ATI FUNDAMENTALS PROCTOR 2019 | 70 QUESTIONS AND ANSWERS
1. A nurse is teaching assistive personnel about upper body mechanics to prevent injury.
Which of the following actions by the AP demonstrate an understanding of the teaching?
D. The AP relaxes his abdominal muscles when reaching for an object.
Created by
mariapastor
Terms in this set (71)
Original
1. A nurse is teaching assistive personnel about upper body mechanics to prevent injury. Which of the following actions by the AP demonstrate an understanding of the teaching?
D. The AP relaxes his abdominal muscles when reaching for an object.
2. a nurse is assessing a client who is immobile and notices a red area over the client's coccyx. Which of the following actions should the nurse take?
D. Assess the red area for blanching
3. a nurse is preparing to insert an iv catheter for a client following a right mastectomy. Which of the following veins should the nurse select when initiating an IV therapy?
A. The cephalic vein in the left distal forearm.
4. a nurse is preparing to administer a medication into a client by the intradermal route after applying gloves and cleaning the site with an antiseptic swab. In what order should the nurse take
the steps to administer
the medication? (move steps into box 1- 4 priority)
1.Use a nondominated hand to stretch the skin
2. Insert the needle at an angle
3. inject the medication
4. Withdraw the needle
5. Activate the needle safety device
5. a nurse is providing teaching to a client about colorectal cancer prevention guidelines. Which of the following recommendations should the nurse include?
D. Reduce intake of red meats
6. a nurse is planning care to prevent skin breakdown for a client who is
immobile and is urinary incontinent. Which of the following actions should
the nurse include in the plan of care?
D. Request a prescription for an indwelling urinary catheter.
7. a nurse is preparing to apply a condom catheter for a client who is
uncircumcised which of the following actions should the nurse plan to take?
A. Allow 2.5 to 5 cm (1 to 2 in) between the end of the catheter and the tip of the penis
8. a nurse is teaching a client who had an enucleation about care of an
artificial eye. Which of the following information should the include in the
teaching? (Select all that apply)
A. Apply pressure just below the artificial eye to break the suction
B. Store the artificial eye in a labeled contained filled with 0.9% sodium chloride
injection.
E. Retract the upper and lower lids to reinsert the artificial eye.
9. a nurse is reviewing client confidentiality with a newly licensed nurse. The
nurse should identify which of the following examples as a violation of HIPPA?
C. Discussing the client's transfer to a long-term care facility with a nurse from
another unit.
10. a nurse is caring for a client who is 2 days postoperative following bowel
resection and reports sudden severe abdominal pain. Which of the following
actions should the nurse take first?
B. Expose the client's abdomen to look for changes in appearance
11. a nurse is providing care for a client who is to undergo a total
laryngectomy. Which of the following interventions is the nurse's priority?
D. For the client explain the techniques of esophageal speech
12. a home care nurse is teaching a client about home safety. Which of the
following statements by the client indicates an understanding of the teaching?
(select all that apply)
A. "I need to check my medications for expiration dates."
B. "I will use the grab bars when getting in and out of the bathtub."
C. "I need to have a fire escape plan with my family."
13. a nurse is assessing a client's cranial nerve VII. Which of the following
responses should the nurse expect?
D. The client has a symmetrical smile.
14. a nurse in an emergency department is assessing a client who reports a
right lower quadrant pain, nausea and vomiting for the past 48 hours? Which
of the following actions should the nurse take first?
c) Auscultate bowel sounds
15. a nurse is caring for a client who recently received a diagnosis of terminal
cancer. Which of the following statements by the client's partner indicates
maladaptive coping?
B. "I don't know if I will be able to meet his physical needs."
C. "I am going to ask my daughter to come and stay for a week."
16. a nurse is planning care for a client who has a stage 1 pressure ulcer on
the right heel. The nurse should anticipate application of which of the
following dressings?
B. Transparent
17. a nurse is caring for a client who has brain cancer and is transferring to
hospice care. The client's son tells the nurse "I don't know what to tell my dad
if he asks how he is going to die". Which of the following is an appropriate
response from the nurse?
a. " Let's talk more about your dad's condition."
18. a nurse is teaching an older adult client who has type 2 diabetes mellitus about
how to care for corns and calluses toes. Which of the following statements by the
client indicates understanding of the teaching?
A. I can apply lotion to soften the calluses as long as I don't put lotion between my
toes
19. a nurse is caring for a client who has wrists restraints after an episode of
violent behavior. Which of the following actions should the nurse take?
c. Remove one restraint at a time
20. a nurse is admitting a client who has a clostridium difficile infection.
Which of the following actions should the nurse take? Select all that apply
B. Wear a gown and gloves when providing client care
C. Assign the client to a private room with positive are flow
D. Wash hands with soap and water after contact with the client
21. a nurse is planning care for a client who has latex allergy and is scheduled
for surgery. Which of the following actions is appropriate to include in the
clients plan of care?
A. schedule the client as the first surgical procedure of the day
22. a nurse is providing discharge teaching to a client who does not speak the
same language as the nurse. Which of the following actions should the nurse
take?
1. A nurse is teaching assistive personnel about upper body mechanics to prevent injury.
Which of the following actions by the AP demonstrate an understanding of the teaching?
D. The AP relaxes his abdominal muscles when reaching for an object.
Created by
mariapastor
Terms in this set (71)
Original
1. A nurse is teaching assistive personnel about upper body mechanics to prevent injury. Which of the following actions by the AP demonstrate an understanding of the teaching?
D. The AP relaxes his abdominal muscles when reaching for an object.
2. a nurse is assessing a client who is immobile and notices a red area over the client's coccyx. Which of the following actions should the nurse take?
D. Assess the red area for blanching
3. a nurse is preparing to insert an iv catheter for a client following a right mastectomy. Which of the following veins should the nurse select when initiating an IV therapy?
A. The cephalic vein in the left distal forearm.
4. a nurse is preparing to administer a medication into a client by the intradermal route after applying gloves and cleaning the site with an antiseptic swab. In what order should the nurse take
the steps to administer
the medication? (move steps into box 1- 4 priority)
1.Use a nondominated hand to stretch the skin
2. Insert the needle at an angle
3. inject the medication
4. Withdraw the needle
5. Activate the needle safety device
5. a nurse is providing teaching to a client about colorectal cancer prevention guidelines. Which of the following recommendations should the nurse include?
D. Reduce intake of red meats
6. a nurse is planning care to prevent skin breakdown for a client who is
immobile and is urinary incontinent. Which of the following actions should
the nurse include in the plan of care?
D. Request a prescription for an indwelling urinary catheter.
7. a nurse is preparing to apply a condom catheter for a client who is
uncircumcised which of the following actions should the nurse plan to take?
A. Allow 2.5 to 5 cm (1 to 2 in) between the end of the catheter and the tip of the penis
8. a nurse is teaching a client who had an enucleation about care of an
artificial eye. Which of the following information should the include in the
teaching? (Select all that apply)
A. Apply pressure just below the artificial eye to break the suction
B. Store the artificial eye in a labeled contained filled with 0.9% sodium chloride
injection.
E. Retract the upper and lower lids to reinsert the artificial eye.
9. a nurse is reviewing client confidentiality with a newly licensed nurse. The
nurse should identify which of the following examples as a violation of HIPPA?
C. Discussing the client's transfer to a long-term care facility with a nurse from
another unit.
10. a nurse is caring for a client who is 2 days postoperative following bowel
resection and reports sudden severe abdominal pain. Which of the following
actions should the nurse take first?
B. Expose the client's abdomen to look for changes in appearance
11. a nurse is providing care for a client who is to undergo a total
laryngectomy. Which of the following interventions is the nurse's priority?
D. For the client explain the techniques of esophageal speech
12. a home care nurse is teaching a client about home safety. Which of the
following statements by the client indicates an understanding of the teaching?
(select all that apply)
A. "I need to check my medications for expiration dates."
B. "I will use the grab bars when getting in and out of the bathtub."
C. "I need to have a fire escape plan with my family."
13. a nurse is assessing a client's cranial nerve VII. Which of the following
responses should the nurse expect?
D. The client has a symmetrical smile.
14. a nurse in an emergency department is assessing a client who reports a
right lower quadrant pain, nausea and vomiting for the past 48 hours? Which
of the following actions should the nurse take first?
c) Auscultate bowel sounds
15. a nurse is caring for a client who recently received a diagnosis of terminal
cancer. Which of the following statements by the client's partner indicates
maladaptive coping?
B. "I don't know if I will be able to meet his physical needs."
C. "I am going to ask my daughter to come and stay for a week."
16. a nurse is planning care for a client who has a stage 1 pressure ulcer on
the right heel. The nurse should anticipate application of which of the
following dressings?
B. Transparent
17. a nurse is caring for a client who has brain cancer and is transferring to
hospice care. The client's son tells the nurse "I don't know what to tell my dad
if he asks how he is going to die". Which of the following is an appropriate
response from the nurse?
a. " Let's talk more about your dad's condition."
18. a nurse is teaching an older adult client who has type 2 diabetes mellitus about
how to care for corns and calluses toes. Which of the following statements by the
client indicates understanding of the teaching?
A. I can apply lotion to soften the calluses as long as I don't put lotion between my
toes
19. a nurse is caring for a client who has wrists restraints after an episode of
violent behavior. Which of the following actions should the nurse take?
c. Remove one restraint at a time
20. a nurse is admitting a client who has a clostridium difficile infection.
Which of the following actions should the nurse take? Select all that apply
B. Wear a gown and gloves when providing client care
C. Assign the client to a private room with positive are flow
D. Wash hands with soap and water after contact with the client
21. a nurse is planning care for a client who has latex allergy and is scheduled
for surgery. Which of the following actions is appropriate to include in the
clients plan of care?
A. schedule the client as the first surgical procedure of the day
22. a nurse is providing discharge teaching to a client who does not speak the
same language as the nurse. Which of the following actions should the nurse
take?
