ATI FUNDAMENTALS QUESTIONS AND
VERIFIED ANSWERS| 100% CORRECT
A nurse is caring for a client who reports feeling a pop after coughing without properly
splinting an abdominal incision. On assessment, the nurse notes that the client's wound has
eviscerated. Which of the following actions should the nurse take? Select all that apply
carefully reinsert the intestine through the opening in the wound
Place the client in a supine position with the hips and knees flexed
Leave the room to call the surgeon
Cover the wound and intestine with a sterile, moistened dressing
Monitor the client for manifestation of shock
Place the client in a supine position with the hips and knees flexed
Cover the wound and intestine with a sterile, moistened dressing
Monitor the client for manifestation of shock
A nurse is performing a breast examination for a female client. Which of the
following techniques should the nurse sue first?
Inspect both breaths simultaneously
Squeeze the nipples
,Palpate the breast and tail of spence
Palpate the axillary lymph nodes
Inspect both breaths simultaneously
A nurse is caring for a client who has a gastric ulcer. The nurse should explain theta
prolonged exposure of the body to stress can also cause which of the following to occur?
Hyperglycemia
Hypotension
Heightened immune response
Bleeding tendencies
Hyperglycemia
Rationale: Stress can cause an increased secretion of cortisol, which can lead to hypertension
and hyperglycemia
A nurse is performing a straight urinary catherization for a female client who has urinary
retention. Which of the following actions indicates the nurse is maintaining sterile technique?
Applying sterile gloves to open catheter package
Wiping the labia minora in an anteroposterior direction
Spreading the labia with the dominant hand
Using a cotton ball to wipe the right and left majora
Wiping the labia minora in an anteroposterior direction
A nurse is caring for a client who has chronic disease. The kidneys regulate body fluids as
well as assisting with which of the following functions?
, Regulation of acid-base balance
Reabsorption of nutrients for cellular growth
Regulation of body temperature
Secretion of hormones needed for growth
Regulation of acid-base balance
A nurse is teaching a client who has asthma about the proper use of an albuterol inhaler.
which of the following client statements indicates an understanding of the teaching?
a. i should rinse my mouth out right before i use the inhaler
b. after this first puff i will wait 10 seconds before taking the second puff
c. i will shake the inhaler well right before i use it
d. i will tilt my head forward while inhaling the medication
c.
As part of a neurological examination, a nurse instructs a client to keep his eyes closed, places
an object in his hand, and asks him to identify the object. Which of the following abilities is
the nurse evaluating with this technique?
a. gustation
b. stereognosis
c. proprioception
d. kinesthesia
B.
Gustation is the ability to taste
proprioception is the awareness of the position of the body
kinesthesia is the ability to sense the position and movement of body parts without visualizing
them
VERIFIED ANSWERS| 100% CORRECT
A nurse is caring for a client who reports feeling a pop after coughing without properly
splinting an abdominal incision. On assessment, the nurse notes that the client's wound has
eviscerated. Which of the following actions should the nurse take? Select all that apply
carefully reinsert the intestine through the opening in the wound
Place the client in a supine position with the hips and knees flexed
Leave the room to call the surgeon
Cover the wound and intestine with a sterile, moistened dressing
Monitor the client for manifestation of shock
Place the client in a supine position with the hips and knees flexed
Cover the wound and intestine with a sterile, moistened dressing
Monitor the client for manifestation of shock
A nurse is performing a breast examination for a female client. Which of the
following techniques should the nurse sue first?
Inspect both breaths simultaneously
Squeeze the nipples
,Palpate the breast and tail of spence
Palpate the axillary lymph nodes
Inspect both breaths simultaneously
A nurse is caring for a client who has a gastric ulcer. The nurse should explain theta
prolonged exposure of the body to stress can also cause which of the following to occur?
Hyperglycemia
Hypotension
Heightened immune response
Bleeding tendencies
Hyperglycemia
Rationale: Stress can cause an increased secretion of cortisol, which can lead to hypertension
and hyperglycemia
A nurse is performing a straight urinary catherization for a female client who has urinary
retention. Which of the following actions indicates the nurse is maintaining sterile technique?
Applying sterile gloves to open catheter package
Wiping the labia minora in an anteroposterior direction
Spreading the labia with the dominant hand
Using a cotton ball to wipe the right and left majora
Wiping the labia minora in an anteroposterior direction
A nurse is caring for a client who has chronic disease. The kidneys regulate body fluids as
well as assisting with which of the following functions?
, Regulation of acid-base balance
Reabsorption of nutrients for cellular growth
Regulation of body temperature
Secretion of hormones needed for growth
Regulation of acid-base balance
A nurse is teaching a client who has asthma about the proper use of an albuterol inhaler.
which of the following client statements indicates an understanding of the teaching?
a. i should rinse my mouth out right before i use the inhaler
b. after this first puff i will wait 10 seconds before taking the second puff
c. i will shake the inhaler well right before i use it
d. i will tilt my head forward while inhaling the medication
c.
As part of a neurological examination, a nurse instructs a client to keep his eyes closed, places
an object in his hand, and asks him to identify the object. Which of the following abilities is
the nurse evaluating with this technique?
a. gustation
b. stereognosis
c. proprioception
d. kinesthesia
B.
Gustation is the ability to taste
proprioception is the awareness of the position of the body
kinesthesia is the ability to sense the position and movement of body parts without visualizing
them
