ATI Fundamentals Practice Test C -Learning System RN 2.0 – Fundamentals 1 Pretest

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1. A nurse is planning to obtain the vital signs of a 2-year-old child who is experiencing diarrhea and who might have a right ear infection. Which of the following routes should the nurse use to obta... in the temperature? - Rectal - Tympanic - Oral - Temporal The temporal artery route, while not as accurate as the rectal route for obtaining a precise body temperature, is noninvasive and can be used to obtain a temperature in a toddler who might have an ear infection and who is having diarrhea. The nurse should place the probe behind the ear if the client is diaphoretic, but should avoid placing it over an area covered with hair. 2. A nurse is caring for a client who is in the terminal stage of cancer. Which of the following actions should the nurse take when she observes the client crying? - Contact the family and ask them to stay with the client. - Offer to call the client’s minister. - Sit and hold the client’s hand. - Leave the room and allow the client to cry privately. With this action, the nurse uses the therapeutic communication techniques of silence, touch, and offering of self to the client. 3. A community health nurse is preparing a campaign about seasonal influenza. Which of the following plans should the nurse include as a secondary prevention? - Holding a community clinic to administer influenza immunizations. - Screening groups of older adults in nursing care facilities for early influenza manifestations. - Educating parents of young children about dangers of influenza. - Finding a rehabilitation programs for older adults who have complications from influenza. Screening older adults who have some manifestations of illness to determine if they have influenza is an example of secondary prevention. Secondary prevention is focused on preventing complications of an illness or providing care to prevent illness from becoming severe. 4. A nurse is teaching an assistive personnel (AP) about proper hand hygiene. Which of the following statements by the AP indicates an understanding of the teaching? - “There are times I should use soap and water rather than an alcohol-based hand rub to clean my hands.” - “I will use cold water when I wash my hands to protect my skin from becoming too dry.” - “I will apply friction for at least 10 seconds while washing my hands.” - “After washing my hands I will dry them from the elbows down.” While alcohol-based hand rubs are as effective as soap and water in providing proper hand hygiene, the Center for Disease Control and Prevention recommends washing hands with soap and water at certain times, such as when the hands are visibly soiled with dirt or body fluids. CONTINUED.......... [Show More]

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