ATI PN Fundamentals 2020 B
A nurse is planning to administer medication to a client who has a Clostridium difficile infection. Which
of the following
... [Show More] actions should the nurse plan to take to prevent the transmission of this infection to
others?
Remove the cover gown in the client's room after providing care.
A nurse is caring for a client who is postoperative following a mastectomy. The client states, "I can
barely look at myself in the mirror." The nurse should identify that the client is experiencing which of the
following
Actual loss
A nurse is contributing to the plan of care for a client who is dying. Which of the following interventions
should the nurse recommend to include the client's family in the plan of care? (Select all that apply.)
Keep the family updated about the client's status is correct.
Encourage the family to comb the client's hair is correct.
Tell the client's family what to expect as the client's death nears is correct.
A nurse is preparing to perform a wound irrigation for a client who has a stage 3 pressure injury. Which
of the following supplies should the nurse plan to use?
A piston syringe
A nurse is planning care for a group of clients. The nurse should expect to witness an informed consent
for a client who will undergo which of the following procedures?
Performance of a paracentesis
A nurse is collecting data from a client who is 2 days postoperative following a colostomy placement.
Which of the following findings should the nurse report to the provider?
A purple-colored stoma
A nurse is reinforcing teaching with a client who has pneumonia and a productive cough. Which of the
following instructions should the nurse include in the teaching
"You should cover your mouth with a tissue when you cough." •
A nurse is caring for a client who is scheduled for surgery the following day. During the night, the client
is unable to sleep and is restless. Which of the following statements should the nurse make?
"It must be difficult facing this type of surgery."
A nurse is providing care to four clients in an acute care setting. The nurse should identify that which of
the following client statements presents an ethical dilemma?
"Please don't tell my doctor, but I am taking my partner's oxycodone."
A nurse is reinforcing teaching with a client about self-administration of ophthalmic drops. Which of the
following instructions should the nurse include?
"You should cleanse your eye from the inner to the outer edge prior to putting in the drops."
A nurse is preparing to administer a medication to a preschooler and must convert the child's weight
from pounds to kilograms. The child weighs 30 lb. How many kilograms does the child weigh? (Round
the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
13.6
A nurse in a long-term care facility is collecting admission data from a client who uses a hearing aid.
Which of the following actions should the nurse take
Choose a private room for the interview
A nurse is preparing to document information about a client's lower legs, which are swollen with 6 mm
edema. Which of the following information should the nurse document?
3+ pitting edema
A nurse is caring for a client who has been vomiting and has diarrhea. Which of the following findings
should the nurse identify as an indication of fluid volume deficit?
A thready pulse
A nurse is caring for a client who has chronic pain. The nurse recommends that the client concentrate on
a memory of a pleasurable experience. Which of the following complementary therapies is the nurse
suggesting?
Guided imagery •
A nurse manager is reinforcing teaching with a group of newly licensed nurses about the disclosure of
client health information. A nurse can disclose health information without the client's written
permission to which of the following entities?
A physical therapist who is involved in the client's care •
A nurse is caring for a client who has dyspnea caused by a respiratory infection. The nurse should assist
the client into which of the following positions?
Orthopneic
A nurse working in a community clinic is talking with an older adult client who states that their life has
no purpose. The nurse should identify that the client is in which of the following stages of Erikson's
Theory of Psychosocial Development?
ego integrity vs despair
A nurse working in a hospital overhears the following conversation between two other nurses on the
elevator. Which of the following actions should the nurse take? (Click on the audio button to listen to
the clip.)
Tell the nurses to change the topic of conversation. •
A nurse in an acute care setting is documenting postmortem care in a client's medical record. Which of
the following information should the nurse include in the documentation?
• Release of personal belongings form
A nurse is assisting with the admission of an older adult client to an acute care facility. The client states
that they are afraid to go to sleep, fearing they will not wake up. Which of the following is a therapeutic
response the nurse should make?
"Describe your concerns about sleeping to me
A nurse is documenting client care in a client's electronic health record. Which of the following entries
should the nurse include in the documentation?
"Became short of breath when ambulating." •
A nurse is providing oral hygiene for a client who is unconscious. Identify the sequence of the steps the
nurse should take. (Move the steps into the box on the right, placing them in the selected order of
performance. Use all the steps.)
Assess the client's gag reflex
Position the client on their side with their head turned to the side
Place a towel under the client's head with an emesis basin under their chin
Separate the client's upper and lower teeth with an oral airway device
Cleanse the client's mouth using a toothbrush
A nurse is reinforcing teaching about advance directives with a client who has end-stage renal disease.
Which of the following client statements indicates an understanding of the teaching?
"I know that I can change my advance directives if I need to in the future."
A nurse is caring for a group of clients in a long-term care facility. Which of the following actions should
the nurse take to prevent health care associated infections for these clients? (Select all that apply.)
✓ Wash hands after removing gloves.
✓ Use antimicrobial hand gel after relling a client's water pitcher. ✓ Clean the stethoscope with an
antimicrobial wipe after obtaining vital signs.
A nurse in a provider's office is providing care for a client who has minimal exposure to sunlight. Which
of the following interventions should the nurse recommend?
Take vitamin D supplements.
A nurse is caring for a client who has chronic kidney disease. The nurse should identify that [Show Less]