lOMoAR cPSD| 11137548
ATI fundamentals A,B & Final Fundamentals of Nursing (Keiser University)
1. A nurse is caring for a client who requires a 24-hr urine collection. Which of the following statements by the client
indicates an understanding of the teaching?
"I flushed what I urinated at 7:00 a.m. and have saved all urine since."
2. A nurse is assessing a client who has been on bed rest for the past month. Which of the following findings should the
nurse identify as an indication that the client has developed thrombophlebitis?
Calf swelling
3. A nurse manager is overseeing the care on a unit. Which of the following situations should the nurse manager
identify as a violation of HIPAA guidelines?
A nurse asks a nurse from another unit to assist with her documentation.
4. A nurse is caring for a client who requires bed rest and has a prescription for antiembolic stockings. Which of the
following actions should the nurse take?
Remove the stockings at least once per shift.
5. A nurse is administering IV fluid to an older adult client. The nurse should perform which priority assessment to
monitor for adverse effects?
Auscultate lung sounds
6. A nurse is assessing a client's readiness to learn about insulin administration. Which of the following statements
should the nurse identify as an indication that the client is ready to learn?
"I can concentrate best in the morning."
7. A nurse is performing a Romberg's test during the physical assessment of a client. Which of the following techniques
should the nurse use?
Have the client stand with her arms at her side and her feet together.
8. 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?
Downloaded by Crystal Garcia ()
, lOMoAR cPSD| 11137548
ATI fundamentals A,B & Final Fundamentals of Nursing (Keiser University)
Allow extra time for the client to respond to questions
9. 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?
Walking briskly
10. 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?
Erythema on pressure points
11. 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?
Gently shake the container of medication prior to administration.
12. 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?
Check the client for injuries
13. 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?
Reassure the client that this is an expected response to grief.
14. 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?
"You should have a fecal occult blood test every year."
15. A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of
the following statements should the nurse manager plan to include in the teaching?
"Use the complete name of the medication magnesium sulfate."
Downloaded by Crystal Garcia ()
, lOMoAR cPSD| 11137548
ATI fundamentals A,B & Final Fundamentals of Nursing (Keiser University)
16. A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take?
Place the client in a room with negative-pressure airflow.
Wear gloves when assisting the client with oral care.
Use antimicrobial sanitizer for hand hygiene.
17. A charge nurse is discussing the responsibility of nurses caring for clients who have Clostridium difficile infection.
Which of the following information should the nurse include in the teaching?
Have family members wear a gown and gloves when visiting.
18. A nurse in a surgical suite notes documentation on a client's medical record he has a latex allergy. In preparation for
the client's procedure, which of the following precautions should the nurse take?
Wrap monitoring cords with stockinette and tape them in place.
19. A nurse is caring for a client who is reporting difficulty falling asleep. Which of the following measures would the
nurse recommend?
Use progressive relaxation techniques at bedtime.
20. A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to mix
together and administer subcutaneously. Determine the correct order of steps for this procedure.
Air into NPH
Air into Regular
Draw up Regular
Draw up NPH
21. A nurse is reviewing practice guidelines with a group of newly licensed nurses. Which of the following interventions
should the nurse include that is within the RN scope of practice?
Initiate an enteral feeding through a gastrostomy tube.
Downloaded by Crystal Garcia ()
ATI fundamentals A,B & Final Fundamentals of Nursing (Keiser University)
1. A nurse is caring for a client who requires a 24-hr urine collection. Which of the following statements by the client
indicates an understanding of the teaching?
"I flushed what I urinated at 7:00 a.m. and have saved all urine since."
2. A nurse is assessing a client who has been on bed rest for the past month. Which of the following findings should the
nurse identify as an indication that the client has developed thrombophlebitis?
Calf swelling
3. A nurse manager is overseeing the care on a unit. Which of the following situations should the nurse manager
identify as a violation of HIPAA guidelines?
A nurse asks a nurse from another unit to assist with her documentation.
4. A nurse is caring for a client who requires bed rest and has a prescription for antiembolic stockings. Which of the
following actions should the nurse take?
Remove the stockings at least once per shift.
5. A nurse is administering IV fluid to an older adult client. The nurse should perform which priority assessment to
monitor for adverse effects?
Auscultate lung sounds
6. A nurse is assessing a client's readiness to learn about insulin administration. Which of the following statements
should the nurse identify as an indication that the client is ready to learn?
"I can concentrate best in the morning."
7. A nurse is performing a Romberg's test during the physical assessment of a client. Which of the following techniques
should the nurse use?
Have the client stand with her arms at her side and her feet together.
8. 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?
Downloaded by Crystal Garcia ()
, lOMoAR cPSD| 11137548
ATI fundamentals A,B & Final Fundamentals of Nursing (Keiser University)
Allow extra time for the client to respond to questions
9. 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?
Walking briskly
10. 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?
Erythema on pressure points
11. 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?
Gently shake the container of medication prior to administration.
12. 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?
Check the client for injuries
13. 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?
Reassure the client that this is an expected response to grief.
14. 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?
"You should have a fecal occult blood test every year."
15. A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of
the following statements should the nurse manager plan to include in the teaching?
"Use the complete name of the medication magnesium sulfate."
Downloaded by Crystal Garcia ()
, lOMoAR cPSD| 11137548
ATI fundamentals A,B & Final Fundamentals of Nursing (Keiser University)
16. A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take?
Place the client in a room with negative-pressure airflow.
Wear gloves when assisting the client with oral care.
Use antimicrobial sanitizer for hand hygiene.
17. A charge nurse is discussing the responsibility of nurses caring for clients who have Clostridium difficile infection.
Which of the following information should the nurse include in the teaching?
Have family members wear a gown and gloves when visiting.
18. A nurse in a surgical suite notes documentation on a client's medical record he has a latex allergy. In preparation for
the client's procedure, which of the following precautions should the nurse take?
Wrap monitoring cords with stockinette and tape them in place.
19. A nurse is caring for a client who is reporting difficulty falling asleep. Which of the following measures would the
nurse recommend?
Use progressive relaxation techniques at bedtime.
20. A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to mix
together and administer subcutaneously. Determine the correct order of steps for this procedure.
Air into NPH
Air into Regular
Draw up Regular
Draw up NPH
21. A nurse is reviewing practice guidelines with a group of newly licensed nurses. Which of the following interventions
should the nurse include that is within the RN scope of practice?
Initiate an enteral feeding through a gastrostomy tube.
Downloaded by Crystal Garcia ()
