ATI Fundamentals Practice A, B, & Final, ATI Fundamentals Exam 2020

ATI Fundamentals Practice A, B, & Final, ATI Fundamentals Exam 2020 1. 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 2. 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?: Observe the rate, depth, and character of the client's respirations. 3. A nurse is caring for a client who, while sitting in a chair, starts to experi- ence a seizure. Which of the following actions should the nurse take?: Lower the client to the floor and place a pad under the client's head. 4. 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?: Educating clients about the recommended immunization schedule for adults 5. 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?: Assessment 6. A nurse is caring for a client who is receiving IV therapy via a peripheral catheter. The nurse should identify that which of the following findings is an indication of infiltration?: Edema at the infusion site 7. A nurse is providing discharge teaching to a client who is recovering from lung cancer. The provider instructed the client that he could resume lower-intensity activities of daily living. Which of the following activities should the nurse recommend to the client?: Washing dishes 8. A nurse is caring for a client who has acute renal failure. Which of the following assessments provides the most accurate measure of the client's fluid status?: Daily weight 9. A nurse is planning to assess the abdomen of a client who reports feeling bloated for several weeks. Which of the following methods of assessment should the nurse use first?: Inspection 10. A nurse is explaining the use of written consent forms to a newly-licensed nurse. The nurse should ensure that a written consent form has been signed by which of the following clients?: A client who has a prescription for a transfu- sion of packed red blood cells 11. A nurse in a long-term care facility is admitting a client who is incontinent and smells strongly of urine. His partner, who has been caring for him at home, is embarrassed and apologizes for the smell. Which of the following responses should the nurse make?: "It must be difficult to care for someone who is confined to bed." 12. A nurse in a provider's office is assessing a client who has heart fail- ure. The client has gained weight since her last visit and her ankles are edematous. Which of the following findings by the nurse is another clinical manifestation of fluid volume excess?: Bounding pulse 13. A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following actions should the nurse take first after discovering that the client's wound has eviscerated?: Cover the incision with a moist sterile dressing. 14. A nurse is teaching a client who has lower extremity weakness how to use a four-point crutch gait. Which of the following instructions should the nurse include in the teaching?: "Bear weight on both of your legs." 15.A nurse in a provider's office is collecting information from an older adult client who reports that he has been taking acetaminophen 500 mg/day for severe joint pain. The nurse should instruct the client that large doses of acetaminophen could cause which of the following adverse effects?: Liver Damage 16. A nurse is planning to document care provided for a client. Which of the following abbreviations should the nurse use?: PC for after meals 17. A nurse is responding to a parent's question about his infant's expected physical development during the first year of life. Which of the following information should the nurse include?: A 10-month-old infant can pull up to a standing position. 18. An assistive personnel (AP) is assisting a nurse with the care of a female client who has an indwelling urinary catheter. Which of the following actions by the AP indicates a need for further teaching?: The AP hangs the collection bag at the level of the bladder. 19. A newly licensed nurse is preparing to administer medications to a client. The nurse notes that the provider has prescribed a medication that is unfa- miliar to her. Which of the following actions should the nurse take?: Consult the medication reference book available on the unit. 20. A nurse is providing oral care for a client who is unconscious. Which of the following actions should the nurse take?: Place the client in a lateral position with the head turned to the side before beginning the procedure. 21. A nurse is planning to perform passive range-of-motion exercises for a client. Which of the following actions should the nurse take?: Repeat each joint motion five times during each session. 22. A nurse is teaching a client who is postoperative how to use a flow-ori- ented incentive spirometer. Which of the following instructions should the nurse include?: Cough deeply after each use. 23. A nurse is teaching a client how to self-administer insulin. Which of the following actions should the nurse take to evaluate the client's understand- ing of the process within the pyschomotor domain of learning?: Have the client demonstrates the procedure. 24. A nurse is providing teaching about food choices to a client who has a prescription for a clear liquid diet. Which of the following selections by the client indicates an understanding of the teaching?: Gelatin 25. A nurse is performing a neurological assessment for a client. Which of the following examinations should the nurse use to check the client's balance?: Romberg test 26. A nurse in a provider's office is reviewing the laboratory findings of a client who reports chills and aching joints. The nurse should identify which of the following findings as an indication that the client has an infection?: WBC 15,000 mm3 27. A nurse is preparing to administer an intramuscular injection to a young adult client. Which of the following injection sites is the safest for this client?: Ventrogluteal 28. A nurse is applying an ice bag to the ankle of a client following a sports injury. Which of the following actions should the nurse take?: Fill the bag two-thirds full with ice. 29. A nurse is caring for a client who is 48 hr postoperative following a small bowel resection. The client reports gas pains in the periumbilical area. The nurse should plan care based on which of the following factors contributing to this postoperative complication?: Impaired peristalsis of the intestines 30.A client is being discharged home with oxygen therapy via a nasal cannula. Which of the following instructions should the nurse provide to the client and family?: Wear cotton clothing to avoid static electricity. 31. A nurse is planning to insert a nasogastric tube for a client after explain- ing the procedure. The client states, "You are not putting that hose down my throat." Which of the following statements should the nurse make?: "I can see that this is upsetting you." 32. A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should the nurse plan to take?: Position the client on his left side. 33. A nurse on a surgical unit is receiving a client who had abdominal surgery from the postanesthesia care unit. Which of the following assessments should the nurse make first?: Airway 34. A nurse is caring for a client who has a prescription for a vest restraint. Which of the following actions should the nurse take?: Tie the restraint with a quick-release knot. 35. A nurse is cqaring for a client who has a fecal impaction. Before digital removal of the mass, which of the following types of enemas should the nurse plan to administer to soften the feces?: Oil retention 36. A nurse is providing education about cultural and religious traditions and rituals related to death for the assistive personnel on the unit. Which of the following information should the nurse include?: People who practice Judaism stay with the body of the deceased until burial. 37. A nurse is reviewing the correct use of a fire extinguisher with a client. Which of the following actions should the nurse direct the client to take first?: 38. A nurse is preparing to provide chest physiotherapy for a client who has left lower lobe atelectasis. Which of the following actions should the nurse plan to take?: Place the client in Trendelenburg's position. 39. A nurse is planning care for a client who is postoperative and has a history of poor nutritional intake. Which of the following actions should the nurse include in the plan of care to promote wound healing?: Provide a protein intake of 1.5 g/kg of body weight per day. 40. A nurse is caring for a client who has a terminal illness. Which of the fol- lowing findings indicates that the client's death is imminent?: Cold extremities 41. A nurse is caring for a client who is receiving a blood transfusion. The client reports flank pain and the nurse notes reddish-brown urine in the client's urinary catheter bag. The nurse recognizes these manifestations as which of the following types of transfusion reactions?: Hemolytic 42. A nurse on a mental health unit is preparing to terminate the nurse-client relationship with a client who no longer requires care. Which of the following concepts should the nurse and client discuss in the termination phase of the relationship?: Loss 43. A nurse is caring for a client who has bilateral casts on her hands. Which of the following actions should the nurse take when assisting the client with feeding?: Sit at the bedside while feeding the client. 44. A nurse is caring for a client who has Clostridium difficile and is in contact isolation. Which of the following actions should the nurse take?: Wear gloves when changing the client's gown. 45. A nurse is planning care for a client who has a single-lumen nasogastric (NG) tube for gastric decompression. Which of the following actions should the nurse include in the plan of care? (Select all that apply.): -Provide oral hygiene frequently. -Measure the amount of drainage from the NG tube every shift. -Secure the NG tube to the client's gown. 46.A nurse is called away for an emergency while conversing with a client who is concerned about his medical diagnosis. The nurse returns to the client promptly, as promised. Which of the following ethical principles is the nurse demonstrating?: Fidelity 47. A nurse in the emergency department is caring for a client who has abdominal trauma. Which of the following assessment findings should the nurse identify as an indication of hypovolemic shock?: Tachycardia 48. A nurse is reviewing the laboratory values for a client who has a positive Chvostek's sign. Which of the following laboratory findings should the nurse expect?: Decreased calcium 49. An adolescent client in an outpatient mental health facility tells the nurse that it is hard to follow his treatment plans because his friends discourage him. Which of the following statements should the nurse make?: "Tell me more about how your friends discourage you." 50. A nurse is reviewing measures to prevent back injuries with assistive personnel (AP). Which of the following instructions should the nurse in- clude?: When lifting an object, spread your feet apart to provide a wide base of support. 51. A nurse on a telemetry unit is caring for a client who had a myocardial in- farction. The client states "All this equipment is making me nervous." Which of the following responses should the nurse make?: "All of this equipment can be frightening." 52. 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." 53. A client who is nonambulatory notifies the nurse that his trash can is on fire. After the nurse confirms the fire, which of the following actions should the nurse take next?: evacuate the client 54. A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect?: Rapid heart rate 55. 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 56. A nurse is preparing a heparin solutionA 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.): 8 mL/hr 57. A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take?: Cleanse the wound from the center outward 58. The nurse is caring for a client who is receiving fluid through a peripheral IV catheter.. Which of the following findings at the IV site should the nurse identify as indicating infiltration?: Skin blanching 59. A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the following statements should the nurse identify as an indication that the client understands the teaching?: "When descending stairs, I will first shift my weight to my right leg." 60. A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through an open system. Which of the following actions should the nurse take first?: Tell the client to keep the head of the bed elevated at least 30 degrees 61. A nurse is reviewing a client's medication prescription that reads "digox- in 0.25 by mouth everyday." Which of the following components of the prescription should the nurse verify with the provider?: Medication dose 62. A nurse is caring for a client who has recently started using a be- hind-the-ear hearing aid. Which of the following statements should the nurse identify as an indication that the client understands the use of this assistive device?: "I will be sure to remove my hearing aid before taking a shower" 63. A nurse enters a client's room and finds her on the floor. The client's roommate reports that the client was trying to get out of bed and fell over the side rail onto the floor. Which of the following statements should the nurse document about this incident?: "Client found lying on floor" 64. A nurse on a medical unit is preparing to discharge a client to home. Which of the following actions should the nurse take as part of the medica- tion reconciliation process.: Compare prescriptions with medications the client received while at the facility. 65. A nurse is caring for a client who requires an informed consent for a surgical procedure. Which of the following actions is the nurse's responsi- bility?: Witness the client's signature on the consent form. 66. A nurse is planning an educational program for a group of older adults at a senior living center. Which of the following recommendations should the nurse include?: "You should receive a pneumococcal immunization every 10 years." 67. A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The client's partner wants the client to have the blood transfusion. Which of the following actions should the nurse take?: Withhold the blood transfusion 68. A nurse is admitting a client who has rubella. Which of the following types of transmissionbased precautions should the nurse initiate?: Droplet 69. A middle adult client tells the nurse, "I feel so useless now that my children do not need me anymore." which of the following responses should the nurse make?: "People in middle adulthood often find satisfaction in nurturing and guiding young people." 70. A nurse is providing discharge teaching to a client who has a new prescription for a home oxygen concentrator. Which of the following instruc- tions should the nurse provide to the client and his family? (Select all that apply): Check the cord routinely for frays or tearing Consider purchasing a generator for power backup Observe for signs of hypoxia