ATI RN FUNDAMENTALS 2020REVISION QUESTIONS,ANSWERS AND RATIONALES

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ATI RN FUNDAMENTALS 2020REVISION QUESTIONS,ANSWERS AND RATIONALES 1. A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of the following findings shoul... d the nurse identify as a potential indication of a skin malignancy 2. A nurse is assessing a client who reports pain following physical therapy. Which of the following questions should the nurse as when assessing the quality of the client’s pain 3. A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation 4. A nurse is auscultating the anterior chest of a client who was admitted to a medical- surgical unit. Listen to the audio clip of what the nurse auscultates through the stethoscope and identify the type of breath sounds. (Click on the audio button to listen to the clip.) 5. A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions should the nurse take 6. A nurse is using an open irrigation technique to irrigate a client’s indwelling urinary catheter. Which of the following actions should the nurse take? 7. A nurse is preparing to apply a dressing for a client who has stage 2 pressure injury. Which of the following types of dressing should the nurse use? 8. A nurse is providing discharge teaching to a client about self-administering heparin. Which of the following instructions should the nurse include in the teaching? 9. A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take? 10. A nurse is initiating a protective environment for a client who has had an allogenic stem cell transplant. Which of the following precautions should the nurse plan for this client? 11. A nurse is caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the risk for injury to the client? 12. A nurse is preparing to administer 0.9% sodium chloride 750mL IV to infuse over 7 hr. the nurse should set the infusion pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 13. A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication for which of the following therapies? 14. A nurse is lifting a bedside cabinet to mover closer to a client who is sitting in a chair. To prevent self-injury, which of the following actions should the nurse take when lifting this object? 15. A nurse is talking with an older adult client who is contemplating retirement. The client states, “I keep thinking about how much I enjoy my job. I’m not sure I want to retire.” Which of the following responses should the nurse make? 16. A nurse is caring for a client who is postoperative. When the nurse prepares to change her dressing, she says, “Every time you change my bandage, it hurts so much.” Which of the following interventions is the nurse’s priority action? 17. A nurse is assessing a client’s readiness to learn about insulin self-administration. Which of the following statements should the nurse identify as an indication that the client is ready to learn? 18. A nurse is evaluating a client’s use of a cane. Which of the following actions should the nurse identify as an indication of correct use? 19. 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? 20. A nurse is caring for a client who is postoperative following a knee arthroplasty and requires for use of thigh-length sequential compression sleeves. Which of the following actions should the nurse take? 21. A nurse in a long-term care facility is caring for a client who dies during the nurse’s shift. Identify the sequence in which the nurse should perform the following steps. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) 22. 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? 23. A nurse is caring for a client who has an aggressive form of prostate cancer. The provider briefly discusses treatment options and leaves the client’s room. When the nurse asks if the client would like to discuss any concerns, the client declines. Which of the following statements should the nurse make? 24. A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client asks, “What would happen if I arrived at the emergency department and I had difficulty breathing?” Which of the following responses should the nurse make? 25. A nurse is caring for a client who has diarrhea due to shigella. Which of the following precautions should the nurse implement for this client? 26. A client who is postoperative is verbalizing pain as a 2 on a pain scale 0 to 10. Which of the following statement should the nurse identify as an indication that the client understands the preoperative teaching she received about pain management? 27. A nurse is administering an otic medication to an older adult client. Which of the following actions should take to ensure that the medication reaches the inner ear? 28. A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Which of the following observations should the nurse identify as proper safety protocol? 29. A nurse is reviewing evidence-based practice principles about administration of oxygen therapy with a newly licensed nurse. Which of the following actions should the nurse include? 30. A nurse is reviewing a client’s fluid and electrolyte status. Which of the following findings should the nurse report to the provider? [Show More]

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