ATI RN Fundamentals 2019 Exam|4 VERSIONS BUNDLED TOGETHER|Questions and Verified Answers|100% Correct
1. A nurse is preparing to administer an
... [Show More] 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?
Answer: Ask another nurse to observe the medication wastage.
2. 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.)
Answer: Narrowed arterial lumen
3. (Bruit)
4. 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?
Answer: Subtract the amount of irrigant used from the client's urine output.
5. A nurse is assessing an older adult client's risk for falls. Which of the following assessments should the nurse use to identify the client's safety needs? (Select all that apply.)
Answer: B) Pupil clarity
6. D) Visual fields
7. E) Visual acuity
8. A nurse is caring for a client receiving fluid through a peripheral IV catheter. Which of the following findings at the IV site should the nurse identify as infiltration?
Answer: Skin blanching
9. A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. Which of the following actions should the nurse take?
Answer: Gently shake the container of medication prior to administration.
10. A nurse is administering IV fluid to an older adult client. The nurse should perform which priority assessment to monitor for adverse effects?
Answer: Auscultate lung sounds.
11. A nurse is planning care to improve self-feeding for a client who has vision loss. Which of the following interventions should the nurse include in the plan of care?
Answer: Use a clock pattern to describe food on the client's plate.
12. A nurse is assessing an adult client who has been immobile for the past 3 weeks. The nurse should identify that which of the following findings requires further intervention?
Answer: Erythema on pressure points
13. A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a new tracheostomy. Which of the following actions should the nurse plan to take?
Answer: Select a suction catheter that is half the size of the lumen.
14. A nurse is admitting a client who has varicella. Which of the following types of transmission precautions should the nurse initiate?
Answer: Airborne
15. A nurse is caring for a client who is reporting difficulty falling asleep. Which of the following measures should the nurse recommend?
Answer: Use progressive relaxation techniques at bedtime.
16. A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first?
Answer: Check the client for injuries.
17. A nurse is caring for a client who has had his diet prescription changed to a mechanical soft diet. Which of the following food items should the nurse remove from the client's breakfast tray?
Answer: Eggs
18. A nurse in a long-term care facility is planning to perform hygiene care for a new resident. Which of the following assessment questions is the nurse's priority before beginning this procedure?
Answer: "Are you able to help with your hygiene care?"
19. 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
20. 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.
21. 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.
22. 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
23. 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 [Show Less]