PN1Fundamentals1Online1Practice120261B:1ATI_REMEDIATION1Rated1A+
1) A1nurse1is1documenting1client1care1in1a1client's1electronic1health1record.1Which1of1the1following1entries1should1the1nurse1include1in1the1documentation?1a
) "Became1short1of1breath1when1ambulating."
2) A1nurse1is1caring1for1a1client1who1has1dysphagia1following1a1stroke.1Which1of1the1following1interventions1should1the1nurse1use1when1feeding1the1client?
a). Instruct1the1client1to1tilt1their1head1forward1while1eating
3) A1nurse1is1reinforcing1teaching1about1advance1directives1with1a1client1who1has1end-
stage1renal1disease.1Which1of1the1following1client1statements1indicates1an1understanding1of1the1teaching?
"I1know1that1I1can1change1my1advance1directives1if1I1need1to1in1the1future a) (pt1can1change1their1advance1directives1at1their1discretion)."
4) A1nurse1is1contributing1to1the1plan1of1care1for1four1clients.1For1which1of1the1following1clients1should1the1nurse1initiate1airborne1precautions?
a) A1client1who1has1measles1-
1virus1is1transmitted1by1direct1contact1with1infectious1droplets1or1by1airbor
ne1spread1when1an1infected1person1breathes,1coughs,1or1sneezes1(can1rem
ain1infectious1in1the1air1for1up1to121hrs1after1an1infected1person1leaves1an1
area).
b) Measles1-
1infectious1viral1disease1causing1fever1&1a1red1rash1on1the1skin,1typically1
during1childhood.
5) A1nurse1is1caring1for1a1client1who1has1chronic1kidney1disease.1The1nurse1should1identify1that1which1of1the1following1findings1is1the1priority1to1report1to1t
he1provider?
a) The111client's111output111was11116011mL1111for111the11past11113111hr-
1using1the1urgent1vs.1nonurgent1approach1to1client1care,1the1nurse1should1d
etermine1that1the1priority1finding1to1report1to1the1provider1is1a1urinary1out
put1of1601mL1over131hr.1This1finding1represents1oliguria1and1can1indicate1
a1decrease1in1kidney1perfusion1or1function.
6) A1nurse1is1caring1for1a1client1who1is1scheduled1for1surgery1the1following1day.1During1the1night,1the1client1is1unable1to1sleep1and1is1restless.1Which1of1the1
following1statements1should1the1nurse1make?
a) "It11must1111be11difficult111facing111this111type1111of11surgery."1-
1Stating1that1it1must1be1difficult1to1be1in1this1position1is1an1open-
ended1and1nonjudgmental1statement1that1allows1the1client1to1talk1about1th
eir1fears.
7) A1nurse1is1reinforcing1teaching1with1a1client1who1has1hypertension1and1a1prescription1to1measure1their1blood1pressure1daily.1Which1of1the1following1clie
nt1statements1indicates1an1understanding1of1the1teaching?
a) "I11should111remove111constrictive111clothing111prior1111to11measuring111my111
blood111pressure."1-
1nurse1should1instruct1the1client1to1remove1constrictive1clothing1prior1to1m
easuring1their1blood1pressure1because1constrictive1clothing1can1cause1fals
ely1elevated1blood1pressure1readings.
8) A1nurse1is1planning1to1perform1intermittent1urinary1catheterization1for1a1client1who1is1unable1to1urinate.1Which1of1the1following1actions1should1the1nurse1
take1first?
a) Perform1111a11bladder111scan1-
11st1action1the1nurse1should1take1when1using1the1nursing1process1is1to1colle
ct1data1from1the1client.1Therefore,1the1nurse1should1evaluate1the1bladder1c
ontents1before1performing1an1invasive1procedure.1A1bladder1scan1determi
ATI Remediation 1
https://www.coursehero.com/file/186545947/ATI-REMEDIATIONdocx/
, nes1the1amount1of1urine1in1the1bladder1and1helps1the1nurse1avoid1unnecess
ary1catheterizations.
9) A1nurse1in1a1long-
term1care1facility1is1collecting1admission1data1from1a1client1who1uses1a1hearing1aid.1Which1of1the1following1actions1should1the1nurse1take?
a) Choose1111a11private111room1111for111the11interview1-
1nurse1should1use1a1private1room,1which1will1minimize1background1noise1
so1the1client1is1able1to1hear1what1the1nurse1is1saying.
10) A1nurse1is1reinforcing1teaching1with1a1client1who1speaks1a1different1language1than1the1nurse.1Which1of1the1following1actions1should1the1nurse1take?
a)- 1 Use111printed111materials111written1111in111the11client's111language1
1nurse1should1use1printed1materials1written1in1the1client's1language1to1reinforce1teaching1for1the1client1and1promote1understanding.
11) A1nurse1is1contributing1to1the1plan1of1care1for1a1client1who1practices1Islam.1Which1of1the1following1questions1should1the1nurse1ask1the1client1to1clarify1th
e1client's1religious1preferences?
a)- 1 "Do111you111consume111pork111products?"1 1Some1clients1who1practice1Islam1do1not1consume1pork1or1alcohol.
12) A1nurse1working1in1a1hospital1overhears1the1following1conversation1between1two1other1nurses1on1the1elevator.1Which1of1the1following1actions1should1the
1nurse1take?
a)- 1Tell1111the11nurses1111to11change1111the11topic1111of11conversation1
1nurse1has1the1responsibility1to1protect1the1client's1right1to1confidentiality1and1should1intervene1
PN1Fundamentals1Online1Practice120261B:1ATI_REMEDIATION1Rated1A +
on1the1client's1behalf.1A1breach1of1client1confidentiality1can1result1in1liability1for1those1involved.
13) A1nurse1is1reinforcing1teaching1with1the1partner1of1a1client1who1is1immobile.1Which1of1the1following1instructions1should1the1nurse1give1the1partner1about
1turning1the1client1in1bed?
a)- 1"Tighten111your111stomach111muscles."1
1nurse1should1instruct1the1client's1partner1to1tighten1the1abdominal1and1gluteal1muscles1to1help1protect1their1back.
This1study1source1was1downloaded1by11000008594314961from1CourseHero.com1on105-24-2023103:35:001GMT1-05:00
14) A1nurse1is1caring1for1a1group1of1clients1in1a1long-term1care1facility.1Which1of1the1following1actions1should1the1nurse1take1to1prevent1health1care1–
1associated1infections1for1these1clients?
a) Wash1hands1after1removing1gloves1is1correct
b) Use1antimicrobial1hand1gel1after1refilling1a1client's1water1pitcher1is1correct
c) Clean1the1stethoscope1with1an1antimicrobial1wipe1after1obtaining1vital1signs1is1correct
15) A1nurse1is1caring1for1a1client1who1has1chronic1pain.1The1nurse1recommends1that1the1client1concentrate1on1a1memory1of1a1pleasurable1experience.1Which1
of1the1following1complementary1therapies1is1the1nurse1suggesting?
a)- 1 Guided111imagery1
1technique1that1can1produce1physical1changes1in1the1body,1such1as1decreasing1pain1levels,1by1concentrating1on1a1visualization1of1a1pleasurable1m
emory.
16) A1nurse1working1in1a1community1clinic1is1talking1with1an1older1adult1client1who1states1that1their1life1has1no1purpose.1The1nurse1should1identify1that1the1c
lient1is1in1which1of1the1following1stages1of1Erikson's1Theory1of1Psychosocial1Development?
a) Ego111integrity1111vs.11despair1-
1nurse1should1identify1that1this1client1is1experiencing1the1ego1integrity1vs.1
despair1stage1of1Erikson's1Theory1of1
ATI Remediation 2
https://www.coursehero.com/file/186545947/ATI-REMEDIATIONdocx/
, PN Fundamentals Online Practice 2026 B: ATI_REMEDIATION Rated A +
Psychosocial1Development,1which1occurs1in1the1older1adult1population.1The1nurse1should1assist1the1client1to1reflect1on1past1accomplishments1and1f
ind1pleasure1in1life1rather1than1focusing1on1health1problems1and1limitations.1Supporting1the1client's1ego1integrity1will1help1the1client1cope1with1the1
challenges1of1aging.
17) A1nurse1is1caring1for1a1client1who1is1receiving1intermittent1enteral1feedings.1Which1of1the1following1is1the1first1action1the1nurse1should1take?
a) Measure1111the11client's111gastric111residual111before111each111feeding1-
1using1the1nursing1process,1the1first1action1the1nurse1should1take1is1assess
ment.1Therefore,1obtaining1gastric1residual1volume1is1the1priority1action1f
or1the1nurse1to1take.
18) A1nurse1is1caring1for1a1client1and1is1concerned1that1the1client1might1have1a1fecal1impaction.1Which1of1the1following1is1the1most1important1question1for1th
e1nurse1to1ask?
a) "Have111you111had111small111liquid111stools?"1-
1Using1the1nursing1process,1the1first1action1the1nurse1should1take1is1to1coll
ect1data1from1the1client1to1determine1if1the1client1has1any1findings1consist
ent1with1a1fecal1impaction.1Therefore,1the1first1question1for1the1nurse1to1as
k1is1if1the1client1has1had1any1small1liquid1stools,1which1can1indicate1that1t
here1is1seepage1of1liquid1feces1around1the1impacted1mass.
19) A1nurse1is1collecting1data1from1a1client1following1a1lumbar1puncture.1The1nurse1should1identify1which1of1the1following1findings1as1a1potential1adverse1ef
fect1of1this1procedure?
a) Headache1-
1nurse1should1identify1that1a1headache1can1be1an1adverse1effect1following1
a1lumbar1puncture.1To1minimize1the1client's1discomfort,1the1nurse1should1
administer1analgesics,1offer1fluids,1and1maintain1the1client1in1a1dorsal1recu
mbent1position1for1the1length1of1time1prescribed1by1the1provider.
1 Fundamentals111Online111Practice11120201111A11with1NGN1:
1) A1nurse1is1contributing1to1the1plan1of1care1for1a1client1who1has1a1prescription1for1elastic1bandages1to1the1lower1extremities.1Which1of1the1following1actio
ns1should1the1nurse1recommend1for1the1plan1of1care?
a) Compare1111the11client's111pedal111pulses111bilaterally111every11114111hr-
nurse1should1compare1the1pedal1pulses1bilaterally1every141hr1to1check1for1adequate1circulation1for1a1client1who1has1elastic1bandages1on1their1lower
1
extremities.
1
2) A1nurse1is1reviewing1the1vital1signs1of1four1adult1clients.1Which1of1the1following1findings1requires1further1data1collection1by1the1nurse?
a) A1client1who1has1a1pulse1rate1of1110/min1-
client's1heart1rate1is1above1the1expected1reference1range1of1601to1100/min.1Therefore,1the1nurse1should1collect1further1data1to1determine1the1cause1o
1
f1the1tachycardia.
3) A1nurse1is1preparing1to1administer1a1topical1medication1to1a1client.1Which1of1the1following1actions1should1the1nurse1take?
a) Compare1the1label1of1the1medication1container1with1the1medication1administration1record131times11-
preparing1medication1from1a1bottle1or1container,1the1nurse1should1compare1the1label1of1the1medication1container1with1the1medication1administratio
1
n1record1three1times1to1ensure1it1is1the1correct1medication.
4) A1nurse1is1assisting1with1the1plan1of1care1for1four1clients.1Which1of1the1following1tasks1should1the1nurse1assign1to1an1assistive1personnel1(AP)?
a)- 1 Assist1111a11client1111to111get11out1111of11bed111after1111a11breathing111treatment1
nurse1should1delegate1assisting1a1client1to1get1out1of1bed1because1this1task1requires1little1technical1skill1or1judgment1and1is1within1the1AP's1range1o
1
f1function.
5) A1nurse1is1reinforcing1dietary1teaching1with1a1client1who1has1chronic1kidney1disease1and1requires1a1low-
potassium1diet.1Which1of1the1following1food1choices1by1the1client1demonstrates1an1understanding1of1the1teaching?
ATI Remediation 3
https://www.coursehero.com/file/186545947/ATI-REMEDIATIONdocx/