2019 ATI Fundamentals of Nursing Proctored Exam With Answers (37 Solved Questions)

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lOMoAR cPSD| 11068812FUNDAMENTALS PROCTORED EXAM 2019 RETAKEPage 11.A nurse is planning care for a group of clients. Which of the following tasks should the nursedelegate to an assistive personnel?A.Changing the dressing for a client who has a stage 3 pressure injuryB.Determining a client's response to a diureticC.Comparing radial pulses for a client who is postoperativeD.Providing postmortem care to a clientPostmortem careserves several purposes,including: preparing the patient for viewing by family. ensuring proper identification of thepatient prior totransportationtothemorgueorfuneralhome.providing appropriatedispositionof patient'sbelongings. maintaining vitalorgans, if donationisplanned.)2.A nurse is conducting a health assessment for a client who takes herbal supplements. Which ofthe following statements by the client indicates anunderstanding of the use of the supplements?A.I take ginkgo biloba for a headacheB.I take echinacea to control my cholesterolC.I useginger whenI getcar sickD.Iusegarlic formymenopausal symptoms3.A nurse is caring for a client who has influenza and isolation precautions in place. Which ofthe following actions should the nurse take to prevent the spread of infection?A.Weara mask whenworkingwithin 3feetoftheclientB.Administer metronidazoleC.Don protective eyewear before entering the room.D.Place the client in a negative airflow room.4.A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NGtube. Which of the following actions should the nurse take?A.Attach the restraints securely to the side rails of the client's bed.B.Apply the restraints to allow as little movement as possibleC.Allow room for two fingers to fit between the clients skin and the restraintsD.Remove therestraintsevery 4 hr.5.A nurse is admitting a client who has tuberculosis. Which of the following types oftransmission precautions should the nurse plan to initiate?A.DropletB. AirbornesC. Protective environmentD. Contact6.A nurse in a well-child clinic receives a telephone call from a parent who states that their childaccidentally swallowed paint thinner. The child is awake and alert. Which of the followingresponses should the nurse make?A.Have yourchilddrink one large glassof water.B.Hang up and call a poison control center hotline.C.Bring your child into the clinic later today.D.Induce vomiting in your child with syrup of ipecac.7.A nurse is documenting a client's medical record. Which of the following entries should the

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lOMoAR cPSD| 11068812nurse record.

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lOMoAR cPSD| 11068812Page2A.Oral temperature slightly elevated at 0800B. Administered pain medicationC. Incision without redness or drainageD. Drank adequate amounts of fluid with meals.8.A nurse is providing oral care for a client who is unconscious. Which of the following actionsshould the nurse take?A.Place theclientinaside-lying position.B.Brush the clients teeth dailyC.Apply mineral oil to theclient’slipsD.Rinse the client’smouth with an alcohol-based mouthwash9.A nurse is collaborating with a risk management team about potential legal issues involvingclient care. The nurse should identify which of the following situations is an example ofnegligence?A.A nurse administers a medication without first identifying the client.B.An assistive personnel discusses client care in the facility cafeteria with visitorspresent.C.Anursebeginsa blood transfusion without obtaining consent.D.An assistive personnel prevents a client from leaving the facility.10.A nurse is collecting a sputum specimen for culture from a client who has a respiratoryinfection. Which of the following actions should the nurse take?A.Wear sterile gloves when collecting the specimen.B. Offer the client oral hygiene after the collectionC. Collect the specimen in the evening.D Collect 1 ml of sputum.11.A nurse is assessing an older client. Which of the following findings should the nurse expect?Decreasedsense ofbalancedIncreased nighttime sleepingHeightened sense of painNighttime urinary incontinence12.A nurse is completing discharge teaching about ostomy care with a client who has a newstoma. Which of the following instructions should the nurse include in the teaching? (select allthat apply)“Cut theopening ofthepouch ⅛ofan inchlarger than the stoma““Placea piecea gauzeoverthe stoma while changingthepouch”“Use povidone-iodinetocleanaround thestoma”“Emptytheostomypouch when it becomesone-third full ofcontents”“Expect the stoma toturn a purple-blue color as itsheals”13.A nurse is preparing to obtain informed consent from a client who speaks a differentlanguage than the nurse. Which of the following actions should the nurse take?“Request that anassistive personnel interpret the information forthe client”“Use proper medical termswhen giving information to theclient”

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Page3“Offer written informationin theclient’slanguage”“Avoidusing gestures when speaking to theclient”14.A nurse is teaching a client about home care equipment. Which of the following informationshould the nurse include in the teaching? (select all that apply)“Avoidusingwool blanketswhenreceiving oxygen”“Keepthe oxygen delivery system 0.6 m (2 feet) from anyheat source”“Checkthe oxygendeliveryrate atleast once a day”“Alignthemiddleof theballin theflowmeterwith thelineoftheprescribed flowrate”“Laythe oxygen tank flat whenstoring”15.A nurse is planning care for a client who reports insomnia. Which of the following actionsshould the nurse perform shortly before bedtime?Provide a late supper.Offer a wet washcloth for the client to wash her facePerform range-of-motion exercisesPrepare hot cocoa or tea for the client16.A nurse on a medical-surgical unit is receiving a change-of-shift report for four clients.Which of the following clients should the nurse see first?A client who has acute abdominal pain of 4 on a scale from 0 to 10A client who has pneumonia and an oxygen saturation of 96%Aclientwho hasnewonsetof dyspnea 24hr after atotalhiparthroplastyA client who has a urinary tract infection and low-grade fever17.A nurse is reviewing a client’s intake and output and notes the following: 0.9% sodiumchloride 600mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100mL intermittent IVbolus, 200mL emesis, 40mL voided urine, and 20mL urine from straight catheterization. Thenurse should record the client’s net fluid intake as how many mL? (Round the answer to thenearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)700mL,therest are output18.A nurse is discussing incident reports with a group of newly licensed nurses. The nurseshould include that which if the following requires the completion of an incident report?Aclient’sprescribedlaboratory testing wasnotobtainedA client withdrew consent for a procedureAn oncoming nurse arrived to work lateA nurse transfused a unit of packed RBCs in 2 hr.19.A nurse is caring for a client who has a new prescription for negative-pressure therapy for achronic wound. The nurse is unfamiliar with the procedure. Which of the following resourcesshould the nurse consult to learn more about the intervention.The client’splan of careThe nurse practice actThe material safety data sheetThe policy andproceduremanual

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lOMoAR cPSD| 11068812Page420.A nurse is performing postural drainage with percussion and vibration for a client who hascystic fibrosis. Which of the following actions should the nurse take?Cover the area of percussion with a towel.Instruct the client to exhale quickly during vibrationSchedule postural drainage after mealsPerform percussionoverthe lowerback21.A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old child whohas difficulty swallowing pills. Available is diphenhydramine 12.5mg/5ml oral syrup. Which ofthe following images indicates the correct number of mL the nurse should administer? (roundanswer to the nearest whole number.)Shouldbe the first syringe8ml22.A nurse is admitting a client who is malnourished. The client states, “My wedding ring isloose and I'm worried I will lose it if it falls off.”Which of the following is an appropriateresponse by the nurse?“ I will placeit in your drawer so itwon’tgetlost.”

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lOMoAR cPSD| 11068812Page5I can pin it to your hospital gown so youwon’tlose it.”“Iwill hold onto it until a family member can take ithome.”“Ican putit inalocked storage unitfor you.”23.A charge nurse is teaching a group of newly licensed nurses about the use of restraints. Inwhich of the following clinical situations should the nurse apply restraints?If the client is pacing in the hallwayAs a part of a fall prevention programAt the request of theclient’sfamilyWhen theclientposesathreatto self24.To ensure client safety, a nurse manager is planning to observe a newly licensed nurseperform a straight catheterization on a client. In which of the following roles is the nursemanager functioning?Case managerClient educatorClient care providerClientadvocate25.A charge nurse in a long-term care facility is preparing an educational program aboutdelirium for newly hired nurses. Which of the following statements should the nurse plan toinclude?“Delirium doesnot affect a client’sperception of herenvironment.”“Delirium doesnot affect a client’ssleepcycle.”“Delirium hasanabruptonset.”“Delirium hasa slowprogression.”26.A nurse is speaking with a client who has recently received a diagnosis of a chronic illness.The client states, “ The doctor must be wrong. I can't be that sick”. The nurse should inform theclient that their reaction is an example of which of the following expected responses to grief?AcceptanceDenialAngerDepression27.A Nurse on a medical-surgical unit is providing care for four clients. The nurse shouldidentify which of the following situations as an ethical dilemma?A surgeon who removed the wrong kidney during a surgical procedure refuses to takeresponsibility for her actionsAclient who has Crohn’s disease reports that his prescription drug plan will not pay forhis medications.A client who has a new colostomy refuses to take instructions from the ostomy therapistbecause she“doesn'tlikehim.”The family of a client who has a terminal illness asks that the provider not tell the clientthediagnosis28.A nurse is teaching a client about performing breast self-examinations. Which of thefollowing statements by the clients indicates an understanding of the teaching?

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