2023 B & ATI RN Fundamentals Online
Practice 2023 B
The nurse is placing the client on isolation precautions. Which of the following
interventions should the nurse include? Select all that apply. - Answer---Wear an N95
mask when caring for the client
-Place a container for soiled linens inside the clients room
-Place the client in a negative airflow room
-Remove mask after exiting the clients room
Complete the following sentence by using the list of options. The client has
manifestations of _____ as evidenced by the client's ____. - Answer---Allergic reaction
-Itching
A nurse is administering IV fluids to a client. When monitoring for adverse effects, which
of the following assessments should the nurse identify as the priority? -
Answer--Auscultating lung sounds
A nurse is caring for a client who is expressing anger about their diagnosis of colorectal
cancer. Which of the following actions should the nurse take? - Answer--Reassure the
client that this is an expected response to grief
,A nurse if providing discharge teaching to a client about self administering heparin.
Which of the following instructions should the nurse include in the teaching? -
Answer--Administer the medication into the abdomen
A nurse is administering an otic medication to an older adult client. Which of the
following actions should the nurse take to ensure that the medication reaches the inner
ear? - Answer--Press gently on the tragus of the client's ear
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 do a routine screening. What
does that involve?" Which of the following responses should the nurse make? -
Answer--"You should have a fecal occult blood test every year"
A nurse is caring for a client who is postoperative following a knee arthroplasty and
requires the use of thigh-high sequential compression sleeves. Which of the following
actions should the nurse take? - Answer--Make sure two fingers can fit under the
sleeves
A nurse if evaluating a client's use of a cane. Which of the following actions should the
nurse identify as an indication of correct use? - Answer--The client holds the cane on
the stronger side of their body
A nurse if calculating a client's fluid intake over the past 8hr. Which of the following
items should the nurse plan to document in the client's intake and output record as 120
mL of fluid? - Answer--8 oz of ice chips
A nurse is providing teaching to a client who is on protective isolation precautions.
Which of the following client statements indicates understanding of the teaching? -
Answer--"I will wear a face mask when leaving my hospital room"
A nurse is educating a client who has a terminal illness about declining resucitation in a
living will. The client asks, "What would happen if I arrived at the emergency department
and I had difficulty breathing?" Which of the following responses should the nurse
make? - Answer--"We would give you oxygen through a tube in your nose"
A nurse is providing discharge teaching for a client who has a new prescription for a
home oxygen concentrator. Which of the following instructions should the nurse provide
to the client and their family? - Answer---Check the cord routinely for frays or tearing
-Consider purchasing a generator for power backup
-Observe for signs of hypoxia
,A nurse is reviewing evidence based practice principles about administration of oxygen
therapy with a newly licensed nurse. Which of the following actions should the nurse
take? - Answer--Regulate oxygen via nasal cannula at a flow rate of no more than 6
L/min
A nurse is caring for a client who has a prescription for wound irrigation. Which of the
following actions should the nurse take? - Answer--Cleanse the wound from the center
outward
A nurse is caring for a client who requires an NG tube for stomach decompression.
Which of the following actions should the nurse take while inserting the NG tube? -
Answer--Have the client take sips of water to promote insertion of the NG tube into the
esophagus
A nurse is providing discharge instructions to a client who will be using a walker. Which
of the following statements by the client indicates the teaching as been effective? -
Answer--"I will hire someone to trim the tree that overhangs the front porch stairs"
A nurse is caring for a group of clients on a medical surgical unit. In which of the
following situations does the nurse demonstrate the ethic principle of veracity? -
Answer--A client who is unaware of their recent cancer diagnosis asks the nurse if they
had cancer, and the nurse responds affirmatively
A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of
the following actions should the nurse plan to take? - Answer--Place the client's arm in a
dependent position
A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the
following statements should the nurse identify as an indication that the client
understands the teaching? - Answer--"When descending stairs, I will first shift my weight
to my right leg"
A nurse is teaching an older adult client who is at risk for osteoporosis about beginning
a program of regular physical activity. Which of the following types of activity should the
nurse recommend? - Answer--Walking briskly
A nurse is caring for a client who has a respiratory infection. Which of the following
techniques should the nurse use when performing nasotracheal suctioning for the
client? - Answer--Apply intermittent suction when withdrawing the catheter
, 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? - Answer--The caregiver insists on
remaining in the room
A nurse is caring for a client who has recently started using a behind-the-ear hearing
aid. Which of the following statements should the nurse identify as an indication that the
client understands the use of the assistive device? - Answer--"I will be sure to remove
my hearing aid before taking a shower"
A nurse is assessing an older adult client's risk for falls. Which of the following
assessments should the nurse use to identify the client's safety needs? - Answer---Pupil
clarity
-Visual fields
-Visual acuity
A nurse is caring for a client who asks about the purpose of advance directives. Which
of the following statement should the nurse make? - Answer--"They indicate the form of
treatment a client is willing to accept in the event of a serious illness"
A nurse is responding to a call light and finds a client lying on the bathroom floor. Which
of the following actions should the nurse take first? - Answer--Check the client for
injuries
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? - Answer--The newly licensed nurse places a cap of a bottle of
sterile solution on the sterile field
A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10
units of NPH insulin subcutaneously. Determine the correct order of steps for this
procedure. - Answer---Inject 10 units of air into the bottle of NPH insulin
-Inject 5 units of air into the bottle of regular insulin
-Withdraw the correct dose of regular insulin from the bottle
-Withdraw the correct dose of NPH insulin from the bottle
A nurse is planning teaching for a client who has a new diagnosis of type 1 diabetes
mellitus about insulin self-administration. Which of the following actions should the
nurse take first? - Answer--Determine the client's learning style