Fundamentals ATI Practice B
A nurse is administering IV fluid to an older adult client. The nurse should perform which priority
assessment to monitor for adverse effects?
A) Auscultate lung sounds.
B) Measure urine output.
C) Monitor blood pressure readings.
D) Monitor serum electrolyte levels. - ANS-auscultate lung sounds ( bc fluid volume overload is
a complication of IV therapy)
A charge nurse is discussing the responsibility of nurses caring for clients who have a
Clostridium difficile infection. Which of the following information should the nurse include in the
teaching?
A) Assign the client to a room with a negative air-flow system.
B) Use alcohol-based hand sanitizer when leaving the client's room.
C) Clean contaminated surfaces in the client's room with a phenol solution.
D) Have family members wear a gown and gloves when visiting. - ANS-have family members
wear a gown and gloves when visiting
a nurse is giving 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?
a. admitting diagnosis
b. breath sounds
c. body temperature
d. diagnostic test results - ANS-breath sounds
A nurse is planning teaching for a group of adolescents who each recently had surgical
placement of an ostomy. Which of the following methods should the nurse use as a
psychomotor approach to learning?A) Role play
B) Group discussions
C) Question-answer meetings
D) Practice sessions - ANS-practice sessions
a nurse is caring for a client who reports difficulty falling asleep. which of the following
recommendations should the nurse make?
a. drink a cup of hot cocoa before bedtime
b. maintain a consistent time to wake up each day
c. exercise 1 hour before going to bed
d. watch a television program in bed before going to sleep - ANS-maintain a consistent time to
wake up each day
, a nurse is admitting a client who has rubella. which of the following types of transmission-based
precautions should the nurse initiate?
a. droplet
b. airborne
c. contact
d. protective environment - ANS-droplet
a nurse is caring for a client who has recently started using a behind-the-ear hearing aid. which
of the following statements should the nurse identify as an indication that the client understands
the use of this assistive device?
a. this type of hearing aid does not allow for fine tuning of volume
b. I shouldn't have trouble keeping the hearing aid in place during exercise
c. I expect to hear a whistling sound when I first insert the hearing aid
d. I will be sure to remove my hearing aid before taking a shower - ANS-I will be sure to remove
my hearing aid before taking a shower
A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through
an open system. Which of the following actions should the nurse take first?A) Rinse the feeding
bag with water between feedings.
B) Tell the client to keep the head of the bed elevated at least 30°.
C) Make sure the enteral formula is at room temperature.
D) Wipe the top of the formula can with alcohol. - ANS-tell the client to keep the head of the bed
elevated at least 30°
a nurse is planning care for a client who has tuberculosis. the nurse should use which of the
following pieces of personal protective equipment when providing care for the client?
a. gown
b. N95 respirator
c. shoe covers
d. surgical cap - ANS-N95 respirator
A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. Which
of the following actions should the nurse take?
A) Gently shake the container of medication prior to administration.
B) Transfer the medication to a medicine cup.
C) Place the client in a semi-Fowler's position prior to medication administration.
D) Verify the dosage by measuring the liquid before administering it. - ANS-gently shake the
container of medication prior to administration
A nurse is performing a peripheral vascular assessment for a client. When placing the bell of the
stethoscope on the client's neck, she hears the following sound. This sound indicates which of
the following? (Click on the audio button to listen to the clip.)
A) Narrowed arterial lumen
B) Distended jugular veins
A nurse is administering IV fluid to an older adult client. The nurse should perform which priority
assessment to monitor for adverse effects?
A) Auscultate lung sounds.
B) Measure urine output.
C) Monitor blood pressure readings.
D) Monitor serum electrolyte levels. - ANS-auscultate lung sounds ( bc fluid volume overload is
a complication of IV therapy)
A charge nurse is discussing the responsibility of nurses caring for clients who have a
Clostridium difficile infection. Which of the following information should the nurse include in the
teaching?
A) Assign the client to a room with a negative air-flow system.
B) Use alcohol-based hand sanitizer when leaving the client's room.
C) Clean contaminated surfaces in the client's room with a phenol solution.
D) Have family members wear a gown and gloves when visiting. - ANS-have family members
wear a gown and gloves when visiting
a nurse is giving 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?
a. admitting diagnosis
b. breath sounds
c. body temperature
d. diagnostic test results - ANS-breath sounds
A nurse is planning teaching for a group of adolescents who each recently had surgical
placement of an ostomy. Which of the following methods should the nurse use as a
psychomotor approach to learning?A) Role play
B) Group discussions
C) Question-answer meetings
D) Practice sessions - ANS-practice sessions
a nurse is caring for a client who reports difficulty falling asleep. which of the following
recommendations should the nurse make?
a. drink a cup of hot cocoa before bedtime
b. maintain a consistent time to wake up each day
c. exercise 1 hour before going to bed
d. watch a television program in bed before going to sleep - ANS-maintain a consistent time to
wake up each day
, a nurse is admitting a client who has rubella. which of the following types of transmission-based
precautions should the nurse initiate?
a. droplet
b. airborne
c. contact
d. protective environment - ANS-droplet
a nurse is caring for a client who has recently started using a behind-the-ear hearing aid. which
of the following statements should the nurse identify as an indication that the client understands
the use of this assistive device?
a. this type of hearing aid does not allow for fine tuning of volume
b. I shouldn't have trouble keeping the hearing aid in place during exercise
c. I expect to hear a whistling sound when I first insert the hearing aid
d. I will be sure to remove my hearing aid before taking a shower - ANS-I will be sure to remove
my hearing aid before taking a shower
A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through
an open system. Which of the following actions should the nurse take first?A) Rinse the feeding
bag with water between feedings.
B) Tell the client to keep the head of the bed elevated at least 30°.
C) Make sure the enteral formula is at room temperature.
D) Wipe the top of the formula can with alcohol. - ANS-tell the client to keep the head of the bed
elevated at least 30°
a nurse is planning care for a client who has tuberculosis. the nurse should use which of the
following pieces of personal protective equipment when providing care for the client?
a. gown
b. N95 respirator
c. shoe covers
d. surgical cap - ANS-N95 respirator
A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. Which
of the following actions should the nurse take?
A) Gently shake the container of medication prior to administration.
B) Transfer the medication to a medicine cup.
C) Place the client in a semi-Fowler's position prior to medication administration.
D) Verify the dosage by measuring the liquid before administering it. - ANS-gently shake the
container of medication prior to administration
A nurse is performing a peripheral vascular assessment for a client. When placing the bell of the
stethoscope on the client's neck, she hears the following sound. This sound indicates which of
the following? (Click on the audio button to listen to the clip.)
A) Narrowed arterial lumen
B) Distended jugular veins
