TEST BANK REAL EXAM 300+
QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES|PN
FUNDAMENTALS ATI PROCTORED
EXAM 2023|AGRADE
A nurse is caring for a client who just died and practiced the islamic faith.
Which of the following cultural practices should the nurse expect? -
ANSWER>>>The client face should be toward mecca.
A nurse is assisting with a client who has active Tb. Which of the following
actions should the nurse plan to take? - ANSWER>>>Assign the client to a
negative pressure airflow room.
A nurse is assisting with the plan of care for a client who has a bacterial
infection and a persistant oral temperature of 38.9 * C (102 F). Which of the
following interventions should the nurse include in the plan of care to treat
the fever? - ANSWER>>>Administer acetaminophen
A nurse is contributing to the plan of care for a client who has a positive
throat culture for streptococci. Which of the following interventions should
the nurse recommend to be included in the plan of care? -
ANSWER>>>Ensure that the client wears a surgical mask during
transportation thoughout the facility.
A nurse is planning care for a client who is disoriented and at risk for falls.
Which of the following interventions should the nurse include? -
ANSWER>>>Place the client in a room near the nurses station.
Ensure that the client is wearing non skid slippers.
Reinforce teaching about how to use the call bell.
,A nurse is contributing to a plan of care for a client who has a new
prescription for a wrist restraint. Which of the following actions should the
nurse include in the plan? - ANSWER>>>Pad bony prominences on the
wrist.
A nurse is reinforcing teaching with a client who has a partial hearing loss
about how to modify the home environment. Which of the following is a
priority modification that the nurse should include? - ANSWER>>>Flashing
smoke alarm
A nurse is caring for four clients who are required to provide informed
consent for treatment. The nurse should identify that which of the following
clients is able to provide informed consent? - ANSWER>>>An 18 year old
client who has acute appendicitis.
A nurse is reviewing the medical record of a client who has heart failure.
The nurse should identify which of the following lab results as an indication
that the client has fluid volume excess? - ANSWER>>>BUN 8mg/dL
A nurse is moving a client up in bed with assistance of a second nurse.
Which of the following actions should the nurse take? - ANSWER>>>Place
feet apart with the foot nearest the clients bed in front of the other foot.
A nurse is reinforcing teaching about the use of crutches with a client who
has a fractured right tibia and fibula. Which of the following statements by
the client indicates an understanding of the teaching? - ANSWER>>>I will
keep the crutch tips dry.
A charge nurse smells smoke, enters the visitors restroom, and sees
flames in the trashcan. What is the sequence of actions that the nurse
should take? - ANSWER>>>Evacuate
Alarm
Confine
Extinguish
A nurse is calculating the input and output for a client over the last 8 hours.
The client is receiving a continuous IV infusion at 150mL/ hr and had 4 oz
of juice and 0.5L of water. How many mL of fluid should the nurse
document as the clients intake for the last 8 hr? - ANSWER>>>1820 mL
,A nurse is caring for a client who has a prescription for a potassium
supplement. The client tells the nurse that the pill is too large to swallow
and refuses to take it. The nurse offers to break the pill into two smaller
pieces. The nurse is demonstrating which of the following ethical
principles? - ANSWER>>>Beneficence ( acting in the clients best interest)
A charge nurse is reinforcing teaching with an assistive personel about
performing pulse oximetry. Which of the following information should the
nurse include in the teaching? - ANSWER>>>remove polish from the
clients fingernail before applying the oximentry probe.
A nurse is reinforcing dietary teaching w/ a pt who has chronic kidney
disease & requires a low potassium diet. Which of the following food
choices by the pt demonstrates an understanding of the teaching? -
ANSWER>>>1 cup of applesauce
A nurse is preparing to admin O2 to a Pt who has heart failure & is having
severe difficulty breathing. Which of the following O2 delivery equipment
should the nurse select to provide the highest concentration of O2 to the
Pt? - ANSWER>>>Nonrebreather mask
A nurse is assisting with a presentation to a group of older adults at a
community center about hypothermia and hyperthermia. Which of the
following information should the nurse include about age related changes?
- ANSWER>>>Circulation becomes less efficient with age
A nurse writes client information on a piece of paper while receiving report.
Which of the following actions should the nurse take to dispose of the
paper? - ANSWER>>>Shred the paper in a secure container
A nurse is assisting with the admission of a pt who has brought her meds to
the facility. Which of the following actions should the nurse take? -
ANSWER>>>Compare the meds the provider has prescribed with the
clients meds from home
A nurse is preparing to admin a topical med to a PT. Which of the following
actions should the nurse take? - ANSWER>>>Compare the label of the
med container w/ the med admin record x3.
, A nurse is palpating the pulse located on the top of the pts foot. Which of
the following pulses should the nurse document that she is palpitating? -
ANSWER>>>Dorsalis pedis
A nurse is caring for a client who has an indwelling urinary catheter. Which
of the following actions should the nurse take to prevent urinary tract
infection? - ANSWER>>>Drain urine from the tubing before ambulation
A nurse is explaining ethics & values to a newly licensed nurse. The nurse
should explain that allowing a Pt to make a decision about treatment is an
example of which of the following ethical principles? -
ANSWER>>>Autonomy
A nurse is reinforcing pre-op teaching w/ a pt who does not speak the same
language as the nurse. Which of the following actions should the nurse
take? - ANSWER>>>Provide handouts written in the clients primary
language
A nurse is reinforcing teaching about health promotion with a group of
young adult clients. Which of the following information should the nurse
include? - ANSWER>>>Young adults should receive a dental assessment
every 6 months
A nurse is caring for a Pt who is refusing medical treatment. Which of the
following actions should the nurse take? - ANSWER>>>Document the
clients refusal of the treatment
A nurse is caring for a Pt who is receiving intermittent enteral feedings.
Which of the following is the priority action for the nurse to take? -
ANSWER>>>measure the Pts gastric before each feeding
A nurse is assisting w/ the plan of care for four pts. Which of the following
tasks should the nurse assign to an assistive personnel (AP)? -
ANSWER>>>Assist a pt to get out of bed after a breathing treatment
A nurse is speaking w/ a pt who has type 2 diabetes mellitus & a
prescription for insulin. The pt verbalizes anger about having to take insulin.
Which of the following responses should the nurse make? - ANSWER>>>"I
see that you are angry. Lets sit down and talk."