ATI Fundamentals Proctored Exam Study Guide Questions And Answers . AHIP proctored H&I@

ATI Fundamentals Proctored Exam Study Guide Questions And Answers . AHIP proctored H&I@ A nurse is reviewing a client's fluid and electrolyte status. Which of the following findings should the nurse report to the provider? Potassium 5.4 meq/L A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair. To prevent selfinjury, which of the following actions should the nurse take when lifting this object? Stand close to the cabinet when lifting it. A nurse is reviewing a client's medication prescription, which reads, "digoxin 0.25 by mouth every day. "Which of the following components of the prescription should the nurse question? The dose A nurse is caring for a client who has had his diet prescription changed to a mechanical soft diet. Which of the following food items should the nurse remove from the client's breakfast tray? Fried Egg 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 caring for a client who is refusing a blood transfusion for religious reasons. The client's partner wants the client to have the blood transfusion. Which of the following actions should the nurse take? Withhold the blood transfusion. 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 the size of the lumen. A nurse is caring for a client who has limited mobility in his lower extremities. Which of the following actions should the nurse take to prevent skin breakdown? Have the client use a trapeze bar when changing position. A nurse is talking with the partner of an older adult male client who has dementia. The client's partner expresses frustration about finding time to manage household responsibilities while caring for his partner. The nurse should identify that he is going through which of the following types of roleperformance stress? Role overload A nurse in a long-term care facility is planning to perform hygiene care for a new resident. Which of the following assessment questions is the nurse's priority before beginning this procedure? "Are you able to help with your hygiene care?" A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that his condition is a contraindication for which of the following therapies? Acupuncture A nurse is giving discharge instructions to a client who will require oxygen therapy at home. Which of the following statements should the nurse identify as an indication that the client understands how to manage this therapy at home? "I'll check the wires and cables on my TV to make sure they are in good working order." A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1 mL of the medication from a 2 mL vial. Which of the following actions should the nurse take? Ask another nurse to observe the medication wastage. A nurse has accepted a verbal prescription for three tenths of a milligram of levothyroxine IV stat for a client who has myxedema coma. How should the nurse transcribe the dosage of this medication in the client's medical record? 0.3 mg A nurse is caring for a client who is terminally ill. Which of the following statements should the nurse identify as an indication that the client's family member is coping effectively with the situation? "This is a difficult time, but we are helping each other through this." A nurse is planning care to improve self-feeding for a client who has vision loss. Which of the following interventions should the nurse include in the plan of care? Use a clock pattern to describe food on the client's plate. A nurse is preparing to transfer a client who has right-sided weakness from the bed to a chair. In what order should the nurse take the following actions to assist the client? A nurse is caring for a client who reports pain. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record which of the following client statements? "The pain is like a dull ache in my stomach." A nurse is caring for a client who asks about the purpose of advance directives. Which of the following statements should the nurse make? "They indicate the form of treatment a client is willing to accept in the event of a serious illness." A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following assessment findings should the nurse expect? Rapid heart rate A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following is the nurse's priority action? Determine the reasons why the client is refusing to use the incentive spirometer. 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? Tell the client to keep the head of the bed elevated at least 30 degrees. A nurse is administering an otic medication to an older adult client. Which of the following actions should the nurse take to ensure that the medication reaches the inner ear? Pressing gently on the tragus of the client's ear. A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. Which of the following actions should the nurse take? Subtract the amount of irrigant used from the client's urine output. A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the nurse plan to take? Place the client's arm in a dependent position. A nurse is assisting a client who is post operative with the use of an incentive spirometer. Into which of the following positions should the nurse place the client? Semi-fowler's A nurse is administering 1L of 0.9% sodium chloride to a client who is postoperative and has fluidvolume deficit. Which of the following changes should the nurse identify as an indication that the treatment was successful? decrease in heart rate A nurse working in the ED is witnessing the signing of informed consent forms for the treatment of multiple clients during her shift. Which of the following signatures may the nurse legally witness? A 16 yo client who is married A 27 yo who has schizophrenia An adoptive parent who brings in his 8 yo son A 17 yo mother who brings in her toddler. A nurse is caring for a client who has a respiratory infection. Which of the following techniques should the nurse use when performing nasotracheal suctioning for the client?