ATI RN FUNDAMENTALS PROCTORED FINAL 2019 AND 2024 EXAMS (2 SETS OF EXAMS ) COMPLETE EXAMS 275 QUESTIONS AND CORRECT DETAILED ANSWERS

A nurse is preparing to administer 40 mL of 0.9% sodium chloride IV to infuse over 20 min. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Fill in the blank with the numeric value only, round the answer to the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero.)

30

a nurse is teaching a client who has low back pain about heat therapy. which of the following statements by the client indicates an understanding of teaching

I need to place a towel between the heating pad and my skin

A nurse is performing a physical examination of a client. The nurse should use percussion to evaluate which of the following parts of the client's body?

Lungs

a nurse is caring for a client who is in the terminal stage of cancer. Which of the following actions should the nurse take when she observes the client crying

Sit and hold the clients hand

a nurse is providing teaching to a client about a surgical procedure that she is scheduled for later in the day. The client states that no one has spoken to her about the procedure before. Which of the following actions should the nurse take

Stop the teaching and check with the surgeon about informed consent

during a client care staff meeting, a nurse manager discusses potential problems with data security that affect confidential client information. which of the following environments should the nurse manager identify as an acceptable place for discussing clients information

areas with no public access

A nurse is performing an admission assessment for a client who has asthma and reports several food allergies. Which of the following actions should the nurse take first?

ask the client to identify the specific food allergies

a nurse in a providers office is teaching a client about foods that are high in fiber. which of the following food choices made by the client indicate an understanding of the teaching

black beans whole-grain bread

A nurse is teaching a newly licensed nurse about pain management in clients age 65 and older. Which of the following pieces of information should the nurse include in the teaching?

clients who are age 65 or older are reluctant to report pain

During a physical examination of a client, the nurse suspects strabismus. Which of the following tests should the nurse use to collect additional data?

corneal light reflex

A nurse is assisting a client who is eating at mealtime. Suddenly, the client grabs her neck with both hands and appears frightened. Which of the following actions should the nurse take first?

determine whether the client is able to breath

A nurse is caring for a client who is unstable and has vital signs measured every 15 minutes by an electronic blood pressure machine. The nurse notices the machine begins to measure the blood pressure at varied intervals, and the readings are inconsistent. Which of the following actions should the nurse take?

disconnect the machine and measure the blood pressure manually every 15 min.

A nurse is discussing fire safety with newly hired nurses. Which of the following actions is the priority if a fire occurs in the health care facility?

evacuate clients from the unit

a nurse is preparing to insert an NG tube for a client who has a bowel obstruction. which of the following actions should the nurse take first

explain the procedure to the client

A nurse is caring for a client who is 48 hr postoperative following a small bowel resection. The client reports gas pains in the periumbilical area. The nurse should plan care based on which of the following factors contributing to this postoperative complication?

impaired peristalsis of the intestines

a nurse is assessing a client who reports nausea and vomiting for 2 days. which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit

increased heart rate

A nurse is reviewing a client's laboratory results and notes a WBC count of 3,600/mm^3. The nurse should identify this result as which of the following conditions?

leukopenia

A nurse on a medical-surgical unit is caring for a client. Which of the following actions should the nurse prioritize when using the nursing process?

obtain client information

A nurse is assessing the heart sounds of a client who has developed chest pain that worsens with inspiration. The nurse auscultates a high-pitched scratching sound during both systole and diastole with the diaphragm of the stethoscope positioned at the left sternal border. Which of the following heart sounds should the nurse document?

pericardial friction rub

A nurse is preparing to perform mouth care for an unresponsive client. Which of the following actions should the nurse plan to take?

raise the level of the bed

A nurse delegates the collection of a client's temperature to an assistive personnel (AP). The nurse notes in the documentation that the AP obtained the client's axillary temperature; however, the nurse wanted an oral temperature. The nurse should identify that which of the following rights of delegation should have prevented this situation from occurring?

right communication

A nurse is caring for a client who has xerostomia with a lack of saliva. Which of the following nutrients will be affected by the lack of salivary amylase?

starch

A nurse is preparing to administer an intramuscular injection to a young adult client. Which of the following injection sites is the safest for this client?

ventrogluteal

A nurse is caring for a semiconscious client who had a small-bore NG tube placed yesterday for the administration of enteral feeding. Which of the following methods should the nurse use to verify correct tube placement? (Select all that apply.)

verify the initial X-ray examination Measure the length of the exposed tube Determine the pH of aspirated fluid

a nurse is obtaining a capillary blood sample to determine a clients blood glucose level. the nurse prepares and punctures the clients finger for the procedure but does not obtain an adequate amount of blood. Which of the following actions should the nurse take next

wrap the clients finger in a warm washcloth