ATI FUNDAMENTALS MID TERM EXAM Questions and Answers (latest Update), 100% Correct,
1. A nurse is reviewing information about the Health Insurance Portability and
Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by
the newly licensed nurse indicates a need for further teaching?
A. "Information about a client can be disclosed to family members at any time." ANSWER
B. "HIPAA established regulations of individually identifiable health information in verbal,
C. "A client's address would be an example of personally identifiable information."
D. "HIPAA is a federal law, not a state law."
2. A nurse is preparing to perform hand hygiene. Which of the following actions should the
A. Adjust the water temperature to feel hot.
B. Apply 4 to 5 mL of liquid soap to the hands. ANSWER
C. Hold the hands higher than the elbows.
3. A nurse is administering nasal decongestant drops for a client. Which of the following
actions should the nurse take?
A. Tell the client to blow her nose gently before the instillation. ANSWER
B. Assist the client to a side-lying position.
C. Hold the dropper 2 cm (1 in) above the naris.
D. Instruct the client to stay in the same position for 2 min.
4. A newly licensed nurse is applying prescribed wrist restraints on a client. Which of the
following actions should the nurse take?
A. Secure the restraints using a quick-release tie. ANSWER
B. Ensure four fingers fit under the restraints to prevent constriction.
C. Secure the restraints to the lowest bar of the side rail.
D. Anticipate removing the restraints every 4 hr.
5. The family of an older adult client brings him to the emergency department after finding
him wandering outside. During the initial assessment, the nurse notes that the client flinches
when she palpates his abdomen yet responds to questions only by nodding and smiling. Which
of the following factors should the nurse identify as a likely explanation for the client's
6. A nurse is preparing a client for outpatient surgery. After the nurse inserts the IV
catheter, the client reports pain in the insertion area. Which of the following actions should the
A. Remove the catheter and insert another into a different site. ANSWER
B. Administer an analgesic PO.
C. Request a prescription for placement of a central venous access device.
D. Administer a local anesthetic.
7. A client smoking in his bathroom has dropped a cigarette butt into a wastepaper basket,
which begins to smolder. Which of the following actions is the nurse’s priority?
A. Close the fire doors on the unit.
C. Move any clients in the immediate vicinity. ANSWER
D. Use a fire extinguisher to put out the fire.
8. A nurse is caring for a client who refuses treatment and asks to be discharged from the
hospital against medical advice. The nurse notifies the client's provider, who tells the nurse to
restrain the client, if necessary, to keep her from leaving the hospital. The nurse understands
that restraining this client would be considered which type of civil action by the nurse?
9. A nurse is performing tracheostomy care for a client and suctioning to remove copious
secretions. Which of the following actions should the nurse take?
A. Suction two to three times with a 60-second pause between passes. ANSWER
B. Perform chest physiotherapy prior to suctioning.
C. Lubricate the suction catheter tip with sterile saline.
D. Hyperventilate the client on 100% oxygen prior to suctioning.
10. A nurse is inserting an IV catheter for an older client in preparation for an outpatient
procedure. Which of the following veins should the nurse select?
D. Median vein in the forearm ANSWER
11. A nurse is providing oral care for a client who is immobile. Which of the following
actions should the nurse take?
A. Use a stiff toothbrush to clean the client’s teeth.
B. Use the thumb and index finger to keep the client’s mouth open.
C. Turn the client on his side before starting oral care. ANSWER
D. Apply petroleum jelly to the client's lips after oral care.
12. A nurse is caring for a client who experienced a lacerated spleen and has been on
bedrest for several days. The nurse auscultates decreased breath sounds in the lower lobes of
both lungs. The nurse should realize that this finding is most likely an indication of which of the
A. An upper respiratory infection
13. A nurse is assessing a client and discovers the infusion pump with the client’s total
parenteral nutrition (TPN) solution is not infusing. The nurse should monitor the client for
which of the following conditions?
A. Excessive thirst and urination
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