ATI Fundamentals Missed Questions

Which nutrient regulates extracellular fluid volume?

sodium

Which of the following actions by the newly licensed nurse indicates an understanding of suctioning a client's tracheostomy?

Administering high-flow oxygen prior to the procedure

A nurse is caring for a middle-aged adult client. The nurse should evaluate the client for progress toward which of the following developmental tasks?

Ceasing to compare personal identity with others

A nurse is preparing to administer a TB skin test to a client. After performing hand hygiene, which of the following actions should the nurse take?

Circle the injection area with a pen (will help when reading results 48-72 hours later)

A nurse is teaching a client who is postoperative how to use a flow-oriented incentive spirometer. Which of the following instructions should the nurse include?

Cough deeply after each use

A nurse is caring for a client who has an NG tube for intermittent enteral feedings. Which of the following actions should the nurse take?

Elevate the head of the client's bed to 45 degrees before the feeding (prevents aspiration)

A nurse is caring for a client who has a temp of 101.7F. Which of the following actions should the nurse take?

Keep the client's bed linens dry

A nurse is caring for a client who has acute renal failure. Which of the following assessments provides the most accurate measure of the client's fluid status?

daily weight

The purpose of inflating the cuff of a cuffed endotracheal tube includes which of the following?

- stabilizing the position of the tube - preventing aspiration of secretions - preventing air leaks

A nurse is preparing to administer an otic antibiotic to an adult client who has otitis media. Which of the following actions should the nurse plan to take?

Hold the dropper 1cm above the ear canal during administration

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

Hyperoxygenate the client before suctioning.

A client who has glaucoma of the right eye self-administers timolol eye drops by looking at the ceiling, instilling a drop onto the center of conjunctival sac, and applying gentle pressure to the lower lid with a facial tissue. After observing this process, which of the following actions should the nurse take?

Instruct the client to apply pressure to the inside corner of the eye after instillation

A nurse is measuring a client's vital signs. The client's resting radial pulse rate is 55/min. Which of the following actions should the nurse take first?

Measure the client's apical pulse

A nurse is caring for an older adult client who has dysphagia following a cerebrovascular accident. Which of the following actions should the nurse take when assisting the client at mealtime?

Offer the client tart or sour foods first (helps stimulate saliva production which aids in chewing + swallowing)

A nurse is assessing a client's peripheral pulses. Which of the following descriptions should the nurse use to document the findings?

Peripheral pulses bilaterally symmetric, equal, and strong in all 4 extremities

A nurse is leading an education session about disposing of biohazardous materials. Which of the following instructions should the nurse include in the teaching?

Place soiled linen in a single linen bag.

A nurse is preparing to provide chest physiotherapy for a client who has left lower lobe atelectasis. Which of the following actions should the nurse plan to take?

Place the client in the Trendelenburg position (promotes drainage from client's left lower lobe)

A nurse is performing suctioning to a client who has a tracheostomy. Which of the following actions should the nurse take?

Pull suction catheter back 1cm if the client starts coughing.

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

A nurse is helping a client change his hospital gown. The client has an IV infusion via an infusion pump. Which of the following actions should the nurse take first?

Remove the sleeve of the gown from the arm without the IV line

A nurse is caring for a client who is hospitalized and has a new trach. Which of the following actions should the nurse take when performing trach care?

Soak the inner cannula of the trach tube in normal saline (this helps loosen secretions)

A nurse is performing a straight urinary catheterization for a female client who has urinary retention. Which of the following actions indicates the nurse is maintaining sterile technique?

Wiping the labia minora in an anteroposterior direction

Secondary intention healing

a wound will be left open and left to heal by itself, filling in and closing up naturally

A nurse is caring for a client who is immobile. The nurse should recognize that immobility places the client at risk of which of the following health alterations?

decreased cardiac output

RDA (Recommended Dietary Allowance)

defines the level of nutrient intake that meets the needs of healthy people in various groups

A whistling noise coming from a hearing aid can indicated...

excessive wax in the ear canal

The nurse should anticipate that the client who has which of the following devices can safely undergo an MRI?

hearing aids (b/c they can be removed--not invasive)

The nurse should identify that which nutrient regulates extracellular fluid volume?

potassium

A nurse is preparing to assist an older adult client with ambulation following bed rest for 3 days. Which of the following actions should the nurse take to decrease the risk of a fall?

Use gait belt during ambulation

A nurse observes an AP preparing to obtain blood pressure with a regular-sized cuff for a client who is obese. Which of the following explanations should the nurse give the AP?

Using a cuff that is too small will result in an inaccurately high reading

Which of the following injection sites is the safest for an IM injection of a young adult?

ventrogluteal

A nurse is teaching a client who has asthma about the proper use of an albuterol inhaler. Which of the following client statements indicates an understanding of the teaching?

"I will shake the inhaler well right before I use it."

A nurse is administering medication to a client who asks the nurse to leave the medication at the bedside to be taken at a later time. Which of the following responses should the nurse make?

"Call me when you are ready, and I will return with the medication."

A nurse is getting ready to insert an NG tube. Which of the following will help with insertion?

- coat the tip of the tube with a water-soluble lubricant - ask the client to swallow water while the tube enters her throat - tell the client to tilt her head backward as insertion begins (reduces curvature allowing easier insertion of tube)

The nurse should recognize that dextran belongs in which of the following functional classificiation?

Plasma volume expanders (help correct hypovolemia in emergency situations)

A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should the nurse plan to take?

Position the client on his left side.