ATI - Fundamentals Practice Quiz 1 with Certified Answers, Exams of Nursing

Download ATI - Fundamentals Practice Quiz 1 with Certified Answers and more Exams Nursing in PDF only on Docsity! ATI - Fundamentals Practice Quiz 1 with Certified Answers A nurse is teaching a group of older adults about suspected changes of aging. Which statement by a group member indicates effective teaching? I should expect my HR to take longer to return to normal after exercise. Urinary incontinence is something I have to live with as I get older. I can expect to have less ear wax as I get older. My stomach will empty more quickly after meals as I grow older. - Answer I should expect my HR to take longer to return to normal after exercise. A nurse is caring for a patient who is post-op with paralytic ileus. Which abdominal assessment is expected? Frequent bowel sounds with flatus Absent bowel sounds with distention Hyperactive bowel sounds with diarrhea Normal bowel sounds with increased peristalsis - Answer Absent bowel sounds with distention A nurse is planning care for a client with abdominal pain. An assessment reveals temperature of 102.6 F, HR 105, soft-non-tender abdomen, menses overdue by 2 days. Which of the following findings should be the priority? Heart rate Soft, non-tender abdomen Temperature Overdue menses - Answer Temperature Which instruction should be followed for a child who is post-op following a tonsillectomy? Encourage frequent coughing to clear congestion from anesthesia. ATI - Fundamentals Practice Quiz 1 with Certified Answers Place a heating pat at child's neck for comfort. Administer analgesics to the child on a routine schedule throughout the day. Provide the child with ice cream when oral intake is initiated. - Answer Administer analgesics to the child on a routine schedule throughout the day. The nurse auscultates a high-pitched scratching sound during diastole with the diaphragm of the stethoscope positioned at the left sternal border. Which of the following heart sounds should the nurse document? Audible click Murmur Third heart sound Pericardial friction rub - Answer Pericardial friction rub A nurse is teaching an assistive personnel about proper hand hygiene. Which statement from AP indicates understanding? "There are times I should use soap and water instead of alcohol-based sanitizer" "I will use cold water when I wash my hands to protect my skin from becoming too dry." "I will apply friction for at least 10 seconds while washing my hands." "After washing my hands I will dry them from the elbows down." - Answer "There are times I should use soap and water instead of alcohol-based sanitizer" A nurse is caring for a client who is unstable and has vital signs measured every 15 minutes using an electronic BP machine. The nurse notices the machine begins to measure BP at varied intervals and readings are inconsistent. which action should the nurse take? Turn on the machine every 15 minutes to measure the BP. Record only BP readings needed for the 15-min intervals. Obtain manual and automatic readings & compare them. ATI - Fundamentals Practice Quiz 1 with Certified Answers Check the client's pedal pulses. Count the apical pulse rate for 1 full minute, describe the rhythm in the chart. Take the pulse at each peripheral site and count the rate for 30 seconds. - Answer Count the apical pulse rate for 1 full minute, describe the rhythm in the chart. A nurse is caring for an an older adult client who becomes agitated when the nurse requests that the dentures must be removed prior to surgery. Which response should the nurse make? It's for your safety- dentures can slip and block your airway during surgery. You wouldn't want your teeth to be broken or lost during surgery, would you? The anesthesiologist requires everyone to remove their dentures. What worries you about being without your teeth? - Answer What worries you about being without your teeth? A nurse is caring for a client who has a terminal illness. The client asks several questions regarding the nurse's religious beliefs related to death and dying. How should the nurse respond? Change the topic because the client is trying to divert attention from the illness. Encourage the client to express his thoughts about death and dying. Tell the client that religious beliefs are a personal matter. Offer to contact the client's minister or facility's chaplain. - Answer Encourage the client to express his thoughts about death and dying. A nurse is caring for a client who has T1DM and is resistant to learning self-injection of insulin. Which of the following statements should the nurse make? Tell me what I can do to help you overcome your fear of giving yourself injections. I am sure your provider will not be pleased that you refuse to give yourself injections. It's okay- your partner will be able to learn to give you injections. ATI - Fundamentals Practice Quiz 1 with Certified Answers You won't be able to go home without learning how to give yourself injections. - Answer Tell me what I can do to help you overcome your fear of giving yourself injections. A nurse is teaching CPR to a group of newly licensed nurses. Which of the following actions should the charge nurse teach as the first response in CPR? Call for assistance Begin chest compressions Confirm unresponsiveness Give rescue breaths - Answer Confirm unresponsiveness A community health nurse is preparing a campaign about seasonal influenza. Which plan should nurse include as secondary prevention? Holding community clinic for flu shots Screening groups of older adults in skilled nursing facilities for early signs of influenza Educating parents of young children about dangers of influenza Finding rehab programs for older adults with complications from the flu - Answer Screening groups of older adults in skilled nursing facilities for early signs of influenza Nurse is preparing to provide tracheostomy care for patient. Which action should nurse take first? Open all sterile supplies and solutions. Sterilize tracheostomy tube don sterile gloves perform hand hygiene - Answer perform hand hygiene Nurse is obtaining BP in client's lower extremity. Which of the following actions should the nurse take? Ausculate for BP at dorsalis pedis artery ATI - Fundamentals Practice Quiz 1 with Certified Answers Measure BP with client sitting at edge of bed. Place cuff 3 in above popliteal artery Place the bladder of the cuff over the posterior aspect of the thigh - Answer Place the bladder of the cuff over the posterior aspect of the thigh Nurse is caring for a client who requires a chest X-ray. Prior to the client being transported for the procedure, which action should the nurse take FIRST? Explain procedure to client. Help client into wheelchair before the transporter arrives Ask if client has any questions Identify the client using 2 identifiers - Answer Identify the client using 2 identifiers An ED nurse is assessing a client who reports diarrhea and decreased urination for 4 days. Which action should the nurse take to assess for skin turgor- results from dehydration? Push fingernail bed until it blanches, release, observe how long it takes for it to regain color. Grasp a skin fold on chest under clavicle, release, not whether tenting occurs. Press skin in above ankle for 5 seconds, release, note the depression. Measure skin fold thickness at upper arm using calipers. - Answer Grasp a skin fold on chest under clavicle, release, not whether tenting occurs. Teaching for an older adult who has constipation should include which of the following recommendations? Drink a minimum of 1000 mL fluid daily Increase intake of refined-fiber foods. Sit on toilet 30 minutes after eating a meal Take a laxative every day to maintain regularity - Answer Sit on toilet 30 minutes after eating a meal ATI - Fundamentals Practice Quiz 1 with Certified Answers Obtaining cotton balls for trach care Obtaining sterile gloves for trach care Obtaining sterile brush for trach care - Answer Cotton balls- can be aspirated into trach opening A nurse is admitting a client with decreased circulation in left leg. Which action should nurse take first? Evaluate pedal pulses Obtain medical history measure vitals assess for leg pain - Answer evaluate pedal pulses A nurse is prepping a client who is scheduled for a hysterectomy for transport to OR when the client states she no longer wants to have surgery. Which action should nurse take? Tell client it is too late to change her mind before surgery Telephone OR and cancel surgery Inform client's family about situation Notify provider about client's decision - Answer Notify provider about client's decision Following a procedure that will happen next month, a client may require a blood transfusion. The client expresses concern to the nurse that they may acquire infection from it. Which response is appropriate from the nurse? Ask provider to order EPO before surgery You should ask provider about iron supplements prior to surgery Request family member to donate blood Donate autologous blood before surgery - Answer Donate autologous blood before surgery ATI - Fundamentals Practice Quiz 1 with Certified Answers Nurse is demonstrating post-op deep breathing and cough exercises to client who will have emergency surgery for appendicitis. Which client statement indicates lack of readiness to learn? Client asks for nurse to repeat instructions before attempting exercises client reports severe pain Client asks how often deep breathing should be done post-op Client tells the nurse that this exercise will probably be painful after surgery - Answer Client reports severe pain Nurse observes another staff member using a regular size BP cuff for a client who is obese. Which explanation should she give? a. Reading will be inaudible if cuff is too small b. Width of cuff bladder should be 75% of circumference of arm c. As long as cuff will circle arm, reading is accurate d. Using cuff that is too small results in inaccurately high reading - Answer Using cuff that is too small results in inaccurately high reading Nurse is inserting IV catheter for client that results in blood spill on her gloved hand. Client has no documented bloodstream infection. Which of the following actions should the nurse take? a. Wash gloved hands and then throw away gloves b .Prepare an incident report to document the vent c. Carefully remove the gloves and follow with hand hygiene d. Ask a provider to order a blood culture to determine the risk of infection - Answer Carefully remove the gloves and follow with hand hygiene A nurse is receiving client from PACU who is post-op following abdominal surgery. Which action should nurse take to transfer client from stretcher to bed? a.Lock wheels of bed and stretcher b.Instruct client to raise arms above head ATI - Fundamentals Practice Quiz 1 with Certified Answers c.Elevate stretcher 1 inch above height of bed d.Log roll client - Answer lock wheels of bed and stretcher A nurse is performing mouth care for unresponsive client. Which action should nurse plan to take? a.Place client supine b.Keep both side rails up c.Raise level of bed d.Inspect client's mouth using finger sweep – Answer Raise level of bed