ATI fundamentals dynamic quiz
with sorted solutions.
A nurse is caring for a client who has a stage III pressure ulcer on the heel. When
preparing to irrigate the wound, which of the following actions should the nurse
take first?
a. Obtain the prescribed irrigation solution
b. Don personal protective equipment
c. Check the client's pain level
d. Place a waterproof pad under the client's extremity - Answer c. Check the
client's pain level
A nurse is caring for a client who has a stage II pressure ulcer. Which of the
following wound dressings should the nurse apply to the ulcer?
A. Hydrocolloid
B. Collagen
C. Calcium alginate
D. Proteolytic enzyme - Answer A. Hydrocolloid
Rationale: This type of dressing is applied to absorb exudate and to produce a
moist environment that will facilitate healing while preventing maceration of
surrounding skin.
,A nurse is providing discharge teaching to a client who is recovering from lung
cancer. The provider instructed the client that he could resume lower-intensity
activities of daily living. Which of the following activities should the nurse
recommend to the client?
A. Sweeping the floor
B. Shoveling snow
C. Cleaning windows
D. Washing dishes - Answer D. Washing dishes
A nurse is performing a physical assessment of a client. The nurse should
recognize that which of the following findings places the client at risk of impaired
skin integrity?
A. 3+ Achilles reflex
B. Faint pedal pulses
C. Feet warm to the touch bilaterally
D. Capillary refill of <2 sec - Answer B. Faint pedal pulses
A nurse is called away for an emergency while conversing with a client who is
concerned about his medical diagnosis. The nurse returns to the client promptly,
as promised. Which of the following ethical principles is the nurse demonstrating?
,A. Autonomy
B. Fidelity
C. Nonmaleficence
D. Justice - Answer B. Fidelity
A nurse is preparing to administer a tuberculin skin test to a client. After
performing hand hygiene, which of the following actions should the nurse take?
A. Select a 23-gauge needle
B. Insert the needle into the skin at a 25º angle
C. Massage the area of injection following removal of the needle
D. Circle the injection area with a pen - Answer D. Circle the injection area with a
pen
A nurse is caring for a client who has a hearing impairment. Which of the
following interventions should the nurse use when speaking with the client?
A. Speak directly into the client's impaired ear
B. Exaggerate lip movements
C. Speak loudly
D. Face the client when speaking - Answer D. Face the client when speaking
, A nurse is caring for a client who has protein malnutrition. Which of the following
foods should the nurse identify as a source of complete protein?
A. Eggs
B. Cereal
C. Peanut butter
D. Pasta - Answer A. Eggs
A nurse is caring for a client who was admitted to a long-term care facility for
rehabilitation after a total hip arthroplasty. At which of the following times should
the nurse begin discharge planning?
A. One week prior to the client's discharge
B. Upon the client's admission to the care facility
C. Once the discharge date is identified
D. When the client addresses the topic with the nurse - Answer B. Upon the
client's admission to the care facility
A nurse is communicating with a group of clients about what to expect during the
postoperative phase of a total hip arthroplasty. Which of the following elements
of the communication process should the nurse identify as an evaluation of
effective communication?
A. The motivation for communication is evident.
with sorted solutions.
A nurse is caring for a client who has a stage III pressure ulcer on the heel. When
preparing to irrigate the wound, which of the following actions should the nurse
take first?
a. Obtain the prescribed irrigation solution
b. Don personal protective equipment
c. Check the client's pain level
d. Place a waterproof pad under the client's extremity - Answer c. Check the
client's pain level
A nurse is caring for a client who has a stage II pressure ulcer. Which of the
following wound dressings should the nurse apply to the ulcer?
A. Hydrocolloid
B. Collagen
C. Calcium alginate
D. Proteolytic enzyme - Answer A. Hydrocolloid
Rationale: This type of dressing is applied to absorb exudate and to produce a
moist environment that will facilitate healing while preventing maceration of
surrounding skin.
,A nurse is providing discharge teaching to a client who is recovering from lung
cancer. The provider instructed the client that he could resume lower-intensity
activities of daily living. Which of the following activities should the nurse
recommend to the client?
A. Sweeping the floor
B. Shoveling snow
C. Cleaning windows
D. Washing dishes - Answer D. Washing dishes
A nurse is performing a physical assessment of a client. The nurse should
recognize that which of the following findings places the client at risk of impaired
skin integrity?
A. 3+ Achilles reflex
B. Faint pedal pulses
C. Feet warm to the touch bilaterally
D. Capillary refill of <2 sec - Answer B. Faint pedal pulses
A nurse is called away for an emergency while conversing with a client who is
concerned about his medical diagnosis. The nurse returns to the client promptly,
as promised. Which of the following ethical principles is the nurse demonstrating?
,A. Autonomy
B. Fidelity
C. Nonmaleficence
D. Justice - Answer B. Fidelity
A nurse is preparing to administer a tuberculin skin test to a client. After
performing hand hygiene, which of the following actions should the nurse take?
A. Select a 23-gauge needle
B. Insert the needle into the skin at a 25º angle
C. Massage the area of injection following removal of the needle
D. Circle the injection area with a pen - Answer D. Circle the injection area with a
pen
A nurse is caring for a client who has a hearing impairment. Which of the
following interventions should the nurse use when speaking with the client?
A. Speak directly into the client's impaired ear
B. Exaggerate lip movements
C. Speak loudly
D. Face the client when speaking - Answer D. Face the client when speaking
, A nurse is caring for a client who has protein malnutrition. Which of the following
foods should the nurse identify as a source of complete protein?
A. Eggs
B. Cereal
C. Peanut butter
D. Pasta - Answer A. Eggs
A nurse is caring for a client who was admitted to a long-term care facility for
rehabilitation after a total hip arthroplasty. At which of the following times should
the nurse begin discharge planning?
A. One week prior to the client's discharge
B. Upon the client's admission to the care facility
C. Once the discharge date is identified
D. When the client addresses the topic with the nurse - Answer B. Upon the
client's admission to the care facility
A nurse is communicating with a group of clients about what to expect during the
postoperative phase of a total hip arthroplasty. Which of the following elements
of the communication process should the nurse identify as an evaluation of
effective communication?
A. The motivation for communication is evident.
