ATI quiz 1 - fundamentals

The nurse is removing PPE after giving direct care to a patient who requires isolation. Which of the following PPE items should the nurse remove first? A. gown B. gloves C. face shield D. mask

B. gloves

List order to remove PPE - gown - gloves - mask - protective eyewear

1. gloves 2. protective eyewear 3. gown 4. mask

Which of the following factors could present a barrier to the nurse effectively communicating with the client? select all that apply A. client's hearing deficit B. volume of the client's tv C. numerous visitors in the client's room D. increase in pain after ambulation E. adverse effects of opioid analgesic F. using earphones while listening to music

A. client's hearing deficit B. volume of the client's tv C. numerous visitors in the client's room D. increase in pain after ambulation E. adverse effects of opioid analgesic

A nurse is performing a mobility assessment on a client. Which of the following actions should the nurse take first ? A. ask the client to place their feet on the floor B. ask the client to stand for 5 minutes C. ask the client to sit on edge of the bed for 2 min D. ask the client to march in place

C. ask the client to sit on edge of the bed for 2 min

A nurse is teaching a client about using a cane for ambulation. Which of the following statements should the nurse make? A. "move your unaffected leg before your affected leg when walking" B. "hold the cane on the side of your affected leg when walking" C. "advance the cane 12 inches forward when walking" D. "keep the cane at the same level as the affected leg when climbing stairs"

D. "keep the cane at the same level as the affected leg when climbing stairs"

A nurse is reviewing a client's medical records. Which of the following findings should the nurse identify as a fall risk? A. hyperlipidemia B. multiple sclerosis C. inguinal hernia D. hyperthyroidism

B. multiple sclerosis

A nurse is teaching a newly licensed nurse about maintaining correct posture when transferring clients. Which of the following statements should the nurse make? A. "keep your back straight" B. "loosen your abdominal muscles" C. "tilt your head toward your chest" D. "keep your knees straight"

A. "keep your back straight"

A nurse is providing change of shift report to another nurse for a client using the Introduction, Situation, Background, Assessment, and Recommendation (SBAR) communication tool. Which of the following information should the nurse include as part of the situation component of this communication tool? A. medical condition B. list of medications C. vital signs D. treatment

A. medical condition

A charge nurse is teaching a newly licensed nurse about fall prevention strategies when caring for clients. Which of the following information should the nurse include in the teaching? select all that apply A. provide under bed lighting at night B. lock the wheels on the bed C. keep the bed in the high position D. apply socks on clients when ambulating E. place breaks on the clients' wheelchairs

A. provide under bed lighting at night B. lock the wheels on the bed E. place breaks on the clients' wheelchairs

A nurse is preparing to reposition a client towards the head of the bed. In which of the following positions should the nurse place the client before repositioning them to the head of the bed? A. supine B. lateral C. high fowler D. prone

A. supine

A nurse is performing oral care for a client who is unconscious. Which of the following actions should the nurse take? A. turn the client to the side B. hold the toothbrush at a 90 degree angle C. place 2 fingers in the client's mouth D. vigorously brush the client's teeth

A. turn the client to the side

A nurse is preparing to teach a client who has visual impairment. Which of the following actions should the nurse take? A. use reading material written with a large print B. use a loud tone of voice during the educational section C. identify your presence in the clients room by tapping the client's arm D. turn on the tv in the client's room during the educational session

A. use reading material written with a large print

A nurse is designing a poster presentation for staff nurses about therapeutic communication. Which of the following techniques should the nurse include? A. asking for explanations B. asking open ended questions C. offering approval or disapproval D. offering sympathy

B. asking open ended questions

A nurse is discussing factors that influence communication with a group of newly licensed nurses. Which of the following information should the nurse include? A. nurses caring for clients experiencing a highly emotional situation report that communication is rarely affected B. nurses might focus on a client's physiological needs over psychosocial needs when communicating during care C. clients who have developmental deficits are less distracted by environmental noises than clients who do not have those deficits D. hearing loss is considered a developmental factor that has minimal effects on nurse-client communication

B. nurses might focus on a client's physiological needs over psychosocial needs when communicating during care

A nurse is preparing a client for a procedure. Which of the following is an acceptable identifier to use to identify the client? A. room number B. telephone number C. home address D. medical condition

B. telephone number

A nurse is admitting a client who has TB and a productive cough. Which of the following types of isolation precautions should the nurse initiate for the client? A. contact B. droplet C. protective D. airborne

D. airborne

A nurse is teaching a class about the effects of bathing in warm water. Which of the following information should the nurse include? A. increases retention of carbon monoxide B. increases vasoconstriction C. decreases O2 supply to tissues D. decreases stress

D. decreases stress

A nurse is teaching a newly licensed nurse about client education. The nurse should include that which of the following is the role of the nurse in client education? A. diagnose client illnesses B. describe the steps of a surgical procedure C. prescribe medications D. encourage clients to advocate for themselves

D. encourage clients to advocate for themselves

A nurse is preparing to change the linens on a client's bed. Which of the following actions should the nurse take? A. place the client's bed height in the lowest position B. place soiled linens on the floor while changing the client's bed C. shake soiled linens before placing them in a bag D. hold soiled linen away from nurses clothing

D. hold soiled linen away from nurses clothing

A nurse is preparing to teach a client who has impaired cognition. Which of the following actions should the nurse include in the plan? A. avoid making eye contact with the client during the educational session B. speak quietly to the client C. provide long educational sessions D. involve the client's family in the educational process

D. involve the client's family in the educational process