ATI ATI FUNDAMENTALS PROCTORED 2023 NEWEST ACTUAL EXAM ALL 70 QUESTIONS AND CORRECT ANSWERS|ALREADY GRADED A+

a nurse is caring for a client who has restraints to each extremity. Which of the following assessments should the nurse perform first?

comfort level

a charge nurse is monitoring the documentation of the medication by a Newley licensed nurse. The charge nurse should intervene if the Newley licensed nurse uses which of the following

SS for sliding scale or MS for magnesium sulfate

a nurse is caring for a client who has TB. Which of the following precautions should the nurse plan to implement ?

Airborne (N95)

A nurse is reaching a client and his family how to care for the client's tracheostomy at home. Which of the following should the nurse include in the teaching?

Use tracheostomy covers when outdoors

A home health nurse is performing a follow-up visit for a client who has a gastrostomy tube through which they receive intermittent feedings and medications. The client has recently developed diarrhea. Which of the following findings should the nurse identify as a possible

cause of the diarrhea?

The client's care giver washed out the

feeding bag once every 24 hours with warm

water

A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Which of the following observations should the nurse identify as proper safety protocol?

The client uses no acetone nail polish remover.

Nurse caring for a client who has a respiratory infection. What technique should she use when preforming nasotracheal suctioning?

Apply intermittent suction when withdrawing the

catheter.

The pt has a stage 2 pressure injury. what kind of dressing do you apply?

Hydrocolloid

Client has terminal illness and is at the end of life. Which one of the following statements by the client's partner indicates effective coping?

A. I am not worried because I still have hope that he will be okay

B. I am relying on support from our family during this time

C. We can plan our family reunion once he recovers and comes home

D. We don't see any reason to start discussing funeral arrangements right now

I am relying on support from our family at this time

A nurse is assessing an older adult client for fall risk. Which of the following should the nurse use to identify the clients safety needs

pupil clarity

visual fields

visual activity

correct use of cane

the client holds the cane on the stronger side of her body

A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client?

make sure the client wears a mask outside of her room if there is construction in the area

client uses a walker correct understanding

I will hire someone to trim the tree that hangs over the steps

Enoxaparin

administer at 45 degree angle

if it says subq then administer at a

90 or 45 degree angle that is the correct answer

teaching documentation to new nurses

use the entire name for magnesium sulfate

advocacy ensures

clients health safety and rights

pt is seizing on the floor

first assess pts physical safety followed by the pts positioning

med reconciliation

compare home meds to meds given here

give heparin in

abdomen

given blood transplant client has allergic reaction as evidenced by

itching

BUN levels

10-20

Creatanine

0.6-1.2

Sodium levels

135-145

Potassium

3.5-5.0

trach care at home

use covers outdoors

large wound with drainage precautions

contact precautions

to prevent injury

stand close to object when moving it

client fell and is laying on bathroom floor first to what

check for injuries

with compression sleeves

makes sure two fingers can fit in the sleeve

with religious stuff

nurse should examine their own beliefs abt situation

for secretions

turn pt every two hours

for isolation precautions

wear n95

put container in room for soiled linens

take mask off when exiting pt room

place pt in a negative airflow room

pharyngeal diphtheria precautions

droplet precautions

peripheral iv cath for older adults do what

place arm in a dependent position

pt with heart failure understand teaching when they state

I will decrease sodium to two grams a day

I will decrease my intake of potato chips

I will call my doc if I gain more then 3 pounds in 2 days

advance directives

A legal document designed to indicate a person's wishes regarding care in case of a terminal illness or during the dying process

o2 rate should be no more then what

6

with blood pressure cuff

make sure it is around 80 % of the arm

pt has pain following pt what should you ask the pt

is your pain sharp or dull

iv site cool to touch and hard what do you do

stop iv infusion

apply heart

elevate arm

pt has DNR and comes in with trouble breathing we would do what

give them o2 through the nose

with irrigation for Cather

subtract amount of irrigant from the amount of output

transferring to long term care nurse should include

meds

A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a new tracheostomy. Which of the following actions should the nurse plan to take?

select a suction catheter that is half the size of the lumen

to prevent plantar flexion contractors

use a ankle foot orthotic device

before giving oral med

gently shake it

med reconciliation

compares meds previous took prior to admission, verify current list of meds, clarify to accuracy, reconcile compare new list with old list, transmit and update list with pt

what would you expect in someone with diarrhea and vomiting

tachycardia

veracity

truthfulness, honesty

when administering iv fluids priority is

lung sounds

infiltration is

skin blanching, edema, coolness

three tenths of a milligram

0.3 mg

risk of colon cancer

feccal occult blood test every year

priority info for a nurse to provide abt pt with pneumonia

breath sounds

always priority

anything that has to do with ABC's

best for osteoporosis

walking

which is in the RN scope of practice

initiate enteral feeding through gastronomy tube

NG tube pt is receiving intermittent feedings so the nurse should tell the pt to do what

keep the head of the bed elevated at least 30 degrees

PCA pump

instruct family not to push it when the pt is asleep

Romberg test

-ask client to stand with feet at comfortable distance apart, arms at sides, and eyes closed

-expected finding: client should be able to stand with minimal swaying for at least 5 seconds

recommendation for older adults

receive pneumococcal vaccine when you are 65 years old

sign of FVE

distended neck vein

C diff precautions

have family where gloves and gown

TB precautions

-Airborne isolation

-N-95 masks

-Negative pressure, single room

psychomotor learning

practice sessions (physical skills)

new nurse prepping a sterile field nurse should intervene when what

the nurse places a bottle CAP of sterile saline solution onto the sterile field

pt is sad abt kids leaving she feels useless what should you say

people in middle adulthood often find joy in guiding and teaching young people

do estimated and then add

30

bruit sound

narrowed arterial lumen

nurse plans to administer multiple medications in an enteral feeding tube which of the actions should the nurse plan to take

flush the tube with 15ml of sterile water

when going down stairs with cast

put weight on the unaffected leg first

teach for home safety

toddlers in car seat until they are two

cane teaching

cane forward before taking a step

urticaria

hives

nurse is placing a pt in the dorsal recumbent position what should the nurse do

put a pillow under the clients head and shoulders d

Telecommunication device for clients having hearing loss

the device requires a computer and printer

pt has fecal incontinence

apply a barrier cream

blood pressure

record the diastolic as the last sound heard

Pt is receiving continuous enteral feedings which is an unexpected finding

diarrhea one time in a 24 hour period

nurse is preparing a sterile field which action should the nurse plan to take ?

place the lid of the bottle face down on the sterile drape

when caring for a client with an ng tube who needs multiple medications which action will the nurse take

dilute each crushed med with sterile water

pt asks about magnet therapy what is a contraindication for magnet therapy

the client who has an implanted defibrillator

pt has a right mastectomy where should the nurse put the iv

the cephalic vein in the left distal forearm

pt has wrist restraints the nurse should do what

remove one restraint at a time

sign of hyperglycemia

thirst

pt is two days post op has severe abdominal pain what should the nurse do first

expose the clients abdomen to look for changed in appearance

pt has continuous enteral feedings through a gastronomy tube which of the following actions should the nurse take

aspirate residual volume every 4 hours

what is a part of full liquid diet

plain yogurt

Kegel exercises

contract pelvic muscles

info about advance directives

you will receive written info about it before signing

postural drainage for cystic fibrosis

not sure

for IV catheter the nurse should

place arm in a dependent position

what should the nurse use to identify the pt

a photograph

AP can..

do a simple dressing change

Fracture Bedpan Placement

put shallow end of bedpan under its buttocks

Percussion, vibration, and postural drainage

use a towel over affected area

for a latex allergy

schedule the client as the first procedure for the day or place tubes and cords in a stockinet

for pt who need interpreter to get consent nurse should do what

recommend same gender interpreter

pt has new prescription for insulin what should the nurse do first

make sure the pt can afford the insulin