Fundamentals ATI dynamic quiz review Part 1
1. While drawing blood for laboratory testing from a client, a nurse observes a blood spill on her
gloved hand. The client has no documented bloodstream infection. Which of the following actions
should the nurse take?: Carefully remove the gloves and follow with hand hygiene
2. A nurse is inserting an NG tube into a client who begins to cough and gag. Which of the following
actions should the nurse take?: Pull the NG tube back slightly
3. Why should a nurse NOT remove an NG tube when a client begins to cough and gag?: because
this can increase discomfort for the client.
4. A nurse is caring for a client who has peripheral edema. The nurse should identify that which of
the following nutrients regulates extracellular fluid volume?: Sodium
5. A nurse is planning an instructional session about walking with a cane for a client who has a
moderate sensorineural hearing loss. Which of the following actions should the nurse take?: Sit at
the same level as the client
6. A nurse is removing a dressing over the surgical incision of a client who is postoperative following
abdominal surgery. Today, the client reported that "something opened up." The nurse finds that the
incision has separated and intestinal tissue is protruding. After calling for help, which of the following
actions should the nurse take?: Position the client supine with the knees in flexion
7. Why would the nurse position the client supine with the knees in flexion when incisions have
been separated and intestinal tissue is exposed?: This position reduces any strain that could
cause further opening of the incision and worsening of the evisceration.
8. Why would an abdominal binder be needed?: it can help prevent incisions from separating but
does help evisceration.
9. Why would you NOT apply a dry sterile gauze over a separating incision with protruding intestinal
,tissue?: The nurse should soak sterile gauze in sterile 0.9% sodium chloride irrigation and apply
it to the wound.
10.Why would you NOT a Place gentle pressure with an abdominal pad over the evisceration
(separated incision with proteduing intestinal tissue): Placing pressure on a loop of intestine that is
trapped by an opening in the abdominal wall could cause an obstruction or tissue damage.
11.A nurse is caring for a client who has the head of his bed elevated to a 45° angle with his knees
slightly flexed. Which of the following positions should the nurse document for the client?: Fowler's
12.What is Sims position?: the client lies on a side with the leg on that side slightly flexed and
the opposite leg more acutely flexed. The lower arm is behind him, with the opposite arm flexed
at the shoulder and the elbow.
13.What is Prone position?: the client is lying on the abdomen.
14.What is Supine position?: the client is lying flat on the back.
15. A nurse is reinforcing teaching with a client about lifestyle changes to man- age a chronic
illness. Which of the following strategies should the nurse use first to help the client make a
commitment to these lifestyle changes?: Assist the client to identify ways that these changes will
result in positive personal outcomes
16.A nurse is caring for client who has terminal pancreatic cancer. When the client states, "It's
devastating that I will not be here to see my child graduate," the nurse should identify that the client
is in which of the following stages of grief as defined by Kubler-Ross?: depression
17. A nurse is caring for a client who has terminal cancer. The client is proceed- ing with plans
to build a new house. This behavior would typically indicate which of the following stages of grief?:
denial
18.Why is a client with terminal cancer building a new house considered denial ?: A client who has
, a terminal disease has a limited amount of time left, so building a house to live in is unrealistic
and denies reality.
19.What is the acceptance stage of grief?: a client integrates the loss into their life
20.What is the bargaining stage of grief?: client stalls awareness of the loss by trying to keep it
from occurring
21.What is the anger stage of grief?: a client shows resistance or blames other people, a higher
power, or the situation itself.
22.A nurse is obtaining the blood pressure in a client's lower extremity. Which of the following
actions should the nurse take?: Place the bladder of the cuff over the posterior aspect of the
thigh
23.A nurse is collecting data from a 5-year old client during a routine exami- nation. Which of the
following activities should the nurse expect the child to perform?: Ride a bicycle with training
wheels
24.A nurse is caring for a client who reports using several herbal supple- ments. Which of the
following actions should the nurse take?: Verify that the herbal supplements do not interact
with medications the provider has prescribed
25.A nurse is discussing fire safety with newly hired nurses. Which of the following actions is the
priority if a fire occurs in the healthcare facility?: Evac- uate clients from the unit
26.A nurse is collecting data about a client's peripheral pulses. Which of the following descriptions
should the nurse use to document the findings?: Pe- ripheral pulses bilaterally symmetric, equal,
and strong in all 4 extremities
27.A nurse is collecting data from a client who has an onset of severe back pain of unknown origin.
Which of the following questions should the nurse ask
to encourage discussion with the client?: "What do you think caused the onset of your pain?"
1. While drawing blood for laboratory testing from a client, a nurse observes a blood spill on her
gloved hand. The client has no documented bloodstream infection. Which of the following actions
should the nurse take?: Carefully remove the gloves and follow with hand hygiene
2. A nurse is inserting an NG tube into a client who begins to cough and gag. Which of the following
actions should the nurse take?: Pull the NG tube back slightly
3. Why should a nurse NOT remove an NG tube when a client begins to cough and gag?: because
this can increase discomfort for the client.
4. A nurse is caring for a client who has peripheral edema. The nurse should identify that which of
the following nutrients regulates extracellular fluid volume?: Sodium
5. A nurse is planning an instructional session about walking with a cane for a client who has a
moderate sensorineural hearing loss. Which of the following actions should the nurse take?: Sit at
the same level as the client
6. A nurse is removing a dressing over the surgical incision of a client who is postoperative following
abdominal surgery. Today, the client reported that "something opened up." The nurse finds that the
incision has separated and intestinal tissue is protruding. After calling for help, which of the following
actions should the nurse take?: Position the client supine with the knees in flexion
7. Why would the nurse position the client supine with the knees in flexion when incisions have
been separated and intestinal tissue is exposed?: This position reduces any strain that could
cause further opening of the incision and worsening of the evisceration.
8. Why would an abdominal binder be needed?: it can help prevent incisions from separating but
does help evisceration.
9. Why would you NOT apply a dry sterile gauze over a separating incision with protruding intestinal
,tissue?: The nurse should soak sterile gauze in sterile 0.9% sodium chloride irrigation and apply
it to the wound.
10.Why would you NOT a Place gentle pressure with an abdominal pad over the evisceration
(separated incision with proteduing intestinal tissue): Placing pressure on a loop of intestine that is
trapped by an opening in the abdominal wall could cause an obstruction or tissue damage.
11.A nurse is caring for a client who has the head of his bed elevated to a 45° angle with his knees
slightly flexed. Which of the following positions should the nurse document for the client?: Fowler's
12.What is Sims position?: the client lies on a side with the leg on that side slightly flexed and
the opposite leg more acutely flexed. The lower arm is behind him, with the opposite arm flexed
at the shoulder and the elbow.
13.What is Prone position?: the client is lying on the abdomen.
14.What is Supine position?: the client is lying flat on the back.
15. A nurse is reinforcing teaching with a client about lifestyle changes to man- age a chronic
illness. Which of the following strategies should the nurse use first to help the client make a
commitment to these lifestyle changes?: Assist the client to identify ways that these changes will
result in positive personal outcomes
16.A nurse is caring for client who has terminal pancreatic cancer. When the client states, "It's
devastating that I will not be here to see my child graduate," the nurse should identify that the client
is in which of the following stages of grief as defined by Kubler-Ross?: depression
17. A nurse is caring for a client who has terminal cancer. The client is proceed- ing with plans
to build a new house. This behavior would typically indicate which of the following stages of grief?:
denial
18.Why is a client with terminal cancer building a new house considered denial ?: A client who has
, a terminal disease has a limited amount of time left, so building a house to live in is unrealistic
and denies reality.
19.What is the acceptance stage of grief?: a client integrates the loss into their life
20.What is the bargaining stage of grief?: client stalls awareness of the loss by trying to keep it
from occurring
21.What is the anger stage of grief?: a client shows resistance or blames other people, a higher
power, or the situation itself.
22.A nurse is obtaining the blood pressure in a client's lower extremity. Which of the following
actions should the nurse take?: Place the bladder of the cuff over the posterior aspect of the
thigh
23.A nurse is collecting data from a 5-year old client during a routine exami- nation. Which of the
following activities should the nurse expect the child to perform?: Ride a bicycle with training
wheels
24.A nurse is caring for a client who reports using several herbal supple- ments. Which of the
following actions should the nurse take?: Verify that the herbal supplements do not interact
with medications the provider has prescribed
25.A nurse is discussing fire safety with newly hired nurses. Which of the following actions is the
priority if a fire occurs in the healthcare facility?: Evac- uate clients from the unit
26.A nurse is collecting data about a client's peripheral pulses. Which of the following descriptions
should the nurse use to document the findings?: Pe- ripheral pulses bilaterally symmetric, equal,
and strong in all 4 extremities
27.A nurse is collecting data from a client who has an onset of severe back pain of unknown origin.
Which of the following questions should the nurse ask
to encourage discussion with the client?: "What do you think caused the onset of your pain?"
