ATI Fundamentals Practice A, B, &

Final Review 2019

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 experience 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 transfusion 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 failure. 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 fourpoint 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. 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 unfamiliar to her. Which of

the following actions should the nurse take?

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