Fundamentals ATI Question Database

A nurse is caring for a client who has a prescription for 325mg Acetaminophen PO for an oral temperature above 38.4 Celcius. Above what Fahrenheit temperature should the nurse administer the medication?

101.1 Fahrenheit (C x 9/5) + 32 = F (38.4 x 9/5) + 32 69.12 + 32 = 101.12 101.1 F

A nurse is caring for a client who is receiving dextrose 5% in water IV at 150mL/hr and has ingested 44oz of water and 1/2 pint of milk. What is the total 8-hr fluid intake in milliliters that the nurse should document for this client?

1560mL

A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following actions should the nurse take? a) Encourage the child to cough frequently to clear congestion from anesthesia b) Place a heating pad on the child's neck for comfort c) Administer analgesics to the child on a routine schedule throughout the day and night d) provide the child with ice cream when oral intake is initiated

Administer analgesics to the child on a routine schedule throughout the day and night

A nurse discovers that a client received the wrong medication. Which of the following actions should the nurse take first? a) Complete a medication error report b) Notify the prescribing provider c) Assess the client d) Notify the charge nurse

Assess the client

A nurse documents the presence of clubbing of the fingernails for a client who has emphysema. Which of the following is the underlying cause? a) Trauma b) Severe Infection c) Iron-deficiency anemia d) Chronic hypoxemia

Chronic Hypoxemia

A charge nurse is teaching adult cardiopulmonar resuscitation (CPR) to a group of newly licensed nurses. Which of the following actions should the charge nurse teach as the first response in CPR? a) Call for assistance b) begin chest compressions c) Confirm unresponsiveness d) Give rescue breaths

Confirm unresponsiveness

A nurse is performing a neurological assessment for a client. By asking the client to stick out his tongue, which of the following cranial nerves is the nurse testing? a) Cranial nerve XII b) Cranial nerve X c) Cranial nerve VIII d) Cranial nerve V

Cranial nerve XII

A nurse is admitting a client who will undergo a craniotomy. During the planning phase of the nursing process, which of the following actions should the nurse take? a) Establish client outcomes b) Collect information about past health problems c) Determine whether the client has met specific goals d) identify the clients' specific health problems

Establish client outcomes

A nurse is planning an in-service training session about nutrition. Which of the following statements should the nurse include in the teaching? a) "Fats provide energy." b) "Carbohydrates repair body tissue." c) "Fats regulate fluid balance." d) "Carbohydrates prevent interstitial edema."

Fats provide energy

A nurse is changing the bed linens for a client who is on bed rest. Which of the following actions should the nurse perform? a) Place the soiled linens on the chair while making the bed b) Hold the linens away from the body and clothing c) Place the linens on the floor until a linen bag is available d) shake the clean linens to unfold

Hold the linens away from the body and clothing

A nurse is caring for a toddler as a well-child visit when the mother calls, "Help! My baby is choking on his food." Which of the following findings indicates the toddler has an airway obstruction? a) Flushing of the skin b) Inability to cry or speak c) Presence of nausea and mild emesis d) Capillary refill time of 1.5 seconds

Inability to cry or speak

A nurse in an acute care facility is planning care for a client who is alert but temporarily immobile due to a total hip arthroplasty. Which of the following interventions should the nurse plan to take to prevent a complication of immobility? a) move the client from supine to a low Fowler's position every 2-3 hr to help prevent orthostatic hypotension b) Limit fluid intake to 1L (33.8oz) in 24hr to help prevent dependent edema c) Encourage the client to turn from side to side every 3-4hr to help prevent respiratory complications d) Instruct the client to perform foot and leg exercises every 1-2hr while awake to prevent thrombophlebitis

Instruct the client to perform foot and leg exercises every 1-2hr while awake to prevent thrombophlebitis

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? a) Identify goals for the client care b) Obtain client information c) Document nursing care needs d) Evaluate the effectiveness of care

Obtain client information

A nurse is developing a plan of care for a client. Which of the following pieces of information should the nurse consider when planning care that is culturally congruent?? a) illness is not influenced by culture b) The meaning of disease can vary widely across cultures. c) Assigning clients to specific cultural categories facilitates communication. d) Predetermined criteria should generate client care activities.

b) The meaning of disease can vary widely across cultures

A nurse is preparing to assess the function of the client's trigeminal nerve (cranial nerve V). Which of the following items should the nurse gather for the test? a) sugar b) Coffee c) cotton wisps d) Snellen chart

cotton wisps

A nurse is communicating with a group of clients about what to expect during the postoperative phase of a total hip arthroplasty. Which of the following elements of the communication process should the nurse identify as an evaluation of effective communication? a) The motivation for communication is evident b) feedback is provided c) a message is communicated to the group of clients d) multiple channels are used by sender

feedback is provided

A nurse in a same day procedure unit is caring for several clients who are undergoing different types of procedures. The nurse should anticipate that the client who has which of the following devices can safely undergo an MRI? a) Coronary artery stent b) Aneurysm clip c) hearing aids d) automated internal defibrillator

hearing aids

A nurse is measuring a clients' vital signs. The client's heart rate is 105/min =. The nurse should document this finding as which of the following alterations. a) palpitation b) bradycardia c) tachycardia d) dysrhythmia

tachycardia