j j j j j
RETAKE GUIDE REVIEW GRADED A
j j j j
1. Ajnursejisjplanningjcarejforjajgroupjofjclients.jWhichjofjthejfollowingjtasksjshouldjthejnursejdeleg
atejtojanjassistivejpersonnel?
A. Changingjthejdressingjforjajclientjwhojhasjajstagej3jpressurejinjury
B. Determiningjajclient'sjresponsejtojajdiuretic
C. Comparingjradialjpulsesjforjajclientjwhojisjpostoperative
D. jProvidingjpostmortemjcarejtojajclientjPostmortemjcarejservesjseveraljpurposes,jinclud
ing:jpreparingjthejpatientjforjviewingjbyjfamily.jensuringjproperjidentificationjofjthejpatientjpriorjt
ojtransportationjtojthejmorguejorjfuneraljhome.jprovidingjappropriatejdispositionjofjpatient'sjbelon
gings.jmaintainingjvitaljorgans,jifjdonationjisjplanned.)
2. Ajnursejisjconductingjajhealthjassessmentjforjajclientjwhojtakesjherbaljsupplements.jWhichjofjthejf
ollowingjstatementsjbyjthejclientj indicatesjanjunderstandingjofjthejusejofjthejsupplements?
A. Ijtakejginkgojbilobajforjajheadache
B. Ijtakejechinaceajtojcontroljmyjcholesterol
j C.jIjusejgingerjwhenjIjgetjcarjsick
D.jIjusejgarlicjforjmyjmenopausaljsymptoms
3. Ajnursejisjcaringjforjajclientjwhojhasjinfluenzajandjisolationjprecautionsjinjplace.jWhichjofjthejfo
llowingjactionsjshouldjthejnursejtakejtojpreventjthejspreadjofjinfection?
A. Wearjajmaskjwhenjworkingjwithinj3jfeetjofjthejclient
B. Administerjmetronidazole
C. Donjprotectivejeyewearjbeforejenteringjthejroom.
D. Placejthejclientjinjajnegativejairflowjroom.
4. AjnursejobtainsjajprescriptionjforjwristjrestraintsjforjajclientjwhojisjtryingjtojpulljoutjhisjNGjtube.j
Whichjofjthejfollowingjactionsjshouldjthejnursejtake?
A. Attachjthejrestraintsjsecurelyjtojthejsidejrailsjofjthejclient'sjbed.
B. Applyjthejrestraintsjtojallowjasjlittlejmovementjasjpossible
C. Allowjroomjforjtwojfingersjtojfitjbetweenjthejclientsjskinjandjthejrestraints
D. Removejthejrestraintsjeveryj4jhr.
5. Ajnursejisjadmittingjajclientjwhojhasjtuberculosis.jWhichjofjthejfollowingjtypesjofjtrans
missionjprecautionsjshouldjthejnursejplanjtojinitiate?
A. DropletjB
.jAirbornes
C.jProtectivejenvironment
D.jContact
6. Ajnursejinjajwell-
childjclinicjreceivesjajtelephonejcalljfromjajparentjwhojstatesjthatjtheirjchildjaccidentallyjswallowedjp
aintjthinner.jThejchildjisjawakejandjalert.jWhichjofjthejfollowingjresponsesjshouldjthejnursejmake?
j A.jHavejyourjchildjdrinkjonejlargejglassjofjwater.
B. Hangjupjandjcalljajpoisonjcontroljcenterjhotline.
C. Bringjyourjchildjintojthejclinicjlaterjtoday.
D. Inducejvomitingjinjyourjchildjwithjsyrupjofjipecac.
7. Ajnursejisjdocumentingjajclient'sjmedicaljrecord.jWhichjofjthejfollowingjentriesjshouldjthejnurs
ejrecord.
, ATI FUNDAMENTALS PROCTORED EXAM 2019
j j j j j
RETAKE GUIDE REVIEW GRADED A
j j j j
A. Oraljtemperaturejslightlyjelevatedjatj0800jB
.jAdministeredjpainjmedication
C.jIncisionjwithoutjrednessjorjdrainage
D.jDrankjadequatejamountsjofjfluidjwithjmeals.
8. Ajnursejisjprovidingjoraljcarejforjajclientjwhojisjunconscious.jWhichjofjthejfollowingjactionsjshoul
djthejnursejtake?
A. Placejthejclientjinjajside-lyingjposition.
B. Brushjthejclientsjteethjdaily
C. Applyjmineraljoiljtojthejclient’sjlips
D. Rinsejthejclient’sjmouthjwithjanjalcohol-basedjmouthwash
9. Ajnursejisjcollaboratingjwithjajriskjmanagementjteamjaboutjpotentialjlegaljissuesjinvolvingjclie
ntjcare.jThejnursejshouldjidentifyjwhichjofjthejfollowingjsituationsjisjanjexamplejofjnegligence?
A. Ajnursejadministersjajmedicationjwithoutjfirstjidentifyingjthejclient.
B. Anjassistivejpersonneljdiscussesjclientjcarejinjthejfacilityjcafeteriajwithjvisitorsjpre
sent.
C. jAjnursejbeginsjajbloodjtransfusionjwithoutjobtainingjconsent.
D. Anjassistivejpersonneljpreventsjajclientjfromjleavingjthejfacility.
10. Ajnursejisjcollectingjajsputumjspecimenjforjculturejfromjajclientjwhojhasjajrespiratoryjinfec
tion.jWhichjofjthej followingjactionsjshouldjthejnursejtake?
A. Wearjsterilejglovesjwhenjcollectingjthejspecimen.jB
.jOfferjthejclientjoraljhygienejafterjthejcollection
C.jCollectjthejspecimenjinjthejevening.jDj
Collectj1jmljofjsputum.
11. Ajnursejisjassessingjanjolderjclient.jWhichjofjthejfollowingjfindingsjshouldjthejnursejexpect?
Decreasedjsensejofjbalanced
Increasedjnighttimejsleeping
Heightenedjsensejofjpain
Nighttimejurinaryjincontinence
12. Ajnursejisjcompletingjdischargejteachingjaboutjostomyjcarejwithjajclientjwhojhasjajnewjstoma.
j Whichjofjthejfollowingjinstructionsjshouldjthejnursejincludejinjthejteaching?j(selectjalljthatj apply)
“Cutjthejopeningjofjthejpouchj⅛jofjanjinchjlargerjthanjthejstomaj“
“Placejajpiecejajgauzejoverjthejstomajwhilejchangingjthejpouch”
“Usejpovidone-iodinejtojcleanjaroundjthejstoma”
“Emptyjthejostomyjpouchjwhenjitjbecomesjone-thirdjfulljofjcontents”
“Expectjthejstomajtojturnjajpurple-bluejcolorjasjitsjheals”
13. Ajnursejisjpreparingjtojobtainjinformedjconsentjfromjajclientjwhojspeaksjajdifferentjlang
uagejthanjthejnurse.jWhichjofjthejfollowingjactionsjshouldjthejnursejtake?
“Requestjthatjanjassistivejpersonneljinterpretjthejinformationjforjthejclient”
“Usejproperjmedicaljtermsjwhenjgivingjinformationjtojthejclient”
, ATI FUNDAMENTALS PROCTORED EXAM 2019
j j j j j
RETAKE GUIDE REVIEW GRADED A
j j j j
“Offerjwrittenjinformationjinjthejclient’sjlanguage”
“Avoidjusingjgesturesjwhenjspeakingjtojthejclient”
14. Ajnursejisjteachingjajclientjaboutjhomejcarejequipment.jWhichjofjthejfollowingjinformationjshou
ldjthejnursejincludejinjthejteaching?j(selectjalljthatjapply)
“Avoidjusingjwooljblanketsjwhenjreceivingjoxygen”
“Keepjthejoxygenjdeliveryjsystemj0.6jmj(2jfeet)jfromjanyjheatjsource”
“Checkjthejoxygenjdeliveryjratejatjleastjoncejajday”
“Alignjthejmiddlejofjthejballjinjthejflowjmeterjwithjthejlinejofjthejprescribedjflowjrate”
“Layjthejoxygenjtankjflatjwhenjstoring”
15. Ajnursejisjplanningjcarejforjajclientjwhojreportsjinsomnia.jWhichjofjthejfollowingjactionsjshou
ldjthejnursejperformjshortlyjbeforejbedtime?
Providejajlatejsupper.
Offerjajwetjwashclothjforjthejclientjtojwashjherjface
Performjrange-of-motionjexercises
Preparejhotjcocoajorjteajforjthejclient
16. Ajnursejonjajmedical-surgicaljunitjisjreceivingjajchange-of-
shiftjreportjforjfourjclients.jWhichjofjthejfollowingjclientsjshouldjthejnursejseejfirst?
Ajclientjwhojhasjacutejabdominaljpainjofj4jonjajscalej fromj0jtoj10
Ajclientjwhojhasjpneumoniajandjanjoxygenjsaturationjofj96%
Ajclientjwhojhasjnewjonsetjofjdyspneaj24hrjafterjajtotaljhipjarthroplasty
Ajclientjwhojhasjajurinaryjtractjinfectionjandjlow-gradejfever
17. Ajnursejisjreviewingjajclient’sjintakejandjoutputjandjnotesjthejfollowing:j0.9%jsodiumjchlorid
ej600mLjIVjinfusion,jcefazolinj250jmgjinjdextrosej5%jinjwaterj100mLjintermittentjIVjbolus,j200m
Ljemesis,j40mLjvoidedjurine,jandj20mLjurinejfromjstraightjcatheterization.jThejnursejshouldjreco
rdjthejclient’sjnetjfluidjintakejasjhowjmanyjmL?j(Roundjthejanswerjtojthejnearestjwholejnumber.jU
sejajleadingjzerojifjitjapplies.jDojnotjusejajtrailingjzero.)
700jmL,jthejrestjarejoutput
18. Ajnursejisjdiscussingjincidentjreportsjwithjajgroupjofjnewlyjlicensedjnurses.jThejnursejshou
ldjincludejthatjwhichjifjthejfollowingjrequiresjthejcompletionjofjanjincidentjreport?
Ajclient’sjprescribedjlaboratoryjtestingjwasjnotjobtained
Ajclientjwithdrewjconsentjforjajprocedure
Anjoncomingjnursejarrivedjtojworkjlate
AjnursejtransfusedjajunitjofjpackedjRBCsjinj2jhr.
19. Ajnursejisjcaringjforjajclientjwhojhasjajnewjprescriptionjforjnegative-
pressurejtherapyjforjajchronicjwound.jThejnursejisjunfamiliarjwithjthejprocedure.jWhichjofjthejfollo
wingjresourcesjshouldjthejnursejconsultjtojlearnjmorejaboutjthejintervention.
Thejclient’sjplanjofjcare
Thejnursejpracticejact
Thejmaterialjsafetyjdatajsheet
Thejpolicyjandjprocedurejmanual