Fundamentals ATI Proctored Exam
RN Fund A
A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at an
... [Show More] average risk for colon cancer, I should have a routine screening. What does that involve?" Which of the following responses should the nurse make?
You should have a fecal occult blood test every year."
A nurse is caring for a client who is having difficulty breathing. The client is lying in bed with a nasal cannula delivering oxygen. Which of the following interventions should the nurse take first? Assist the client to an upright position.
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?
Gently shake the container of medication prior to administration.
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?
Use a clock pattern to describe food on the client's plate.
A nurse is teaching an older adult client who is at risk for osteoporosis about beginning a
program of regular physical activity. Which of the following types of activity should the nurse recommend?
Walking briskly
A nurse is assessing a client's readiness to learn about insulin administration. Which of the following statements should the nurse identify as an indication that the client is ready to learn? "I can concentrate best in the morning."
A nurse is giving discharge instructions to a client who will require oxygen therapy at home. Which of the following statements should the nurse identify as an indication that the client understands how to manage this therapy at home?
"I'll check the wires and cables on my TV to make sure they are in good working order."
A nurse is caring for a client who is reporting difficulty falling asleep. Which of the following
measures should the nurse recommend?
Use progressive relaxation techniques at bedtime.
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?
Semi-Fowler's
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?
Erythema on pressure points
A nurse is caring for a client who requires a 24-hr urine collection. Which of the following statements by the client indicates an understanding of the teaching? "I flushed what I urinated at 7:00 a.m. and have saved all urine since."
A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that his condition is a contraindication for which of the following therapies?
Acupuncture
A nurse is preparing to transfer a client who has right-sided weakness from the bed to a chair. In what order should the nurse take the following actions to assist the client? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
The first action the nurse should take is to assess the client to determine if he can bear weight and assist with his transfer. Next, the nurse should position the chair on the side of the bed closest to the client's stronger side for easy access. Next, the nurse should have the client sit and dangle his feet at the bedside to allow him to adjust to sitting up and prevent dizziness when transferring. Finally, the nurse should use the stand-and-pivot technique to move the client to the chair.
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?
Ask another nurse to observe the medication wastage.
A nurse is preparing a heparin infusion for a client who was hospitalized with deep-vein thrombosis. The order reads: 25,000 units of heparin in 250 mL of 0.9% sodium chloride to infuse at 800 units/hr. At what rate should the nurse set the infusion pump? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 8ml
A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to mix together and administer subcutaneously. Determine the correct order of steps for this procedure. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
The nurse should first inject air into the vial of NPH without touching the needle to the solution. Next, the nurse should inject air into the vial of regular insulin, and then withdraw the correct amount of the regular insulin. Finally, the nurse should insert the needle into the NPH insulin vial and withdraw the correct amount of NPH insulin. The nurse should follow these steps to prevent contaminating the regular insulin with NPH insulin.
A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer
following major abdominal surgery. Which of the following is the nurse's priority action?
Determine the reasons why the client is refusing to use the incentive spirometer.
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?
The dose
A nurse is caring for a client who has limited mobility in his lower extremities. Which of the following actions should the nurse take to prevent skin breakdown? Have the client use a trapeze bar when changing position.
A nurse has accepted a verbal prescription for three tenths of a milligram of levothyroxine IV stat for a client who has myxedema coma. How should the nurse transcribe the dosage of this medication in the client's medical record?
0.3 mg
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? Skin blanching
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? Flush the tube with 15 mL of sterile water.
A nurse is planning an education session for an older adult client who has just learned that she has type 2 diabetes mellitus. Which of the following strategies should the nurse plan to use with this client?
Allow extra time for the client to respond to questions.
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?
The client holds the cane on the stronger side of her body.
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? eggs
A nurse is caring for a client who asks about the purpose of advance directives. Which of the following statements should the nurse make?
They indicate the form of treatment a client is willing to accept in the event of a serious illness."
A nurse is assessing a client who has been on bed rest for the past month. Which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis? Calf swelling
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? The pain is like a dull ache in my stomach.
A nurse is administering an otic medication to an older adult client. Which of the following actions should the nurse take to ensure that the medication reaches the inner ear? Press gently on the tragus of the client's ear.
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? "Are you able to help with your hygiene care?"
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? Have family members wear a gown and gloves when visiting.
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.) Visual acuity is correct.Pupil clarity is correct.Visual fields is correct.
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?
Reassure the client that this is an expected response to grief.
A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the nurse plan to take? Place the client's arm in a dependent position.
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? Stand close to the cabinet when lifting it. [Show Less]