ATI RN Fundamental Practice Exam With Answers (65 Solved Questions)

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Ati rn fundamentals complete structured exam withcorrect qns&answs Rated A++ latest.65QUESTIONSWITH100%CORRECTANSWERSA nurse is giving change-of-shift report about a patient they admitted earlier that day who haspneumonia.Whichofthefollowingpiecesofinformationisthe priority forthenurseto provide?•Admittingdiagnosis•Breathsounds•BodyTemperature•Diagnostictestresults-B.BreathsoundsWhen using the airway, breathing, circulation approach to patient care, the nurse should determinethatthepriorityinformationtoprovideis thecurrentstatusofthe patient's breathsounds.A nurse is caring for a patient who has an NG tube and is receiving intermittent feedings through anopensystem.Whichof thefollowingactions shouldthenurse take first?•Rinsethefeedingbagwithwaterbetweenfeedings.•Tellthe patient to keeptheheadof the bedelevatedatleast 30º.•Make suretheenteralformulaisat roomtemperature.•Wipe the top of the formula can with alcohol.-B. Tell the patient to keep the head of the bedelevatedatleast 30º.Thefirstactionthenurseshouldtakewhenusingtheairway,breathing,circulationapproachtopatientcareistoprevent aspirationofthe enteralformula;therefore,thepriorityinterventionisto keeptheheadofthebedelevatedatleast30°to prevent refluxoftheformulaintotheesophagus.A nurse is caring for a patient who has tuberculosis. Which of the following actions should the nursetake?(Selectallthatapply.)

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•Placethepatientina roomwith negativepressureairflow.•Weargloveswhenassistingthe patientwithoralcare.•Limiteachvisitorto2-hrincrements.•Weara surgicalmaskwhen providingpatientcare.•Useantimicrobialsanitizer forhandhygiene.-A,B,E•Place the patient in a room with negative-pressure airflow is correct. The nurse should place thepatientina room with negative-pressureairflowtomeettherequirementsof airborneprecautions.•Wear gloves when assisting the patient with oral care is correct. The nurse should wear gloveswhenassisting the patient with oral care to meet the requirements of standard precautions, whichthe nursemust adhere to for all patients regardless of their diagnosis. The nurse should wear gloveswhenever theirhands might come in contact with a patient's bodily fluids, such as saliva, and themucous membranes inthemouth.•Limit each visitor to 2-hr increments is incorrect. The nurse does not need to limitthe patient'svisitors.However, the nurse should limit the patient's presence outside the room and the patientshould wear asurgicalmaskwhen outsideoftheroom.•Wear a surgical mask when providing patient care is incorrect. The nurse should wear an N95respiratorduringpatient caretomeet therequirementsofairborneprecautions.•Use antimicrobial sanitizer for hand hygiene is correct. The nurse should use antimicrobialsanitizerfor routine hand hygiene when caring for a patient who has tuberculosis. Nurses shouldalso wash theirhandswithsoapandwaterwhen their hands arevisibly soiled.A nurse is performing a Romberg test during the physical assessment of a patient. Which of thefollowingtechniques shouldthenurseuse?•Touchthe facewith a cottonball.•Apply avibratingtuningforktothepatient'sforehead.•Havethepatient standwiththeirarms attheirsidesandtheir feettogether.

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•Perform direct percussion over the area of the kidneys.-C. Have the patient stand with theirarms attheirsidesandtheir feettogether.A Romberg testhelps identify alterations in balance.The nurse shouldhave thepatient standwiththeirarmsat theirsidesandtheirfeettogethertoobservefor swayinganda lossofbalance.A nurse is preparing to obtain a lower extremity blood pressure from a patient and no longerpalpates thepopliteal pulse after 92 mm Hg. Which of the following images displays themeasurement in mm Hg towhichthenurseshouldinflatethecuffwhenobtainingthebloodpressure?•92mm Hg•102mm Hg•112mm Hg•122mmHg-D.122mmHgToobtainanaccurate bloodpressuremeasurement,the nurseshouldinflatethecuff30mmHgbeyondthepointatwhichthenurse waslast able topalpate the pulse.If the nurselast palpatedthepulse at92mm Hg,thenthiswouldbethe correctpressuretowhichthe nurseshouldinflatethe cuff.A nurse has accepted a verbal prescription "for three tenths of a milligram of levothyroxine stat"for apatient who has myxedema coma. How should the nurse transcribe the dosage of thismedication in thepatient'smedical record?•.3mg•0.3mg•0.30mgD.3/10mg-B.0.3mg

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The use and placement of a decimal point can potentially cause a medication error if documentedincorrectly. A zero should precede a decimal point, as in 0.3 mg, but should not follow a decimalpointunlessa wholenumberfollowsthezero,as in2.05mg.A nurse is discussing the use of herbal supplements for health promotion with a patient. Whichof thefollowingpatientstatementsindicates anunderstandingofherbalsupplement use?•"I cantakeechinaceatoimprovemyimmunesystem."•"Ican takefeverfewtoreducemylevelof anxiety."•"Icantakegingerto improvemymemory."•"I can take ginkgo biloba to relieve nausea."-A. "I can take echinacea to improve myimmunesystem."Echinaceaistakento promoteimmunityandreducethe riskofinfection.A nurse is caring for a patient who has decreased mobility. Which of the following actionsshould thenursetaketodecreasethepatient'sriskofdevelopingplantar flexioncontractures?•Placea pillowunderthepatient'sknees.•Positionatrochanter rollundereachofthe patient'ships.•Advisethe patient towearrubber-soledslippers.•Apply anankle-footorthoticdevice tothepatient'sfeet.-D.Apply anankle-footorthoticdeviceto thepatient's feet.The nurse should use a device to maintain dorsiflexion, such as an ankle-foot orthotic device or afootboardplaced perpendicular tothemattress.A nurse is reviewing practice guidelines with a group of newly licensed nurses. Which of thefollowinginterventionsshouldthenurse include that iswithinthe RNscopeofpractice?•Insertanimplantedport.•Closealacerationwithsutures.

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•Placeanendotrachealtube.•Initiate an enteral feeding through a gastrostomy tube.-D. Initiate an enteral feedingthrough agastrostomytube.It is within the RN scope of practice for nurses to initiate enteral feedings throughnasoenteric,gastrostomy, andjejunostomytubes.A nurse is planning care for a patient who has vision loss. Which of the following interventionsshould thenurse includeintheplanofcaretoassistthepatientwithfeeding?•Assignastaffmembertofeedthepatient.•Providesmall-handledutensilsforthe patient.•Thickenliquidsonthepatient'stray.•Arrange food in a consistent pattern on the patient's plate.-D. Arrange food in a consistentpattern onthe patient'splate.Consistency in preparing the patient's plate helps to facilitate self-feeding for patients who havevision loss.Staff can describe the location of the food on the plate by using a clock pattern, allowingthe patient tohave greaterindependenceduringmeals.A charge nurse is observing a newly licensed nurse prepare a sterile field for a dressing change.Which ofthefollowingactionsbythe newly licensednurserequires interventionbythechargenurse?•The newlylicensednurse placesthecapofa bottleofsterilesaline solutiononthe sterilefield.•Thenewlylicensednurseplacessterileobjects2.5cm(1 inch)withinthe border ofthefield.•Thenewlylicensednurse holdsthe bottleof sterilesalineoutsidethe edge ofthefieldwhenpouring.•The sterile field is positioned at the level of the newly licensed nurse's waist.-A. The newlylicensednurseplacesthe capofa bottleof sterile salinesolutiononthe sterilefield.The newly licensed nurse should place the cap with the sterile side up on a clean surface becausetheouteredgesareunsterile andwillcontaminatethe sterilefield.

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A nurse is reviewing protocol in preparation for suctioning secretions from a patient who has anewtracheostomy.Which ofthefollowingactions shouldthenurseplantotake?•Usearesuscitationbagwith 80%oxygen priortothe procedure.•Selecta suctioncatheterthatis halfthesizeof thelumen.•Place theendof thesuctioncatheterin water-solublelubricant.•Adjustthe wallsuctionapparatustoa pressureof170 mmHg.-B.Select a suctioncatheterthat ishalfthesizeofthe lumen.The nurse should select a suction catheter that is half the size of the lumen to prevent hypoxemiaandtraumatothemucosa.A nurse in a clinic is caring for a middle adult patient who states, "The doctor says that, since I am atanaverage risk for colon cancer, I should have a routine screening. What does that involve?" Whichof thefollowingresponsesshouldthenursemake?•"I'llget abloodsamplefromyouandsenditfor ascreeningtest."•"Beginningatage60,youshouldhave acolonoscopy."•"Youshouldhaveafecaloccultbloodtesteveryyear."•"The recommendation is to have a sigmoidoscopy every 10 years."-C. "You should have a fecaloccultbloodtesteveryyear."Colorectal cancer screening for patients who are at average risk begins at age 50. Oneoption forscreeningis afecaloccult bloodtest annually.A nurse has just inserted an NG tube for a patient. Which of the following findings should the nurseexpectto confirmcorrecttubeplacement?•Thetubeaspiratehas apH of 7.•Anx-rayshows the endofthetubeabove the pylorus.

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•Bowelsoundsarepresentonauscultation.•Thepatientreports reliefofnausea.-B. Anx-rayshowstheendofthetube abovethe pylorus.Anabdominalx-rayshowingtheendofthetubeabovethe pylorusindicatesgastric placement.A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a patient. Whichof thefollowingactions shouldthenurse take?•Gentlyshakethecontainer ofmedicationpriortoadministration.•Transferthemedicationto amedicinecup.•Place thepatientinasemi-Fowler'spositionpriortomedicationadministration.•Verify the dosage by measuring the liquid before administering it.-A. Gently shake thecontainer ofmedicationprior toadministration.Thenurseshouldgentlyshake the liquidmedicationto ensure thatthemedicationismixed.A nurse is admitting a patient who has rubella. Which of the following types of transmission-basedprecautionsshouldthenurseinitiate?•Droplet•Airborne•Contact•Protectiveenvironment-A.DropletDroplet precautions are a requirement for patients who have infections that spread via droplet nucleithatare larger than 5 microns in diameter, including influenza, rubella, meningococcal pneumonia,andstreptococcalpharyngitis.A nurse is reviewing apatient's medication prescription that reads, "digoxin 0.25 by mouth everyday."Whichofthefollowingcomponentsof theprescriptionshouldthe nurseverifywith theprovider?

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•Medicationname•Routeof administration•Medicationdose•Frequencyofadministration-C.MedicationdoseIn the prescription, the medication dose is not complete. The number 0.25 should be followed by aunitofmeasurement, such asmg,toclarifythe amountthenurse shouldadminister.A nurse manager is overseeing the care activities on a unit. For which ofthe following situationsshouldthenursemanagerinterveneduetoaviolationofHIPAAguidelines?•A nurse who is caring for a patient reviews the patient's medical chart with a nursing studentwho isworkingwiththe nurse.•Anurseasks anurse from anotherunitto assistwithdocumentationforapatient.•A nurse who is caring for a patient returns a call to the person appointed in the health careproxy todiscuss thepatient's care.•A nurse discusses a patient's status with the physical therapist who is caring for the patient.-B.A nurseasksa nursefromanotherunit toassistwith documentationfor apatient.Only health care professionals directly caring for a patient should have access to the patient'smedicalinformation;therefore,thisis aviolationof HIPAAguidelines.A nurse is teaching an older adult patient who is at risk for osteoporosis about beginning aprogram ofregularphysicalactivity.Whichofthe followingtypes ofactivityshouldthe nurserecommend?•Walkingbriskly•Ridingabicycle•Performingisometricexercises•Engaginginhigh-impactaerobics-A.Walkingbriskly

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