100% Solved
A charge nurse is observing a newly licensed nurse prepare a sterile field for a dressing change.
Which of the following actions by the newly licensed nurse requires intervention by the charge
nurse? - ✔✔✔-The newly licensed nurse places the cap of a bottle of sterile saline solution on
the sterile field.
Explanation: The newly licensed nurse should place the cap with the sterile side up on a clean
surface because the outer edges are unsterile and will contaminate the sterile field.
A client demonstrates anger when the nurse does not respond within 5 min of ringing for the
nurse. Which of the following is an appropriate response by the nurse? - ✔✔✔-That must be
frustrating for you. How can I help you right now?
Explanation: This response is therapeutic because the nurse is acknowledging the client's
feelings and offering help.
A home health nurse is completing an admission assessment of an older adult client who has
their caregiver present. Which of the following findings should the nurse identify as a potential
indication of elder abuse? - ✔✔✔-The caregiver insists on remaining in the room.
Explanation: A caregiver who refuses to leave the room during an admission assessment can be
an indication of potential mistreatment of the client who is receiving care. The nurse should
evaluate the client for additional signs of potential mistreatment throughout the admission
assessment.
A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am
at an average risk for colon cancer, I should have a routine screening. What does that involve?"
Which of the following responses should the nurse make? - ✔✔✔-"You should have a fecal
occult blood test every year."
Explanation: Colorectal cancer screening for clients who are at average risk begins at age 45.
One option for screening is a fecal occult blood test annually.
,ATI Fundamentals Practice 2023 B Complete Exam with Questions and Answers –
100% Solved
A nurse in a medical-surgical unit is caring for six clients.
Exhibit 1
Nurses' Notes
0800:
Client 1: Client is admitted with a new diagnosis of rheumatoid arthritis.
Client 2: Client has a history of hyperlipidemia. Atorvastatin 20 mg PO administered as
prescribed.
Client 3: Client is 1 day postoperative. Reports pain as 8 on a scale of 0 to 10. Morphine 5 mg
subcutaneous administered as prescribed.
Client 4: Client is admitted with a new diagnosis of heart failure.
Client 5: Client has a stage 2 pressure injury on the left heel.
Client 6: Client is admitted with a new diagnosis of diabetes mellitus.
Exhibit 2
Diagnostic Results
0900:
Client 1: C-reactive protein 3.2 mg/dL (less than 1 mg/dL)
Client 2: Cholesterol 250 mg/dL (less than 200 mg/dL)
Client 3: Oxygen saturation 88% (95% to 100%)
Client 4: Potassium 3.2 mEq/L (3.5 to 5 mEq/L)
Client 5: Prealbumin 14 mg/dL (15 to 36 mg/dL)
Client 6: Glycosylated hemoglo - ✔✔✔-Complete the following sentence by using the lists of
options.
The first client the nurse should assess is CLIENT 3 followed by CLIENT 4.
, ATI Fundamentals Practice 2023 B Complete Exam with Questions and Answers –
100% Solved
Explanation:
Drop Down 1:Client 1 is incorrect. The nurse should assess this client because the client's C-
reactive protein is greater than the expected reference range, which is an indication of
inflammation. However, there is another client the nurse should assess first. Client 2 is
incorrect. The nurse should assess this client because the client's cholesterol level is greater
than the expected reference range, which places them at risk for coronary heart disease.
However, there is another client the nurse should assess first. Client 3 is correct. When using the
airway, breathing, circulation approach to client care, the nurse should determine that this
client is the priority client to assess. The client has an oxygen saturation that is less than the
expected reference range, which is an indication of hypoxia. Drop Down 2:Client 4 is correct.
When using the airway, breathing, circulation approach to client care, the nurse should
determine that this client is the next priority client to assess. The client has a potassium level
that is less than the expected reference range, which places the client at risk for dysrhythmias.
Client 5 is incorrect. The nurse should assess this client because their prealbumin level is less
than the expected reference range, which places them at risk for delayed wound healing.
However, this client is not the next priority client to assess. Client 6 is incorrect. The nurse
should assess this client because their glycosylated hemoglobin level is greater than the
expected reference range, which indicates poor diabetic control. However, this client is not the
next priority client to assess.
A nurse in the emergency department (ED) is caring for a client who reports abdominal pain.
Nurses' Notes
1200:Client arrives to ED and reports abdominal pain and no bowel movement for the past 7
days. Client is undergoing chemotherapy for pancreatic cancer and has been taking 40 mg
oxycodone extended-release tablets daily for the past 3 months. Client states they have
attempted to relieve constipation for the last 7 days with bisacodyl suppositories and
magnesium citrate oral suspension. Client reports that neither therapy initiated defecation.
1230:Client transported for abdominal x-ray.