Download ATI RN Fundamentals Practice Tests A & B latest updated 2024 and more Exams Medicine in PDF only on Docsity!
ATI RN Fundamentals Practice Tests A & B
latest updated 2024
A nurse is caring for a client who reports pain. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record which of the following client statements? "I am having mild pain" "The pain is like a dull ache in my stomach" "I notice that the pain gets worse after I eat" "The pain makes me feel nauseous" - Correct answer "The pain is like a dull ache in my stomach" A client in non ambulatory notifies the nurse that his trash can is on fire. After the nurse confirms the presence of the fire, which of the following actions should the nurse take next? Activate the emergency fire alarm Extinguish the fire Evacuate the client Confine the fire - Correct answer Evacuate the client A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? Neck vein distention Urine specific gravity 1. Rapid Heart rate Blood pressure 144/82 mmHg - Correct answer Rapid heart rate
A nurse has accepted a verbal prescription for "thee tenths of a milligram of levothyroxine IV stat" for a client who has myxedema coma. How should the nurse transcribe the dosage of this medication in the client's medical record? .3 mg 0.3 mg 0.30 mg 3/10 mg - Correct answer 0.3 mg A nurse is preparing a heparin infusion for a client who was admitted to the facility with deep vein thrombosis. The prescription reads: 25,000 units of heparin in 0.9% sodium chloride 250 ml to infuse at 800 units/hour. At what rate should the nurse set the infusion pump? - Correct answer 8 ml/hour A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take? Wear sterile gloves when removing the old dressing Warm the irrigation solution to 40.5 C (105 F) Cleanse the wound from the center outward Use a 20 ml syringe to irrigate the wound - Correct answer Cleanse the wound from the center outward A nurse is caring for a client who is receiving fluid through a peripheral IV catheter. Which of the following findings at the IV site should the nurse identify as indicating infiltration? Purulent exudate Warmth Skin blanching Bleeding - Correct answer Skin blanching A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the following statements should the nurse identify as an indication that the client understands the teaching? "When descending the stairs, I will first shift my weight to my right leg" "I should place my crutches 12 inches in front and to the side of each foot"
"Client climbed over the side rails" "Client found lying on the floor" "Client was trying to get out of bed" - Correct answer "Client found lying on the floor" A nurse on a medical unit is preparing to discharge a client to home. Which of the following actions should the nurse take as part of the medication reconciliation process? Seal unused medications from the facility in a plastic bag Evaluate the client's ability to self administer medications Report an identified discrepancy to The Joint Commission Compare prescriptions with medications the client received while at the facility - Correct answer Compare prescriptions with medications the client received while at the facility A nurse is caring for a client who requires an informed consent for a surgical procedure. Which of the following actions is the nurse's responsibility? Describe the procedure to the client Witness the client's signature on the consent form Inform the client of alternatives to the procedure Tell the client which team members will assist with the procedure - Correct answer Witness the client's signature on the consent form A nurse is planning an educational program for a group of older adults at a senior living center. Which of the following recommendations should the nurse include? "You should have an eye examination every 2 years" "You should receive a tetanus booster every 5 years" "You should receive a shingles vaccine when you are 70 years old" "You should receive a pneumococcal vaccine when you are 65 years old" - Correct answer "You should receive a pneumococcal vaccine when you are 65 years old" A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The client's partner wants the client to have the blood transfusion. Which of the following actions should the nurse take? Ask the client to consider a direct donation Withhold the blood transfusion
Request a consultation with the ethics committee Ask the client's family to intervene - Correct answer Withhold the blood transfusion A nurse is admitting a client who has rubella. Which of the following types of transmission based precautions should the nurse initiate? droplet airborne contact protective environment - Correct answer droplet A nurse is administering IV fluids to a client. When monitoring for adverse effects, which of the following assessments should the nurse identify as the priority? Auscultate lung sounds Measure urine output Monitor blood pressure readings Monitor electrolyte levels - Correct answer Measure urine output A middle adult client tells the nurse, "I feel so useless now that my children do not need me anymore." Which of the following responses should the nurse make? "Most people are happy when their children grow up and leave home" "You should be proud that your children are becoming independent" "Maybe you should consider why you are feeling useless" "People in middle adulthood often find satisfaction in nurturing and guiding young people"
- Correct answer "People in middle adulthood often find satisfaction in nurturing and guiding young people" A nurse is providing discharge teaching for a client who has a new prescription for a home oxygen concentrator. Which of the following instructions should the nurse provide to the client and his family? (select all that apply) Check the cord routinely for frays or tearing Keep the unit at least 1 - 2 m (4 feet) away from a gas stove Consider purchasing a generator for power backup
A nurse who is caring for a client reviews the client's medical chart with a nursing student who is working with the nurse A nurse asks a nurse from another unit to assist with documentation for a client A nurse who is caring for a client returns a call to the person appointed in the health care proxy to discuss the client's care A nurse discusses a client's status with the physical therapist who is caring for the client - Correct answer A nurse asks a nurse from another unit to assist with documentation for a client A charge nurse is discussing the responsibility of nurses caring for clients who have a Clostridium difficle infection. Which of the following information should the nurse include in the teaching? Assign the client to a room with a negative airflow system Use alcohol based hand sanitizer when leaving the client's room Clean contaminated surfaces in the client's room with a phenol solution Have family members wear a gown and gloves when visiting - Correct answer Have family members wear a gown and gloves when visiting A nurse is preparing to administer 0.5 ml of oral single dose liquid medication to a client. Which of the following actions should the nurse take? Gently shake the container of medication prior to administration Transfer the medication to a medicine cup Place the client in a semi fowler's position prior to medication administration Verify the dosage by measuring the liquid before administering it - Correct answer Gently shake the container of medication prior to administration A nurse is caring for a client who has limited mobility in his lower extremities. Which of the following actions should the nurse take to prevent skin breakdown? Place the client in high fowler's position Increase the client's intake of carbohydrates Massage reddened areas with unscented lotion Have the client use a trapeze bar when changing position - Correct answer Have the client use a trapeze bar when changing position
A nurse is preparing to delegate client care tasks to an assistive personnel. Which of the following tasks should the nurse delegate? Ambulating a client who is postoperative Inserting an indwelling urinary catheter for a client Demonstrating the use of an incentive spirometer to a client Confirming that a client's pain has decreased after receiving an analgesic - Correct answer Ambulating a client who is postoperative A nurse is an acute care facility preparing a discharge summary for a client who is transferring to a long term care facility. Which of the following documentation should the nurse include? Client flow sheet Acuity ratings Current medications Incident reports - Correct answer Current medications A nurse is caring for a client who has terminal liver cancer. Which of the following statements should the nurse identify as an indication that the client is experiencing spiritual distress? "What could I have done to deserve this illness?" "I blame medical science for not curing me" "Where is my daughter at a time like this?" "Will I ever begin to fell in charge of my life again?" - Correct answer "What could I have done to deserve this illness?" A nurse is calculating a client's fluid intake over the past 8 hours. Which of the following items should the nurse plan to document on the client's intake and output record as 120 ml of fluid? 2 cups of soup 1 quart of water 8 oz of ice chips 6 oz of tea - Correct answer 1 quart of water
"Why do you want to discuss this without your partner here to plan this with you?" - Correct answer "We can talk about advance directives, and I can also give you some brochures about them" A nurse is reviewing practice guidelines with a group of newly licensed nurses. Which of the following interventions should the nurse include that is within the RN scope of practice? Insert an implanted port Close a laceration with sutures Place an endotracheal tube Initiate an enteral feeding through a gastrostomy tube - Correct answer Initiate an enteral feeding through a gastrostomy tube A nurse is assessing a client who received an IV fluid bolus for dehydration. Which of the following findings should the nurse identify as an indication of fluid volume excess? Hypotension Weak, thready pulse Slow capillary refill Distended neck veins - Correct answer Distended neck veins A nurse in a surgical suite notes documentation on a client's medical record that he has a latex allergy. In preparation for the client's procedure, which of the following precautions should the nurse take? Ensure sterilization of nondisposable items with ethylene oxide Wrap monitoring cords with stockinette and tape them in place Cleanse latex ports on IV tubing with chlorhexidine before injecting medication Wear hypoallergenic latex gloves that contain powder - Correct answer Wrap monitoring cords with stockinette and tape them in place A nurse is teaching a group of staff nurses about the use of essential oils for aromatherapy. The nurse should include in the teaching that this therapy might be contraindicated for which of the following clients? A client who has a history of physical abuse A client who has a permanent pacemaker
A client who has ulcerative colitis A client who has asthma - Correct answer A client who has asthma A nurse is planning care for a client who has tuberculosis. The nurse should use which of the following pieces of personal protective equipment when providing care for the client? Gown N95 respirator Shoe covers Surgical cap - Correct answer N95 respirator A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units on NPH insulin to mix together and administer subcutaneously. Determine the correct order of steps for this procedure. Inject 5 units of air into the bottle of regular insulin Withdraw the correct dose of regular insulin from the bottle Inject 10 units of air into the bottle of NPH insulin Withdraw the correct dose of NPH insulin from the bottle - Correct answer 1. Inject 10 units of air into the bottle of NPH insulin
- Inject 5 units of air into the bottle of regular insulin
- Withdraw the correct dose of regular insulin from the bottle
- Withdraw the correct dose of NPH insulin from the bottle A nurse is assessing an adult client who has been immobile for the past 3 weeks. For which of the following findings should the nurse intervene? Erythema on pressure points Lower extremity pulse strength of 2+ Fluid intake of 3,000 ml per day One bowel movement every other day - Correct answer Erythema on pressure points A charge nurse is observing a newly licensed nurse prepare a sterile field for a dressing change. Which of the following actions by the newly licensed nurse requires intervention by the charge nurse?
A nurse is giving change of shift report about a client they admitted earlier that day who has pneumonia. Which of the following pieces of information is the priority for the nurse to provide? Admitting diagnosis Breath sounds Body temperature Diagnostic test results - Correct answer Breath sounds A home health nurse is completing an admission assessment of an older adult client who has their caregiver present. Which of the following findings should the nurse identify as a potential indication of elder abuse? The caregiver is the client's financial power of attorney The client is in a wheelchair with the wheels locked The client reports receiving a full bath twice each week The caregiver insists on remaining in the room - Correct answer The caregiver insists on remaining in the room A nurse is performing a peripheral vascular assessment for a client. When placing the bell of the stethoscope on the client's neck, the nurse hears a "bruit". This sound indicates which of the following? Narrowed arterial lumen Distended jugular veins Impaired ventricular contraction Asynchronous closure of the aortic and pulmonic valves - Correct answer Narrowed arterial lumen A nurse is caring for a group of clients on a medical surgical unit. In which of the following situations does the nurse demonstrate the ethical principle or veracity? A client who is unaware of her cancer diagnosis asks the nurse if she has cancer and the nurse responds affirmatively A client who has a prescription for a nasogastric tube refuses it, and the nurse complies with the client's wishes
A client who has a DNR order has a cardiac arrest, and the nurse does not perform CPR despite requests from the client's family A client who is about to undergo a painful procedure receives pain medication 30 min before the procedure that the nurse previously promised to administer - Correct answer A client who is unaware of her cancer diagnosis asks the nurse if she has cancer and the nurse responds affirmatively A community health nurse is checking blood pressures for a group of clients at community health screening. Which of the following clients is at an increased risk for hypertension? A client who is 52 years old A client who smokes 1 pack of cigarettes a day A client who walks for 30 min every day A client who drinks 1 glass of wine 3 times per week - Correct answer A client who smokes 1 pack of cigarettes a day A nurse has just inserted an NG tube for a client. Which of the following findings should the nurse expect to confirm correct tube placement? The tube aspirate has a pH of 7 An x ray shows the end of the tube above the pylorus Bowel sounds are present on auscultation The client reports relief of nausea - Correct answer An x ray shows the end of the tube above the pylorus A nurse is performing a Romberg test during the physical assessment of a client. Which of the following techniques should the nurse use? Touch the face with a cotton ball Apply a vibrating tuning fork to the client's forehead Have the client stand with their arms at their sides and their feet together Perform direct percussion over the area of the kidneys - Correct answer Have the client stand with their arms at their sides and their feet together A nurse is teaching an older adult client who is at risk for osteoporosis about beginning a program of regular physical activity. Which of the following types of activity should the nurse recommend?
A nurse is caring for a client who reports difficulty falling asleep. Which of the following recommendations should the nurse make? "Drink a cup of hot cocoa before bedtime" "Maintain a consistent time to wake up each day" "Exercise 1 hour before going to bed" "Watch a television program in bed before going to sleep" - Correct answer "Maintain a consistent time to wake up each day" A nurse is caring for a client who requires a 24 hour urine collection. Which of the following statements by the client indicates an understanding of the teaching? "I had a bowel movement, but I was able to save the urine" "I have a specimen in the bathroom for about 30 min ago" "I flushed what I urinated at 7 am, and have saved all urine since" "I drank a lot, so I will fill up the bottle and complete the test quickly" - Correct answer "I flushed what I urinated at 7 am, and have saved all urine since" A nurse is preparing to transfer a client who can bear weight on one leg from the bed to a chair. After securing a safe environment, which of the following actions should the nurse take next? Rock the client up to a standing position Pivot on the foot that is the farthest from the chair Assess the client for orthostatic hypotension Apply a gait belt to the client - Correct answer Assess the client for orthostatic hypotension A nurse is teaching a client and his family how to care for the client's tracheostomy at home. Which of the following instructions should the nurse include in the teaching? Remove the outer cannula cautiously for routine cleaning Use tracheostomy covers when outdoors Use sterile techniques when performing tracheostomy care at home Cleanse irritated skin with full-strength hydrogen peroxide - Correct answer Use tracheostomy covers when outdoors
A home health nurse is performing a follow up visit for a client who as 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 is receiving formula at room temperature The feedings infuse at a slow, continuous drip over 8 hour each night The client's caregiver washes out the feedings bag with warm water once every 24 hours The client's caregiver flushes the tubing with water before and after administering medications - Correct answer The client's caregiver washes out the feedings bag with warm water once every 24 hours A nurse is talking with an older adult client who is contemplating retirement. The client states, "I keep thinking about how much I enjoy my job. I am not sure I want to retire." Which of the following responses should the nurse make? "You would have so much more time to spend with your family" "You should consider getting a part time job or doing volunteer work" "Let's talk about how the change in your job status will affect you" "Why wouldn't you want to retire and relax?" - Correct answer "You should consider getting a part time job or doing volunteer work" A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client's pain? "Is your pain constant or intermittent" "What would you rate your pain on a scale of 0 to 10?" "Does the pain radiate?" "Is your pain sharp or dull?" - Correct answer "Is your pain sharp or dull?" A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take? Discuss the risk factors for colon cancer Focus teaching on what the client will need to do in the future to manage his illness Provide the client with written information about the phases of loss and grief
Massage the injection site after administration - Correct answer Administer the medication with the needle at a 45 angle A nurse is preparing an education program for staff about advocacy. Which of the following information should the nurse include? Advocacy ensures client's safety, health, and rights Advocacy ensures that nurses are able to explain their own actions Advocacy ensures that nurses follow through on their promises to client's Advocacy ensures fairness in client care delivery and use of resources - Correct answer Advocacy ensures client's safety, health, and rights A nurse is administering an otic medication to an older adult client. Which of the following actions should the nurse take to ensure that the medication reaches the inner ear? Press gently on the tragus of the client's ear Pack a small piece of cotton deep into the client's ear canal Move the client's auricle down and back toward her head Tilt the client's head backward for 5 minutes - Correct answer Press gently on the tragus of the client's ear A nurse is caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the risk of injury to the client? Use a bed exit alarm system Raise four side rails while the client is in bed Apply one soft wrist restraint Dim the lights in the client's room - Correct answer Use a bed exit alarm system A nurse is initiating a protective environment for a client who has an allogenic stem cell transplant. Which of the following precautions should the nurse plan for this client? Make sure the client's room has at least 6 air exchanges per hour Make sure the client wears a mask when outside her room if there is construction in the area Place the client in a private room with negative pressure air flow
Wear an N95 respirator when giving the client direct care - Correct answer Make sure the client wears a mask when outside her room if there is construction in the area A nurse is providing discharge instructions to a client who will be using a walker. Which of the following client statements indicates an understanding of the teaching? "I can place an extension cord across my living room to plug in my television" "I will hire someone to trim the area that hangs low over the stairs of my front porch" "I will place my alarm clock on my bedroom dresser across the room" "I will replace the old throw rug in my kitchen for a new one" - Correct answer "I will hire someone to trim the area that hangs low over the stairs of my front porch" A nurse is planning strategies to manage time effectively for client care. Which of the following strategies should the nurse implement? Combine client care tasks when caring for multiple clients Wait until the end of the shift to document client care Use the planning step of the nursing process to prioritize client care delivery Allow for interruptions in tasks to discuss client care issues with colleagues - Correct answer Use the planning step of the nursing process to prioritize client care delivery A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the nurse plan to take? Insert the catheter at a 45 angle Place the client's arm in a dependent position Shave excess hair from the insertion site Initiate IV therapy in the veins of the hand - Correct answer Place the client's arm in a dependent position A nurse is planning care for a client who has had a stroke, resulting in aphasia and dysphagia. Which of the following tasks should the nurse assign to an assistive personnel (AP)? (select all that apply Assist the client with a partial bed bath Measure the client's BP after the nurse administers an antihypertensive medication Test the client's swallowing ability by providing thickened liquids
