TUTOR: BRILLIANTSCORE

ATI – NURSING

FUNDAMENTALS

QUESTIONS AND

ANSWERS | LATEST 2021 –

VERIFIED VERSION

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1 A nurse is assessing for early signs of compartment syndrome for a client who has a short-leg

fiberglass cast. Which of the following findings should the nurse expect?

A. Capillary refill less than 2 seconds

B. Bounding distal pulses

C. Intense pain with movement

D. Erythema of the toes

2 A nurse is monitoring a client who is receiving 2 units packed RBCs. Which of the

following manifestations indicates a hemolytic transfusion reaction?

A. Chills ? (think fever, you get cold when your body is hot)

B. Hypertension

C. Bradycardia

D. Back pain

3 A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions should

the nurse take to prevent hip dislocation?

A. Remove the wedge device when turning

B. Place two bed pillows between the legs when in bed

C. Encourage the client to lean forward when attempting to stand

D. Elevate the knees higher than the hips when sitting

4 A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse

should recognize that the client is at risk for an allergic cross-reactivity to which of the following

substances

A. Povidone-iodine

B. Adhesive tape

C. Latex

D. Anesthetics

5 A nurse is teaching a client about the use of an incentive spirometer. Which of the following

instructions should the nurse include in the teaching?

A. Place hands on the upper abdomen during inhalation.

B. Position the mouthpiece 2.5 cm (1 in) from the mouth

C. Exhale slowly through pursed lips

D. Hold breaths about 3 to 5 seconds before exhaling

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6 A nurse is caring for a client who arrives at the emergency department and reports vomiting and

diarrhea for the past 3 days. The client’s serum potassium level is 2.8mEq/L. Which of the following

interventions should the nurse implement first? Priority question remember, what can I do first, you can

start a K+ drip without knowing how their heart is affected.

A. Check the clients hand grasps

B. Administer an IV potassium drip

C. Listen to the client’s bowel sounds

D. Initiate cardiac monitoring for the clients This is a priority!!!

7 A nurse is preparing to administer peritoneal dialysis to a client. Which of the following actions

should the nurse take?

A. Chill the dialysate before administration

B. Hang the drainage bag below the client’s abdomen

C. Place the client in high-Fowlers position

D. Use clean technique to access the catheter

8 A nurse is preforming a cranial nerve assessment on a client following a head injury. Which of the

following findings should the nurse expect if the client has impaired function of the vestibulocochlear

nerve (cranial nerve VIII)?

A. Inability to smell

B. loss of peripheral vision

C. Disequilibrium with movement

D. Deviation of the tongue from midline

9 A nurse is planning care for a client who is one day postoperative Following an open

cholecystectomy. Which of the following interventions should the nurse include in the plan of care?

A. Place pillows under the clients knees

B. Avoid use of anticoagulants

C. Discourage leg exercises while in bed

D. apply compression stockings to the lower extremities

10 A nurse is caring for a male client who has an exacerbation of heart failure. Which of the

following prescriptions should the nurse expect to receive from the provider? (click on the “exhibit”

button for additional information about the client. There are 3 tabs that contain separate categories

of data.)

A. Atropine 1mg IV bolus every 5 min up to 3 mg ?

B. Adenosine 6mg rapid IV bolus now

C. Verapamil 80 mg PO TID

D. Furosemide 40 mg IV bolus every 6 hr.

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