ATI Fundamentals Final 2024
A nurse is collecting data on a client who has impaired mobility. The nurse should
monitor the client for a pressure injury due to which of the following?
A. Decreased circulation
B. Increased collagen
C. Increased muscle mass
D. Decreased serum calcium - -CORRECT ANSWER--✔️A:Decreased circulation
A nurse is contributing to the plan of care for a client who has urinary
incontinence. The nurse recommends monitoring the client for which of the
following findings?
A. Dermatitis
B. Hypoglycemia
C. Fluid volume overload
D. Kidney stones - -CORRECT ANSWER--✔️A: Dermatitis
A nurse is caring for a group of clients. Which of the following clients should the
nurse identify is at highest risk for developing a pressure injury?
A. A client whose alert and responsive & eats 25% of each meal
B. A client who is unresponsive to verbal commands & changes positions
occasionally
C. A client who is receiving eternal feeding and can change positions
independently
D. A client who makes frequent slight changes in positions and walks occasionally
- -CORRECT ANSWER--✔️B:A client who is unresponsive to verbal commands &
change positions occasionally
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A nurse is assisting with the care of a client who has a wound the requires
negative pressure wound therapy. Which of the following should the nurse take?
A. Cover the client's wound with an alginate dressing.
B. Expect the inner dressing to expand after the vacuum pump is initiated
C. Shave hair on the client's skin surrounding the wound.
D. Cut a round hole in the center of the outer dressing - -CORRECT ANSWER--✔️D:
Cut a hole around in the center of the outer dressing
A nurse is assisting with teaching a newly licensed nurse about reducing the risk
for healthcare-associated infections. Which of the following instructions should
the nurse include?
A. Change a gauze dressing over central vascular access devices every 3 days.
B. Use chlorhexidine gluconate to clean the skin on clients who are pre operative.
C. Provide mouth care every 8 hours for clients who require mechanical
ventilation
D. Irrigate indwelling urinary catheters daily. - -CORRECT ANSWER--✔️B. Use
chlorhexidine gluconate to clean the skin on clients who are pre operative
A nurse is assisting with the care of a client who is incontinent. Which of the
following actions should the nurse take?
A. Clean the clients skin with hot water
B. restrict the clients fluid intake
C. Dry between the folds of the client's skin
D. Apply baby powder to the clients skin - -CORRECT ANSWER--✔️C. Dry between
the folds in the clients skin
A nurse is caring for a client who is at risk for a pressure injury. Which of the
following actions should the nurse take?
A. Massage the clients bony prominences
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B. Provide the client with a high-calorie diet
C. Reposition the client every 4 hours
D. Elevate the head of the bed 45 degrees - -CORRECT ANSWER--✔️B. Provide the
client with a high-calorie diet
A nurse is assisting with teaching a class about professionalism. The nurse should
include that joining a professional organization is an example of which of the
following?
A. Quality improvement
B. Risk management
C. Professional identity
D. Professional commitment - -CORRECT ANSWER--✔️D. Professional commitment
A nurse is assisting with teaching a class on professionalism. The nurse should
include that which of the following is an example of responsibility?
A. Speaking to a provider on the behalf of a client
B. Performing hand hygiene before caring for a client
C. Contacting a social worker for a client who requires assistance with finances
D. Supporting a clients decision to discontinue treatment - -CORRECT ANSWER--
✔️B. Performing hand hygiene before caring for a client
A nurse is assisting with teaching a class on ethical principles. The nurse should
include that protecting a clients safety by not causing harm refers to which of the
following ethical principles.
A. Nonmaleficence
B. Justice
C. Fidelity
D. Beenficence - -CORRECT ANSWER--✔️A. Nonmalficence
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