ATI- FUNDAMENTAL PRACTICE ASSESSMENT TEST WITH
VERIFIED AND CORRECT DETAILED ANSWERS
A nurse is contributing to the plan of care for a client who is dying.
Which of the following interventions should the nurse recommend to
include the client's family in the plan of care? (Select all that apply)
1. Share the client's status with the family daily.
2 Suggest that family members return home at night to allow the client to get some rest.
3. Encourage the family to comb the client's hair.
4 Urge the family to help the client fill out the food menu each day.
5 .Ask the family to encourage the client to eat.
Share the client's status with the family daily is correct. The nurse should share the
client's status with the family members daily to encourage the family to visit more
frequently.
Suggest that family members return home at night to allow the client to get some rest is
incorrect. The nurse should encourage a family member to stay throughout the night to
lessen the client's feeling of isolation.
Encourage the family to comb the client's hair is correct. The nurse should find simple
care activities for the family to perform, such as combing the client's hair.
Urge the family to help the client fill out the food menu each day is correct.
The nurse should find simple care activities for the family to perform, such as helping the
client fill out the food menu.
Ask the family to encourage the client to eat is incorrect. The nurse should inform the
family that forcing the client to eat can increase discomfort.
A nurse is caring for a client who must restrict fluids and reports feeling
thirsty. Which of the following interventions should the nurse recognize
as being appropriate?
1. Give half the fluid allowance during the day and half in the evening.
2. The nurse should divide the total fluid allowance into at least three parts: day,
evening, and a smaller overnight portion.
3. Suggest eating regular hard candy or chewing
gum. Hard candy and gum that contain sugar
produce thirst. Offer cool snacks such as gelatin
or custard frequently.
(Custard, gelatin, ice cream, and sherbet become liquids at room temperature;
therefore, the nurse should include these as part of the client's fluid intake and restrict
them accordingly.)
4. Provide oral hygiene rinses frequently.*
(Frequent oral hygiene can help reduce thirst.)
A nurse is caring for a client who is postoperative following radical
mastectomy. Therapeutic interventions for helping the client accept her
altered body image should include
,1. changing the subject to more positive topics.
Changing the subject from an important topic to one that is more comfortable for the
client is dismissive to the client's concerns.
2. encouraging her to assist in dressing changes.
When caring for a client who has an alteration in body image, it is appropriate for the
nurse to encourage the client to participate in aspects of her care.*
3 reassuring her that she is still attractive.
Reassuring the client that she is still attractive does not address the alteration in body
image the client is experiencing; therefore, this is a nontherapeutic means of caring for
the client.
4requesting a mental health referral from her provider.
There is no indication that the client needs a mental health referral at this time.
A nurse is reinforcing teaching with an older adult client about oral
hygiene. Which of the following instructions should the nurse include in
the teaching?
A nurse is reinforcing teaching with an older adult client about oral hygiene. Which of the
following instructions should the nurse include in the teaching?
Use a firm-bristled toothbrush.
The nurse should instruct the client to use a rounded, soft-bristled toothbrush to
stimulate gum regeneration and prevent bleeding.
Use lemon-glycerin sponges between meals for dry mouth.
The nurse should instruct the client to avoid lemon-glycerin sponges for dry mouth
because it dries the mucous membranes and erodes tooth enamel.
Replace toothbrush every 6 months.
The nurse should instruct the client to replace her toothbrush every 3 months to
decrease the risk of acquiring an infection.
4.Replace toothbrush following an illness.
The nurse should instruct the client to replace her toothbrush following an illness to
decrease the risk of reacquiring an infection. *
A nurse is caring for a client who has a new prescription for a chest
restraint. Which of the following actions is appropriate for the nurse to
include in the plan of care?
Check that the chest restraint is tied to a fixed frame of the bed.
The nurse should tie the restraint to a moveable part of the bed, so that the restraint
moves when that part of the bed moves.
Observe the client's chest movement with inspiration and expiration.
The nurse should observe the client's chest movement to monitor if the restraint is too
tight, which can impair breathing. *
Remove the chest restraint every 4 hr. to allow
movement. The nurse should remove the restraints
every 2 hr.
Tie the chest restraint with a knot that will tighten when
pulled. A knot that tightens when pulled could injure the
client.
,A nurse is assisting a provider with an abdominal paracentesis for a
client who has ascites. Which of the following is an appropriate action
for the nurse to take?
1 Encourage the client to drink plenty of fluids prior to the
procedure. This action increases the risk for puncturing the
urinary bladder.
2 Position the client in a sitting position for the procedure.
This is the correct position for the procedure. *
3 Measure the client's girth at the level of the sternum after the procedure.
4 Abdominal girth should be measured at the level of the umbilicus.
5 Encourage the client to raise his hand if he experiences discomfort during the
procedure. Clients should be instructed to remain still during the procedure.
A nurse is caring for a client who has heart failure and is having severe
difficulty breathing. The nurse understands that which of the following
oxygen delivery systems provides the highest concentration of oxygen?
1 Rebreather mask
A rebreather mask can provide up to 40% to 70% oxygen to the client.
2. Simple face mask
A simple face mask can provide up to 50% to 60% oxygen to the client.
3. Venturi mask
A Venturi mask can provide up to 50% to 60% oxygen to the client.
4 Nonrebreather mask
A nonrebreather mask can provide up to 60% to 90% oxygen to the client. *
A nurse is caring for a client who is obese. The nurse should recognize
that the client is at risk for which of the following?
1 Cholecystitis
2 Osteoporosis
3 Type 2 diabetes mellitus
4 Hypertension
5 Graves' disease
Cholecystitis is correct. Clients who are obese are at risk for cholecystitis.
Osteoporosis is incorrect. Clients who are obese are not at risk for developing
osteoporosis. Type 2 diabetes mellitus is correct. Clients who are obese are at risk for
developing type 2 diabetes mellitus.
Hypertension is correct. Clients who are obese are at risk for developing hypertension.
Graves' disease is incorrect. Clients who are obese are not at risk for developing
Graves' disease.
,
VERIFIED AND CORRECT DETAILED ANSWERS
A nurse is contributing to the plan of care for a client who is dying.
Which of the following interventions should the nurse recommend to
include the client's family in the plan of care? (Select all that apply)
1. Share the client's status with the family daily.
2 Suggest that family members return home at night to allow the client to get some rest.
3. Encourage the family to comb the client's hair.
4 Urge the family to help the client fill out the food menu each day.
5 .Ask the family to encourage the client to eat.
Share the client's status with the family daily is correct. The nurse should share the
client's status with the family members daily to encourage the family to visit more
frequently.
Suggest that family members return home at night to allow the client to get some rest is
incorrect. The nurse should encourage a family member to stay throughout the night to
lessen the client's feeling of isolation.
Encourage the family to comb the client's hair is correct. The nurse should find simple
care activities for the family to perform, such as combing the client's hair.
Urge the family to help the client fill out the food menu each day is correct.
The nurse should find simple care activities for the family to perform, such as helping the
client fill out the food menu.
Ask the family to encourage the client to eat is incorrect. The nurse should inform the
family that forcing the client to eat can increase discomfort.
A nurse is caring for a client who must restrict fluids and reports feeling
thirsty. Which of the following interventions should the nurse recognize
as being appropriate?
1. Give half the fluid allowance during the day and half in the evening.
2. The nurse should divide the total fluid allowance into at least three parts: day,
evening, and a smaller overnight portion.
3. Suggest eating regular hard candy or chewing
gum. Hard candy and gum that contain sugar
produce thirst. Offer cool snacks such as gelatin
or custard frequently.
(Custard, gelatin, ice cream, and sherbet become liquids at room temperature;
therefore, the nurse should include these as part of the client's fluid intake and restrict
them accordingly.)
4. Provide oral hygiene rinses frequently.*
(Frequent oral hygiene can help reduce thirst.)
A nurse is caring for a client who is postoperative following radical
mastectomy. Therapeutic interventions for helping the client accept her
altered body image should include
,1. changing the subject to more positive topics.
Changing the subject from an important topic to one that is more comfortable for the
client is dismissive to the client's concerns.
2. encouraging her to assist in dressing changes.
When caring for a client who has an alteration in body image, it is appropriate for the
nurse to encourage the client to participate in aspects of her care.*
3 reassuring her that she is still attractive.
Reassuring the client that she is still attractive does not address the alteration in body
image the client is experiencing; therefore, this is a nontherapeutic means of caring for
the client.
4requesting a mental health referral from her provider.
There is no indication that the client needs a mental health referral at this time.
A nurse is reinforcing teaching with an older adult client about oral
hygiene. Which of the following instructions should the nurse include in
the teaching?
A nurse is reinforcing teaching with an older adult client about oral hygiene. Which of the
following instructions should the nurse include in the teaching?
Use a firm-bristled toothbrush.
The nurse should instruct the client to use a rounded, soft-bristled toothbrush to
stimulate gum regeneration and prevent bleeding.
Use lemon-glycerin sponges between meals for dry mouth.
The nurse should instruct the client to avoid lemon-glycerin sponges for dry mouth
because it dries the mucous membranes and erodes tooth enamel.
Replace toothbrush every 6 months.
The nurse should instruct the client to replace her toothbrush every 3 months to
decrease the risk of acquiring an infection.
4.Replace toothbrush following an illness.
The nurse should instruct the client to replace her toothbrush following an illness to
decrease the risk of reacquiring an infection. *
A nurse is caring for a client who has a new prescription for a chest
restraint. Which of the following actions is appropriate for the nurse to
include in the plan of care?
Check that the chest restraint is tied to a fixed frame of the bed.
The nurse should tie the restraint to a moveable part of the bed, so that the restraint
moves when that part of the bed moves.
Observe the client's chest movement with inspiration and expiration.
The nurse should observe the client's chest movement to monitor if the restraint is too
tight, which can impair breathing. *
Remove the chest restraint every 4 hr. to allow
movement. The nurse should remove the restraints
every 2 hr.
Tie the chest restraint with a knot that will tighten when
pulled. A knot that tightens when pulled could injure the
client.
,A nurse is assisting a provider with an abdominal paracentesis for a
client who has ascites. Which of the following is an appropriate action
for the nurse to take?
1 Encourage the client to drink plenty of fluids prior to the
procedure. This action increases the risk for puncturing the
urinary bladder.
2 Position the client in a sitting position for the procedure.
This is the correct position for the procedure. *
3 Measure the client's girth at the level of the sternum after the procedure.
4 Abdominal girth should be measured at the level of the umbilicus.
5 Encourage the client to raise his hand if he experiences discomfort during the
procedure. Clients should be instructed to remain still during the procedure.
A nurse is caring for a client who has heart failure and is having severe
difficulty breathing. The nurse understands that which of the following
oxygen delivery systems provides the highest concentration of oxygen?
1 Rebreather mask
A rebreather mask can provide up to 40% to 70% oxygen to the client.
2. Simple face mask
A simple face mask can provide up to 50% to 60% oxygen to the client.
3. Venturi mask
A Venturi mask can provide up to 50% to 60% oxygen to the client.
4 Nonrebreather mask
A nonrebreather mask can provide up to 60% to 90% oxygen to the client. *
A nurse is caring for a client who is obese. The nurse should recognize
that the client is at risk for which of the following?
1 Cholecystitis
2 Osteoporosis
3 Type 2 diabetes mellitus
4 Hypertension
5 Graves' disease
Cholecystitis is correct. Clients who are obese are at risk for cholecystitis.
Osteoporosis is incorrect. Clients who are obese are not at risk for developing
osteoporosis. Type 2 diabetes mellitus is correct. Clients who are obese are at risk for
developing type 2 diabetes mellitus.
Hypertension is correct. Clients who are obese are at risk for developing hypertension.
Graves' disease is incorrect. Clients who are obese are not at risk for developing
Graves' disease.
,
