ATI Fundamentals Retake, ATI
FUNDAMENTALS PROCTOR, Proctor
A nurse is planning care for a group of clients. Which of
the following tasks should the nurse delegate to an
assistive personnel?
a. Changing the dressing for a client who has a stage 3
pressure injury
b. Determining a client's response to a diuretic
c. Comparing radial pulses for a client who is
postoperative
d. Providing postmortem care to a client - CORRECT
ANSWER d. Providing postmortem care to a client
A nurse at an assisted living facility is preparing an in-
service for residents about electrical safety. Which of the
following instructions should the nurse include? -
CORRECT ANSWER Disconnect electrical equipment
by grasping the plug
A nurse is caring for a client who has a tracheostomy
collar. As the nurse is performing tracheal suctioning, the
client's heart rate and oxygen saturation decrease. which
of the following actions should the nurse take? -
CORRECT ANSWER Discontinued suctioning.
A nurse is caring for a client who has a new diagnosis of
terminal cancer. Which of the following interventions is a
,priority? - CORRECT ANSWER Discuss the client's prior
coping mechanism.
A staff nurse is teaching a newly hired nurse how to
complete an informed consent document for a client. the
stop should include that the nurse signature on the form
confirms which of the following requirements? -
CORRECT ANSWER a. The client was not coerced.
b. The client does not have a mental health condition.
c. The client Signed in the nurse's presence.
e. The client has legal authority to do so.
A nurse is caring for a client who has a chest tube
following thoracic surgery. Which of the following tasks
should the nurse delegate to an assistive personnel? -
CORRECT ANSWER Assist the client to select food
choices from the menu.
. A community health nurse is caring for a group of
families. The nurse should identify that which of the
following families is experiencing a maturational loss? -
CORRECT ANSWER A family whose oldest child is
moving away for college
A nurse on a medical-surgical unit is dividing care for four
clients. The nurse should identify which of the following
situations as an ethical dilemma? - CORRECT ANSWER
,The family of a client who has a terminal illness has the
provider not to tell the client the diagnosis.
A nurse is caring for a client who has chronic back pain
and asked about receiving acupuncture for relief. Which of
the following findings should the nurse identify as a
contraindication to receiving this shipment? - CORRECT
ANSWER . Cellulitis
Contraindicated in people who have bleeding disorders
and skin infections
A nurse is auscultating a client's abdomen. The nurse
hears a blowing sound over the aorta. The nurse should
identify this sound as which of the following? - CORRECT
ANSWER Bruit
. A nurse is providing teaching to a client who has
diabetes mellitus about performing a capillary blood
glucose test. Which of the following instructions should the
nurse include in the teaching? - CORRECT ANSWER
Gently squeeze the puncture site until a large droplet of
blood forms
A nurse is providing teaching to a client about reducing the
adverse effects of immobility. Which of the following
statements by the client indicates an understanding of the
teaching? - CORRECT ANSWER I will perform ankle
and knee exercises every hour- ROM is needed to prevent
contractures .
, A nurse is monitoring a client who is receiving continuous
IV fluid therapy via a peripheral vein in the left forearm.
Which of the following findings indicates that the client has
developed phelbitis at the IV site? - CORRECT ANSWER
Erythema along the path of the vein
A nurse is planning care for a client who reports insomnia.
Which of the following actions should the nurse perform
shortly before bedtime? - CORRECT ANSWER Offer a
wet washcloth for the client to wash her face
. A nurse is providing teaching to a newly licensed nurse
about the care of a client who has MRSA. Which of the
following statements by the newly licensed nurse indicates
an understanding of teaching? - CORRECT ANSWER I
will place the client in a private room
A nurse is teaching a client who requires maximal support
about how to use a two wheeled walker. Which of the
following actions by the client indicates an understanding
of teaching - CORRECT ANSWER The client moves the
walker ahead 25.4cm with each step
A nurse in a provider's office is caring for a client who
states "I always have trouble sleeping". Which of the
following actions should the nurse take first? - CORRECT
ANSWER Identify the client typical bedtime routine
A nurse is teaching about home safety with a client. Which
of the following instructions should the nurse include? -