A test ATI fundamentals EXAM 2023/2024 LATEST UPDATE
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 a routine screening. What does that involve?" Which of the
following responses should the nurse make?
- answer-You should have a fecal occult blood test every year."
A nurse is caring for a client who is having difficulty breathing. The client is lying in bed with a nasal
cannula delivering oxygen. Which of the following interventions should the nurse take first?
- answer-Assist the client to an upright position.
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?
- answer-Gently shake the container of medication prior to administration.
A nurse is planning care to improve self-feeding for a client who has vision loss. Which of the following
interventions should the nurse include in the plan of care?
- answer-Use a clock pattern to describe food on the client's plate.
A nurse is teaching an older adult 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?
- answer-Walking briskly
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?
- answer-"I can concentrate best in the morning."
A nurse is giving discharge instructions to a client who will require oxygen therapy at home. Which of
the following statements should the nurse identify as an indication that the client understands how to
manage this therapy at home?
- answer-"I'll check the wires and cables on my TV to make sure they are in good working order."
, A nurse is caring for a client who is reporting difficulty falling asleep. Which of the following measures
should the nurse recommend?
- answer-Use progressive relaxation techniques at bedtime.
A nurse is assisting a client who is postoperative with the use of an incentive spirometer. Into which of
the following positions should the nurse place the client?
- answer-Semi-Fowler's
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?
- answer-Erythema on pressure points
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?
- answer-"I flushed what I urinated at 7:00 a.m. and have saved all urine since."
A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary
and alternative therapies for pain control. The nurse should inform the client that his condition is a
contraindication for which of the following therapies?
- answer-Acupuncture
A nurse is preparing to transfer a client who has right-sided weakness from the bed to a chair. In what
order should the nurse take the following actions to assist the client? (Move the steps into the box on
the right, placing them in the order of performance. Use all the steps.)
- answer-The first action the nurse should take is to assess the client to determine if he can bear weight
and assist with his transfer. Next, the nurse should position the chair on the side of the bed closest to
the client's stronger side for easy access. Next, the nurse should have the client sit and dangle his feet at
the bedside to allow him to adjust to sitting up and prevent dizziness when transferring. Finally, the
nurse should use the stand-and-pivot technique to move the client to the chair.
A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1
mL of the medication from a 2 mL vial. Which of the following actions should the nurse take?
- answer-Ask another nurse to observe the medication wastage.
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 a routine screening. What does that involve?" Which of the
following responses should the nurse make?
- answer-You should have a fecal occult blood test every year."
A nurse is caring for a client who is having difficulty breathing. The client is lying in bed with a nasal
cannula delivering oxygen. Which of the following interventions should the nurse take first?
- answer-Assist the client to an upright position.
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?
- answer-Gently shake the container of medication prior to administration.
A nurse is planning care to improve self-feeding for a client who has vision loss. Which of the following
interventions should the nurse include in the plan of care?
- answer-Use a clock pattern to describe food on the client's plate.
A nurse is teaching an older adult 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?
- answer-Walking briskly
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?
- answer-"I can concentrate best in the morning."
A nurse is giving discharge instructions to a client who will require oxygen therapy at home. Which of
the following statements should the nurse identify as an indication that the client understands how to
manage this therapy at home?
- answer-"I'll check the wires and cables on my TV to make sure they are in good working order."
, A nurse is caring for a client who is reporting difficulty falling asleep. Which of the following measures
should the nurse recommend?
- answer-Use progressive relaxation techniques at bedtime.
A nurse is assisting a client who is postoperative with the use of an incentive spirometer. Into which of
the following positions should the nurse place the client?
- answer-Semi-Fowler's
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?
- answer-Erythema on pressure points
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?
- answer-"I flushed what I urinated at 7:00 a.m. and have saved all urine since."
A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary
and alternative therapies for pain control. The nurse should inform the client that his condition is a
contraindication for which of the following therapies?
- answer-Acupuncture
A nurse is preparing to transfer a client who has right-sided weakness from the bed to a chair. In what
order should the nurse take the following actions to assist the client? (Move the steps into the box on
the right, placing them in the order of performance. Use all the steps.)
- answer-The first action the nurse should take is to assess the client to determine if he can bear weight
and assist with his transfer. Next, the nurse should position the chair on the side of the bed closest to
the client's stronger side for easy access. Next, the nurse should have the client sit and dangle his feet at
the bedside to allow him to adjust to sitting up and prevent dizziness when transferring. Finally, the
nurse should use the stand-and-pivot technique to move the client to the chair.
A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1
mL of the medication from a 2 mL vial. Which of the following actions should the nurse take?
- answer-Ask another nurse to observe the medication wastage.
