NURS 220: Virtual ATI Fundamentals Questions and Correct Answers (Graded A+)
Virtual ATI Fundamentals
Questio ns Rational es
1.A nurse is
... [Show More] preparing to assess a client’s cardiac function by auscultating heart sounds at the cardiac landmarks. Which of the following areas should the nurse identify as the pulmonic area? (Select only the hot spot that corresponds to your answer.)
a.A
b.B
c.C
d.D a; incorrect. Nurse should identify this area as the mitral area of cardiac landmarks, considered the point of maximal impulse. Also the area which apical heart rate is best auscultated, located in the 5th intercostal space, to the left of the sternum, at the left midclavicular line.
b; incorrect. This area is the tricuspid area, located at the left 4th or 5th intercostal space, near the sternum.
c; correct. This area is the pulmonic area, located at left 2nd intercostal space, near the sternum.
d; incorrect. This area is the aortic area, located in the right 2nd intercostal space, near the sternum.
2. A nurse is applying a new transdermal patch to a client. Which of the following actions should the nurse take?
a.Wear gloves when applying the patch.
b.Apply the patch to the client’s right or left forearm.
c.After applying a new patch, dispose of the old one in a waste container with a lid.
d.When replacing the patch, cut the old one in half before disposing of it. a; correct. Nurse should apply the patch while wearing clean gloves to prevent transfer of the medication through the skin.
b; incorrect. Nurse should not apply patch to distal areas of the body, such as forearms.
Nurse should apply patch to areas that do not move frequently such as lower abdomen or buttocks.
c; incorrect. When applying a new patch, nurse should fold the adhesive side of the old patch together and dispose of it in a childproof container.
d; incorrect. When replacing the patch, nurse should fold the adhesive side of the old patch together and dispose of it in a childproof container.
3. A home health nurse is making an initial assessment visit to an older adult client who has type 1 diabetes mellitus. Which of the following statements should the nurse make to evaluate the client’s ability to measure blood glucose accurately? a; correct. Asking for a return demonstration is an effective way to assess a client’s ability to complete a psychomotor activity. The nurse should carefully observe the client using the glucometer to
validate the client’s understanding of the procedure and evaluate
a.“Please use your glucometer and show me the results.” whether or not the method is accurate. [Show Less]