ATI Fundamental Practice Tests

A nurse is teaching with a group of nurses about the administration of nitroglycerin. Which of the flowing routes of administration provides the most rapid onset for the client?

Sublingual

A nurse is providing discharge instruction to a client who has asthma and is about to start taking theophylline Theo-24 the nurse should tell the client that this medication might cause which of the flowing adverse effects?

Tachycardia

A nurse is orienting a newly licensed nurse about receiving telephone prescription which of the following statement by the nurse should indicate a need for further teaching?

Telephone prescriptions are transcribed into the nurse notes

A nurse is readmitting a client to the medical unit after a transfer to ICU following self-administration of a overdose medication the client looks down at the floor and mumbles. Hello which of the following responses should the nurse make?

Tell me a little more about what happened

A nurse is creating a discharge plan which of the following nursing statement indicate the nurse understanding when discharge planning should be implemented?

I will begin upon the client admission to the facility

A nurse is teaching a client's adult son about how to position the client when administering enteral feedings at home. Which of the following statement by the son indicate an understanding of the teaching?

I will have him sit in this chair during the feeding

A nurse is providing teaching about nutrition to a group of client's the nurse should include that which of the following foods contains the highest level of thiamine per servings?

1 cup whole grain wheat flour

A nurse is preparing to inset an NG tube for a client who requires gastric suctioning place the following steps in the appropriate order.

1. Prepare equipment at the bedside 2. measure the NG tube 3. instruct the client to extend the neck backward 4. instruct the client to flex his head forward 5. Obtain an X-ray 6. connect the tube to the suction device

A nurse is caring or four clients which of the following client should the nurse identify as having the highest risk for aspiration?

A client receiving continuous enteral feeding through NG tube

A nurse is caring for four clients the nurse should identify which of the following clients as having a contraindication to receiving moist heat?

A client who broke his ankle 2hrs ago and has swelling of the lower extremity

A provider prescribed sublingual medication for a client who has an NG tube in place which of the following actions should the nurse take?

Administer the medication under the client's tongue

A nurse is caring for client who is well hydrated and who demonstrates no evidence of anemia, which of the following laboratory values gives the nurse an assessment of the adequacy of the client's protein uptake the synthesis?

Albumin

A nurse on a medical unit is planning care for several client's which of the following clients should benefit most from the nurse acting as an advocate?

An older adult client who has no family and is uncertain about moving to assisting living

A nurse is providing teaching to a group of assistive personnel AP about hand hygiene which of following statements by one of the Aps indicates need for further teaching?

As long as I change gloves between clients its is not necessary to wash my hands

A nurse is preparing a client for ambulation which of the following action should the nurse take to determine the client's level of strength?

Ask the client to push her feet against the nurse palms

A nurse has just finished a wound irrigations for a client who requires contact precautions which of the following pieces of personal protective equipment PPE should the nurse remove first?

Gloves

A nurse is providing nail care for a client which of the following actions should the nurse take?

Clean under the nail with an orange stick

A nurse is preparing a presentation at a senior center about ag related musculoskeletal changes which of the flowing changes should the nurse plan to include?

Decreased muscle mass

A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide which of the following instruction should the nurse include?

Eat foods that contain plenty of potassium

A nurse is caring for a client who has pneumonia which of the following actions should the nurse take to promote thinning of respiratory secretions?

Encourage the client the increase fluid intake

A nurse is caring for a client who expresses anxiety about his impeding surgery. Which of the following actions should the nurse take?

Explore the client feelings

A nurse is caring for a client who has new diagnosis of type 1 diabetes mellitus. To focus on effective learning with this client which of the following interventions should the nurse use?

Explore the client's feelings about dietary modifications

A nurse is preparing to administer ophthalmic solutions to a client which of the following actions should the nurse take?

Hold the ophthalmic solution 2 cm (3/4 in) above the lower conjunctival sac

A nurse is providing discharge teaching to a client has new prescriptions for a metered dose inhaler which of following instructions should the nurse include in the teaching?

Shake the inhaler for 3 to 5 seconds

A nurse working in a n emergency room is assessing a client who has leg wound the nurse notes a full thickness would with jiggle muscle tissue visible the nurse should document this as which of the following types of wounds?

Laceration

A nurse is prioritizing care for two clients at the start of the shift the risk client who is 1 day postoperative following a partial bowl resection requires a dressing changes total parental nutrition administration and reports a pain level of 6 on scale from 0-10 the second client who has a newly inserted percutaneous gastrostomy tube require a tube feeding dressing changes and daily weight which of the following nursing actions should the nurse plan to complete first?

Obtain vital sings for both clients

A nurse asks client how he is feeling. The client states I am feeling a bit nervous today which of the following responses should the nurse make?

Please explain what you mean by the word nervous

A nurse is caring for a client who is not cooperating with his are and demonstrate defiant behavior, the nurse chooses to confront this client which of the following approaches should the nurse use when using confrontation?

Point out inconsistencies in the client behavior

A nurse is caring for a client who has a new prescription for propranolol. The nurse should monitor the client for which of the following adverse reaction to this mediation?

Postural hypotension

A nurse is working with a assistive personal AP while caring for a surgical client who is 1 day postoperative which task should the nurse take responsibility for completing?

Removing the abdominal dressing

A nurse is providing preoperative teaching for a client who will undergo surgery the nurse explains that the client will wear antiembolism stockings during and after the procedure when the client asks what the stocking do, which of the following responses should the nurse make?

They improve your circulation to keep bool from pooling in your legs

A nurse arrives for her shift and is preparing to count the controlled substance in the secure cabinet which of following actions should the nurse take?

Verify that the amounts of each medication she counts match the amounts on the inventory record

A nurse working on medical units is completing the admission of a client who reports a sever allergy to penicillin which of the following should the nurse take?

Verify the client's medication prescription do not include cephalosporin

A nurse is teaching a client about foods that are included on a clear liquid diet. Which of the following food choices made by the client indicates the need for further teaching?

Yogurt

A nurse is caring for a client who is cognitively impaired and repeatedly pulls on hi NG tube which of the following actions should the nurse take before requesting a prescription for restrains (select all):

- Assist the client with toileting at frequent intervals - Use an electronic position sensitive device - Provide diversionary activities for the client - Involve the family in the client care

A nurse is providing hygiene care for a client who is immobile which of the following actions should the nurse take( select all):

- Check for personal items when changing the bed linens - Keep the bath water temperature between 110 to 115 F - Shave the client's hair in the direction of the hair growth

A nurse is providing postmortem care for an adult client which of the following actions should the nurse take (select all that apply):

- Determine whether the client will have an autopsy - Cover the body with a clean sheet and place the arms outside of the sheet - Give the clients personal belongings to the family

A nurse is assessing a client who ahs narcolepsy which of the following findings should the nurse expect (select all that apply):

- Hallucination at the onset of sleep - Sleep apnea

A nurse provides a back message as palliative care measure to a client who is unconscious, grimacing and restless which of the following findings should the nurse identify as indicating therapeutic response(select all):

- The shoulder droops - The facial muscles relax - The pulse is within the expected range

A nurse is preparing a teaching plan for a client who speaks limited English and is scheduled for a surgical procedure. Which of the following guidelines should the nurse plan to use when selecting written educational material for the client (select all that apply):

- Use culturally diverse materials - Use pictures - Use materials written in the clients spoken language - Provide a variety of educational materials

A nurse is administering several medications via a client gastrostomy tube at which of the following times should the nurse instill 15 to 20 ml of warm water (select all that apply):

- after each medication - prior to administering each mediation - after giving multiple medication

A nurse is caring for a client within the intimate zone of client personal space, the nurse should perform which of the following activities in this space(select all that apply):

- auscultation of heart sound - teaching about medication - changing a dressing

A nurse is preparing at to remove staples from a client's surgical incision which of the following action should the nurse take (select all that apply):

- clean the surgical site - examine the incision - verify the prescription for staple removal

A nurse is adhering to standard precautions while caring for a group of clients for which of the following tasks should the nurse wear protective eye equipment (select all that apply):

- providing hygiene care to who is HIV positive - emptying urinary drainage bag for a client who has pneumonia - irrigating a client abdominal would suctioning a client's new tracheostomy tube

A nurse is reviewing the laboratory results of a client who is dehydrated which of the following BUN lab values should the nurse report to the provider?

25 mg/dl

A nurse is teaching a client who is taking atorvastatin daily. Which of the following statement by the client indicates an understanding of the teaching?

I will avoid drinking grapefruit juice

A nurse is caring for a client who is 1-day postoperative following gynecologic surgery and reports incisional pain which of the following actions should the nurse take first?

Ask the client to rate her pain on a scale from 0 to 10

A nurse is caring for a client of Chinese heritage, which of the following actions should the nurse take to demonstrates cultural competence?

Ask the client's permission to add ice to drinking water

A nurse is assessing a client who is 2 days postoperative and auscultates bilateral breath sounds, but absent breath sounds in the base the nurse should suspect which of the following postoperative complications?

Atelectasis

A nurse in a provider's office is caring for a client who reports pruritions and reddened oozing lesions a on her lower leg. The nurse should suspect which of the following disorders?

Contact dermatitis

A nurse in a dialysis center is caring for a client who has new diagnosis of end stage kidney disease. When he arrives for his first dialysis treatment, he tells the nurse. I decided to come today, but I am not sure if I will need to come back again this week. I am feeling much better since my discharge from the hospital, and I think my kidneys are working again. The nurse should identify that this client is demonstrating which of the following Kubler Ross stages of grieving?

Denial

A nurse is providing teaching to a client who has hypertension and a new prescription for captopril which of the following instructions should the nurse provide?

Do not use salt substitutes while taking this medication

A nurse prepares to replace the nearly empty container of total parenteral nutrition TPN for a client when she finds that there has been a delay in receiving the new container of solution from the pharmacy which of the following solutions should the nurse infuse until the next container of TPN solution becomes available?

Dextrose 10% in water

A nurse is caring for a client who is receiving enteral tube feeding and has a new prescription to dilute the formula the nurse recognizes this is being done to resolve which of the following condition?

Diarrhea

A nurse is assessing a client who is receiving total parenteral nutrition TPN which of the following findings should the nurse recognize as a complication of the therapy?

Hyperglycemia

A nurse is rehearsing assertive communication approaches to use when declining leadership of a nursing department committee which of the following statement should the nurse make?

I decline the opportunity at this time

A nurse is providing discharges teaching for a client who requires home oxygen therapy. Which of the following statements should the nurse identify as an indication that the clients need further teaching?

I will wear synthetic clothing and woolen socks when using my oxygen

A nurse is providing teaching to a group of adult athletes about prevention the effects of dehydration on the body which of the following manifestation should the nurse include in the teaching?

Impaired motor control

A nurse needs to lift box in a supply room which of the following actions should the nurse take to prevent an injury due to lifting?

Keep the box close to this body as he lifts

A nurse is assisting a client during ambulation when the client begins to fall, which of the following action should the nurse take?

Lower the client to the floor

A charge nurse is observing an newly licensed nurse insert an indwelling urinary catheter for a male client, which of the following actions by the newly licensed nurse require intervention by the charge nurse?

Lubricate the first 2.5 to 5 cm (2 in) of the catheter

A nurse is teaching a client about crutch walking using the three-point gait. Which of the following statement by the nurse should be included in the teaching?

Move both crutches forward while standing on the unaffected leg then lift and swing you body past the crutches

A nurse is providing care to a client who is on strict bed rest following surgery the nurse assists the patient to the beside commode and the client sustains an injury to the operative area, which of the following types of tots has the nurse committed?

Negligence

A nurse is assessing a client who has required strict bed rest for 1 week which of the following findings should the nurse identify as an indication that the client is ready to ambulate?

Performs active range of motion exercises of all extremities

A nurse is caring for a client who is to receive mechanically altered diet. Which of the following client food choice necessitate interventions by the nurse?

Piece of wheat toast

A nurse is preparing to administer the hepatitis B vaccine to a client which of the following techniques should the nurse use to locate the deltoid muscle?

Place one finger across the acromion process and measure 3 fingerbreadths below to the midpoint and center of the lateral aspect of the upper arm

A nurse is planning care for a client who has manifestations of clostridium difficile (C difficile ) infection which of the following actions should the nurse plan to take?

Place the client on contact precautions

A nurse is caring for a client who has had an allogeneic hematopoietic stem cell transplant which of the following infections control precautions should the nurse use while caring for this client?

Protective

A nurse is caring for a client who has limited hands movement which of the following actions should the nurse take to assist the client with feeding?

Provide an adaptive feeding device for the client

A nurse is preparing a sterile filed which of following actions should the nurse perform when opening the sterile pack?

Reach around the pack and open the top flap away from the body

A nurse is preparing to assist a client who can partially bear weight and is cooperative with transfer from the bed to a chair, which of the following actions should the nurse take to maintain safety during this transfer?

Use a powered standing assist lift

A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?

Rinse the mouth after administration

A nurse is preparing to discharge a client who has an abdominal wound that is healing by secondary intention. Which of the following action is the nurse priority?

Schedule a follow up visit by home health nurse for dressing changes

A nurse is receiving shift report about a group of assigned clients which of the following actions should the nurse plan to take fist?

Suction the tracheostomy of a client who has copious secretions

A nurse is working with a licensed practical nurse LPN to care for a client who is receiving a continuous IV infusion. Which of the following findings reported by the LPN indicates to the nurse the client has phlebitis at the IV insertions site?

The area surrounding the insertion site feels warm to the touch

A nurse is reviewing the medical record for a client who has a health care associated infections HAI the nurse should identify which of following findings as risk factor for acquiring an HAI?

The client is 71 years old

A nurse is in a long-term care facility is assisting a client with eating during mealtime and recognizes another client indicating he is choking, which of the following situation requires that nurse to perform the Heimlich maneuver?

The client is not making any sounds

A nurse is assessing a client's ability to ambulate with crutches using the three-point gait. Which of the following actions nurse identify as a risk factor the clients safety?

The client place partial weight on the affected leg

A charge nurse observes a nurse administer intermittent tube feeding via an NG tube to a client which of the following actions should prompt the charge nurse to intervene?

The nurse allows the client the rest in a supine position during the feeding

A nurse is preparing an in-service presentation for a group of newly licensed nurses about the use of restraints which of the following should the nurse include as a criterion for applying restraints?

The nurse has already considered alternatives to restraints

A nurse is preparing an educational presentation about organ donation for group of newly licensed nurses, which of the flowing information should the nurse includes?

The nurse may serve as a witness to informed consent for organ donation

A nurse is providing teaching about dietary recommendations to the client who has iron deficiency anemia, which of the following dietary recommendations should the nurse include as a food that enhance iron absorption when consumed with nonheme iron?

Tomato juice

A nurse is caring for a client who has stage I pressure ulcer which of the following dressing should the nurse plan to apply?

Transparent dressing

A nurse is providing discharge teaching about clean intermittent self-catheterization for a client who ahs begin prostatic hyperplasia which of the following instruction should the nurse include?

Use soap and water to wash the catheter after each use

A nurse is preparing to remove an NG Tube from a client which of the following actions should the nurse take first?

Verify the providers prescription to discontinues the tube

A nurse is performing chest physiotherapy on a client who ahs a respiratory infection. To increase the velocity and turbulence of the air the client exhales, which of the following techniques should the nurse use?

Vibration

A nurse suspects that a family caregiver is neglecting an older adult client, which of the following statements by the caregiver should the nurse identify the priority to address?

We buy the prescriptions we can afford

A nurse is caring for a client who has methicillin resistant staphylococcus aureus ARSA in an abdominal wound, the nurse enters the room to check the client's pulse, which of the following actions should the nurse take?

Wear clean gloves

A nurse is caring for a client whose partner asks for speak with an nurse the partner related her concern about her spouse abusing alcohol and having difficulty maintaining employment which of the following responses should the nurse makes?

What have you done in the past to cope with these issues?

A nurse is teaching an older adult client who has left side weakness about cane use. Which of the following instructions should the nurse include?

When walking moves your left food forward first

a nurse is providing teaching to a group of older adults about sources of complete and incomplete protein which of the following foods should the nurse include as a complete protein?

Yogurt

An older adult client his scheduled to have an elective surgical procedure and informs the nurse that she wants to be designated as a do not resuscitate DNR case. Which of the following responses should the nurse provide?

Your provider needs to talk with you concerning you request

A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices the nurse should initiate referral with which of the following members of the intraprofessional health care team?

occupational therapy

A nurse is implementing a bowel training program for a client for the program to be effective the nurse should take the client to the toilet at which of the following time?

when the client has the urge to defecate