ATI Fundamentals Proctored Exam 2020 / 2021_100

Questions and Answers Graded A

1) A nurse is performing a Romberg's test during the physical assessment of a

client. Whichof the following techniques should the nurse use?

ANS: Have the client stand with her arms at her side and her feet

together.

2) A nurse is planning an deduction session for an older adult client who has just

learned that she has type 2 diabetes mellitus. Which of the following strategies

should the nurseplan to use with this client?

ANS: Allow extra time for the client to respond to questions

3) A nurse is teaching an older client who is at risk for osteoporosis about

beginning a program of regular physical activity. Which of the following types of

activity should thenurse recommend?

ANS: Walking briskly

4) 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?

ANS: Erythema on pressure points

5) A nurse is preparing to administer 0.5 mL of oral single-dose liquid

medication to aclient. Which of the following actions should the nurse take?

ANS: Gently shake the container of medication prior to

administration.

6) A nurse is responding to a call light and finds a client lying on the bathroom

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floor. Whichof the following actions should the nurse take first?

ANS: Check the client for injuries

7) A nurse is caring for a client who is expressing anger over his diagnosis of

colorectalcancer. Which of the following actions should the nurse take?

ANS: Reassure the client that this is an expected response to grief.

8) A nurse in a clinic is caring for a middle adult client who states, "The doctor says

that, since I am at an average risk for colon cancer, I should have routine

screening. What doesthat involve?" Which of the following responses should the

nurse make?

ANS: "You should have a fecal occult blood test every year."

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9) A nurse is preparing to administer multiple medications to a client who has

an enteralfeeding tube. Which of the following actions should the nurse plan

to take?

ANS: Flush the tube with 15 mL of sterile water.

10)A nurse is caring for a client who has a prescription for wound irrigation.

Which of thefollowing actions should the nurse take?

ANS: Cleanse the wound from the center outward.

11)A nurse is providing care to four clients. Which of the following situations

requires thenurse the complete an incident report?

ANS: A client who has an IV infusion pump receives an additional

250 mL of IVfluid.

12)A nurse is caring for a client receiving fluid through a peripheral IV catheter.

Which ofthe following findings at the IV site should the nurse identify as

infiltration?

ANS: Skin blanching

13)A nurse is preparing a change-of-shift report. Which of the following tools or

documentsshould the nurse use to communicate continuity of care?

ANS: Situation, background, assessment, and recommendation

(SBAR)

14)A nurse is admitting a client who has an abdominal wound with a large amount

of purulent drainage. Which of the following types of transmission precautions

should thenurse initiate?

ANS: Contact precautions

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