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ATI RN

Fundamentals

1. a nurse in a clinical is caring for a middle age adult who states,

"the doctor says that since I am at an average risk for colon

cancer, I should have a routine screening. whatdoes that

involve?" which of the following responsesshould the nurse make?

A. "I'll get a blood sample from you and send it for a screening test."

B. "beginning at age 60, you should have a colonoscopy."

C. "you should have a decal occult blood test every year."

D. "the recommendation is to have a sigmoidoscopy every 10 years."

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

Colorectal cancer screening for clients at average risk begins at age

50. Oneoption forscreening is a fecal occult blood test annually.

2. a nurse is caring for a client who is having difficulty breathing. the

client is laying in bed with a nasal cannula delivering oxygen.

which of the followingintervention shouldthe nurse take first?

A. suction the client's airway

B. administer a bronchodilator

C. increase the humidity in the client's room

D. assist the client to an upright position

assist the client to an upright position

When providing client care, the nurse should first use the least

invasive intervention. Therefore, the nurse should elevate the head

of the client's bed tothe semi-Fowler's or highFowler's position to

facilitate maximal chest expansion. Sitting upright improves gas

exchange and prevents pressure on thediaphragm from abdominal

organs.

3. 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?

A. gently shake the container of medication prior to administration

B. transfer the medication to a medicine cup

C. place the client in a semi-fowlers position to medication administration

D. verify the dosage by measuring the liquid before administering it

Gently shake the container of medication prior to administration.

The nurse should gently shake the liquid medication to ensure the

medication ismixed.

4. a nurse is planning care to improve self-feeding for a client who

has visionloss. which of the following interventions should the

nurse include in the plan of care?

A. tell the client which food she should eat first

B. provide small-handle utensils for the client

C. thicken liquids on the client's tray

D. use a clock pattern to describe food on the client's plate

Use a clock pattern to describe food on the client's plate.

Use a clock pattern to describe food on the client's plate.MY

ANSWERDescribing the location of the food on the plate by using a

clock patternallows the client to have greater independence during

meals.

5. a nurse is teaching an older adult client who is at risk for

osteoporosis aboutbeginning aprogram of regular physical activity.

which of the following types of activity should the nurse

recommend?

A. walking briskly

B. riding a bicycle

C. performing isometric exercises

D. engaging in high-impact aerobics

walking briskly

Weight-bearing exercises are essential for maintaining bone mass,

which helps toprevent osteoporosis. Walking engages older adult

clients in this preventive and therapeutic strategy.

6. a nurse is assessing a client's readiness to learn about insulin

administration.which of thefollowing statements should the nurse

identify as an indication that the client is ready to learn?

A. "I can concentrate best in the morning."

B. "it is difficult to read the instructions because my glasses are at home."

C. "I'm wondering why I need to learn this."

D. "you will have to talk to my wife about this."

"I can concentrate best in the morning."

The client's statement indicates a readiness to learn because he is

verbalizing thebest time forhim to learn.

7. a nurse is giving discharge instructions to a client who will

require oxygen therapy at home. which of the following

statements should the nurse identifyas an indication thatthe

client understands how to manage this therapy at home?

A. "I'll make sure that, when my friend comes by, she smokes at

least 6 feetaway frommy oxygen tank."

B. "I'll use a woolen blanket if I get chilly while I'm using my oxygen."

C. "I'll check the wires and cables on my TV to make sure they

are in goodworkingorder."

D. "I'll lay my oxygen tank down on the floor when the

grandchildren visitso they don't knock it over."

"I'll check the wires and cables on my TV to make sure they are in good

workingorder."

Oxygen is a highly flammable gas. The client should make sure

any electricalequipment in the room where she is using

supplemental oxygen is functioningproperly so it does notcreate

any electrical sparks.

8. a nurse is caring for a client who is reporting difficulty falling

asleep. whichof the following measures should the nurse

recommend?

A. drink a cup of hot cocoa before bedtime

B. exercise 1 hr before going to bed

C. use progressive relaxation techniques at bedtime

D. reflect on the day's activities before going to bed

Use progressive relaxation techniques at bedtime.

Progressive relaxation promotes sleep by decreasing stress and reducing

muscletension.

9. a nurse is assisting a client who is postoperative with the use of an

incentivespirometer. into which of the following positions should

the nurse place theclient?

A. side-lying

B. supine

C. semi-fowlers

D. trendelenburg

Semi-Fowler's

Positioning the client in semi-Fowler's or high-Fowler's

position allows formaximumexpansion of the lungs.

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