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1. A nurse is performing a Romberg's test during the physical assessment of a
client. Which of the following techniques should the nurse use?
ANS: Have the client stand with her arms at her side and her feet
together.
2. A nurse is planning an deduction session for an older adult client who has
just learned that she has type 2 diabetes mellitus. Which of the following
strategies should the nurse plan to use with this client?
ANS: Allow extra time for the client to respond to questions
3. A nurse is teaching an older 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?
ANS: Walking briskly
4. A nurse is assessing an adult client who has been immobile for the past 3
weeks. The nurse should identify that which of the following findings
requires further intervention?
ANS: Erythema on pressure points
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5. A nurse is preparing to administer 0.5 mL of oral single-dose liquid
medication to a client. Which of the following actions should the nurse
take?
ANS: Gently shake the container of medication prior to administration.
6. 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?
ANS: Check the client for injuries
7. A nurse is caring for a client who is expressing anger over his diagnosis
of colorectal cancer. Which of the following actions should the nurse
take?
ANS: Reassure the client that this is an expected response to grief.
8. 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
routine screening. What does that involve?" Which of the following
responses should the nurse make?
ANS: "You should have a fecal occult blood test every year."
9. A nurse is caring for a client who has an aggressive form of prostate cancer.
The provider briefly discusses treatment options and leaves the client's
room. When the nurse asks if the client would like to discuss any concerns,
ATI Fundamentals Proctored Exam | 117
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the client declines. Which of the following statements should the nurse
make?
ANS: "I am available to talk if you should change your mind."
10. A nurse is preparing to administer multiple medications to a client who
has an enteral feeding tube. Which of the following actions should the
nurse plan to take?
ANS: Flush the tube with 15 mL of sterile water.
11. A nurse is caring for a client who has a prescription for wound irrigation.
Which of the following actions should the nurse take?
ANS: Cleanse the wound from the center outward.
12. A nurse is providing care to four clients. Which of the following
situations requires the nurse the complete an incident report?
ANS: A client who has an IV infusion pump receives an additional 250
mL of IV fluid.
13. A nurse is caring for a client receiving fluid through a peripheral IV
catheter. Which of the following findings at the IV site should the nurse
identify as infiltration?
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ANS: Skin blanching
14. A nurse is preparing a change-of-shift report. Which of the following tools
or documents should the nurse use to communicate continuity of care?
ANS: Situation, background, assessment, and recommendation (SBAR)
15. A nurse is planning teaching for a group of adolescents who each recently
had surgical placement of an ostomy. Which of the following methods
should the nurse use as a psychomotor approach to learning?
ANS: practice sessions
16. A nurse is teaching a client and his family how to care for the client's
tracheostomy at home. Which of the following instructions should the
nurse include in the teaching?
ANS: use tracheostomy covers when outdoors
17. A nurse is educating a client who has a terminal illness about her request
to decline resuscitation in her living will. The client asks what would
happen if she arrived at the emergency department and had difficulty
breathing. Which of the following responses should the nurse provide?
ANS: "We will apply oxygen through a tube in your nose"
ATI Fundamentals Proctored Exam | 117
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UPDATE GRADED A+
Questions and Answers | LATEST
UPDATE GRADED A+
ATI Fundamentals Proctored Exam | 117 Questions and Answers | LATEST
1. A nurse is performing a Romberg's test during the physical assessment of a
client. Which of the following techniques should the nurse use?
ANS: Have the client stand with her arms at her side and her feet
together.
2. A nurse is planning an deduction session for an older adult client who has
just learned that she has type 2 diabetes mellitus. Which of the following
strategies should the nurse plan to use with this client?
ANS: Allow extra time for the client to respond to questions
3. A nurse is teaching an older 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?
ANS: Walking briskly
4. A nurse is assessing an adult client who has been immobile for the past 3
weeks. The nurse should identify that which of the following findings
requires further intervention?
ANS: Erythema on pressure points
ATI Fundamentals Proctored Exam | 117
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,ATI Fundamentals Proctored Exam | 117
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5. A nurse is preparing to administer 0.5 mL of oral single-dose liquid
medication to a client. Which of the following actions should the nurse
take?
ANS: Gently shake the container of medication prior to administration.
6. 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?
ANS: Check the client for injuries
7. A nurse is caring for a client who is expressing anger over his diagnosis
of colorectal cancer. Which of the following actions should the nurse
take?
ANS: Reassure the client that this is an expected response to grief.
8. 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
routine screening. What does that involve?" Which of the following
responses should the nurse make?
ANS: "You should have a fecal occult blood test every year."
9. A nurse is caring for a client who has an aggressive form of prostate cancer.
The provider briefly discusses treatment options and leaves the client's
room. When the nurse asks if the client would like to discuss any concerns,
ATI Fundamentals Proctored Exam | 117
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UPDATE GRADED A+
,ATI Fundamentals Proctored Exam | 117
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the client declines. Which of the following statements should the nurse
make?
ANS: "I am available to talk if you should change your mind."
10. A nurse is preparing to administer multiple medications to a client who
has an enteral feeding tube. Which of the following actions should the
nurse plan to take?
ANS: Flush the tube with 15 mL of sterile water.
11. A nurse is caring for a client who has a prescription for wound irrigation.
Which of the following actions should the nurse take?
ANS: Cleanse the wound from the center outward.
12. A nurse is providing care to four clients. Which of the following
situations requires the nurse the complete an incident report?
ANS: A client who has an IV infusion pump receives an additional 250
mL of IV fluid.
13. A nurse is caring for a client receiving fluid through a peripheral IV
catheter. Which of the following findings at the IV site should the nurse
identify as infiltration?
ATI Fundamentals Proctored Exam | 117
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, ATI Fundamentals Proctored Exam | 117
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ANS: Skin blanching
14. A nurse is preparing a change-of-shift report. Which of the following tools
or documents should the nurse use to communicate continuity of care?
ANS: Situation, background, assessment, and recommendation (SBAR)
15. A nurse is planning teaching for a group of adolescents who each recently
had surgical placement of an ostomy. Which of the following methods
should the nurse use as a psychomotor approach to learning?
ANS: practice sessions
16. A nurse is teaching a client and his family how to care for the client's
tracheostomy at home. Which of the following instructions should the
nurse include in the teaching?
ANS: use tracheostomy covers when outdoors
17. A nurse is educating a client who has a terminal illness about her request
to decline resuscitation in her living will. The client asks what would
happen if she arrived at the emergency department and had difficulty
breathing. Which of the following responses should the nurse provide?
ANS: "We will apply oxygen through a tube in your nose"
ATI Fundamentals Proctored Exam | 117
Questions and Answers | LATEST
UPDATE GRADED A+
