ATI RN Fundamentals Online Practice
2019 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 - correct answer 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. - correct answer
-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 - correct answer -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 - correct answer 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. - correct answer
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 - correct answer
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 - correct answer 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." - correct answer
-"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 - correct answer 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 - correct answer 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. - correct answer -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 - correct answer -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 - correct answer
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 - correct answer 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
2019 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 - correct answer 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. - correct answer
-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 - correct answer -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 - correct answer 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. - correct answer
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 - correct answer
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 - correct answer 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." - correct answer
-"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 - correct answer 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 - correct answer 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. - correct answer -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 - correct answer -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 - correct answer
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 - correct answer 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
