ATI fundamentals 2024 practice review B
A nurse is providing discharge teaching to a client who has a new prescription for a home oxygen
concentrator. Which of the following instructions should the nurse provide to the client and his family? -
(correct Answer) - 1. Check the cord routinely for frays or tearing
2. consider purchasing a generator for power backup
3. observe for signs of hypoxia
A nurse receives report about a client who has 0.9% sodium chloride infusing IV at 125 mL/hr. When the
nurse performs the initial assessment, he notes that the client has received only 80 mL over the last 2
hrs. Which of the following actions should the nurse take first? - (correct Answer) - Check the IV tubing
for obstruction
a nurse is completing an admission assessment of an older adult patient. Which of the following findings
should the nurse identify as a potential indication of abuse? - (correct Answer) - bruises on the arms in
various stages of healing
A nurse is caring for a group of patients on a medical-surgical unit. In which of the following situations
does the nurse demonstrate the ethical principle of veracity? - (correct Answer) - A patient unaware of
her recent cancer diagnosis asks the nurse if she has cancer, and the nurse responds affirmatively.
A nurse is planning teaching for a group of adolescents who each recently had surgical placementof an
ostomy. Which of the following methods should the nurse use as a psychomotor approach to learning? -
(correct Answer) - practice sessions
A nurse is planning strategies to manage time effectively for client care. Which of the following strategies
should the nurse implemented? - (correct Answer) - Use the planning step of the nursing process to
prioritize patient care delivery.
A nurse is preparing to insert an IV catheter into a PATIENTS arm prior to initiating IV fluid therapy. Which
of the following interventions should the nurse implement infection? - (correct Answer) - Apply
transparent dressing over the IV insertion site and securement device
A nurse is caring for a patient who has a prescription for wound irrigation. Which of the following actions
should the nurse take? - (correct Answer) - cleanse the wound from the center outward.
A nurse is caring for a client who has dementia. Which of the following interventions should the nurse
take to minimize the rick for injury to the patient? - (correct Answer) - Use a bed exit alarm system.
A nurse is responding to a call light and finds a patient lying on the bathroom floor. Which of the
following actions should the nurse take first? - (correct Answer) - Check the patient for injuries.
A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the following
statements should the nurse identify as an indication that the patient understands the teaching? -
(correct Answer) - "When descending stairs, I will first shift my weight to my right leg?"
A nurse is calculating a patient's fluid intake over the past 8 hours. Which of the following should the
, nurse plan to document on the patient's intake and output record as 120 mL of fluid? - (correct Answer) -
8 oz of ice chips.
"The nurse should document half of the volume of ice chips when calculating fluid intake to account for
the air in between the chips. "
"The nurse should also understand that 4 oz of liquid water is equal to 120 mL of fluid."
A nurse is providing discharge teaching for a patient who has a new prescription for a home oxygen
concentrator. Which of the following instructions should the nurse provide to the patient and their
family? - (correct Answer) - ~ Check the cord routinely for frays or tearing.
~consider purchasing a generator for backup power.
~observe for signs of hypoxia.
A nurse is providing discharge instructions to a patient who will be using a walker. Which of the following
statements by the patient indicates the teaching has been effective? - (correct Answer) - "I will hire
someone to trim the tree that overhangs the front porch stairs."
A nurse is preparing to transfer a client who can bear weight on one leg from the bed to a chair. After
securing a safe environment, which of the following actions should the nurse take next? - (correct
Answer) - Asses the patient for orthostatic hypotension.
A nurse is planning to insert a peripheral Iv catheter for an older adult patient. Which of the following
actions should the nurse plan to take? - (correct Answer) - Place the patients arm in a dependent
position.
A nurse is planning teaching for a patient who has a new diagnosis of type 1 diabetes mellitus about
insulin self-administration. Which of the following actions should the nurse take first? - (correct Answer)
- Determine the clients learning style.
A nurse is caring for a patient who is expressing anger about their diagnosis of colorectal cancer. which of
the following actions should the nurse take? - (correct Answer) - Reassure the patient that this is an
expected response to grief.
A nurse is preforming a Romberg test during the physical assessment of a patient. Which of the following
techniques should the nurse use? - (correct Answer) - having the client stand with her arms at her side
and her feet together
A nurse is assessing an adult patient who has been immobile for the past 3 weeks. For which of the
following findings should the nurse intervene? - (correct Answer) - Erythema on pressure points.
(Requires prompt relief of pressure and additional measures to protect the skin from breakdown)
A nurse is caring for a patient who is postoperative and refuses to use an incentive spirometer following
major adnominal surgery. Which of the following actions is the nurses priority? - (correct Answer) -
Determine the reasons why the patient is refusing to use the incentive spirometer.
A nurse is caring for a patient who is receiving fluid therapy through a Peripheral IV catheter. Which of
the following findings at the IV site should the nurse idetify as indicating infiltration? - (correct Answer) -
A nurse is providing discharge teaching to a client who has a new prescription for a home oxygen
concentrator. Which of the following instructions should the nurse provide to the client and his family? -
(correct Answer) - 1. Check the cord routinely for frays or tearing
2. consider purchasing a generator for power backup
3. observe for signs of hypoxia
A nurse receives report about a client who has 0.9% sodium chloride infusing IV at 125 mL/hr. When the
nurse performs the initial assessment, he notes that the client has received only 80 mL over the last 2
hrs. Which of the following actions should the nurse take first? - (correct Answer) - Check the IV tubing
for obstruction
a nurse is completing an admission assessment of an older adult patient. Which of the following findings
should the nurse identify as a potential indication of abuse? - (correct Answer) - bruises on the arms in
various stages of healing
A nurse is caring for a group of patients on a medical-surgical unit. In which of the following situations
does the nurse demonstrate the ethical principle of veracity? - (correct Answer) - A patient unaware of
her recent cancer diagnosis asks the nurse if she has cancer, and the nurse responds affirmatively.
A nurse is planning teaching for a group of adolescents who each recently had surgical placementof an
ostomy. Which of the following methods should the nurse use as a psychomotor approach to learning? -
(correct Answer) - practice sessions
A nurse is planning strategies to manage time effectively for client care. Which of the following strategies
should the nurse implemented? - (correct Answer) - Use the planning step of the nursing process to
prioritize patient care delivery.
A nurse is preparing to insert an IV catheter into a PATIENTS arm prior to initiating IV fluid therapy. Which
of the following interventions should the nurse implement infection? - (correct Answer) - Apply
transparent dressing over the IV insertion site and securement device
A nurse is caring for a patient who has a prescription for wound irrigation. Which of the following actions
should the nurse take? - (correct Answer) - cleanse the wound from the center outward.
A nurse is caring for a client who has dementia. Which of the following interventions should the nurse
take to minimize the rick for injury to the patient? - (correct Answer) - Use a bed exit alarm system.
A nurse is responding to a call light and finds a patient lying on the bathroom floor. Which of the
following actions should the nurse take first? - (correct Answer) - Check the patient for injuries.
A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the following
statements should the nurse identify as an indication that the patient understands the teaching? -
(correct Answer) - "When descending stairs, I will first shift my weight to my right leg?"
A nurse is calculating a patient's fluid intake over the past 8 hours. Which of the following should the
, nurse plan to document on the patient's intake and output record as 120 mL of fluid? - (correct Answer) -
8 oz of ice chips.
"The nurse should document half of the volume of ice chips when calculating fluid intake to account for
the air in between the chips. "
"The nurse should also understand that 4 oz of liquid water is equal to 120 mL of fluid."
A nurse is providing discharge teaching for a patient who has a new prescription for a home oxygen
concentrator. Which of the following instructions should the nurse provide to the patient and their
family? - (correct Answer) - ~ Check the cord routinely for frays or tearing.
~consider purchasing a generator for backup power.
~observe for signs of hypoxia.
A nurse is providing discharge instructions to a patient who will be using a walker. Which of the following
statements by the patient indicates the teaching has been effective? - (correct Answer) - "I will hire
someone to trim the tree that overhangs the front porch stairs."
A nurse is preparing to transfer a client who can bear weight on one leg from the bed to a chair. After
securing a safe environment, which of the following actions should the nurse take next? - (correct
Answer) - Asses the patient for orthostatic hypotension.
A nurse is planning to insert a peripheral Iv catheter for an older adult patient. Which of the following
actions should the nurse plan to take? - (correct Answer) - Place the patients arm in a dependent
position.
A nurse is planning teaching for a patient who has a new diagnosis of type 1 diabetes mellitus about
insulin self-administration. Which of the following actions should the nurse take first? - (correct Answer)
- Determine the clients learning style.
A nurse is caring for a patient who is expressing anger about their diagnosis of colorectal cancer. which of
the following actions should the nurse take? - (correct Answer) - Reassure the patient that this is an
expected response to grief.
A nurse is preforming a Romberg test during the physical assessment of a patient. Which of the following
techniques should the nurse use? - (correct Answer) - having the client stand with her arms at her side
and her feet together
A nurse is assessing an adult patient who has been immobile for the past 3 weeks. For which of the
following findings should the nurse intervene? - (correct Answer) - Erythema on pressure points.
(Requires prompt relief of pressure and additional measures to protect the skin from breakdown)
A nurse is caring for a patient who is postoperative and refuses to use an incentive spirometer following
major adnominal surgery. Which of the following actions is the nurses priority? - (correct Answer) -
Determine the reasons why the patient is refusing to use the incentive spirometer.
A nurse is caring for a patient who is receiving fluid therapy through a Peripheral IV catheter. Which of
the following findings at the IV site should the nurse idetify as indicating infiltration? - (correct Answer) -
