ATI FUNDAMENTALS PRACTICE TEST A
A nurse is administering an otic medication to an older adult client. Which of the
following actions should the nurse
... [Show More] take to ensure that the medication reaches the inner
ear?
A) Press gently on the tragus of the client's ear.
B) Pack a small piece of cotton deep into the client's ear canal.
C) Move the client's auricle down and back toward her head.
D) Tilt the client's head backward for 5 min. - Answer - A) Press gently on the tragus of
the client's ear.
A nurse is providing care to four clients. Which of the following situations requires the
nurse to complete an incident report?
A) A nurse tied a client's restraint straps to the moveable part of the bed frame.
B) An assistive personnel placed a surgical mask on a client who has tuberculosis
before transporting her to radiology.
C) A nurse administers a medication to a client 30 min before the dose is due.
D) A client who has an IV infusion pump receives an additional 250 mL of IV fluid. -
Answer - D) A client who has an IV infusion pump receives an additional 250 mL of IV
fluid.
A nurse is caring for a client who is expressing anger over his diagnosis of colorectal
cancer. Which of the following actions should the nurse take?
A) Discuss the risk factors for colon cancer.
B) Focus teaching on what the client will need to do in the future to manage his illness.
C) Provide the client with written information about the phases of loss and grief.
D) Reassure the client that this is an expected response to grief. - Answer - D)
Reassure the client that this is an expected response to grief.
A nurse is preparing to administer multiple medications to a client who has an enteral
feeding tube. Which of the following actions should the nurse plan to take?
A) Dissolve each medication in 5 mL of sterile water.
B) Draw up medications together in the syringe.
C) Push the syringe plunger gently when feeling resistance.
D) Flush the tube with 15 mL of sterile water. - Answer - D) Flush the tube with 15 mL of
sterile water.
A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair.
To prevent self-injury, which of the following actions should the nurse take when lifting
this object?
A) Bend at the waist.
B) Keep his feet close together.
C) Use his back muscles for lifting.
D) Stand close to the cabinet when lifting it. - Answer - D) Stand close to the cabinet
when lifting it.
A nurse is caring for a client who reports pain. When documenting the quality of the
client's pain on an initial pain assessment, the nurse should record which of the
following client statements?
A) "I'm having mild pain."
B) "The pain is like a dull ache in my stomach."
C) "I notice that the pain gets worse after I eat."
D) "The pain makes me feel nauseous." - Answer - B) "The pain is like a dull ache in my
stomach."
A nurse is reviewing a client's fluid and electrolyte status. Which of the following findings
should the nurse report to the provider?
A) BUN 15 mg/dL
B) Creatinine 0.8 mg/dL
C) Sodium 143 mEq/L
D) Potassium 5.4 mEq/L - Answer - D) Potassium 5.4 mEq/L
A nurse is evaluating a client's use of a cane. Which of the following actions should the
nurse identify as an indication of correct use?
A) The top of the cane is parallel to the client's waist.
B) When walking, the client moves the cane 46 cm (18 in) forward.
C) The client holds the cane on the stronger side of her body.
D) The client moves her stronger limb forward with the cane. - Answer - C) The client
holds the cane on the stronger side of her body.
A nurse is assisting a client who is postoperative with the use of an incentive spirometer.
Into which of the following positions should the nurse place the client?
A) Side-lying
B) Supine
C) Semi-Fowler's
D) Trendelenburg - Answer - C) Semi-Fowler's
A charge nurse is discussing the responsibility of nurses caring for clients who have a
Clostridium difficile infection. Which of the following information should the nurse include
in the teaching?
A) Assign the client to a room with a negative air-flow system.
B) Use alcohol-based hand sanitizer when leaving the client's room.
C) Clean contaminated surfaces in the client's room with a phenol solution.
D) Have family members wear a gown and gloves when visiting. - Answer - D) Have
family members wear a gown and gloves when visiting.
A nurse is preparing to administer an injection of an opioid medication to a client. The
nurse draws out 1 mL of the medication from a 2 mL vial. Which of the following actions
should the nurse take?
A) Ask another nurse to observe the medication wastage.
B) Notify the pharmacy when wasting the medication.
C) Lock the remaining medication in the controlled substances cabinet.
D) Dispose of the vial with the remaining medication in a sharps container. - Answer - A)
Ask another nurse to observe the medication wastage.
A nurse is performing a peripheral vascular assessment for a client. When placing the
bell of the stethoscope on the client's neck, she hears the following sound. This sound
indicates which of the following? (Click on the audio button to listen to the clip.)
A) Narrowed arterial lumen
B) Distended jugular veins
C) Impaired ventricular contraction
D) Asynchronous closure of the aortic and pulmonic valves - A [Show Less]