ATI RN FUNDAMENTALS PROCTORED 2024 WITH NGN LATEST TEST BANK
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
Study online at https://quizlet.com/_gc88ed
1. A nurse in an acute care facility is preparing a discharge summary for a
client who is transferring to a long-term care facility. Which of the following
documentation should the nurse include?
A. Client flow sheet
B. Acuity ratings
C. Current medications
D. Incident reports: C. Current medications
The nurse should include the client's medications in the discharge summary to
ensure client safety and continuity of care.
2. 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?
A. Use a resuscitation bag with 80% oxygen prior to the procedure.
B. Select a suction catheter that is half the size of the lumen.
C. Place the end of the suction catheter in water-soluble lubricant.
D. Adjust the wall suction apparatus to a pressure of 170 mm Hg.: B. Select a
suction catheter that is half the size of the lumen.
The nurse should select a suction catheter that is half the size of the lumen to prevent
hypoxemia and trauma to the mucosa.
3. A nurse is caring for a client who has decreased mobility. Which of the
following actions should the nurse take to decrease the client's risk of devel-
oping plantar flexion contractures?
A. Place a pillow under the client's knees.
B. Position a trochanter roll under each of the client's hips.
C. Advise the client to wear rubber-soled slippers.
D. Apply an ankle-foot orthotic device to the client's feet.: D. Apply an ankle-foot
orthotic device to the client's feet.
The nurse should use a device to maintain dorsiflexion, such as an ankle-foot
orthotic device or a foot board placed perpendicular to the mattress.
4. A nurse manager is overseeing the care activities on a unit. For which of the
following situations should the nurse manager intervene due to a violation of
HIPAA guidelines?
, ATI RN FUNDAMENTALS PROCTORED 2024 WITH NGN LATEST TEST BANK
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
Study online at https://quizlet.com/_gc88ed
A. A nurse who is caring for a client reviews the client's medical chart with a
nursing student who is working with the nurse.
B. A nurse asks a nurse from another unit to assist with documentation for a
client.
C. A nurse who is caring for a client returns a call to the person appointed in
the health care proxy to discuss the client's care.
D. A nurse discusses a client's status with the physical therapist who is
caring for the client.: B. A nurse asks a nurse from another unit to assist with
documentation for a client.
Only health care professionals directly caring for a client should have access to the
client's medical information; therefore, this is a violation of HIPAA guidelines.
5. A nurse is preparing to administer 0.5 mL of oral single-dose liquid medica-
tion to a client. Which of the following actions should the nurse take?
A. Gently shake the container of medication prior to administration.
B. Transfer the medication to a medicine cup.
C. Place the client in a semi-Fowler's position prior to medication administra-
tion.
D. Verify the dosage by measuring the liquid before administering it.: A. Gently
shake the container of medication prior to administration.
The nurse should gently shake the liquid medication to ensure that the medication
is mixed.
6. A nurse on a medical unit is preparing to discharge a client to home. Which
of the following actions should the nurse take as part of the medication
reconciliation process?
A. Seal unused medications from the facility in a plastic bag.
B. Evaluate the client's ability to self-administer medications.
C. Report an identified discrepancy to The Joint Commission.
D. Compare prescriptions with medications the client received while at the
facility.: D. Compare prescriptions with medications the client received while at the
facility.
When performing medication reconciliation, the nurse should create a current,
accurate list of every medication the client is or should be taking. Part of the process
, ATI RN FUNDAMENTALS PROCTORED 2024 WITH NGN LATEST TEST BANK
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
Study online at https://quizlet.com/_gc88ed
is comparing the medications the client received at the facility with those the provider
has prescribed for the client to take after discharge.
7. 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?
A. "What could I have done to deserve this illness?"
B. "I blame medical science for not curing me."
C. "Where is my daughter at a time like this?"
D. "Will I ever begin to feel in charge of my life again?": A. "What could I have
done to deserve this illness?"
The client's terminal illness might prompt the client to review their life and question
its meaning. A manifestation of the client's spiritual distress is asking why this illness
is happening to them.
8. A nurse is caring for a client who has a prescription for 5 units of regular
insulin and 10 units of NPH insulin to mix together and administer subcuta-
neously. Determine the correct order of steps for this procedure. (Move the
steps into the box on the right, placing them in the order of performance. Use
all the steps.)
A. Inject 5 units of air into the bottle of regular insulin.
B. Withdraw the correct does of NPH insulin from the bottle.
C. Inject 10 units of air into the bottle of NPH insulin.
D. Withdraw the correct does of regular insulin from the bottle.: C. Inject 10
units of air into the bottle of NPH insulin.
A. Inject 5 units of air into the bottle of regular insulin.
D. Withdraw the correct does of regular insulin from the bottle.
B. Withdraw the correct does of NPH insulin from the bottle.
The nurse should first inject air into the vial of NPH insulin without touching the
needle to the solution. Next, the nurse should inject air into the vial of regular insulin
and withdraw the correct amount of the regular insulin. Finally, the nurse should
insert the needle into the NPH insulin vial and withdraw the correct amount of NPH
insulin. The nurse should follow these steps to prevent contaminating the regular
insulin with NPH insulin.
9. A nurse is completing an admission assessment for a client who reports
vomiting and diarrhea for the past 3 days. Which of the following findings
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
Study online at https://quizlet.com/_gc88ed
1. A nurse in an acute care facility is preparing a discharge summary for a
client who is transferring to a long-term care facility. Which of the following
documentation should the nurse include?
A. Client flow sheet
B. Acuity ratings
C. Current medications
D. Incident reports: C. Current medications
The nurse should include the client's medications in the discharge summary to
ensure client safety and continuity of care.
2. 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?
A. Use a resuscitation bag with 80% oxygen prior to the procedure.
B. Select a suction catheter that is half the size of the lumen.
C. Place the end of the suction catheter in water-soluble lubricant.
D. Adjust the wall suction apparatus to a pressure of 170 mm Hg.: B. Select a
suction catheter that is half the size of the lumen.
The nurse should select a suction catheter that is half the size of the lumen to prevent
hypoxemia and trauma to the mucosa.
3. A nurse is caring for a client who has decreased mobility. Which of the
following actions should the nurse take to decrease the client's risk of devel-
oping plantar flexion contractures?
A. Place a pillow under the client's knees.
B. Position a trochanter roll under each of the client's hips.
C. Advise the client to wear rubber-soled slippers.
D. Apply an ankle-foot orthotic device to the client's feet.: D. Apply an ankle-foot
orthotic device to the client's feet.
The nurse should use a device to maintain dorsiflexion, such as an ankle-foot
orthotic device or a foot board placed perpendicular to the mattress.
4. A nurse manager is overseeing the care activities on a unit. For which of the
following situations should the nurse manager intervene due to a violation of
HIPAA guidelines?
, ATI RN FUNDAMENTALS PROCTORED 2024 WITH NGN LATEST TEST BANK
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
Study online at https://quizlet.com/_gc88ed
A. A nurse who is caring for a client reviews the client's medical chart with a
nursing student who is working with the nurse.
B. A nurse asks a nurse from another unit to assist with documentation for a
client.
C. A nurse who is caring for a client returns a call to the person appointed in
the health care proxy to discuss the client's care.
D. A nurse discusses a client's status with the physical therapist who is
caring for the client.: B. A nurse asks a nurse from another unit to assist with
documentation for a client.
Only health care professionals directly caring for a client should have access to the
client's medical information; therefore, this is a violation of HIPAA guidelines.
5. A nurse is preparing to administer 0.5 mL of oral single-dose liquid medica-
tion to a client. Which of the following actions should the nurse take?
A. Gently shake the container of medication prior to administration.
B. Transfer the medication to a medicine cup.
C. Place the client in a semi-Fowler's position prior to medication administra-
tion.
D. Verify the dosage by measuring the liquid before administering it.: A. Gently
shake the container of medication prior to administration.
The nurse should gently shake the liquid medication to ensure that the medication
is mixed.
6. A nurse on a medical unit is preparing to discharge a client to home. Which
of the following actions should the nurse take as part of the medication
reconciliation process?
A. Seal unused medications from the facility in a plastic bag.
B. Evaluate the client's ability to self-administer medications.
C. Report an identified discrepancy to The Joint Commission.
D. Compare prescriptions with medications the client received while at the
facility.: D. Compare prescriptions with medications the client received while at the
facility.
When performing medication reconciliation, the nurse should create a current,
accurate list of every medication the client is or should be taking. Part of the process
, ATI RN FUNDAMENTALS PROCTORED 2024 WITH NGN LATEST TEST BANK
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
Study online at https://quizlet.com/_gc88ed
is comparing the medications the client received at the facility with those the provider
has prescribed for the client to take after discharge.
7. 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?
A. "What could I have done to deserve this illness?"
B. "I blame medical science for not curing me."
C. "Where is my daughter at a time like this?"
D. "Will I ever begin to feel in charge of my life again?": A. "What could I have
done to deserve this illness?"
The client's terminal illness might prompt the client to review their life and question
its meaning. A manifestation of the client's spiritual distress is asking why this illness
is happening to them.
8. A nurse is caring for a client who has a prescription for 5 units of regular
insulin and 10 units of NPH insulin to mix together and administer subcuta-
neously. Determine the correct order of steps for this procedure. (Move the
steps into the box on the right, placing them in the order of performance. Use
all the steps.)
A. Inject 5 units of air into the bottle of regular insulin.
B. Withdraw the correct does of NPH insulin from the bottle.
C. Inject 10 units of air into the bottle of NPH insulin.
D. Withdraw the correct does of regular insulin from the bottle.: C. Inject 10
units of air into the bottle of NPH insulin.
A. Inject 5 units of air into the bottle of regular insulin.
D. Withdraw the correct does of regular insulin from the bottle.
B. Withdraw the correct does of NPH insulin from the bottle.
The nurse should first inject air into the vial of NPH insulin without touching the
needle to the solution. Next, the nurse should inject air into the vial of regular insulin
and withdraw the correct amount of the regular insulin. Finally, the nurse should
insert the needle into the NPH insulin vial and withdraw the correct amount of NPH
insulin. The nurse should follow these steps to prevent contaminating the regular
insulin with NPH insulin.
9. A nurse is completing an admission assessment for a client who reports
vomiting and diarrhea for the past 3 days. Which of the following findings
