ATI Fundamentals Practice 2023 A+ Exam with Questions and Answers – 100%
Solved
A charge nurse is discussing the responsibility of nurses caring for clients who have a
Clostridium difficile infection. Which of the following information should the nurse include in
the teaching? - ✔✔✔-Have family members wear a gown and gloves when visiting.
Explanation: Nurses are responsible for ensuring that family members wear a gown and gloves
to prevent the transmission of Clostridium difficile spores. Staff must also wear gowns and
gloves.
A client who is nonambulatory notifies the nurse that their trash can is on fire. After the nurse
confirms the presence of the fire, which of the following actions should the nurse take next? -
✔✔✔-Evacuate the client.
Explanation: According to the RACE mnemonic, the first action in response to a fire is to rescue
the clients, moving them to a safe area.
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the
following statements should the nurse identify as an indication that the client understands the
preoperative teaching they received about pain management? - ✔✔✔-"It might help me to
listen to music while I'm lying in bed."
Explanation: Listening to music is an effective nonpharmacological intervention for the
management of mild pain.
A middle adult client tells the nurse, "I feel so useless now that my children do not need me
anymore." Which of the following responses should the nurse make? - ✔✔✔-"People in middle
adulthood often find satisfaction in nurturing and guiding young people."
Explanation: According to Erik Erikson, the task of middle adulthood is generativity versus self-
absorption and stagnation. The focus of this task is on offering support and guidance to future
generations. The nurse should explore opportunities for mastering the developmental tasks of
this stage with the client, such as volunteering and mentoring young people.
,ATI Fundamentals Practice 2023 A+ Exam with Questions and Answers – 100%
Solved
A nurse enters a client's room and finds them on the floor. The client's roommate reports that
the client was trying to get out of bed and fell over the side rail onto the floor. Which of the
following statements should the nurse document about this incident? - ✔✔✔-"Client found
lying on floor."
Explanation: The nurse should include documentation of information that is descriptive and
objective concerning what the nurse actually observed, without including any opinions or
judgments about motives or cause.
A nurse has just inserted a nasogastric (NG) tube for a client. Which of the following findings
should the nurse expect to confirm correct tube placement? - ✔✔✔-An x-ray shows the end of
the tube above the pylorus.
Explanation: An abdominal x-ray showing the end of the tube above the pylorus indicates
gastric placement.
A nurse in a long-term care facility is caring for a client who dies during the nurse's shift. Identify
the sequence in which the nurse should perform the following steps. (Move the steps into the
box on the right, placing them in the order of performance. Use all the steps.) - ✔✔✔-1: Obtain
the pronouncement of death from the provider.
2: Remove tubes and indwelling lines.
3: Wash the client's body.
4: Ask the client's family members if they would like to view the body.
5: Place a name tag on the body.
Explanation: The first step is to obtain the death pronouncement from the provider. Next, the
nurse should remove tubes and indwelling lines prior to cleansing the client's body. After
cleansing, the nurse should ask the family members if they wish to view the body. Finally, the
nurse should place a name tag on the body before transfer.
, ATI Fundamentals Practice 2023 A+ Exam with Questions and Answers – 100%
Solved
A nurse in a provider's clinic is caring for a client who has diarrhea.
Exhibit 1 Vital SignsTemperature 36.2° C (97.2° F)Heart rate 116/minRespiratory rate 24/minBP
102/68 mm HgOxygen saturation 95%Weight 52.2 kg (115 lb)
Exhibit 2 Nurses' Notes1000:Client reports diarrhea for the past 5 days with approximately 8
liquid stools a day. Woke up this morning feeling dizzy. States, "I felt like I was going to pass
out."Client was seen 7 days ago for sinus infection and was prescribed amoxicillin.Weight at
previous visit was 56.2 kg (124 lb).Denies bloody or black stools.1030:Blood collected for CBC,
basic metabolic profile (BMP); stool collected for C. difficile; urine collected for
urinalysis.1100:Informed client that the office will call with results of laboratory findings;
prescription for loperamide provided, instructed to discontinue amoxicillin; instructed to drink
electrolyte solution - ✔✔✔-***Eat probiotic foods, such as yogurt.***
***Avoid alcohol while experiencing diarrhea.***
***Avoid caffeine while experiencing diarrhea.***
***Follow a low-fiber diet.***
Explanation: Increase intake of high-calcium foods is incorrect. The nurse should instruct the
client to increase intake of high-potassium foods.Eat probiotic foods, such as yogurt is correct.
Probiotic foods, such as yogurt, contain live bacterial cultures, which can help to reduce
diarrhea.Avoid alcohol while experiencing diarrhea is correct. Alcohol is a substance that
stimulates gastrointestinal (GI) motility.Eat raw vegetables is incorrect. Raw vegetables contain
fiber. The nurse should instruct the client to eat vegetables that are well-cooked and do not
have skins or seeds.Eat three large meals a day is incorrect. The nurse should instruct the client
to eat small meals throughout the day to manage diarrhea.Avoid caffeine while experiencing
diarrhea is correct. Caffeine is a substance that stimulates GI motility.Drink hot liquids several
times a day is incorrect. Hot liquids can stimulate peristalsis and should be avoided while the
client is experiencing diarrhea.Drink carbonated beverages to replace lost fluids is incorrect.
Items such as milk, fruit, and carbonated beverages can contain simple sugars that stimulate GI
motility.Follow a low-fiber diet is correct. Foods that are high in fiber stimulate GI motility and
should be avoided while the client is experiencing diarrhea.
A nurse in a provider's clinic is caring for a client who has heart failure.
Solved
A charge nurse is discussing the responsibility of nurses caring for clients who have a
Clostridium difficile infection. Which of the following information should the nurse include in
the teaching? - ✔✔✔-Have family members wear a gown and gloves when visiting.
Explanation: Nurses are responsible for ensuring that family members wear a gown and gloves
to prevent the transmission of Clostridium difficile spores. Staff must also wear gowns and
gloves.
A client who is nonambulatory notifies the nurse that their trash can is on fire. After the nurse
confirms the presence of the fire, which of the following actions should the nurse take next? -
✔✔✔-Evacuate the client.
Explanation: According to the RACE mnemonic, the first action in response to a fire is to rescue
the clients, moving them to a safe area.
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the
following statements should the nurse identify as an indication that the client understands the
preoperative teaching they received about pain management? - ✔✔✔-"It might help me to
listen to music while I'm lying in bed."
Explanation: Listening to music is an effective nonpharmacological intervention for the
management of mild pain.
A middle adult client tells the nurse, "I feel so useless now that my children do not need me
anymore." Which of the following responses should the nurse make? - ✔✔✔-"People in middle
adulthood often find satisfaction in nurturing and guiding young people."
Explanation: According to Erik Erikson, the task of middle adulthood is generativity versus self-
absorption and stagnation. The focus of this task is on offering support and guidance to future
generations. The nurse should explore opportunities for mastering the developmental tasks of
this stage with the client, such as volunteering and mentoring young people.
,ATI Fundamentals Practice 2023 A+ Exam with Questions and Answers – 100%
Solved
A nurse enters a client's room and finds them on the floor. The client's roommate reports that
the client was trying to get out of bed and fell over the side rail onto the floor. Which of the
following statements should the nurse document about this incident? - ✔✔✔-"Client found
lying on floor."
Explanation: The nurse should include documentation of information that is descriptive and
objective concerning what the nurse actually observed, without including any opinions or
judgments about motives or cause.
A nurse has just inserted a nasogastric (NG) tube for a client. Which of the following findings
should the nurse expect to confirm correct tube placement? - ✔✔✔-An x-ray shows the end of
the tube above the pylorus.
Explanation: An abdominal x-ray showing the end of the tube above the pylorus indicates
gastric placement.
A nurse in a long-term care facility is caring for a client who dies during the nurse's shift. Identify
the sequence in which the nurse should perform the following steps. (Move the steps into the
box on the right, placing them in the order of performance. Use all the steps.) - ✔✔✔-1: Obtain
the pronouncement of death from the provider.
2: Remove tubes and indwelling lines.
3: Wash the client's body.
4: Ask the client's family members if they would like to view the body.
5: Place a name tag on the body.
Explanation: The first step is to obtain the death pronouncement from the provider. Next, the
nurse should remove tubes and indwelling lines prior to cleansing the client's body. After
cleansing, the nurse should ask the family members if they wish to view the body. Finally, the
nurse should place a name tag on the body before transfer.
, ATI Fundamentals Practice 2023 A+ Exam with Questions and Answers – 100%
Solved
A nurse in a provider's clinic is caring for a client who has diarrhea.
Exhibit 1 Vital SignsTemperature 36.2° C (97.2° F)Heart rate 116/minRespiratory rate 24/minBP
102/68 mm HgOxygen saturation 95%Weight 52.2 kg (115 lb)
Exhibit 2 Nurses' Notes1000:Client reports diarrhea for the past 5 days with approximately 8
liquid stools a day. Woke up this morning feeling dizzy. States, "I felt like I was going to pass
out."Client was seen 7 days ago for sinus infection and was prescribed amoxicillin.Weight at
previous visit was 56.2 kg (124 lb).Denies bloody or black stools.1030:Blood collected for CBC,
basic metabolic profile (BMP); stool collected for C. difficile; urine collected for
urinalysis.1100:Informed client that the office will call with results of laboratory findings;
prescription for loperamide provided, instructed to discontinue amoxicillin; instructed to drink
electrolyte solution - ✔✔✔-***Eat probiotic foods, such as yogurt.***
***Avoid alcohol while experiencing diarrhea.***
***Avoid caffeine while experiencing diarrhea.***
***Follow a low-fiber diet.***
Explanation: Increase intake of high-calcium foods is incorrect. The nurse should instruct the
client to increase intake of high-potassium foods.Eat probiotic foods, such as yogurt is correct.
Probiotic foods, such as yogurt, contain live bacterial cultures, which can help to reduce
diarrhea.Avoid alcohol while experiencing diarrhea is correct. Alcohol is a substance that
stimulates gastrointestinal (GI) motility.Eat raw vegetables is incorrect. Raw vegetables contain
fiber. The nurse should instruct the client to eat vegetables that are well-cooked and do not
have skins or seeds.Eat three large meals a day is incorrect. The nurse should instruct the client
to eat small meals throughout the day to manage diarrhea.Avoid caffeine while experiencing
diarrhea is correct. Caffeine is a substance that stimulates GI motility.Drink hot liquids several
times a day is incorrect. Hot liquids can stimulate peristalsis and should be avoided while the
client is experiencing diarrhea.Drink carbonated beverages to replace lost fluids is incorrect.
Items such as milk, fruit, and carbonated beverages can contain simple sugars that stimulate GI
motility.Follow a low-fiber diet is correct. Foods that are high in fiber stimulate GI motility and
should be avoided while the client is experiencing diarrhea.
A nurse in a provider's clinic is caring for a client who has heart failure.
