ATI Fundamentals Exam Prep./Review

1. A nurse is caring for a client who requires a 24-hr urine collection. Which of

the following statements by the client indicates an understanding of the

teaching?

Correct Ans- "I flushed what I urinated at 7:00 a.m. and have saved all urine

since."

2. A nurse is assessing a client who has been on bed rest for the past month.

Which of the following findings should the nurse identify as an indication

that the client has developed thrombophlebitis?

Correct Ans- Calf Swelling

3. A nurse manager is overseeing the care on a unit. Which of the following

situations should the nurse manager identify as a violation of HIPAA

guidelines?

Correct Ans- A nurse asks a nurse from another unit to assist with her

documentation.

4. A nurse is caring for a client who requires bed rest and has a prescription for

antiembolic stockings. Which of the following actions should the nurse take?

Correct Ans- Remove the stockings at least once per shift.

5. A nurse is administering IV fluid to an older adult client. The nurse should

perform which priority assessment to monitor for adverse effects?

Correct Ans- Auscultate Lung Sounds

6. 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 the nurse recommend?

Correct Ans- Walking Briskly

7. 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?

Correct Ans- Erythema on pressure points

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8. A nurse is responding to a call light and finds a client lying on the bathroom

floor. Which of the following actions should the nurse take first?

Correct Ans- Check the client for injuries

9. 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 does that involve?" Which of the following

responses should the nurse make?

Correct Ans- "You should have a fecal occult blood test every year."

10.A nurse manager is preparing to review medication documentation with a

group of newly licensed nurses. Which of the following statements should

the nurse manager plan to include in the teaching?

Correct Ans- "Use the complete name of the medication magnesium

sulfate."

11.A nurse is caring for a client who has tuberculosis. Which of the following

actions should the nurse take?

Correct Ans- Place the client in a room with negative-pressure airflow.

Wear gloves when assisting the client with oral care.

Use antimicrobial sanitizer for hand hygiene.

12.A nurse is caring for a client who has a prescription for 5 units of regular

insulin and 10 units of NPH insulin to mix together and administer

subcutaneously. Determine the correct order of steps for this procedure.

Correct Ans- Air into NPH

Air into Regular

Draw up Regular

Draw up NPH

13.A nurse is reviewing practice guidelines with a group of newly licensed

nurses. Which of the following interventions should the nurse include that is

within the RN scope of practice?

Correct Ans- Initiate an enteral feeding through a gastrostomy tube.

14.A nurse is caring for a client who requires an NG tube for stomach

decompression. Which of the following actions should the nurse take when

inserting the NG tube?

Correct Ans- Have the client take sips of water to promote insertion of the

NG tube into the esophagus.

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