaching? - Answer "Bear weight on both of
your legs."
A nurse in a provider's office is collecting information from an older adult client who reports that he has
been taking acetaminophen 500 mg/day for severe joint pain. The nurse should instruct the client that
large doses of acetaminophen could cause which of the following adverse effects? - Answer Liver Damage
A nurse is planning to document care provided for a client. Which of the following abbreviations should
the nurse use? - Answer PC for after meals
A nurse is responding to a parent's question about his infant's expected physical development during the
first year of life. Which of the following information should the nurse include? - Answer A 10-month-old
infant can pull up to a standing position.
An assistive personnel (AP) is assisting a nurse with the care of a female client who has an indwelling
urinary catheter. Which of the following actions by the AP indicates a need for further teaching? - Answer
The AP hangs the collection bag at the level of the bladder.
A nurse is reviewing a client's medication prescription, which reads, "digoxin 0.25 by mouth every day."
Which of the following components of the prescription should the nurse question? - Answer The dose
A client who reports shortness of breath requests her nurse's help in changing positions. After
repositioning the client, which of the following actions should the nurse take next? - Answer Observe the
rate, depth, and character of the client's respirations.
A nurse is caring for a client who, while sitting in a chair, starts to experience a seizure. Which of the
following actions should the nurse take? - Answer Lower the client to the floor and place a pad under the
client's head.
A home health nurse is planning to provide health promotion activities for a group of clients in the
community. Which of the following activities is an example of the nurse promoting primary prevention? -
Answer Educating clients about the recommended immunization schedule for adults
A nurse is using the I-SBAR communication tool to provide the client's provider with information about the
client. The nurse should convey the client's pain status in which portion of the report? - Answer
Assessment
A newly licensed nurse is preparing to administer medications to a client. The nurse notes that the
provider has prescribed a medication that is unfamiliar to her. Which of the following actions should the
nurse take? - Answer Consult the medication reference book available on the unit.
A nurse is providing oral care for a client who is unconscious. Which of the following actions should the
nurse take? - Answer Place the client in a lateral position with the head turned to the side before
beginning the procedure.
A nurse is planning to perform passive range-of-motion exercises for a client. Which of the following
actions should the nurse take? - Answer Repeat each joint motion five times during each session.
A nurse is teaching a client who is postoperative how to use a flow-oriented incentive spirometer. Which
of the following instructions should the nurse include? - Answer Cough deeply after each use.
A nurse is teaching a client how to self-administer insulin. Which of the following actions should the nurse
take to evaluate the client's understanding of the process within the pyschomotor domain of learning? -
Answer Have the client demonstrates the procedure.
A nurse is providing teaching about food choices to a client who has a prescription for a clear liquid diet.
Which of the following selections by the client indicates an understanding of the teaching? - Answer
Gelatin
A nurse is performing a neurological assessment for a client. Which of the following examinations should
the nurse use to check the client's balance? - Answer Romberg test
A nurse in a provider's office is reviewing the laboratory findings of a client who reports chills and aching
joints. The nurse should identify which of the following findings as an indication that the client has an
infection? - Answer WBC 15,000 mm3
A nurse is preparing to administer an intramuscular injection to a young adult client. Which of the
following injection sites is the safest for this client? - Answer Ventrogluteal
A nurse is applying an ice bag to the ankle of a client following a sports injury. Which of the following
actions should the nurse take? - Answer Fill the bag two-thirds full with ice.
A nurse is caring for a client who is 48 hr postoperative following a small bowel resection. The client
reports gas pains in the periumbilical area. The nurse should plan care based on which of the following
factors contributing to this postoperative complication? - Answer Impaired peristalsis of the intestines
A client is being discharged home with oxygen therapy via a nasal cannula. Which of the following
instructions should the nurse provide to the client and family? - Answer Wear cotton clothing to avoid
static electricity.
A nurse is planning to insert a nasogastric tube for a client after explaining the procedure. The client
states, "You are not putting that hose down my throat." Which of the following statements should the
nurse make? - Answer "I can see that this is upsetting you."
A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should the
nurse plan to take? - Answer Position the client on his left side.
A nurse on a surgical unit is receiving a client who had abdominal surgery from the postanesthesia care
unit. Which of the following assessments should the nurse make first? - Answer Airway
A nurse is caring for a client who has a prescription for a vest restraint. Which of the following actions
should the nurse take? - Answer Tie the restraint with a quick-release knot.
A nurse is cqaring for a client who has a fecal impaction. Before digital removal of the mass, which of the
following types of enemas should the nurse plan to administer to soften the feces? - Answer Oil retention
A nurse is providing education about cultural and religious traditions and rituals related to death for the
assistive personnel on the unit. Which of the following information should the nurse include? - Answer
People whopractice Judaism stay with the body of the deceased until burial.
A nurse is reviewing the correct use of a fire extinguisher with a client. Which of the following actions
should the nurse direct the client to take first? - Answer
A nurse is preparing to provide chest physiotherapy for a client who has left lower lobe atelectasis. Which
of the following actions should the nurse plan to take? - Answer Place the client in Trendelenburg's
position.
A nurse is planning care for a client who is postoperative and has a history of poor nutritional intake.
Which of the following actions should the nurse include in the plan of care to promote wound healing? -
Answer Provide a protein intake of 1.5 g/kg of body weight per day.
A nurse is caring for a client who has a terminal illness. Which of the following findings indicates that the
client's death is imminent? - Answer Cold extremities [Show Less]