ATI Fundamental Proctored Exam| Fundamentals Proctored Exam| Graded A+| Latest 2023/2024

ATI Fundamental Proctored Exam A nurses planning to administer pain medication to a client following abdominal surgery. Which of the following actions should the nurse take first? use the pain scale to determine the client's pain level discuss the adverse effects of pain medication with the client obtain the client's vital signs check the client's allergies use the pain scale to determine the client's pain level a nurse is teaching a client who is using a patient-controlled analgesia (PCA) pump to deliver morphine for pain management. which of the following statements should the nurse identify as an indication that the client understands the instructions? I'll limit pushing the button so I don't get an overdose if I push the button and still have pain after 2 minutes, I'll push it again I'll ask my niece to push the button when I am sleeping I can still use my transcutaneous electrical nerve stimulation unit while I'm pushing the PCA button I can still use my transcutaneous electrical nerve stimulation unit while I'm pushing the PCA button a nurse is preparing to administer a bolus feeding to a client through an NG tube and observes that the exit mark on the tube has moved since the last feeding. Which of the following actions should the nurse plan to take? auscultate over the stomach while injecting air request an x-ray of the client's abdomen place the head of the client's bed in a flat position administer the feeding if the pH of the aspirated contents is 6 request an x-ray of the client's abdomen A nurse in a same-day procedure unit is caring for several clients who are undergoing different types of procedures. the nurse should anticipate that the client who has which of the following devices can safely undergo magnetic resonance imaging (MRI)? coronary artery stents aneurysm clip hearing aids automated internal defibrillator hearing aids A nurse is performing eye irrigation for a client who was exposed to smoke and ash. Which of the following actions should the nurse take? Hold the irrigator 1.25 cm (0.5 in) above the eye direct the irrigation solution up toward the upper eyelid exert pressure on the bony prominences when holding the eyelids open direct the irrigation from the outer canthus to the inner canthus of the eye exert pressure on the bony prominences when holding the eyelids open A nurse is preparing to provide chest physiotherapy for a client who has left lower lobe atelectasis. Which of the following actions should the nurse plan to take? Place the client in the trendelenburg position perform percussion directly over the client's bare skin use a flattened hand to perform percussions remind the client that chest percussions can cause mild pain Place the client in the trendelenburg position A nurse is changing the dressings for a client who is 3 days postoperative following a cholecystectomy. The nurse observes yellow, thick drainage on the dressing. The nurse should document this finding as which of the following types of drainage? sanguineous exudate serous exudate serosanguineous exudate purulent exudate purulent exudate A nurse is teaching a client who is recovering from gallbladder surgery how to use an incentive spirometer. Which of the following pieces of information should the nurse include in the teaching? exhale slowly to reach the goal volume hold the breath for 5 sec after goal volume is reached continue to breathe deeply between each cycle limit the repeat pattern of breathing to 5 breaths hold the breath for 5 sec after goal volume is reached