ATI Fundamentals 1 Quiz

A nurse is planning care for a client who reports abdominal pain. Am assessment by the nurse reveals the client has a temperature of 39.2 C (102.6F), heart rate of 105/min, a soft non tender abdomen, and menses overdue by 2 days. Which of the following findings should be the nurse's priority? A. Heart rate 105/min B. Soft, non tender abdomen C. Temperature D. Overdue menses

C. Temperature

A nurse is providing teaching to a client who has heart failure about how to reduce his daily intake of sodium. Which of the following factors is the most important in determining the client's ability to learn new dietary habits? A. The involvement of the client in planning the change B. The emphasis the provider places on the dietary changes C. The learning theory the nurse uses to teach the dietary changes D. The extent of the dietary changes planned for the client

A. The involvement of the client in planning the change

A nurse is caring for an older adult client who becomes agitated when the nurse requests that the client's dentures be removed prior to surgery. Which of the following responses should the nurse make? A. "It's for your safety. Dentures can slip and block your airway during surgery." B."You wouldn't want your teeth to be lost or broken during surgery, would you?" C. "The anesthesiologist requires everyone to remove their dentures." D. "What worries you about being without your teeth?"

D. "What worries you about being without your teeth?"

A nurse is performing an abdominal assessment for an adult client. Identify the correct sequence of steps for the assessment. (Inspection, Palpation, Percussion, Auscultation)

Inspect-Auscultate-Percuss-Palpate

A nurse is caring for a client who is postoperative and has paralytic ileus. Which of the following abdominal assessments should the nurse expect? A. Frequent bowel sounds with flatus B. Absent bowel sounds with distention C. Hyperactive bowel sounds with diarrhea D. Normal bowel sounds with increased peristalsis

B. Absent bowel sounds with distention

A nurse is caring for a client who has a terminal illness. The client asks several questions about the nurse's religious beliefs related to death and dying. Which of the following actions should the nurse take? A. Change the topic because the client is trying to divert attention from the illness to the nurse. B. Encourage the client to express his thoughts about death and dying. C. Tell the client that religious beliefs are a personal matter. D. Offer to contact the client's minister or the facility's chaplain.

B. Encourage the client to express his thoughts about death and dying.

A nurse in an emergency department is assessing a client who reports diarrhea and decreased urination for 4 days. Which of the following actions should the nurse take to assess the client's skin turgor? A. Push on a fingernail bed until it blanches, release it, and observe how long it takes the skin to become pink. B. Grasp a skin fold on the chest under the clavicle, release it, and note whether it springs back. C. Press the skin in above the ankle for 5 seconds, release it, and note the depths of the impression. D. Measure the skin fold thickness at the upper arm using a pair of calibrated skinfold calipers.

B. Grasp a skin fold on the chest under the clavicle, release it, and note whether it springs back.

A nurse is demonstrating postoperative deep breathing and coughing exercises to a client who will have emergency surgery for appendicitis. Which of the following statements indicates a lack of readiness to learn by the client? A. The client asks the nurse to repeat the instructions before attempting the exercises. B. The client reports severe pain. C. The client asks the nurse how often deep breathing should be done after surgery. D. The client tells the nurse that this exercise will probably be painful after surgery.

B. The client reports severe pain.

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 at 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.

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

A nurse on a rehabilitation unit is preparing to transfer a client who us unable to walk from a bed to a wheelchair. Which of the following techniques should the nurse use? A. Stand toward the client's stronger side. B. Instruct the client to lean backward from the hips. C. Place the wheelchair at a 45 degree angle to the bed. D. Assume a narrow stance with feet 15 cm (6in) apart.

C. Place the wheelchair at a 45 degree angle to the bed.

A nurse on a medical-surgical unit is washing her hands prior to assisting with a surgical procedure. Which of the following actions by the nurse demonstrates proper surgical hand-washing techniques? A. The nurse washes each part of her hands with 5 strokes. B. The nurse washes from the elbows down to the hands. C. The nurse washes with her hands held higher than her elbows. D. The nurse uses minimal friction when washing her hands.

C. The nurse washes with her hands held higher than her elbows.

A nurse is witnessing a client sign an informed consent form for surgery. Which of the following describes what the nurse is affirming by this action? A. The client fully understands the provider's explanation of the procedure. B. The client has been informed about the risks and benefits of the procedure. C. The nurse witnessed the provider's explanation of the procedure. D. The signature on the preoperative consent form is the client's.

D. The signature on the preoperative consent form is the client's