Custom: ATI Fundamentals CMS Prep-
Final Exam
Has your son had a sore throat recently?;
motive- Rheumatic fever usually develops 2 to six weeks after an untreated or ineffectively
handled streptococcal infection of the breathing tract
A nurse is helping with the admission of a nine-yr-vintage baby who has acute rheumatic fever.
When acquiring the clients history, it is suitable for the nurse to ask the parent which of the
following questions?
Bid, 30mL
A nurse is documenting in a purchaser's scientific document which of the following abbreviations
are suited for the nurse to apply?
Notify the physician that the patron desires to withdraw consent for the system
After signing an knowledgeable consent form, a consumer tells the nurse, "I actually have
changed my thoughts and do no longer need to have the method." Which of the subsequent
movements should the nurse take?
BUN 28 mg/dL
A nurse is accumulating records from a customer who is receiving intermittent enteral feedings.
Which of the subsequent laboratory values ought to the nurse discover as a demonstration that
the purchaser needs a trade in the system?
100 mL
A nurse is worrying for a customer who has a percutaneous endoscopic gastrostomy (PEG)
tube and is prescribed to acquire 40 mL of fluid alternative each four hr for each 100 mL of
output. The clients output during the last four hr turned into 250 mL. How a whole lot water must
the nurse administer to the purchaser?
Verify issuer order to stop the tube
A nurse is making ready to do away with an NG tube for a purchaser. Which of the subsequent
movements must the nurse take first?
,Change the feeding bag each 24 hr
A nurse is contributing to the plan of take care of a patron prescribed continuous enteral
feedings. Which of the subsequent motion have to the nurse plan to take?
Decrease the peak of the answer field; rationale- slows the flow of water
A nurse is administering a tap-water enema to a consumer. The purchaser reviews cramping as
the nurse instills the irrigating solution. Which of the following moves must the nurse take to
relieve the client's soreness?
An NG tube to suction
A nurse worrying for 4 customers who've drainage tubes. The nurse must discover the
consumer who has which of the following tubes as being at risk for hypokalemia?
Steamed veggies
A nurse is caring for a customer who's Hindu and adhere strictly to the traditional nutritional
legal guidelines of this faith. The customer has no different dietary restrictions. Which of the
following foods ought to the nurse select as a factor of the consumer's meals?
Caffeinated espresso
A nurse is reinforcing coaching to a newly licensed nurse approximately caring for a consumer
who's a member of the Seventh Day Adventist church. The nurse must include within the
teaching that which of the following ingredients are restrained with this religion?
Blood
A nurse is caring for a consumer who has a prescription for a stool guaiac test. The customer
requested the nurse approximately the cause of the check. The nurse ought to reply with the aid
of pointing out that the stool guaiac is trying out for which of the following findings inside the
customer's feces?
Prior to percussing the stomach
A nurse is checking a consumer's bowel sounds. At which of the subsequent time need to the
nurse auscultate the customer's stomach?
Grape juice
A nurse is worrying for a patron who calls for a clear liquid weight loss program. Which of the
following meals ought to the nurse permit the patron to have?
,Check to look if the suction system is operating
A nurse is caring for a purchaser who came to the emergency department with belly distention
and is now on the medical-surgical unit with an NG tube in region to low gastric suction. The
purchaser reports anxiety, discomfort, and a sense of bloating. Which of the following moves is
the nurse's priority?
Excessive laxative use
Ignoring the urge to defecate
Inadequate fluid intake
A nurse is reinforcing teaching with a patron has reviews Constipation. Which of the subsequent
ought to the nurse speak as reasons of Constipation?
Places clean linen that touched the floor inside the dirty linen bag.
A nurse in a protracted-time period care facility is watching an assistive personnel (AP)
changing the linen for a client who has fecal incontinence. Which of the following movements
indicates that the AP understands the concepts of contamination manage?
Turn the consumer on his aspect before beginning oral care
A nurse in a long-term care facility is worrying for a consumer who is unresponsive. When
appearing oral hygiene for the client, which of the subsequent moves need to the nurse take?
Offer the customer with an electric powered toothbrush
A nurse is providing oral take care of a consumer who had has impaired higher extremity
electricity. Which of the subsequent moves need to the nurse take?
Paralytic ileus
The nurse is caring for a consumer at the third day following abdominal surgery and assesses
the absence of bowel sounds, abdominal distention, and the consumer passing no flatus. These
findings suggest the patron is experiencing which of the subsequent postoperative worry?
3+
A nurse is gathering information from a client about pitting edema and notes and indentation of
6 mm (0.25 in) At the factor of stress. Which of the subsequent numbers need to the nurse
document to indicate the depth of the purchaser's edema?
Use photos to boost instructions given to the client
, A nurse is assisting with the plan of take care of a customer who does now not speak the
identical language as the nurse. Which of the following intervention need to the nurse include
within the plan?
Arrange to finish the statistics collection with most effective the customer and a translator gift
A nurse is interviewing a lady customer who does not speak the equal language because the
nurse. The customer's partner is translating what the nurse is pronouncing to the purchaser.
Which of the subsequent movements have to the nurse take?
RN
A nurse supervisor is assigning care responsibilities for the imminent shift. A purchaser is
waiting for transfer returned to the unit from the PACU following a hip arthroplasty length to
which of the subsequent group of workers members need to the nurse assign the purchaser?
Assisting an older adult customer to take acetaminophen the AP crushed in applesauce
A nurse is making plans care for a group of clients. When making plans the undertaking for an
assistive personnel (AP), which of the following sports have to the nurse keep in mind unsafe for
the AP to perform?
Assisting a customer with feeding
A nurse in a protracted-time period care facility is making plans care for numerous customers.
Which of the subsequent activities must the nurse plan to delegate to an assistive personnel
(AP)?
Reassure the customer
A nurse observes and assistive personnel (AP) taking the decision light faraway from a
consumer and reprimanding him for using it frequently. Which of the following actions should the
nurse take first?
No one
With whom have to a nurse need to proportion her password for access to the centers laptop
machine?
It is not permissible because there's no nurse-consumer courting among the siblings and the
nurse
Final Exam
Has your son had a sore throat recently?;
motive- Rheumatic fever usually develops 2 to six weeks after an untreated or ineffectively
handled streptococcal infection of the breathing tract
A nurse is helping with the admission of a nine-yr-vintage baby who has acute rheumatic fever.
When acquiring the clients history, it is suitable for the nurse to ask the parent which of the
following questions?
Bid, 30mL
A nurse is documenting in a purchaser's scientific document which of the following abbreviations
are suited for the nurse to apply?
Notify the physician that the patron desires to withdraw consent for the system
After signing an knowledgeable consent form, a consumer tells the nurse, "I actually have
changed my thoughts and do no longer need to have the method." Which of the subsequent
movements should the nurse take?
BUN 28 mg/dL
A nurse is accumulating records from a customer who is receiving intermittent enteral feedings.
Which of the subsequent laboratory values ought to the nurse discover as a demonstration that
the purchaser needs a trade in the system?
100 mL
A nurse is worrying for a customer who has a percutaneous endoscopic gastrostomy (PEG)
tube and is prescribed to acquire 40 mL of fluid alternative each four hr for each 100 mL of
output. The clients output during the last four hr turned into 250 mL. How a whole lot water must
the nurse administer to the purchaser?
Verify issuer order to stop the tube
A nurse is making ready to do away with an NG tube for a purchaser. Which of the subsequent
movements must the nurse take first?
,Change the feeding bag each 24 hr
A nurse is contributing to the plan of take care of a patron prescribed continuous enteral
feedings. Which of the subsequent motion have to the nurse plan to take?
Decrease the peak of the answer field; rationale- slows the flow of water
A nurse is administering a tap-water enema to a consumer. The purchaser reviews cramping as
the nurse instills the irrigating solution. Which of the following moves must the nurse take to
relieve the client's soreness?
An NG tube to suction
A nurse worrying for 4 customers who've drainage tubes. The nurse must discover the
consumer who has which of the following tubes as being at risk for hypokalemia?
Steamed veggies
A nurse is caring for a customer who's Hindu and adhere strictly to the traditional nutritional
legal guidelines of this faith. The customer has no different dietary restrictions. Which of the
following foods ought to the nurse select as a factor of the consumer's meals?
Caffeinated espresso
A nurse is reinforcing coaching to a newly licensed nurse approximately caring for a consumer
who's a member of the Seventh Day Adventist church. The nurse must include within the
teaching that which of the following ingredients are restrained with this religion?
Blood
A nurse is caring for a consumer who has a prescription for a stool guaiac test. The customer
requested the nurse approximately the cause of the check. The nurse ought to reply with the aid
of pointing out that the stool guaiac is trying out for which of the following findings inside the
customer's feces?
Prior to percussing the stomach
A nurse is checking a consumer's bowel sounds. At which of the subsequent time need to the
nurse auscultate the customer's stomach?
Grape juice
A nurse is worrying for a patron who calls for a clear liquid weight loss program. Which of the
following meals ought to the nurse permit the patron to have?
,Check to look if the suction system is operating
A nurse is caring for a purchaser who came to the emergency department with belly distention
and is now on the medical-surgical unit with an NG tube in region to low gastric suction. The
purchaser reports anxiety, discomfort, and a sense of bloating. Which of the following moves is
the nurse's priority?
Excessive laxative use
Ignoring the urge to defecate
Inadequate fluid intake
A nurse is reinforcing teaching with a patron has reviews Constipation. Which of the subsequent
ought to the nurse speak as reasons of Constipation?
Places clean linen that touched the floor inside the dirty linen bag.
A nurse in a protracted-time period care facility is watching an assistive personnel (AP)
changing the linen for a client who has fecal incontinence. Which of the following movements
indicates that the AP understands the concepts of contamination manage?
Turn the consumer on his aspect before beginning oral care
A nurse in a long-term care facility is worrying for a consumer who is unresponsive. When
appearing oral hygiene for the client, which of the subsequent moves need to the nurse take?
Offer the customer with an electric powered toothbrush
A nurse is providing oral take care of a consumer who had has impaired higher extremity
electricity. Which of the subsequent moves need to the nurse take?
Paralytic ileus
The nurse is caring for a consumer at the third day following abdominal surgery and assesses
the absence of bowel sounds, abdominal distention, and the consumer passing no flatus. These
findings suggest the patron is experiencing which of the subsequent postoperative worry?
3+
A nurse is gathering information from a client about pitting edema and notes and indentation of
6 mm (0.25 in) At the factor of stress. Which of the subsequent numbers need to the nurse
document to indicate the depth of the purchaser's edema?
Use photos to boost instructions given to the client
, A nurse is assisting with the plan of take care of a customer who does now not speak the
identical language as the nurse. Which of the following intervention need to the nurse include
within the plan?
Arrange to finish the statistics collection with most effective the customer and a translator gift
A nurse is interviewing a lady customer who does not speak the equal language because the
nurse. The customer's partner is translating what the nurse is pronouncing to the purchaser.
Which of the subsequent movements have to the nurse take?
RN
A nurse supervisor is assigning care responsibilities for the imminent shift. A purchaser is
waiting for transfer returned to the unit from the PACU following a hip arthroplasty length to
which of the subsequent group of workers members need to the nurse assign the purchaser?
Assisting an older adult customer to take acetaminophen the AP crushed in applesauce
A nurse is making plans care for a group of clients. When making plans the undertaking for an
assistive personnel (AP), which of the following sports have to the nurse keep in mind unsafe for
the AP to perform?
Assisting a customer with feeding
A nurse in a protracted-time period care facility is making plans care for numerous customers.
Which of the subsequent activities must the nurse plan to delegate to an assistive personnel
(AP)?
Reassure the customer
A nurse observes and assistive personnel (AP) taking the decision light faraway from a
consumer and reprimanding him for using it frequently. Which of the following actions should the
nurse take first?
No one
With whom have to a nurse need to proportion her password for access to the centers laptop
machine?
It is not permissible because there's no nurse-consumer courting among the siblings and the
nurse
