ATI FUNDAMENTALS FINAL EXAM STUDY GUIDE- LATEST STUDY GUIDE

Document Content and Description Below

A nurse is cleaning a client’s wound by swabbing from the area of least contamination to an area of greater contamination. Which of the following rationales should the nurse identify for using this ... technique? a. preventing the transfer of microorganisms to the nurse b. keeping microorganisms from entering the wound c. applying minimal pressure to the wound d. keeping excess moisture from entering the wound. Answer: B A nurse is caring for a. client who required a dressing change. Which of the following actions should the nurse take? a. clean the incision from bottom to top b. apply sterile gloves prior to opening dressing packages c. remove the tape by pulling away from the wound d. clean the drain site from the center outward Answer: D A nurse is called away for an emergency while conversing with a client who is concerned about his medical diagnosis. The nurse returns to the client promptly, as promised. Which of the following ethical principles is the nurse demonstrating? a. autonomy b. fidelity c. nonmaleficence d. justice Answer: B A nurse is administering a cleansing enema to a client who is scheduled for a diagnostic procedure. Which of the following actions should the nurse take? a. lubricate up to 3.2 cm (1.25 in) of the tip of the rectal tube b. position the client to the right side c. insert the tip of the tubing 8 cm (3.1 in) d. hold the enema container 61 cm (24 in) above the rectum Answer: C A nurse enters a client’s room and finds the client sitting on the floor and learning against the side of the bed. The client states she slipped while getting out of bed. Which of the following actions should the nurse take first? a. complete an incident report b. check the client for injuries c. make sure the client has skid-free footwear d. remind the client to ask for help when getting out of bed Answer: B A nurse is caring for a. client who is producing large amounts of urine. The nurse should document this finding as which of the following? a. retention b. oliguria c. diuresis d. dysuria Answer: C A nurse is caring for a group of clients in a long-term care facility. The nurse should understand that which of the following clients is eligible for hospice services at this time? a. a client who has multiple sclerosis and uses a wheelchair b. a client who has end0stage cirrhosis c. a client who have hemiplegia due to a stroke d. a client who have cancer and receives weekly radiation therapy Answer: B 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. a client who has a prescription for a transfusion of packed red blood cells b. a client who is being transported for a radiograph of the kidneys, ureters, and bladder c. a client who has a prescription for a tuberculin skin test d. a client who has a distended bladder and needs urinary catheterization Answer: A A nurse in a provider’s office is measuring a client and notes a loss in height from the previous year. The nurse should identify this finding as a manifestation of which of the following musculoskeletal system disorders? a. osteoporosis b. scoliosis c. kyphosis d. lordosis Answer: A A nurse is preparing to administer an optic antibiotic to an adult client who has otitis media. Which of the following actions should the nurse plan to take? a. hold the dropper 1 cm (0.5 in) above the ear canal during administration b. apply pressure to the nasolacrimal duct following administration c. place a cotton ball into the inner ear canal for 30 minutes following administration d. straighten the ear canal by pulling the auricle down and back prior to administration Answer: A A nurse is caring for a client who requires a peripheral IV insertion. When choosing the site, which of the following sites should the nurse select? a. select a vein in the client’s dominant arm b. choose the most proximal vein in the extremity c. choose a vein that is soft on palpation d. select a site distal to previous venipuncture attempts Answer: C A nurse is planning to insert a nasogastric tube for a client after explaining the procedure. The client states, “you are not putting that hose down my throat.” Which of the following statements should the nurse make? a. “Let’s get the process over with because you won’t get better without this tube.” b. “You should talk to your provider about your fears.” c. “Why don’t you want the tube inserted?” d. “I can see that this is upsetting you.” Answer: D A nurse is employing a thorough, systematic method while obtaining objective data about a client. Thorough which of the following methods should the nurse collect this information? a. health history b. physical examination c. review of systems d. interview Answer: B A nurse is initiating seizure precautions for a client who has a seizure disorder. Which of the following pieces of equipment should the nurse have readily available at the client’s bedside? a. vest restraint b. tongue blade c. oxygen equipment d. neck brace A nurse is caring for a client who has protein malnutrition. Which of the following foods should the nurse identify as a source of complete protein? a. eggs b. cereal c. peanut butter d. pasta Answer: A A nurse is preparing to insert an indwelling urinary catheter. Which of the following instructions should the nurse give the client to ease the passage of the catheter through the urinary meatus? a. “Bear down.” b. “Perform kegel exercises.” c. “Hold your breath.” d. “Raise your head off of the pillow.” Answer: A A hospice nurse is visiting with the family member of a client. The family member states that the client has insomnia almost nightly. Which of the following practices should the nurse identify as contributing to the client’s insomnia? a. the client watches television in her bed during the day b. the client drinks warm milk before bedtime c. the client goes to bed at 2200 every night d. the client gets up to use the bathroom once during the night Answer: A A nurse is caring for a middle-aged client. The nurse should identify which of the following statements as an indication that the client has completed Erikson’s developmental task for her age group? a. “I am comfortable with my decision to choose a lifelong partner.” b. “I think I have done a good job with my children since they are all independent now.” c. “As I look back over my life, I can see that I have achieved most of the goals I set for myself.” d. “I love my work so much that it is difficult to think about retirement.” Answer: B A nurse in a same-day procedure unit is caring for several clients who are undergoing different types of procedures. The nurse should anticipate that the client who has which of the following devices can safely undergo magnetic resonance imaging (MRI)? a. coronary artery stents b. aneurysm slip c. hearing aids d. automated internal defibrillator Answer: C A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube and has a gastronomy tube for enteral feeding. Which pieces of information are critical to communicate to the next nurse who will be caring for this client? Select all that apply. a. room temperature b. new prescriptions c. number of visitors d. arterial blood gas results e. tracheal secretion characteristics Answer: B, D, E A nurse is demonstrating postoperative deep breathing and coughing exercises to a client who is scheduled for emergency surgery for appendicitis. Which of the following statements indicates a lack of readiness to learn by the client? a. the client asks the nurse to repeat instructions before attempting the exercises b. the client reports severe pain c. the client asks the nurse how often deep breathing should be done after surgery d. the client tells the nurse that this exercise will probably be painful after surgery Answer: B A nurse is caring for a client who had a stroke and is at risk for falling. Which of the following actions should the nurse take? a. assign the client to a private room b. keep 4 side rails up while the client is in bed c. monitor the client at least once every hour d. request a PRN prescription for restraints Answer: C a nurse is caring for a client who had a mastectomy and has a self-suction drainage evacuator in place. Which of the following actions should the nurse take to ensure proper operation of the device? a. irrigate the tubing with sterile normal water once during each shift b. cleanse the opening with soap and water after emptying c. maintain the tubing above the level of the surgical incision d. collapse the device to remove air after emptying Answer: D A nurse is assessing a client who is postoperative. Which of the following findings should the nurse identify as an indication that the client is experiencing pain? a. diarrhea b. pupillary constriction c. flushing d. grimacing Answer: D A nurse is reviewing a client’s laboratory results and notes a WBC count of 3,600/mm3. the nurse should identify these results as which of the following conditions? a. leukoplakia b. leukemia c. leukocytosis d. leukopenia Answer: D A nurse is measuring the blood pressure of several clients. Which of the following results is within the expected reference range of blood pressure? a. 142/85 mmHg b. 116/70 mmHg c. 130/76 mmHg d. 124/82 mmHg Answer: B A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of the following actions should the nurse have the client perform just before inserting the catheter? a. swallow water b. prepare for a painful sensation c. hold her breath d. bear down gently Answer: D A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should the nurse place to take? a. insert the rectal tube 15.2 cm (6 in) b. wear sterile gloves to insert the tubing c. position the client on his left side d. hold the solution bag 91 cm (36 in) above the client’s rectum Answer: C A nurse is conducting an admission interview with a client. Which of the following pieces of assessment information should the nurse collect during the introductory phase of the interview? a. client’s level of comfort and ability to participate in the interview b. previous illnesses and surgeries c. events surrounding the client’s recent illness d. sociocultural history Answer: A A nurse is caring for a client who has peripheral edema. The nurse should identify that which of the following nutrients regulates extracellular fluid volume? a. sodium b. calcium c. potassium d. magnesium Answer: A A nurse is caring for a client who has a BMI of 29 and expresses a desire to lose weight. Which of the following actions should the nurse take first? a. refer the client to a nutritionist b. discuss eating strategies with the client c. determine the client’s intention to change current eating habits d. instruct the client to perform 30 minutes of vigorous exercise daily Answer: C A nurse is examining a client for signs of costovertebral angle tenderness. The nurse should place the client in which of the following positions for evaluation? a. sims’ b. supine c. sitting d. standing Answer: C A nurse is planning care for a young adult client who has a terminal illness. Which of the following concepts of death should the nurse consider for this client? a. death is unacceptable under any circumstance b. magical thinking helps avoid thoughts of death c. death is viewed as an interruption of what might have been d. death is a natural consequence of a deteriorating body Answer: C CONTINUED....DOWNLOAD FOR BEST REVISION GUIDE AND BEST SCORES [Show More]

Last updated: 1 year ago

Preview 1 out of 81 pages