ATI Fundamentals with reasoning
Certified Solutions 2024 Update
A nurse is caring for a client who requires 24 hour urine collection. Which of the
following statements by the client indicates an understanding of the teaching?
A. I had a bowel movement but was unable to save the urine
B. I have a specimen in the bathroom from about 30 minutes ago
C. I flushed what I urinated at 7am. I have saved all urine since
D. I drink a lot, so I will fill up the bottle and complete the test quickly
- Correct answer- C. I flushed what I urinated at 7am. I have saved all urine since
For a 24 hour urine collection, the client should discard the first voiding and save
all subsequent voidings
A nurse is assessing a client who has been on bed rest for the past month. Which
of the following findings should the nurse identify as an indication that the client
has developed thrombophlebitis?
A. Bladder distention
B. Decreased blood pressure
C. Calf swelling
D. Diminished bowel sounds
- Correct answer- C. Calf swelling
Swelling, redness, and tenderness in a calf muscle are manifestations of
thrombophlebitis, a common complication of immobility
, ATI Fundamentals with reasoning
Certified Solutions 2024 Update
A nurse manager is overseeing the care on a unit. Which of the following
situations should the nurse manager identify as a violation of HIPAA guidelines?
A. A nurse who is caring for a client reviews the client's medical chart with the
nursing student who is working with the nurse
B. A nurse asks a nurse from another unit to assist with her documentation
C. A nurse who is caring for a client returns a call to the client's durable power of
attorney for healthcare designee to discuss the client's care
D. A nurse discusses the client's status with the physical therapist that is caring for
the client at the client's bedside
- Correct answer- B. A nurse asks a nurse from another unit to assist with her
documentation
Only healthcare professionals directly caring for a client may access medical
information; therefore, this is a violation of HIPAA guidelines
A nurse is caring for a client who requires bed rest and has a prescription for ant
embolic stockings. Which of the following actions should the nurse take?
A. Apply the stockings so the creases are on the front side of the leg
B. Apply the stockings while the client's legs are in a dependent position
C. Remove the stockings at least once per shift
D. Remove the stockings while the client is sitting in a reclining chair
- Correct answer- C. Remove the stockings at least once per shift
The nurse should remove the stockings at least once per shift to check the client's
circulation and skin integrity
Certified Solutions 2024 Update
A nurse is caring for a client who requires 24 hour urine collection. Which of the
following statements by the client indicates an understanding of the teaching?
A. I had a bowel movement but was unable to save the urine
B. I have a specimen in the bathroom from about 30 minutes ago
C. I flushed what I urinated at 7am. I have saved all urine since
D. I drink a lot, so I will fill up the bottle and complete the test quickly
- Correct answer- C. I flushed what I urinated at 7am. I have saved all urine since
For a 24 hour urine collection, the client should discard the first voiding and save
all subsequent voidings
A nurse is assessing a client who has been on bed rest for the past month. Which
of the following findings should the nurse identify as an indication that the client
has developed thrombophlebitis?
A. Bladder distention
B. Decreased blood pressure
C. Calf swelling
D. Diminished bowel sounds
- Correct answer- C. Calf swelling
Swelling, redness, and tenderness in a calf muscle are manifestations of
thrombophlebitis, a common complication of immobility
, ATI Fundamentals with reasoning
Certified Solutions 2024 Update
A nurse manager is overseeing the care on a unit. Which of the following
situations should the nurse manager identify as a violation of HIPAA guidelines?
A. A nurse who is caring for a client reviews the client's medical chart with the
nursing student who is working with the nurse
B. A nurse asks a nurse from another unit to assist with her documentation
C. A nurse who is caring for a client returns a call to the client's durable power of
attorney for healthcare designee to discuss the client's care
D. A nurse discusses the client's status with the physical therapist that is caring for
the client at the client's bedside
- Correct answer- B. A nurse asks a nurse from another unit to assist with her
documentation
Only healthcare professionals directly caring for a client may access medical
information; therefore, this is a violation of HIPAA guidelines
A nurse is caring for a client who requires bed rest and has a prescription for ant
embolic stockings. Which of the following actions should the nurse take?
A. Apply the stockings so the creases are on the front side of the leg
B. Apply the stockings while the client's legs are in a dependent position
C. Remove the stockings at least once per shift
D. Remove the stockings while the client is sitting in a reclining chair
- Correct answer- C. Remove the stockings at least once per shift
The nurse should remove the stockings at least once per shift to check the client's
circulation and skin integrity
