ATI RN Fundamentals Exam 2024 A with
NGN
A nurse is admitting a client who has an abdominal wound with a large
amount of purple tissue drainage. Which of the following types of
transmission precautions should the nurse initiate?
Protective environment
Airborne precautions
Droplet precautions
Contact precautions - Contact precautions
A nurse is caring for a client who is expressing anger about his diagnosis
of colorectal cancer. Which of the following actions should the nurse take?
-Discuss the risk factors for colon cancer.
-Focus teaching on what the client will need to do in the future to manage
his illness.
-Provide the client with written information about the phases of loss &
grief.
-Reassure the client that this is an expected response to grief. - -
Reassure the client that this is an expected response to grief.
A nurse is caring for a client who is postoperative following a knee
arthroplasty & requires the use of thigh-length sequential compression
sleeves. Which of the following actions should the nurse take?
-Assist the client into a prone position
-Place a sleeve over the top of each leg with the opening at the knee
-Make sure two finger can fit under the sleeves
-Set ankle pressure at 65 mmHg - -Make sure two finger can fit under the
sleeves
A nurse is preparing to apply a dressing for a client who has a stage 2
pressure injury. Which of the following types of dressings should the
nurse use?
Alienate
Gauze
Transparent
,Hydrocolloid - Hydrocolloid
A nurse is preparing an education program for the staff about advocacy.
Which of the following information should the nurse include?
-Advocacy ensures clients' safety, health, & rights.
-Advocacy series that nurses are able to explain their own actions.
-Advocacy ensures that nurses follow through on their promises to
clients.
-Advocacy ensures fairness in client care delivery and use of resources. -
Advocacy ensures clients' safety, health, & rights.
A nurse is admitting a new client. Which of the following actions should
the nurse take while performing medication reconciliation?
-Verify the client's name on their identification bracelet with the
medication administration record
-Call the pharmacy to determine whether the client's medications are
available
-Compare the clients home medications with the provider's prescriptions
-Place the client's home medication bottles in a secure location - Compare
the clients home medications with the provider's prescriptions
A nurse is assessing an older adult client's risk for falls. Which of the
following assessments should the nurse use to identify the client's safety
need? (Select all that apply)
-Lacrimal apparatus
-Pupil clarity
-Appearance of bulbar conjunctivae
-Visual fields
-Visual acuity - Pupil clarity
Visual fields
Visual acuity
A nurse is providing discharge instructions to a client who will be using a
walker. Which of the following client statements indicates an
understanding of the teaching?
-"I can place an extension cord across my living room to plug in my
television."
,-"I will hire someone to trim the tree that hangs low over the stairs of my
front porch."
-"I will place my alarm clock on my bedroom dresser across the room."
-"I will replace the old throw rug in my kitchen with a new one." - -"I will
hire someone to trim the tree that hangs low over the stairs of my front
porch."
A nurse is reviewing a client's fluid & electrolyte status. Which of the
following findings should the nurse report to the provider?
BUN 15 mg/dL
Creatinine 0.8 mg/dL
Sodium 143 mEq/L
Potassium 5.4 mEq/L - Potassium 5.4 mEq/L
nurse is caring for a client who is postoperative and is exhibiting signs of
hemorrhagic shock. the nurse notifies the surgeon, who tells the nurse to
continue to measure the client's vital signs every 15 min & to report back
in 1 hr. Which of the following actions should the nurse take next?
-Document the providers statement in the medical record
-Complete an incident report
-Consult the facility's risk manager
-Notify the nursing manager - Notify the nursing manager
The client states: "I am unable to eat anything without vomiting"
select 3 tasks the nurse should delegate
-document the client's vitals
-measure the client's intake and output
-transfer the client from wheelchair to bed
-insert an NG tube for the client
-collect data about the client's pain level. - -document the client's vitals
-measure the clients intake and output
-transfer the client from wheelchair to bed
A nurse is administering 1 L of 0.9% sodium chloride to a client who is
postoperative and has fluid volume deficit. Which of the following changes
should the nurse identify as an indication that the treatment was
successful?
-Increase hematocrit
, -Increase respiratory rate
-Decrease heart rate
-Decrease in capillary refill time - -Decrease heart rate
A nurse is planning strategies to manage time effectively for client care.
Which of the following strategies should the nurse implement?
-Combine client care tasks when caring for multiple clients
-Wait until the end of the shift to document client care
-Use the planning step of the nursing process to prioritize client care
delivery
-Allow for interruptions in tasks to discuss client care issues with
colleagues - Use the planning step of the nursing process to prioritize
client care delivery
A nurse is talking with the partner of a client who has dementia. The
client's partner expresses frustration about finding time to manage
household responsibilities while caring for their partner. The nurse should
identify that the partner is experiencing which of the following types of
role-performance stress?
Role ambiguity
Sick role
Role overload
Role conflict - Role overload
The client reported fever, chills, cough, and night sweats for the past 2
weeks
the nurse is placing the client on isolation precautions. which of the
following interventions should the nurse include?
-wear an N95 mask when caring for the client
-place a container for soiled linens inside the client's room
-place the client in a negative airflow room
-remove the mask after exiting the client's room
-wear a sterile, water-resistant gown if within 3 feet of the client. - -wear
an N95 mask when caring for the client
-place a container for soiled linens inside the clients room
-place the client in a negative airflow room
-remove mask after exiting the clients room
NGN
A nurse is admitting a client who has an abdominal wound with a large
amount of purple tissue drainage. Which of the following types of
transmission precautions should the nurse initiate?
Protective environment
Airborne precautions
Droplet precautions
Contact precautions - Contact precautions
A nurse is caring for a client who is expressing anger about his diagnosis
of colorectal cancer. Which of the following actions should the nurse take?
-Discuss the risk factors for colon cancer.
-Focus teaching on what the client will need to do in the future to manage
his illness.
-Provide the client with written information about the phases of loss &
grief.
-Reassure the client that this is an expected response to grief. - -
Reassure the client that this is an expected response to grief.
A nurse is caring for a client who is postoperative following a knee
arthroplasty & requires the use of thigh-length sequential compression
sleeves. Which of the following actions should the nurse take?
-Assist the client into a prone position
-Place a sleeve over the top of each leg with the opening at the knee
-Make sure two finger can fit under the sleeves
-Set ankle pressure at 65 mmHg - -Make sure two finger can fit under the
sleeves
A nurse is preparing to apply a dressing for a client who has a stage 2
pressure injury. Which of the following types of dressings should the
nurse use?
Alienate
Gauze
Transparent
,Hydrocolloid - Hydrocolloid
A nurse is preparing an education program for the staff about advocacy.
Which of the following information should the nurse include?
-Advocacy ensures clients' safety, health, & rights.
-Advocacy series that nurses are able to explain their own actions.
-Advocacy ensures that nurses follow through on their promises to
clients.
-Advocacy ensures fairness in client care delivery and use of resources. -
Advocacy ensures clients' safety, health, & rights.
A nurse is admitting a new client. Which of the following actions should
the nurse take while performing medication reconciliation?
-Verify the client's name on their identification bracelet with the
medication administration record
-Call the pharmacy to determine whether the client's medications are
available
-Compare the clients home medications with the provider's prescriptions
-Place the client's home medication bottles in a secure location - Compare
the clients home medications with the provider's prescriptions
A nurse is assessing an older adult client's risk for falls. Which of the
following assessments should the nurse use to identify the client's safety
need? (Select all that apply)
-Lacrimal apparatus
-Pupil clarity
-Appearance of bulbar conjunctivae
-Visual fields
-Visual acuity - Pupil clarity
Visual fields
Visual acuity
A nurse is providing discharge instructions to a client who will be using a
walker. Which of the following client statements indicates an
understanding of the teaching?
-"I can place an extension cord across my living room to plug in my
television."
,-"I will hire someone to trim the tree that hangs low over the stairs of my
front porch."
-"I will place my alarm clock on my bedroom dresser across the room."
-"I will replace the old throw rug in my kitchen with a new one." - -"I will
hire someone to trim the tree that hangs low over the stairs of my front
porch."
A nurse is reviewing a client's fluid & electrolyte status. Which of the
following findings should the nurse report to the provider?
BUN 15 mg/dL
Creatinine 0.8 mg/dL
Sodium 143 mEq/L
Potassium 5.4 mEq/L - Potassium 5.4 mEq/L
nurse is caring for a client who is postoperative and is exhibiting signs of
hemorrhagic shock. the nurse notifies the surgeon, who tells the nurse to
continue to measure the client's vital signs every 15 min & to report back
in 1 hr. Which of the following actions should the nurse take next?
-Document the providers statement in the medical record
-Complete an incident report
-Consult the facility's risk manager
-Notify the nursing manager - Notify the nursing manager
The client states: "I am unable to eat anything without vomiting"
select 3 tasks the nurse should delegate
-document the client's vitals
-measure the client's intake and output
-transfer the client from wheelchair to bed
-insert an NG tube for the client
-collect data about the client's pain level. - -document the client's vitals
-measure the clients intake and output
-transfer the client from wheelchair to bed
A nurse is administering 1 L of 0.9% sodium chloride to a client who is
postoperative and has fluid volume deficit. Which of the following changes
should the nurse identify as an indication that the treatment was
successful?
-Increase hematocrit
, -Increase respiratory rate
-Decrease heart rate
-Decrease in capillary refill time - -Decrease heart rate
A nurse is planning strategies to manage time effectively for client care.
Which of the following strategies should the nurse implement?
-Combine client care tasks when caring for multiple clients
-Wait until the end of the shift to document client care
-Use the planning step of the nursing process to prioritize client care
delivery
-Allow for interruptions in tasks to discuss client care issues with
colleagues - Use the planning step of the nursing process to prioritize
client care delivery
A nurse is talking with the partner of a client who has dementia. The
client's partner expresses frustration about finding time to manage
household responsibilities while caring for their partner. The nurse should
identify that the partner is experiencing which of the following types of
role-performance stress?
Role ambiguity
Sick role
Role overload
Role conflict - Role overload
The client reported fever, chills, cough, and night sweats for the past 2
weeks
the nurse is placing the client on isolation precautions. which of the
following interventions should the nurse include?
-wear an N95 mask when caring for the client
-place a container for soiled linens inside the client's room
-place the client in a negative airflow room
-remove the mask after exiting the client's room
-wear a sterile, water-resistant gown if within 3 feet of the client. - -wear
an N95 mask when caring for the client
-place a container for soiled linens inside the clients room
-place the client in a negative airflow room
-remove mask after exiting the clients room
