ATI fundamentals practice B
A nurse in a med-berg unit is caring for six clients.
client 1: client is admitted with a new diagnosis of rheumatoid arthritis.
Client 2: client has a history of hyperlipidemia. atorvastatin 20 mg PO administered as
prescribed.
client 3: client is 1 day post-op. reports pain as 8 on a scale of 0-10. morphine 5 mg
subcutaneous administered as prescribed.
Client 4: client is admitted with a new diagnosis of heart failure.
Client 5: client has a stage 2 pressure injury on the left heel.
Client 6: is admitted with a new diagnosis of diabetes mellitus.
Client 1: c-reactive protein 3.2 mg/d: (less than 1 mg/dL)
Client 2: cholesterol 250 mg/dL (less than 200 mg/dL)
Client 3: oxygen sat 88%
Client 4: potassium 3.2 mEq/dL (3.5 to 5 mEq/dL)
Client 5: prealbumin 14mg/dL 915 to 36 mg/dL)
Client 6: glycosylated hemoglobin 8% (less than 7%)
The first client the nurse should assess is CLIENT 3 followed by CLIENT 4.
a nurse is caring for a client who has a peripheral IN inserted for fluid replacement.
day 1:
LR at 100 mL/hr infusing into a 20 g IV gate in left hand. IV dressing dry and intact. IV site
without redness or swelling. IV fluid infusing well.
day 2.
IV site edematous. skin surrounding Cath site taut, blanched, and cool to touch. IV fluid infusing.
-stop the IV infusion
- elevate the clients left arm
-apply heat
A nurse is giving a change-of-shift report about a client they admitted earlier that day who has
pneumonia. Which of the following pieces of information is the priority for the nurse to provide?
Breath sounds
a nurse is preparing to transfer a client who can bear weight on one leg from the bed to a chair.
After securing a safe environment, which of the following actions should the nurse take next?
assess the client for orthostatic hypotension.
, a nurse is teaching an older adult client who is at risk for osteoporosis about being a program of
regular physical activity. which of the following types of activity should the nurse recommend?
walking briskly
We have an expert-written solution to this problem!
a nurse is caring for a client who has terminal liver cancer. Which of the following statements
should the nurse identify as an indication that the client is experiencing spiritual distress?
what could I have done to deserve this illness?
a nurse is reviewing protocol in preparation for suctioning secretions from a client who has a
new tracheostomy. which of the following actions should the nurse plan to take?
select a suction catheter that is half this size of the lumen.
a nurse is caring for a client who requires an NG tube for stomach decompression. Which of the
following action should the nurse take when inserting the NG tube?
have the client take sips of water to promote insertion of the NG tube into the esophagus
a nurse is reviewing a clients medication prescription that reads "digoxin 0.25 by mouth every
day." which of the following components of the prescription should the nurse verify with the
provider?
medication dose
a n use if evaluating a clients use of a cane. which of the following actions should the nurse
identify as an indication of correct use?
the client holds the cane on the stronger side of their body
a nurse is caring for a group of clients. which of the following actions should the nurse take to
prevent the spread of infection?
place a client who has tuberculosis in a room with negative-pressure airflow
a nurse is planning strategies to manage time effectively for client care. which of the following
strategies should the nurse implement?
use the planning step of the nursing process to prioritize client care delivery.
A nurse in a med-berg unit is caring for six clients.
client 1: client is admitted with a new diagnosis of rheumatoid arthritis.
Client 2: client has a history of hyperlipidemia. atorvastatin 20 mg PO administered as
prescribed.
client 3: client is 1 day post-op. reports pain as 8 on a scale of 0-10. morphine 5 mg
subcutaneous administered as prescribed.
Client 4: client is admitted with a new diagnosis of heart failure.
Client 5: client has a stage 2 pressure injury on the left heel.
Client 6: is admitted with a new diagnosis of diabetes mellitus.
Client 1: c-reactive protein 3.2 mg/d: (less than 1 mg/dL)
Client 2: cholesterol 250 mg/dL (less than 200 mg/dL)
Client 3: oxygen sat 88%
Client 4: potassium 3.2 mEq/dL (3.5 to 5 mEq/dL)
Client 5: prealbumin 14mg/dL 915 to 36 mg/dL)
Client 6: glycosylated hemoglobin 8% (less than 7%)
The first client the nurse should assess is CLIENT 3 followed by CLIENT 4.
a nurse is caring for a client who has a peripheral IN inserted for fluid replacement.
day 1:
LR at 100 mL/hr infusing into a 20 g IV gate in left hand. IV dressing dry and intact. IV site
without redness or swelling. IV fluid infusing well.
day 2.
IV site edematous. skin surrounding Cath site taut, blanched, and cool to touch. IV fluid infusing.
-stop the IV infusion
- elevate the clients left arm
-apply heat
A nurse is giving a change-of-shift report about a client they admitted earlier that day who has
pneumonia. Which of the following pieces of information is the priority for the nurse to provide?
Breath sounds
a nurse is preparing to transfer a client who can bear weight on one leg from the bed to a chair.
After securing a safe environment, which of the following actions should the nurse take next?
assess the client for orthostatic hypotension.
, a nurse is teaching an older adult client who is at risk for osteoporosis about being a program of
regular physical activity. which of the following types of activity should the nurse recommend?
walking briskly
We have an expert-written solution to this problem!
a nurse is caring for a client who has terminal liver cancer. Which of the following statements
should the nurse identify as an indication that the client is experiencing spiritual distress?
what could I have done to deserve this illness?
a nurse is reviewing protocol in preparation for suctioning secretions from a client who has a
new tracheostomy. which of the following actions should the nurse plan to take?
select a suction catheter that is half this size of the lumen.
a nurse is caring for a client who requires an NG tube for stomach decompression. Which of the
following action should the nurse take when inserting the NG tube?
have the client take sips of water to promote insertion of the NG tube into the esophagus
a nurse is reviewing a clients medication prescription that reads "digoxin 0.25 by mouth every
day." which of the following components of the prescription should the nurse verify with the
provider?
medication dose
a n use if evaluating a clients use of a cane. which of the following actions should the nurse
identify as an indication of correct use?
the client holds the cane on the stronger side of their body
a nurse is caring for a group of clients. which of the following actions should the nurse take to
prevent the spread of infection?
place a client who has tuberculosis in a room with negative-pressure airflow
a nurse is planning strategies to manage time effectively for client care. which of the following
strategies should the nurse implement?
use the planning step of the nursing process to prioritize client care delivery.
