ATI FUNDAMENTALS FINAL EXAM STUDY GUIDE
LATEST SOLUTION 2023/2024 COMPLETE QNS & ANS
WITH RATIONALES .
A nurse is teaching a client how to self-administer insulin. Which of the following
actionsshould the nurse take to evaluate the client's understanding of the process
within the psychomotor domain of learning.
A. Ask the client if he want to self-administer his
insulin.
B. Have the client list the steps of the procedure.
C. Have the client demonstrates the procedure.
D. Ask the client if he understands the purpose of insulin. - ANS-C. Have the
clientdemonstrates the procedure.
Having the client demonstrate the procedure provides the nurse the ability to evaluate
the client's understanding within the psychomotor domain of learning.
A nurse is preparing to administer a cleansing enema to a client. Which of the
followingactions should the nurse plan to take.
• Insert the rectal tube 15.2 cm (6in.)
• Wear sterile gloves to insert the
tubing.
• C. Position the client on his left side.
D. Hold the solution bag 91 cm (36 in) above the client's rectum.
- ANS-C. Position the client on his left side.
Positioning is an important aspect of administering an enema. Having the client lie
on his left side facilitates the flow of the enema solution into the sigmoid and
descendingcolon.
A client who reports shortness of breath requests her nurse's help in changing
positions.After repositioning the client, which of the following actions should the nurse
take next?
A. encourage the client to take deep breaths
B. Observe the rate, depth, and character of the client's
respirations.
C. Prepare to administer oxygen.
D. Give the client a back rub to help her relax.
- ANS-B. Observe the rate, depth, andcharacter of the client's respirations.
The nurse should apply the nursing process priority-setting framework when caring
for this client. The nurse can use the nursing process to plan client care and prioritize
nursing actions. Each step of the nursing process builds on the previous step,
beginningwith assessment or data collection. Before the nurse can formulate a plan
, of action, implement a nursing intervention, or notify a provider of a change in the
client's status, the nurse must first collect adequate data from the client. Assessing or
collecting additional data will provide the nurse with knowledge to make an
appropriate decision;therefore, the first action the nurse should take is to assess the
client's respiratorystatus.
A nurse is caring for a client who has bilateral casts on her hands. Which of
thefollowing actions should the nurse take when assisting the client with
feeding?
A. Sit at the bedside while feeding the client.
• Order pureed foods.
• Make sure feeding are at room temperature.
• Offer the client a drink of fluid after every bite.
• - ANS-A. Sit at the bedside whilefeeding the client.
The nurse should avoid appearing to be in a hurry. Sitting at the bedside provides
theclient with the nurse's full attention during the feeding.
A nurse is caring for a client who, while sitting in a chair, starts to experience a
seizure.Which of the following actions should the nurse take?
• Place a padded tongue blade in the client's head.
• Lower the client to the floor and place a pad under the clients
head.
• C. Seek the help of a coworker and life the client back to bed.
D. Use an oropharyngeal airway to keep upper airway passages open. - ANS-B.
Lower the client to the floor and place a pad under the clients head.
To reduce the risk of injury to the client, the nurse should lower the client to the floor
and place a pillow or other soft object under the client's head.
A home health nurse is planning to provide health promotion activities for a group
of clients in the community. Which of the following activities is an example of the
nursepromoting primary prevention?
• Teaching clients to perform self-examinations of breasts and testicles.
• Educating clients about the recommended immunization schedule for
adults.
• C. Teaching clients who have type 1 diabetes mellitus about care of the
feet
D. Recommending that clients over the age of 50 have a fecal occult blood test
annually
- ANS-B. Educating clients about the recommended immunization schedule for adults.
Primary prevention includes health education about disease prevention.
LATEST SOLUTION 2023/2024 COMPLETE QNS & ANS
WITH RATIONALES .
A nurse is teaching a client how to self-administer insulin. Which of the following
actionsshould the nurse take to evaluate the client's understanding of the process
within the psychomotor domain of learning.
A. Ask the client if he want to self-administer his
insulin.
B. Have the client list the steps of the procedure.
C. Have the client demonstrates the procedure.
D. Ask the client if he understands the purpose of insulin. - ANS-C. Have the
clientdemonstrates the procedure.
Having the client demonstrate the procedure provides the nurse the ability to evaluate
the client's understanding within the psychomotor domain of learning.
A nurse is preparing to administer a cleansing enema to a client. Which of the
followingactions should the nurse plan to take.
• Insert the rectal tube 15.2 cm (6in.)
• Wear sterile gloves to insert the
tubing.
• C. Position the client on his left side.
D. Hold the solution bag 91 cm (36 in) above the client's rectum.
- ANS-C. Position the client on his left side.
Positioning is an important aspect of administering an enema. Having the client lie
on his left side facilitates the flow of the enema solution into the sigmoid and
descendingcolon.
A client who reports shortness of breath requests her nurse's help in changing
positions.After repositioning the client, which of the following actions should the nurse
take next?
A. encourage the client to take deep breaths
B. Observe the rate, depth, and character of the client's
respirations.
C. Prepare to administer oxygen.
D. Give the client a back rub to help her relax.
- ANS-B. Observe the rate, depth, andcharacter of the client's respirations.
The nurse should apply the nursing process priority-setting framework when caring
for this client. The nurse can use the nursing process to plan client care and prioritize
nursing actions. Each step of the nursing process builds on the previous step,
beginningwith assessment or data collection. Before the nurse can formulate a plan
, of action, implement a nursing intervention, or notify a provider of a change in the
client's status, the nurse must first collect adequate data from the client. Assessing or
collecting additional data will provide the nurse with knowledge to make an
appropriate decision;therefore, the first action the nurse should take is to assess the
client's respiratorystatus.
A nurse is caring for a client who has bilateral casts on her hands. Which of
thefollowing actions should the nurse take when assisting the client with
feeding?
A. Sit at the bedside while feeding the client.
• Order pureed foods.
• Make sure feeding are at room temperature.
• Offer the client a drink of fluid after every bite.
• - ANS-A. Sit at the bedside whilefeeding the client.
The nurse should avoid appearing to be in a hurry. Sitting at the bedside provides
theclient with the nurse's full attention during the feeding.
A nurse is caring for a client who, while sitting in a chair, starts to experience a
seizure.Which of the following actions should the nurse take?
• Place a padded tongue blade in the client's head.
• Lower the client to the floor and place a pad under the clients
head.
• C. Seek the help of a coworker and life the client back to bed.
D. Use an oropharyngeal airway to keep upper airway passages open. - ANS-B.
Lower the client to the floor and place a pad under the clients head.
To reduce the risk of injury to the client, the nurse should lower the client to the floor
and place a pillow or other soft object under the client's head.
A home health nurse is planning to provide health promotion activities for a group
of clients in the community. Which of the following activities is an example of the
nursepromoting primary prevention?
• Teaching clients to perform self-examinations of breasts and testicles.
• Educating clients about the recommended immunization schedule for
adults.
• C. Teaching clients who have type 1 diabetes mellitus about care of the
feet
D. Recommending that clients over the age of 50 have a fecal occult blood test
annually
- ANS-B. Educating clients about the recommended immunization schedule for adults.
Primary prevention includes health education about disease prevention.
