ATI Fundamentals Proctored Exam Overview

ATI fundamentals proctored exam A&B A nurse is assisting with the plan of care for four clients . Which of the following tasks should the nurse assign to an assistive personnel (AP)? Assist a client to get out of bed after breathing treatment. A nurse is reinforcing teaching with a client about the use of crutches. Which of the following actions by the client indicates an The client advance the unaffected legs first while climbing stairs understanding of the teaching? A nurse is preparing to remove a client's peripheral IV catheter. After performing hand hygiene and applying clean gloves, which of the following actions should the nurse take first? Clamp the infusion tubing. A nurse is reinforcing teaching with a client about living wills, Which of the following clients statements indicates an understanding of the teaching? The living will direct my medical care when I am unable to make decision". A nurse is contributing to the plan of care for a client who has a positive throat culture for streptococci. Which of the following Ensure that the client wears a surgical mask during transportation interventions should the nurse recommend to be included in the throughout the facility. plane of care? A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent urinary tract infection. Drain urine from the tubing before ambulation. A nurse at a long term care facility is caring for a client who is alert. Which of the following actions should the nurse take to protect the Speak with the clients about their condition after visitors have left. clients privacy? A nurse is reinforcing preoperative teaching with a client who speaks a different language than the nurse. Which of the following in actions should the nurse take? Provide handouts written in the client's primary language. A nurse is taking notes of clients' information on a piece of paper while receiving a report. Which of the following actions should the nurse take to dispose of the paper? Shred the paper in a secure container. A nurse is reinforcing teaching with a client about smoking cessation. Which of the following should the nurse identify as the first stage of health behavior change? Precontemplation A nurse is collecting data from a client who has an NG tube set to low intermittent suction. Which of the following findings indicates hypomagnesemia? Positive Chvostek's sign A charge nurse is reinforcing teaching with an assistive personnel (AP) about performing pulse oximetry. Which of the following information should the nurse include in the teaching? Remove polish from the client's fingernail before applying the oximetry probe A nurse is collecting data on four clients. Which of the following findings should the nurse report to the provider? Urine output of 200 mL over 8 hr A nurse is assisting with the care of a recently deceased client. Which of the following actions should the nurse complete prior to the family viewing the body? - Clean soiled areas of the body A nurse is explaining ethics and values to a newly licensed nurse. The nurse should explain that allowing a client to make a decision about a treatment is an example of which of the following ethical principles? Autonomy A nurse is planning to perform wound irrigation for a client who has a large abdominal wound. Which of the following actions should the nurse plan to take? Administer an analgesic 30 min before starting the procedure. A nurse is assisting with the admission of a client who has active tuberculosis. Which of the following actions should the nurse plan to take? Assign the client to a negative- pressure airflow room A nurse is reinforcing teaching with a client about the prevention of stress injuries. Which of the following instructions should the nurse include? When lifting a heavy object, keep it close to your body." 1/7 A nurse is assisting with a presentation to a group of older adults at a community center about hypothermia and hyperthermia. Which of the following information should the nurse include about age-related change? Circulation become less efficient with age A nurse is caring for a client who has COPD. Which three findings that require follow-up? Breath sounds, blood pressure, oxygen saturation A nurse is reinforcing teaching about health promotion with a group of young adult clients. Which of the following information should the nurse include? Young adults should receive a dental assessment every 6 months A nurse is caring for a postoperative client who is at risk for thrombus formation. Which of the following interventions should the nurse delegate to an assistive personnel (AP)? Apply thromboembolic stocking A nurse is reviewing the vital signs of four adult clients. Which of the following findings requires further data collection by the nurse? A client who has a pulse rate of 110/min A nurse is caring for a client who has metastatic cancer and practices Catholicism. The client asks the nurse to discuss the afterlife with them.Which of the following statements by the nurse assist in the meeting the client's spiritual? Tell me what the afterlife means to you". A nurse is preparing to administer topical medication to a client. Compare the label of the medication container with the medication Which of the following actions should the nurse take? administration record three times. A charge nurse smells smoke, enters the visitor restroom, and 1.Evacuate client from area 2. Pull the lever of the fire alarm box sees flames in the trash can. What is the sequence of actions that 3. Close the fire doors on the united 4. Use a fire extinguisher to the nurse should take? put out the fire. A nurse is reinforcing preoperative teaching with a client about how to turn, cough, and deep breathe. Which of the following statements by the clients indicates an understanding of the teaching? "This can help prevent pneumonia". 1. Wear an N95 mask when caring for the client 2. Place a trash A nurse is assisting in the care of a client who is being placed on can for soiled linens inside the client's room 3. Place the client in a transmission -based precautions. Which of the following actions negative airflow room 4. Perform hand hygiene before leaving the should the nurse plan to take when caring for these clients? client's room A nurse is positioning a client who has quadriplegia in the supine position. Which of the following actions should the nurse take to prevent client musculoskeletal injury? Internally rotate the client's hip by using a trochanter roll A nurse is contributing to a place of care for a client who has a new prescription for a wrist restraint. Which of the following actions should the nurse include in the plan? Pad bony prominences on the wrist. A nurse is reinforcing teaching with a client who has partial hearing loss about how to modify the home environment. Which of the following is a priority modification that the nurse should include? Flashing smoke alarm A nurse is assisting with the plan of care for a client who has aphasia following a stroke. Which of the following interventions should the nurse use to assist the client with communication? Ask the client close- ended question A nurse in an emergency department is caring for a client. Com- 1. Obtain a prescription from the provider for restraints is incorrect. plete the following sentence by using the list of options? 2. Using alternative methods to keep the client safe is correct. A nurse is reinforcing teaching about the use of crutches with a client who has a fractured right tibia and fibula. Which of the following statements by the client indicate an understanding of the teaching? I will be sure to keep the crutch tips dry". A client who has advanced cancer tells the nurse that they have let the client know that, as their nurse, they are available and willing a difficult time talking to the illness. Which of the following actions to listen should the nurse take to encourage therapeutic communication? A nurse is caring for a client who is postoperative following abdominal surgery. Click to highlight the finding the nurse should Vital signs, Urinary output, Reported pain level 2/7 report to the provider. To deselect a finding, click on the finding again? A nurse using Maslow's hierarchy of needs is assisting with discharge planning for a client following activities should the nurse recommend as the priority for this client? Attend an exercise program A nurse is preparing to collect data from a client for a health assessment. Which of the following actions should the nurse take? Provided privacy for the client A nurse is caring for four clients who are required to provide informed consent for treatment. The nurse should identify which of the following clients is able to provide informed consent? An 18 - year-old client who has acute appendicitis A nurse has delegated various client care tasks to the assistive personnel (AP) on the care team. Which of the following actions by the AP should the nurse identify as correct? Donning a mask to measure the vital signs of a client who has pertussis A nurse is preparing to palpate a client's pulse. The nurse should recognize which of the following pulses is located on the top of the client's foot? Dorsalis pedis A nurse is assisting with the admission of a client who has brought their medication to the facility. Which of the following actions should the nurse take? Compare the medication the provider has prescribed with the client's medications from home A nurse is reinforcing dietary teaching with a client who has chronic kidney disease and requires a low- potassium diet.Which of the following food choices by the client demonstrates an understanding of the teaching? 1 cup of applesauce A nurse is preparing to transfer a client from an acute care facility to a long term care facility. Which of the following information should the nurse plan to include in the transfer report? Resolved health conditions A nurse is caring for a client who has recently undergone a total bilateral mastectomy. Which of the following statements by the client requires immediate action by the nurse? "When I look at myself in the mirror, I don't know if I can go on." A nurse is preparing to administer an enteral feeding to a client who has a NG tube in place. Which of the following methods should the nurse use to verify correct placement for NG tube? decrease the rate of the feeding A nurse is preparing to administer an enteral feeding to a client who has an NG tube in the place. Which of the following methods should the nurse use to verify correct placement of the NG tube? check the PH of the gastric aspirate A nurse is calculating the intake and output for a client over the last 8 hr. The client is receiving a continuous IV infusion at 150 150mL x 8hr= 1,200ml, 1oz=30mL : 4oz x 30mL = 120mL of mL/hr and had 4 oz of juice and 0.5 L of water. How many mL of Juice, 1L= 1,000mL 0.5L x 1,000mL= 500mL of water add 1,200+ fluid should the nurse document as the client's intake for the last 120+500= 1820 8 hr? (Round your answer to the nearest whole number.) A nurse is caring for a client who is refusing medical treatment. Which of the following actions should the nurse take? Document the client's refusal of treatment. A nurse is speaking with a client who has type 2 diabetes mellitus and a prescription for insulin. The client verbalizes anger about having to take insulin. Which of the following responses should the nurse make? I see that you are angry. Let's sit down and talk. A nurse is caring for a client who has a terminal illness and a family member asks why the client's mouth is continually open. Which of the following responses should the nurse make? The reduced muscle tone has relaxed the jaw muscles A nurse is collecting data from an older client. wHich of the following findings should the nurse report to the provider? The client reports urinary incontinence A nurse is contributing to the plan of care for a client who has a prescription for elastic bandages to the lower extremities. Which of the following actions should the nurse recommend for the plan of care? Compare the client's pedal pulses bilaterally every 4 hr. 3/7 A nurse is caring for a client who is postoperative and is experiencing nausea and vomiting. The nurse should identify which of the following findings as indications that the client has fluid volume deficit? Cool extremities , orthostatic hypotension, flat neck veins client tells the nurse that the pill is too large to swallow and refugees to take it. The nurse offers to break the pill into two smaller pieces. The nurse is demonstrating which of the following ethical principles? Beneficence A nurse is assisting with the care of a client who is receiving a unit of packed RBCs. Complete the following sentence by using the list of options? 1. An allergic reaction 2. Itching A nurse is moving a client up in bed with the assistance of a second nurse. Which of the following actions should the nurse take? place feet apart with the foot nearest to the head of the client's bed in front of the other foot. A nurse is preparing to administer oxygen to a client who has heart failure and is having severe difficulty breathing. Which of the following oxygen delivery equipment should the nurse select to provide the highest concentration of oxygen to the client? Nonrebreather mask A nurse is caring for a client who has just died and practiced the Islamic faith. Which of the following cultural practices should the nurse expect? The client's face should be turn toward Mecca A nurse is reviewing the medical record of a client who has heart failure.The nurse should identify which of the following laboratory results as an indication that the client has fluid volume excess? BUN 8 mg/dL A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the following findings is the priority to report to the provider? The client's output was 60 mL for the past 3 hr. A nurse is caring for a client who reports difficulty sleeping at home. Which of the following recommendations should the nurse provide to promote a restless home sleep environment? Perform muscles relaxation before bedtime A nurse is contributing to the plan of care for a client who practices Islam. Which of the following questions should the nurse ask the client to clarify the client's religious preference? Do you consume pork products A nurse is preparing to document information about a client's lower legs, which are swollen with 6 mm edema. Which of the following information should the nurse document?- 3+ pitting edema A nurse is caring for a client who has dysphagia following a stroke. Which of the following interventions should the nurse use when feeding the client? Instruct the client to tilt their head forward while eating A nurse is preparing to remove staples from a client's incision. Which of the following actions should the nurse take? Remove the staple from the skin after both side are visible A nurse is assisting with the admission of an older client to an acute care facility. The client stated that they are afraid to go to sleep, fearing they will not wake up. Which of the following is a therapeutic response the nurse should make? Describe your concerns about sleeping to me A nurse is reinforcing teaching about advance directives with a client who has end-stage renal disease. Which of the following client statements indicates an understanding of the teaching? I know that I can change my advance directives if I need to ib the future A nurse is caring for a client who is receiving intermittent enteral feeding. Which if the following is the first action the nurse should take? Measure the client's gastric residual before each feeding A nurse is caring for a client and is concerned that the client might have a fecal impaction. Which of the following is the most important question for the nurse to ask? "Have you had small liquid stools?" 4/7 A nurse is preparing to obtain a client's vitals signs. Which of the following actions should the nurse take when washing their hands? Turn off the faucet with a clean paper towel after drying hands A nurse is caring for a client who has a new diagnosis of cancer. Which of the following actions by the nurse maintains the client's confidentiality? Providing client information to another nurse at change of shift A nurse in a provider's clinic is caring for a client who has heart 1. I am eating fewer potato chips and more fruit for snacks 2. I failure. The nurse is evaluating the client's understanding of the am limiting my sodium intake to 2 grams daily 3.I know to call my teaching. Select the 3 statements that indicate an understanding doctor if I gain 3 pounds or more in 2 days of the teaching? A nurse in a provider's office is providing care for a client who has minimal exposure to sunlight. Which of the following interventions should the nurse recommend? Take vitamin D supplements A nurse is preparing to administer a medication to a preschooler and must convert the child's weight from pounds to kilograms. The child weighs 30 lb. How many kilograms did the child weigh? ( round to the nearest tenth) 30/2.2= 13.36 = 13.6 A nurse is evaluating the crutch-walking technique of a client who is required to keep weight off their right leg. Which of the following is the proper crutch gait for the client? Three- point 1.Passive range - of motion exercises to lower extremities perA nurse caring for a client who had a spinal cord injury and formed once daily 2. Plantar flexion contractures noted bilaterally has paraplegia. Click to highlight the findings below that require 3. Left heel has 1.3 cm x 1.3cm (o.5 in x 0.5 in ) area of nonblanchintervention by the nurse.? able erythema; skin is intact A nurse in a long term care facility is collecting admission data from a client who uses a hearing aid. Which of the following actions should the nurse take? Choose private room from the interview A nurse in an emergency department (ED) is assisting in the care 1. Client is cachectic with flaccid muscle tone 2. Skin is dry and of a client. Click to highlight the findings that indicate the client scaly with bruises in the extremities 3. Pulse rate 118/ min 4. might be malnourished? Abdomen is distended 5. BMI 17 A nurse is reinforcing teaching with the partner of a client who is immobile. Which of the following instructions should the nurse give the partner about turning the client in bed? Tighten your stomach muscles. A nurse is caring for a client who reports itching 30 mins after receiving a newly prescribed medication. Which of the following data should the nurse document in the client's medical records? client states, " I started to itch after taking that medication." A nurse working in a hospital overhears the following conversation between two other nurses on the elevator. Which of the following actions should the nurse take? Tell the nurses to change the topic of conversation. A nurse manager is reinforcing teaching with a group of newly licensed nurses about the disclosure of clients' health information. A nurse can disclose health information without the client's written permission to which of the following entities? A physical therapist who is involved in the client's care A nurse is planning to perform intermittent urinary catheterization for a client who is unable to urinate. Which of the following actions should the nurse take first? Perform a bladder scan A nurse is reinforcing teaching within a client about self- adminYou should cleanse your eye from the inner to the outer edge prior istration of ophthalmic drops. Which of the following instructions to putting in the drops should the nurse include? A nurse is caring for a client who has limited mobility. Which of the following actions should the nurse take to maintain the client's skin integrity? Use warm water when bathing the client A nurse is planning to administer medication to a client who has a Clostridium difficile infection.Which of the following actions should the nurse plan to take to prevent the transmission of this infection to others? Remove the cover gown in the clients room providing care 5/7 .Assess the client's gag reflex 2. Position the client on their side with their head turned to the side 3. Place a towel under the client's A nurse is providing oral hygiene for a client who is unconscious. head with an emesis basin under their chin 4. Separate the client's Identify the sequence of the steps the nurse should take? upper and lower teeth with an oral airway device 5. Cleanse the client's mouth using a toothbrush A nurse is providing care to four clients in an acute care setting. The nurse should identify which of the following client statements Please don't tell my doctor, but I am taking my partner's oxycodone presents an ethical dilemma? A nurse is collecting data from a client who is 1 day postoperative following abdominal surgery. Which of the following findings is the priority for the nurse to report to the provider? The client has tenderness and warmth in their calf A nurse is assisting with the admission of a client to a medical-surgical unit. Which of the following findings should the nurse identify as an indication that the client is malnourished? Pallor with scaly skin nurse is reinforcing teaching with a new parent who is concerned about sudden infant death syndrome (SIDS). Which of the following statements by the client indicates an understanding of the teaching? I will remove all stuffed animals from my baby's crib A nurse is collecting data from a client following a lumbar puncture. The nurse should identify which of the following findings as a potential adverse effect of this procedure? Headache nurse is reinforcing teaching with the caregiver of a client who is near death. Which of the following instructions should the nurse provide? Provide mouth care to them at least every 2 hours A nurse is reinforcing teaching about carbohydrate counting with a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first? Ask the client what they already know about meal planning A nurse is caring for a client with who has a new prescription for oxygen at 7 L per minute be a simple face mask which of the following actions should the nurse take to ensure the client safety? Attach as humidifier to the base of the flow meter A nurse's documenting client care in the client's electrical health records which which of the following entries should the nursing include in the documentation?became short of breath when ambulating became short of breath when ambulating A nurse is assisting with caring for a client who has a newly placed ileostomy. Complete the following sentence by using the lists of options? 1. Color of the stoma 2. Skin condition around the stoma A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take? Clean the perineal area at least once a day A nurse is planning care for a group of clients. The nurse should expect to witness an informative concept for a client who will undergo which of the following procedures? Performance of a paracentesis their life has no purpose. The nurse should identify that the client is in which of the following stages of Erikson's Theory of Psychosocial Development? Ego integrity v.s despair A nurse is contributing to the plan of care of a client who is at risk of developing foot drop due to immobility. Which of the following interventions should the nurse recommend to include in the plan? support the clients feet with a foot boots A nurse is admitting a client. the nurses reviewing the client's medical record which of the following actions should the nurse take? 1. place the client in a droplet isolation precaution 2. apply oxygen at 2 L per minute via nasal cannula 3. Request prescription for an antipyretic medication 4. StayAt least 0.9 m (3 ft) away from the client when possible A nurse's reinforcing teachings with the client who has hypertension and is prescribed to measure their blood pressure daily which I should remove constrictive clothing prior to measuring my blood of the following client statements indicates an understanding of pressure their teachings? 6/7 A nurse in an acute care setting is documenting postmortem care in a client medical record. Which of the following information should the nurse include in the documentation? Release of personal belonging form A nurse is preparing to perform a wound irrigation for a client who has a stage 3 pressure injury. Which of the following supplies should the nurse plan to use? A piston syringe A nurse is caring for a client who has a peripheral IV inserted for fluid replacement.Hey nurse is collecting data for a client. Which of the following actions should the nurse take? 1. Stop the IV infusion, 2. Elevate the clients left arm A nurse is caring for four clients, Four which of the following clients should the nurse use the therapeutic communication technique of silence? Client who has just experienced the death of their child A client who is scheduled to undergo surgery tells the nurse that they do not understand the procedures and are reconsidering their decision to have it. Which of the following actions should the nurse take? Notify the charge nurse of the client's concerns A nurse is checking a client for a pulse deficit after detecting an irregular heart rate. Which of the following actions should the nurse take? Count the client's radial and apical pulses simultaneously with another nurse A nurse is caring for a client who is postoperative following a mastectomy. The client stated, " I can barely look at myself in the mirror." The nurse should identify that the client is experiencing which of the following? Actual loss A nurse is preparing a client for a Romberg test. Which of the following statements should the nurse make? Stand with your feet together ad your arms at your side A nurse is caring for a client who is scheduled for surgery the following day. During the night, the client is unable to sleep and is restless. Which of the following statements should the nurse make? I must be difficult facing this type of surgery a nurse and an assistive personnel (AP) are providing postmortem care for a deceased client prior to visitation by the family. Which if the following actions by the AP requires interventions by the nurse? - - Removing the client's dentures. A nurse's assisting in the care of a client who has pancreatitis. 1. Document the client's vital signs 2. measure the clients intake Select three tasks that the nurse should delegate to the assistant and output 3. transfer the client from wheelchair to bed personnel (AP). A nurse is reinforcing teaching with a client who is scheduled for a I will place a gel pad directly above your pubic area before I place bladder scan. Which of the following instructions should the nurse the probe include in the teaching? A nurse is assisting with the care of a client who has a prescription for IV therapy. The client tells the nurse that they have numerous allergies. Which of the following allergies should the nurse bring to the attention of the charge nurse prior to initiation of the therapy? Latex A nurse is caring for a client who has been vomiting and has diarrhea. Which of the following findings should the nurse identify as an indication of fluid volume deficit? A thready pulse A nurse is caring for a group of clients in a long-term care facility. 1. Wash hands after removing gloves 2. Use antimicrobial hand Which of the following actions should the nurse take to prevent gel after refiling a client's water pitcher, 3. Clean the stethoscope health care-associated infections for these clients? with antimicrobial wipes after obtaining vital signs A nurse is contributing to the plan of care for four clients. For which of the following client's should the nurse initiate airborne precautions? Measles 7/7