ATI FUNDAMENTALS B PRACTICE
A charge nurse is discussing the responsibility of nurses caring for clients who have C.
difficile. Which of the following information should the nurse include in the teaching? -
Have family members wear a gown and gloves when visiting
A nurse is giving change-of-shift report about a client they admitted earlier that day who
has pneumonia. Which of the following pieces of information is the priority for the nurse
to provide? - Breath sounds
A nurse is preparing to delegate client care tasks to an assistive personnel. Which of
the following tasks should the nurse delegate? - Ambulate a client who is postoperative
A nurse enters a clients room and finds her on the floor. The clients roommate reports
that the client was trying to get out of bed and fell over the side rail onto the floor. Which
of the following statements should the nurse document about this incident? - Client
found lying on floor
A nurse is caring for a client who has a prescription for wound irrigation. Which of the
following actions should the nurse take? - Cleanse the wound from the center outward
A nurse is admitting a client who has rubella. Which of the following types of
transmission based precautions should the nurse initiate? - Droplet
A nurse is providing discharge teaching for a client who has a new prescription for a
home oxygen concentrator. Which of the following instructions should the nurse provide
to the client and his family? - Check the cord routinely for grays or tearing
A nurse is calculating a client's fluid intake over the past 8 hr. Which of the following
should the nurse plan to document on the client's intake and output record as 120 mL of
fluid? - 8 oz of ice chips
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.
A nurse is caring for a client who is refusing a blood transfusion for religious reasons.
The clients partner wants the client to have the blood transfusion. Which of the following
actions should the nurse take? - Withhold the blood transfusion.
A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the
following statements should the nurse identify as an indication that the client
understands the teaching? - when descending stairs, I will first shift my weight to my
right leg.
, ATI FUNDAMENTALS B PRACTICE
A nurse has accepted a verbal prescription for three tenths of a milligram of
levothyroxine IV stat for a client who has myxedema coma. How should the nurse
transcribe the dosage of this medication in the client's medical record? - 0.3 mg
A nurse is caring for a client who has an in dwelling urinary catheter. Which of the
following findings indicates that the catheter requires irrigation? - Bladder scan shows
525 mL of urine
A nurse is assessing an adult who has been immobile for the past 3 weeks. For which
of the following findings should the nurse intervene? - Erythema on pressure points
A nurse is caring for a client who has an NG tube and is receiving intermittent feedings
through an open system. Which of the following actions should the nurse take first? -
Tell the client to keep the head of the bed elevated at least 30 degrees.
A nurse on a medical unit is preparing to discharge a client to home. Which of the
following actions should the nurse take as part of the medication reconciliation process?
- Compare prescriptions with medications the client received during hospitalization.
A nurse is caring for a client who is receiving 24 hour urine collection. Which of the
following statements by the client indicates an understanding of the teaching? - I flushed
what I urinated at 7:00 am and have saved all urine since
A nurse is planning an educational program for a group of older adults at a senior living
center. Which of the following recommendations should the nurse include? - You should
receive a pneumococcal immunization every 10 years
A nurse is completing an admission assessment for a client who reports vomiting and
diarrhea for the past 3 days. Which of the following findings should the nurse expect? -
Rapid heart rate
A nurse is caring for a client who is receiving pain medication through a patient
controlled analgesia pump. Which of the following actions should the nurse take? -
Instruct the family to refrain from pushing the button for the client while she is asleep
A community health nurse is checking blood pressures for a group of clients at a
community health screening. Which of the following clients is at an increased risk for
hypertension? - A client who smokes one pack of cigarettes each day
A nurse in a clinic is caring for a middle age adult client who states, "the doctor says
that, since I am at an average risk for colon cancer, I should have a 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
A charge nurse is discussing the responsibility of nurses caring for clients who have C.
difficile. Which of the following information should the nurse include in the teaching? -
Have family members wear a gown and gloves when visiting
A nurse is giving change-of-shift report about a client they admitted earlier that day who
has pneumonia. Which of the following pieces of information is the priority for the nurse
to provide? - Breath sounds
A nurse is preparing to delegate client care tasks to an assistive personnel. Which of
the following tasks should the nurse delegate? - Ambulate a client who is postoperative
A nurse enters a clients room and finds her on the floor. The clients roommate reports
that the client was trying to get out of bed and fell over the side rail onto the floor. Which
of the following statements should the nurse document about this incident? - Client
found lying on floor
A nurse is caring for a client who has a prescription for wound irrigation. Which of the
following actions should the nurse take? - Cleanse the wound from the center outward
A nurse is admitting a client who has rubella. Which of the following types of
transmission based precautions should the nurse initiate? - Droplet
A nurse is providing discharge teaching for a client who has a new prescription for a
home oxygen concentrator. Which of the following instructions should the nurse provide
to the client and his family? - Check the cord routinely for grays or tearing
A nurse is calculating a client's fluid intake over the past 8 hr. Which of the following
should the nurse plan to document on the client's intake and output record as 120 mL of
fluid? - 8 oz of ice chips
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.
A nurse is caring for a client who is refusing a blood transfusion for religious reasons.
The clients partner wants the client to have the blood transfusion. Which of the following
actions should the nurse take? - Withhold the blood transfusion.
A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the
following statements should the nurse identify as an indication that the client
understands the teaching? - when descending stairs, I will first shift my weight to my
right leg.
, ATI FUNDAMENTALS B PRACTICE
A nurse has accepted a verbal prescription for three tenths of a milligram of
levothyroxine IV stat for a client who has myxedema coma. How should the nurse
transcribe the dosage of this medication in the client's medical record? - 0.3 mg
A nurse is caring for a client who has an in dwelling urinary catheter. Which of the
following findings indicates that the catheter requires irrigation? - Bladder scan shows
525 mL of urine
A nurse is assessing an adult who has been immobile for the past 3 weeks. For which
of the following findings should the nurse intervene? - Erythema on pressure points
A nurse is caring for a client who has an NG tube and is receiving intermittent feedings
through an open system. Which of the following actions should the nurse take first? -
Tell the client to keep the head of the bed elevated at least 30 degrees.
A nurse on a medical unit is preparing to discharge a client to home. Which of the
following actions should the nurse take as part of the medication reconciliation process?
- Compare prescriptions with medications the client received during hospitalization.
A nurse is caring for a client who is receiving 24 hour urine collection. Which of the
following statements by the client indicates an understanding of the teaching? - I flushed
what I urinated at 7:00 am and have saved all urine since
A nurse is planning an educational program for a group of older adults at a senior living
center. Which of the following recommendations should the nurse include? - You should
receive a pneumococcal immunization every 10 years
A nurse is completing an admission assessment for a client who reports vomiting and
diarrhea for the past 3 days. Which of the following findings should the nurse expect? -
Rapid heart rate
A nurse is caring for a client who is receiving pain medication through a patient
controlled analgesia pump. Which of the following actions should the nurse take? -
Instruct the family to refrain from pushing the button for the client while she is asleep
A community health nurse is checking blood pressures for a group of clients at a
community health screening. Which of the following clients is at an increased risk for
hypertension? - A client who smokes one pack of cigarettes each day
A nurse in a clinic is caring for a middle age adult client who states, "the doctor says
that, since I am at an average risk for colon cancer, I should have a 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
