ATI FUNDAMENTALS PTOCTORED EXAM 2019
1. A medic is assessing a client’s personal hygiene. Which of the following
findings indicates that the client
... [Show More] might have difficulty with routinely bruising
their teeth?
A. The client’s mucosa is moist is
B. The client gums feel spongy
C. The client has a missing tooth
D. The Client’s tongue is a dull red color
2. A medic is planning to discharge a client who has diabetes mellitus and
a new prescription for insulin. Which of the following actions should the nurse
plan to complete first?
A. Make a copy of the medication reconciliation form for the client
B. Provide the client with the contact number for a diabetes education
specialist
C. Determine whether the client can afford the insulin administration
supplies
D. Obtain printed about insulin self-administration
3. A community health nurse is teaching a group of clients about kegel
exercises to prevent urinary incontinence. Which of the following instructions
should the nurse include?
A. Contact your pelvic muscle when performing the exercises
B. Expect improvement after 2 weeks of performing the exercises
C. Hold your breath when performing the exercises
D. Tighten your buttocks when performing the exercises
4. A nurse is assessing the skin of a client who has worked outdoors for the
past 20 years. Which of the following findings is the nurse's priority?
A. Skin tags noted in the neck region
B. A change in appearance of a mole on the shoulder
C. A flat, nonpalpable, discovered area of skin on the trunk
D. Atrophic wart on the left index finger
5. A nurse is caring for a client who has a high fever. Which of the following
actions should the nurse take?
A cover the client with heavy blankets after shivering subsides
B place ice packs on the client’s neck and behind the knees
C apply a bath blanket between the client and a cooling blanket
D give the client a sponge bath using alcohol water solution
6. A nurse is caring for an infant who is to undergo surgery. The
nurse should identify which of the following individuals should sign
the consent form?
A. The infants 17 year old mother
B. The infants provider
C. The infants grandmother
D. The mother’s 21 year old sibling
7. A medic is assisting in the use of a fracture bedpan for a client who is immobile
due to a cast. Which of the following actions should the nurse use?
A. Encourage the client to try to defecate for 20 min while on the fracture pan.
B. Keep the bed flat while the client is on the fracture pan.
C. Hyperextend the clients back while the fracture pan is in place.
D. Place the shallow end of the fracture pan under the client’s buttocks.
8. A medic is reviewing the medical record of a client who asks about the use
of a magnet therapy for pain relief. The nurse should identify which of the
following findings is a contraindication for receiving this type of therapy?
A. The client is allergic to penicillin
B. The client has a prescription for metoprolol
C. The client has a history of alcohol use disorder
D. The client has an implanted defibrillator
9. A medic is caring for a client who requires airborne precautions. The
nurse is preparing to leave the clients room following a dressing change.
Which of the following pieces of personal protective equipment should the
nurse remove first?
A. Gloves
B. Eyewear
C. Gown
D. Mask
10. A medic is teaching a newly licensed nurse about the care of a client who has
methicillin resistant staphylococcus aureus (MRSA) infection. Which of the following
statements by the newly licensed nurse indicates an understanding of the teaching?
A. I will wear an N95 respirator mask when caring for the client
B. I will tell the clients visitors to wear a mask when they are within 3
feet of the client.
C. I will place the client in a private room
D. I will remove my gown before my gloves after providing client care.
11. A charge nurse in a long term care facility is preparing an educational
program about delirium for newly hired nurses. Which of the following
statements should the nurse plan to include?
A. Delirium has an abrupt onset
12. A v is preparing to insert an IV catheter for an adult client. Which of
the following actions should the nurse take?
A. choose the most proximal site on the extremity selected
B. apply a cool compress for several minutes before insertion of the IV catheter
C. place the tourniquet below the proposed insertion site
D. place the extremity in a dependent position
13. A medic is teaching a client who is about to undergo a bowel resection
about advance directives. Which of the following instructions should the
nurse include in the teaching?
A. Your partner must be present when you sign the advance directives
B. You will receive written information about advance directives prior
to signing
C. You are required to sign advance directives prior to surgery
D. Your provider must sign the advance directives before surgery
14. A medic is caring for a client who has wrist restraints after an episode of
violent behavior. Which of the following actions should the nurse take?
15. A medic is preparing to administer several medications via NG tube to a
client who is receiving a continuous tube feeding. Which of the following actions
should the nurse take?
A. Dilute each crushed medication with sterile water
B. Mix the medication together in a single syringe
- Remove one restraint at a time
C. Flush the NG tube with 5 mL of sterile water prior to administration
D. Combine the medication with the formula in the feeding bag
16. A medic is planning care for a client who has urinary incontinence.
Which of the following interventions should the nurse include in the
client's plan of care?
A. Toilet the client every 4 hr while the client is awake
B. Apply a moisture barrier in a thick layer to vulnerable skin areas
C. Cleanse the skin with antibacterial soap and hot water after each
incontinence episode
D. Reduce the client’s daily fluid intake
17. A medic is caring for a client who has a prescription for a 250 mL IV fluid
bolus. The nurse administers a 500 mL IV bolus. Which of the following
actions should the nurse take first?
A. Complete an incident report
B. Obtain the client’s vital signs
C. Document the fluid infusion in the client’s chart
D. Report the incident in to the unit manager
18. A home health nurse is teaching a client about home safety. Which of the
following statements by the client indicates an understanding of the teaching?
(SATA)
- I need to check my medications for expiration dates
- I will use the grab bars when getting in and out of the bathtub
- I need to have a fire escape plan with my family
19. A medic is caring for a client who is scheduled for surgery. While the nurse is
witnessing the client's signature, the client states, I trust my doctor, but I don't
understand what is meant by resecting my intestine. Which of the following actions
should the nurse take?
- Notify the provider
20. A medic is discussing the stages of general adaptation syndrome with a
newly licensed nurse. The nurse should identify that which of the following
manifestations occurs during the alarm reaction stage?
A. Dilated pupils
B. Physical exhaustion
C. Bradycardia
D. Depression
21. A medic is preparing to administer IV fluids to a client. The nurse notes sparks
when plugging in the IV pump. Which of the following actions should the nurse
take first? - -
-
A. Unplug the pump
B. obtain a replacement pump
C. Notify the biomedical department to fix the pump
D. Label the pump with a defective equipment sticker
22. A medic is caring for a client who is receiving a warm, moist compress to
relieve lower back pain. Which of the following findings should indicate to the
nurse that the compress has been effective?
A. The client’s skin on the lower back is intact without redness
B. The client’s laughing at a television show
C. The client states that he is able to [Show Less]