ATI fundamentals practice quiz questions pt. 1
a nurse is planning to insert a NG tube for a client after explaining the procedure. the client states "you are not putting that hose down my throat". which of the following statements should the nurse make?
-"I can see that this is upsetting you"
a nurse is caring for a client who has injuries from a MVA. which of the following client statements should the nurse address first?
-"I cant sleep at night because whenever I move in my sleep, the pain wakes me up"
a middle aged adult client is discussing future plans with the nurse. which of the following statements should the nurse identify as an indication the client is having difficulty achieving Eriksons developmental task for this age group?
-"We miss our daughter so much that we are going to move closer to her"
a nurse is teaching a client about how to remove a soiled dressing. which of the following statements by the client indicates an understanding of the teaching?
-"ill wear nonsterile gloves"
a nurse is explaining the use of written consent forms to a newly licensed nurse. the nurse should ensure that a written consent form has been signed by which of the following clients?
-a client who has a prescription for a transfusion of packed RBCs
a nurse is planning care for a group of clients receiving oxygen therapy. which client should the nurse plan to see first?
-a client who has heart failure receiving 100% oxygen via a partial rebreather
a nurse in a same day procedure unit is caring for several clients who are undergoing different procedures. the nurse should anticipate that the client who has which of the following devices can safely undergo a MRI?
-a client with hearing aids
a nurse is caring for a client who is well hydrated and has no visible evidence of nutritional deficiencies. a lab result within the expected reference range for which of the following substances indicated adequate protein uptake and synthesis?
-albumin
a nurse is teaching a client who is postoperative following a knee arthroplasty about the muscles he will need to strengthen in physical therapy. which of the following muscle groups is responsible for movement at the knee joint?
-antagonistic
a nurse is planning weight loss strategies for a group of clients who are obese. which of the following actions by the nurse will improve the clients commitment o a long term goal of weight loss?
-attempt to increase the clients self motivation
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 (SATA)
-black beans -whole grain bread
a nurse is collecting a urine specimen for culture and sensitivity for a client who has a UTI. the client has an indwelling catheter in place. which of the following actions should the nurse take?
-clamp the tubing below the collection port
a nurse is collecting a specimen for culture from a clients infected wound. which of the following actions should the nurse perform?
-cleanse the wound with 0.9% sodium chloride irrigation
a nurse is teaching newly licensed nurses about pain management in clients 65 and older. which of the following pieces of information should the nurse in the teaching?
-clients 65 and older are reluctant to report pain
a nurse is planning care for a client who has a prescription for collection of a sputum specimen for culture and sensitivity. which of the following actions should the nurse take when obtaining the specimen?
-collect the specimen when the client rises in the morning
a nurse is assessing a client with a total calcium level of 12.7mg/dL. which of the following findings should the nurse expect?
-depressed deep tendon reflexes
a nurse is performing an otoscopic examination of a clients right ear. the light reflex is visible in the RLQ of the tympanic membrane. which of the following actions should the nurse take in response to this finding?
-document this as an expected finding
a nurse is preparing to administer eye drops to a client following surgery. which of the following actions should the nurse take when instilling the eye drops?
-drop the eye medication into the lower conjunctival sac
a nurse is admitting a client who will undergo a craniotomy. during the planning process, which of the following actions should the nurse take?
-establish client outcomes
a nurse is teaching a client about lifestyle changes to manage a chronic illness. which of the following strategies should the nurse use first to help the client make a commitment to these lifestyle changes?
-help the client identify ways that these changes will result in positive personal outcomes
a nurse is caring for a client receiving a blood transfusion. the client reports flank pain, and the nurse notes reddish brown urine in the clients urinary catheter bag. the nurse recognizes that these manifestations are which of the following types of transfusion reactions?
-hemolytic
a nurse is teaching a client who is recovering from gallbladder surgery how to use an incentive spirometer. which of the following pieces of information should the nurse include in the teaching?
-hold the breath for 5 seconds after the goal volume is reached
a client who has glaucoma of thee right eye self administers eye drops by looking at the ceiling, instilling a drop onto the center of the conjunctival sac, and applying gentle pressure o the lower lid with a facial tissue. which of the following actions should the nurse take?
-instruct the client to apply pressure to the inside corner of the eye after installation
a nurse is teaching a group of unit nurses about the experience of clients who are having surgery. in which phase of care is the client transferred to the surgical suite table before being transferred to the PACU?
-intraoperative
a nurse is preparing to insert an indwelling catheter for a male client. which of the following locations should the nurse secure the urinary catheter tubing?
-lower abdomen
a nurse is caring for a client who starts experiencing a seizure while sitting in a chair. which of the following actions should the nurse take?
-lower the client to the floor and place a pad under the clients head
a nurse in a long term care facility is in the dining room while residents are eating lunch. one resident begins to choke and is coughing strongly. which of the following actions should the nurse take?
-observe the client closely
a nurse is caring for a client who has a dysrhythmia. which of the following techniques should the nurse use to assess for a pulse defecit?
-obtain the apical and radial rates simultaneously
a nurse is assessing the pH of a clients gastric fluid to confirm placement of an NG tube in the stomach. which of the following pH values should the nurse expect?
-pH of 2
a nurse received a prescription for DEXTRAN to administer to a client. the nurse should recognize that dextran belongs in which of the following functional classifications?
-plasma volume expanders
a nurse is caring for an older adult who is violent and attempting to disconnect her IV lines. the provider prescribes soft wrist restraints. which of the following actions should the nurse take while the client is in restraints?
-remove the restraints one at a time
a nurse is planning to perform passive range of motion exercises for a client. which of the following actions should the nurse take?
-repeat each joint motion 5 times during each session
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 for the client?
-soak the inner cannula of the trach in NS
as a part of a neuro exam, a nurse instructs a client to keep his eyes closed, places an object in his hand, and asks him to identify the object. which of the following abilities is the nurse evaluating with the technique?
-stereognosis (ability to ID an objects size, shape, and texture)
a nurse is caring for a client who is receiving IV fluid replacement. which of the following findings should the nurse identify as INFILTRATION of the IV infusion site?
-taut skin around the catheter site that is cool to the touch
a nurse is teaching an AP about obtaining a capillary finger stick blood sample. which of the following actions by the AP requires the nurse to intervene?
-the AP elevates the finger above heart level
a nurse is evaluation a clients use of crutches. the nurse should identify that which of the following actions by the client indicates safe usage of this equipment?
-the client has slightly flexed elbows when ambulating with the crutches
a nurse is providing nutrition counseling to a middle aged adult client who has a sedentary job. which of the following factors should the nurse condiser?
-the clients BMR could decrease
a nurse is caring for an adult client who is grieving following the death of a loved one. which factor increases the clients risk of developing complicated grief?
-the death was sudden
a nurse is preparing to instill a vaginal suppository to a client. which of the following actions should the nurse take during this procedure?
-use the index finger to insert the suppository
a nurse is caring for a client who reports using several herbal medicines. which of the following actions should the nurse take?
-verify that the herbal supplements do not interact with medications the provider has prescribed