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ATI Fundamentals Final Quiz
A nurse is teaching a client how to self-administer insulin. Which of the following actions
should the nurse take to evaluate the client's understanding of the process within the
psychomotor domain of learning. - -CORRECT ANSWER-Have the client demonstrates
the procedure.
Having the client demonstrate the procedure provides the nurse the ability to evaluate
the client's understanding within the psychomotor domain of learning.
A nurse is preparing to administer a cleansing enema to a client. Which of the following
actions should the nurse plan to take? - -CORRECT ANSWER-Position the client on his
left side.
Positioning is an important aspect of administering an enema. Having the client lie on his
left side facilitates the flow of the enema solution into the sigmoid and descending
colon.
A client who reports shortness of breath requests her nurse's help in changing positions.
After repositioning the client, which of the following actions should the nurse take next?
- -CORRECT ANSWER-Observe the rate, depth, and character of the client's respirations.
The nurse should apply the nursing process priority-setting framework when caring for
this client. The nurse can use the nursing process to plan client care and prioritize nursing
actions. Each step of the nursing process builds on the previous step, beginning with
assessment or data collection. Before the nurse can formulate a plan of action,
implement a nursing intervention, or notify a provider of a change in the client's status,
the nurse must first collect adequate data from the client. Assessing or collecting
additional data will provide the nurse with knowledge to make an appropriate decision;
therefore, the first action the nurse should take is to assess the client's respiratory status.
A nurse is caring for a client who has bilateral casts on her hands. Which of the following
actions should the nurse take when assisting the client with feeding? - -CORRECT
ANSWER-Sit at the bedside while feeding the client.
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The nurse should avoid appearing to be in a hurry. Sitting at the bedside provides the
client with the nurse's full attention during the feeding.
A nurse is caring for a client who, while sitting in a chair, starts to experience a seizure.
Which of the following actions should the nurse take? - -CORRECT ANSWER-Lower the
client to the floor and place a pad under the clients head.
To reduce the risk of injury to the client, the nurse should lower the client to the floor
and place a pillow or other soft object under the client's head.
A home health nurse is planning to provide health promotion activities for a group of
clients in the community. Which of the following activities is an example of the nurse
promoting primary prevention? - -CORRECT ANSWER-Educating clients about the
recommended immunization schedule for adults.
Primary prevention includes health education about disease prevention.
An assistive personnel (AP) is assisting a nurse with the care of a female client who has an
indwelling urinary catheter. Which of the following actions by the AP indicates for further
teaching? - -CORRECT ANSWER-The AP hangs the collection bag at the level of the
bladder.
The AP should place the drainage bag below the level of the bladder to ensure proper
drainage by gravity.
A nurse is performing a neurological assessment for a client. Which of the following
examinations should the nurse use to check the client's balance? - -CORRECT ANSWER-
Romberg Test
When using the Romberg test, the nurse instructs the client to stand with his feet
together and arms at sides, first with his eyes open and then with eyes closed. The
inability to maintain balance is a positive Romberg test.
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ATI Fundamentals Final Quiz
A nurse is teaching a client how to self-administer insulin. Which of the following actions
should the nurse take to evaluate the client's understanding of the process within the
psychomotor domain of learning. - -CORRECT ANSWER-Have the client demonstrates
the procedure.
Having the client demonstrate the procedure provides the nurse the ability to evaluate
the client's understanding within the psychomotor domain of learning.
A nurse is preparing to administer a cleansing enema to a client. Which of the following
actions should the nurse plan to take? - -CORRECT ANSWER-Position the client on his
left side.
Positioning is an important aspect of administering an enema. Having the client lie on his
left side facilitates the flow of the enema solution into the sigmoid and descending
colon.
A client who reports shortness of breath requests her nurse's help in changing positions.
After repositioning the client, which of the following actions should the nurse take next?
- -CORRECT ANSWER-Observe the rate, depth, and character of the client's respirations.
The nurse should apply the nursing process priority-setting framework when caring for
this client. The nurse can use the nursing process to plan client care and prioritize nursing
actions. Each step of the nursing process builds on the previous step, beginning with
assessment or data collection. Before the nurse can formulate a plan of action,
implement a nursing intervention, or notify a provider of a change in the client's status,
the nurse must first collect adequate data from the client. Assessing or collecting
additional data will provide the nurse with knowledge to make an appropriate decision;
therefore, the first action the nurse should take is to assess the client's respiratory status.
A nurse is caring for a client who has bilateral casts on her hands. Which of the following
actions should the nurse take when assisting the client with feeding? - -CORRECT
ANSWER-Sit at the bedside while feeding the client.
1
, 2
The nurse should avoid appearing to be in a hurry. Sitting at the bedside provides the
client with the nurse's full attention during the feeding.
A nurse is caring for a client who, while sitting in a chair, starts to experience a seizure.
Which of the following actions should the nurse take? - -CORRECT ANSWER-Lower the
client to the floor and place a pad under the clients head.
To reduce the risk of injury to the client, the nurse should lower the client to the floor
and place a pillow or other soft object under the client's head.
A home health nurse is planning to provide health promotion activities for a group of
clients in the community. Which of the following activities is an example of the nurse
promoting primary prevention? - -CORRECT ANSWER-Educating clients about the
recommended immunization schedule for adults.
Primary prevention includes health education about disease prevention.
An assistive personnel (AP) is assisting a nurse with the care of a female client who has an
indwelling urinary catheter. Which of the following actions by the AP indicates for further
teaching? - -CORRECT ANSWER-The AP hangs the collection bag at the level of the
bladder.
The AP should place the drainage bag below the level of the bladder to ensure proper
drainage by gravity.
A nurse is performing a neurological assessment for a client. Which of the following
examinations should the nurse use to check the client's balance? - -CORRECT ANSWER-
Romberg Test
When using the Romberg test, the nurse instructs the client to stand with his feet
together and arms at sides, first with his eyes open and then with eyes closed. The
inability to maintain balance is a positive Romberg test.
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