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ATI
Fundamentals
Proctored Exam
Test Bank 2021 - 2022
NURSING NUR165 ATI FUNDAMENTALS PROCTORED
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A nurse is interviewing a family as part of a family assessment. The nurse identifies
the family unit as a husband, a wife, and three children. One child is biological from
this marriage and the other two are from the wife‟s previous marriage. The nurse
should identify this as which of the following family forms?
Extended
Blended
Nuclear
Alternati
ve
A nurse is preparing to administer IV fluids to a client. The nurse notes sparks
when plugging in the IV pump. Which of the following actions should the nurse
take first?
• Obtain a replacement pump
• Notify the biomedical department to fix the pump
• Label the pump with a defective equipment sticker
• Unplug the pump- unplugging will remove the source of potential fire started .
A nurse is preparing to insert IV catheter for an adult client. Which of the following
actions should the nurse take?
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• Choose the most proximal site on the extremity selected (distal first)
• Apply a cool compress for several minutes before insertion of the IV catheter (warm it)
• Stroke the extremity for several minutes before insertion of the IV catheter
• Place the tourniquet below the proposed insertion site (above it)
A nurse is providing teaching about preventing back strain to the caregiver of a
client who is immobile and requires assistance to reposition in bed. Which of
the following statements by the caregiver indicates an understanding of the
teaching
• I will place the bed in the lowest position (place at your hip level)
• I will tighten my abdominal muscles prior to moving
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• I will keep my legs straight to provide more power in the lift (bend)
• I will twist at the waist while pulling the draw sheet (avoid)
Rationale PDF p71: Avoid twisting your thoracic spine and bending your
back while your hips and knees are straight; When lifting an object from
the floor, flex your hips, knees, and back; tighten the abdominal muscles
to increase support to the back muscles
A nurse in an acute care facility is preparing to transfer a client to a long term
care facility. Which of the following information should the nurse include in
the hand off report?
• Frequency of previous vital sign measurement
• Number of family members who have visited
• Time of the clients last bath
• Effectiveness of the last dose of pain medication
Rational PDF p39: Transfer documentation:
-Medical diagnosis and care providers
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