pn ati fundamentals ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
A nurse is planning to administer medication to a client who has a Clostridium difficile infection.
Which of the following actions should the nurse plan to take to prevent the transmission of this
infection to others? - ANSWER>>Remove the cover gown in the client's room after providing
care
A nurse is caring for a client who is postoperative following a mastectomy. The client states, "I
can barely look at myself in the mirror." The nurse should identify that the client is experiencing
which of the following? - ANSWER>>Actual loss
A nurse is contributing to the plan of care for a client who is dying. Which of the following
intervention should the nurse recommend to include the client's family in the plan of care? -
ANSWER>>-Keep the family updated about the client's status.
-Encourage the family to comb the client's hair.
-Tell the client's family what to expect as the client's death nears
A nurse is preparing to perform a wound irrigation for a client who has a stage 3 pressure
injury. Which of the following supplies should the nurse plan to use? - ANSWER>>A piston
syringe
A nurse is planning care for a group of clients. The nurse should expect to witness an informed
consent for a client who will undergo which of the following procedures? -
ANSWER>>Performance of a paracentesis.
A nurse is collecting data from a client who is 2 days postoperative following a colostomy
placement. Which of the following findings should the nurse report to the provider? -
ANSWER>>A purple-colored stoma.
A nurse reinforcing teaching with a client who has pneumonia and a productive cough. Which
of the following instructions should the nurse include in the teaching? - ANSWER>>"You should
cover your mouth with a tissue when you cough."
A nurse is caring for a client who is scheduled for surgery the following day. During the night,
the client is unable to sleep and is restless. Which of the following statements should the nurse
make? - ANSWER>>"It must be difficult facing this type of surgery."
, A nurse is providing care to four clients in an acute care setting. The nurse should identify that
which of the following client statements presents an ethical dilemma? - ANSWER>>"Please
don't tell my doctor, but I am taking my partner's oxycodone."
A nurse is reinforcing teaching with a client about self-administration of opthalmic drops.
Which of the following instructions should the nurse include? - ANSWER>>"You should cleanse
your eye from the inner to the outer edge prior to putting in the drops."
A nurse is preparing to administer a medication to a preschooler and must convert the child's
weight from pounds to kilograms. The child weighs 30 ib. How many kilograms does the child
weigh? (Round the ANSWER to the nearest tenth. Use a leading zero if it applies. Do not use a
trailing zero.) - ANSWER>>13.6 kg
A nurse is in a long-term care facility in collecting admission data from a client who uses a
hearing aid. Which of the following actions should the nurse take? - ANSWER>>Choose a
private room for the interview
A nurse is preparing to document information about a client's lower legs, which are swollen
with 6 mm edema. Which of the following information should the nurse document? -
ANSWER>>3+ pitting edema
A nurse is caring for a client who has been vomiting and has diarrhea. Which of the following
findings should the nurse identify as an indication of fluid volume deficit? - ANSWER>>a thready
pulse
A nurse is caring for a client who has chronic pain. The nurse recommends that the client
concentrate on a memory of a pleasurable experience. Which of the following complementary
therapies is the nurse suggesting? - ANSWER>>Guided imagery
A nurse manager is reinforcing teaching with a group of newly licensed nurses about the
disclosure of client health information. A nurse can disclose health information without the
client's written permission to which the following entities? - ANSWER>>a physical therapist who
is involved in client's care
A nurse is caring for a client who has dyspnea caused by a respiratory infection. The nurse
should assist the client into which of the following positions. - ANSWER>>Orthopneic
QUESTIONS AND CORRECT ANSWERS
A nurse is planning to administer medication to a client who has a Clostridium difficile infection.
Which of the following actions should the nurse plan to take to prevent the transmission of this
infection to others? - ANSWER>>Remove the cover gown in the client's room after providing
care
A nurse is caring for a client who is postoperative following a mastectomy. The client states, "I
can barely look at myself in the mirror." The nurse should identify that the client is experiencing
which of the following? - ANSWER>>Actual loss
A nurse is contributing to the plan of care for a client who is dying. Which of the following
intervention should the nurse recommend to include the client's family in the plan of care? -
ANSWER>>-Keep the family updated about the client's status.
-Encourage the family to comb the client's hair.
-Tell the client's family what to expect as the client's death nears
A nurse is preparing to perform a wound irrigation for a client who has a stage 3 pressure
injury. Which of the following supplies should the nurse plan to use? - ANSWER>>A piston
syringe
A nurse is planning care for a group of clients. The nurse should expect to witness an informed
consent for a client who will undergo which of the following procedures? -
ANSWER>>Performance of a paracentesis.
A nurse is collecting data from a client who is 2 days postoperative following a colostomy
placement. Which of the following findings should the nurse report to the provider? -
ANSWER>>A purple-colored stoma.
A nurse reinforcing teaching with a client who has pneumonia and a productive cough. Which
of the following instructions should the nurse include in the teaching? - ANSWER>>"You should
cover your mouth with a tissue when you cough."
A nurse is caring for a client who is scheduled for surgery the following day. During the night,
the client is unable to sleep and is restless. Which of the following statements should the nurse
make? - ANSWER>>"It must be difficult facing this type of surgery."
, A nurse is providing care to four clients in an acute care setting. The nurse should identify that
which of the following client statements presents an ethical dilemma? - ANSWER>>"Please
don't tell my doctor, but I am taking my partner's oxycodone."
A nurse is reinforcing teaching with a client about self-administration of opthalmic drops.
Which of the following instructions should the nurse include? - ANSWER>>"You should cleanse
your eye from the inner to the outer edge prior to putting in the drops."
A nurse is preparing to administer a medication to a preschooler and must convert the child's
weight from pounds to kilograms. The child weighs 30 ib. How many kilograms does the child
weigh? (Round the ANSWER to the nearest tenth. Use a leading zero if it applies. Do not use a
trailing zero.) - ANSWER>>13.6 kg
A nurse is in a long-term care facility in collecting admission data from a client who uses a
hearing aid. Which of the following actions should the nurse take? - ANSWER>>Choose a
private room for the interview
A nurse is preparing to document information about a client's lower legs, which are swollen
with 6 mm edema. Which of the following information should the nurse document? -
ANSWER>>3+ pitting edema
A nurse is caring for a client who has been vomiting and has diarrhea. Which of the following
findings should the nurse identify as an indication of fluid volume deficit? - ANSWER>>a thready
pulse
A nurse is caring for a client who has chronic pain. The nurse recommends that the client
concentrate on a memory of a pleasurable experience. Which of the following complementary
therapies is the nurse suggesting? - ANSWER>>Guided imagery
A nurse manager is reinforcing teaching with a group of newly licensed nurses about the
disclosure of client health information. A nurse can disclose health information without the
client's written permission to which the following entities? - ANSWER>>a physical therapist who
is involved in client's care
A nurse is caring for a client who has dyspnea caused by a respiratory infection. The nurse
should assist the client into which of the following positions. - ANSWER>>Orthopneic
