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Nursing Fundamentals Study Guide, Practice Questions,
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Verified Answers & Rationales | ATI CMS Fundamentals,
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Content Mastery Series & NCLEX-RN Prep Bundle
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THIS EXAM CONTAINS: d d
• ATI Fundamentals comprehensive review
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• Practice questions with verified answers
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• Detailed answer rationales
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• Nursing process (ADPIE)
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• Safety and infection control
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• Delegation and prioritization
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• Therapeutic communication
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• Documentation and informatics
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,Fundamentals of Nursing d d d
1. A nurse is assisting with conducting a home hazard assessment for a
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client who has dementia. Which of the following findings indicates an
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understanding of home safety?
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• A. An extension cord is secured under a rug
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• B. A toaster is plugged in when not in use
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• C. The water heater is set to 55°C (131°F)
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• D. The edges of stairs are marked with brightly colored tape
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Correct Answer: D. The edges of stairs are marked with brightly colored
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tape
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Rationale: The nurse should instruct the client to mark edges of stairs with
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brightly colored tape to alert the client of the steps and reduce the risk of
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fall.
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2. A nurse is caring for a client who is experiencing a seizure. Which of
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the following actions should the nurse take?
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• A. Record the time and length of the seizure
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• B. Restrain the client's extremities
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• C. Place the client in the prone position
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• D. Monitor the client's hemoglobin level
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Correct Answer: A. Record the time and length of the seizure
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Rationale: The nurse should monitor the length of time of the seizure to
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evaluate the type of seizure and determine treatment required.
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,3. A nurse is caring for a client who is at risk for suicide. Which of the
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following actions should the nurse take? (Select all that apply)
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• A. Place the client on round-the-clock surveillance
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• B. Remove objects from the room that the client could use to harm
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themselves
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• C. Search items brought into the client's room by visitors
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• D. Refrain from asking the client if they intend to harm themselves
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• E. Screen the client for suicidal ideations
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Correct Answers: A, B, C d d d d
Rationale: The nurse should place the client on round-the-clock
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surveillance, remove objects that could be used for self-harm, and search
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visitor items. Screening for suicidal ideations and asking directly about
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intent are also appropriate, not refraining.
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4. A nurse is caring for a client who has an indwelling urinary catheter
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in place. Which of the following actions is the priority for the nurse to
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take to reduce the client's risk of developing a healthcare-associated
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infection?
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• A. Wipe down the client's bedside table with an antiseptic wipe
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• B. Conduct informal audits of medical records
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• C. Perform hand hygiene
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• D. Instruct the client on ways to reduce the risk for infection
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Correct Answer: C. Perform hand hygiene
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, Rationale: According to evidence-based practice, hand hygiene among
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medical professionals, clients, and visitors is the priority intervention to
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reduce the risk of a healthcare-associated infection.
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5. A nurse is checking a client's allergy bracelet before administering a
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medication and finds the client is allergic to that medication. The nurse
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does not administer the medication to the client. This is an example of
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which of the following unexpected events?
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• A. Near miss event
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• B. Client safety event
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• C. Adverse eventd d
• D. Sentinel event
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Correct Answer: A. Near miss event
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Rationale: A near-miss event is an error that could have harmed the client
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which almost occurs but was caught and avoided. The nurse noted the
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allergy prior to administering, avoiding harm.
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6. A nurse is preparing a poster about fire safety for a community
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health fair. The nurse should include on the poster that which of the
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following components contains needed elements for fire to occur?
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(Select all that apply)
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• A. Carbon dioxide
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• B. Nitrogen d
• C. Cooking oil d d