ATI Fundamentals Practice Questions with Certified Answers., Exams of Nursing

Download ATI Fundamentals Practice Questions with Certified Answers. and more Exams Nursing in PDF only on Docsity! ATI Fundamentals Practice Questions with Certified Answers. A nurse is teaching a client with lower extremity weakness to use a 4 point crutch gait. Which of the following instructions should the nurse include in the teaching? a. support the weight on your axillae b. keep your elbows extended c. bear weight on both of your legs d. move both crutches forward at the same time - Answer : C b/c need 3 points of contact with ground at all times Which client can have an MRI? a. coronary artery stents b. aneurysm clip c. hearing aids d. automated internal defibrillator - Answer C. b/c hearing aids can be removed ATI Fundamentals Practice Questions with Certified Answers. A nurse is preparing to remove an NG tube for a client who had a partial colectomy. Which action should nurse take? a. maintain suction while removing NG tube b. instill 100mL of air into NG tube before removal c. pinch NG tube while removing tube d. instruct client to breath in and out during removing - rAnswer : C Pinch, instill 50mL of air into tube to clear drainage contents, take +hold deep breath --> decreases risk of aspiration of gastric contents Disconnect from suction Older adult with dysphagia. What action is appropriate? a. encourage client to drink fluids before swallowing food b. offer client tart or sour foods first c. tilt client's head backward when swallowing ATI Fundamentals Practice Questions with Certified Answers. Islam: body washed, wrapped, buried ASAP Hindu: head faces N, but cremation more common Buddhist: Male family members prep body Perioperative pt concerned about infection from blood transfusion. What should nurse say? a. ask HCP to prescribe epoetin b. ask HCP abt taking iron supplements c. ask family member to donate blood for your surgery d. Donate autologous blood before surgery - Answer : D b/c collection & re-infusion of client's own blood (3-5weeks before elective surgery) Epoetin to boost hematocrit for anemic pt ATI Fundamentals Practice Questions with Certified Answers. Iron for low hemoglobin pt A nurse is administering a cleansing enema to a client who is scheduled to have a diagnostic procedure. Which of the following actions should the nurse take? a. Lubricate up to 3.2 cm (1.25 in) of the tip of the rectal tube b. Position client on right side c. Insert Tip of tubing 8cm (3.1 in) d. Hold enema container 61 cm (24 in) above the rectum - Answer : C a -->lubricate 5-8cm (2-3 in) b --> left Sim's to promote retention of enema d --> max of 45 cm (18 in) above rectum to prevent painful distention of colon A nurse is caring for a client with dehydration who has developed hypovolemic shock. Which of the following lab values should the nurse expect? ATI Fundamentals Practice Questions with Certified Answers. a. BUN 18 mg/dL b. Cap refill 1.5 seconds c. Hct 55% d. Urine specific gravity 1.001 - Answer : C A & B normal Hypovolemic Shock: elevated hematocrit, weak pulse, tachycardia, hypotension, tachypnea, slow cap refill, elevated BUN, increased urine specific gravity, decreased urine output this is a low urine specific gravity indicating hypervolemia (normal 1.005 - 1.030) A nurse is caring for a client who has a tracheostomy and requires suctioning. Which of the following actions should the nurse take? a. Hyperoxygenate the client before suctioning ATI Fundamentals Practice Questions with Certified Answers. Blowing sounds indicate what? - Answer bruit --> narrowed arterial lumen Injured Left Leg: Crutch Use a. when descending stairs, I will first shift my weight onto my L leg b. I should place my crutches 12 in in front and to side of cane - Answer : A --> first shift body weight onto unaffected leg b--> place crutches 15cm (6 in) in front and to side of cane Administer multiple meds for enteral tube feeding. a. dissolve each med in 5mL of sterile water b. draw up meds together in syringe c. push syringe plunger gently when feeling resistance d. flush tube with 15 mL of sterile water - Answer : D ATI Fundamentals Practice Questions with Certified Answers. flush w/ 15-30mL before admin & between admin of each med flush w/ 30-60mL after last admin of med dissolve meds in 30mL of water