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Exam (elaborations)

ASCL EXAM ASCL EXAM ASCL EXAM

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ASCL EXAM ASCL EXAM ASCL EXAM ASCL EXAM ASCL EXAM

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ATI FUNDAMENTALS EXAM
1. A nurse is planning to collect a stool specimen for ova and parasites from a client
who has diarrhea. Which of the following actions should the nurse take when
collecting the specimen?
A. Transfer the specimen to a sterile container
B. Refrigerate the collected specimen
C. Instruct the client to defecate into the toilet bowl
D. Place the stool specimen collection container in a biohazard bag

2. A nurse is caring for a client who has a tracheostomy and requires suctioning.
Which of the following actions should the nurse take?

A. Hyper oxygenate the client before suctioning
B. Apply suction during insertion of the catheter
C. Insert the catheter during exhalation
D. Apply suction for no more than 15 secs

3. A nurse is caring for a client who has bilateral cats on her hands. Which of the
following actions should the nurse take when assisting the client with feeding?
A. Sit at the bedside when feeding the client
B. Make sure feedings are provided at room temperature
C. Offer the client a drink of fluid after every bite
D. Encourage the client to use her fingers to eat since she cannot hold utensils.

4.A nurse is providing teaching to a client regarding protein intake. Which of the
following foods should the nurse include as an example of an incomplete protein?
A. Eggs
B. Soybeans
C. Lentils
D. Yogurt

5.A nurse is caring for a client who was admitted to a long-term care facility for
rehabilitation after a total hip arthroplasty. At which of the following times should
the nurse begin discharge planning?
A. One week prior to the client’s discharge
B. When the client addresses the topic with the nurse
C. Upon the client’s admission to the care facility
D. Once the discharge date is identified

6. A nurse is preparing to administer a cleansing enema to a client. Which of the
following actions should the nurse plan to take?
A. Insert the rectal tube 15.2 cm
B. Wear sterile gloves to insert the tubing

, C. Position the client on his left side
D. Hold the solution bag 91 cm (36 inch) above the client’s rectum

7. A nurse is administering an IM injection to a 5-month-old infant. Which of the
following injection sites should the nurse use?
A. Dorsogluteal
B. Deltoid
C. Ventrogluteal
D. Vastus lateralis

8. A nurse is caring for a client who has major fecal incontinence and reports
irritation in the perianal area. Which of the following actions should the nurse take
first?
A. Apply a fecal collection system
B. Apply a barrier cream
C. Cleanse and dry the area
D. Check the client’s perineum

9.A nurse is caring for a client who is postoperative following an abdominal
surgery. Which of the following actions should the nurse perform first after
discovering the client’s wound has eviscerated?

A. Cover the incision with a moist sterile dressing
B. Have the client lie on his back with his knees flexed
C. Call the client’s surgeon
D. Reassure the client

10. A nurse is caring for a client who is receiving IV therapy via a peripheral catheter.
The nurse should identify that which of the following findings is an indication of
infiltration?
A. Redness at the infusion site
B. Edema at the infusion site
C. Warmth at the infusion site
D. Oozing of blood at the infusion site

11. A nurse is caring for a client who reports not sleeping at night, which interferes
with her ability to function during the day. Which of the following interventions
should the nurse suggest to this client?
A. Avoid beverages that contain caffeine
B. Take a sleep medication regularly at bedtime
C. Watch television for 30 minutes in bed to relax prior to falling asleep
D. Advise the client to take several naps during the day

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Uploaded on
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Number of pages
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Written in
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