FUNDAMENTALS PROCTORED EXAM 2024 RETAKE GUIDE GRADED A+.docx, Exams of Nursing

Download FUNDAMENTALS PROCTORED EXAM 2024 RETAKE GUIDE GRADED A+.docx and more Exams Nursing in PDF only on Docsity! ATIFUNDAMENTALSPROCTORED EXAM 2019 RETAKE GUIDE FUNDAMENTALS PROCTORED EXAM 2024 RETAKE GUIDE |GRADED A+ lOMoARcPSD|11068812 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE GUIDE FUNDAMENTALS PROCTORED EXAM 2024 RETAKE GUIDE |GRADED A+ Page1 1. Anurseisplanningcareforagroupofclients.Whichofthefollowingtasksshouldthenurse delegate to an assistive personnel? A. Changingthedressingforaclientwhohasa stage3pressureinjury B. Determiningaclient'sresponsetoa diuretic C. Comparingradialpulses foraclientwhois postoperative D. Providing postmortem care to a clientPostmortem care serves several purposes, including: preparing the patient for viewing by family. ensuring proper identification of the patientpriortotransportationtothemorgueorfuneralhome.providingappropriatedisposition of patient's belongings. maintaining vital organs, if donation is planned.) 2. Anurseisconductingahealthassessmentforaclientwhotakesherbalsupplements.Whichof the following statements by the client indicates an understanding of the use of the supplements? A. Itakeginkgobilobaforaheadache B. Itakeechinacea tocontrol mycholesterol C.Iuse ginger whenIgetcar sick D.Iusegarlicfor mymenopausalsymptoms 3. Anurseiscaringforaclientwhohasinfluenzaandisolationprecautionsinplace.Whichof the following actions should the nurse take to prevent the spread of infection? A. Wearamask whenworkingwithin3feet oftheclient B. Administermetronidazole C. Donprotectiveeyewear before enteringtheroom. D. Placetheclientinanegativeairflow room. 4. Anurseobtainsaprescriptionforwristrestraintsforaclient whoistryingtopullouthisNG tube. Which of the following actions should the nurse take? A. Attachtherestraintssecurelytothesiderailsoftheclient's bed. B. Applytherestraintsto allowaslittlemovementas possible C.Allowroom fortwo fingersto fit between theclients skin and therestraints D.Removetherestraintsevery4 hr. 5. Anurseisadmittingaclientwhohastuberculosis. Whichofthefollowingtypesof transmission precautions should the nurse plan to initiate? A. Droplet B. Airbornes C. Protectiveenvironment D. Contact 6. Anurseinawell-childclinicreceivesatelephonecallfromaparentwhostatesthattheirchild accidentally swallowed paint thinner. The child is awake and alert. Which of the following responses should the nurse make? A.Haveyourchilddrinkonelargeglassof water. B.Hangup andcalla poisoncontrolcenter hotline. C.Bringyour childintothecliniclatertoday. D.Inducevomitinginyour childwithsyrupof ipecac. lOMoARcPSD|11068812 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE Page2 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE GUIDE A. Oraltemperatureslightlyelevated at0800 B. Administeredpainmedication C. Incisionwithoutrednessor drainage D. Drankadequateamountsoffluidwithmeals. 8. Anurseisprovidingoralcareforaclientwhoisunconscious.Whichofthefollowingactions should the nurse take? A. Placetheclient ina side-lyingposition. B. Brushthe clientsteethdaily C. Applymineraloiltotheclient’s lips D. Rinsetheclient’smouthwithanalcohol-basedmouthwash 9. Anurseiscollaboratingwithariskmanagementteamaboutpotentiallegalissuesinvolving client care. The nurse should identify which of the following situations is an example of negligence? A. Anurseadministersamedication withoutfirstidentifyingtheclient. B. Anassistivepersonneldiscussesclientcareinthefacilitycafeteriawithvisitors present. C. Anursebeginsabloodtransfusion withoutobtainingconsent. D. Anassistivepersonnel preventsaclientfromleavingthe facility. 10. Anurseiscollectingasputumspecimenforculturefromaclientwhohasarespiratory infection. Which of the following actions should the nurse take? A. Wearsterile gloveswhencollectingthe specimen. B. Offerthe client oralhygieneafterthecollection C. Collectthespecimenintheevening. D Collect 1 ml of sputum. 11. Anurseisassessingan olderclient.Whichofthe followingfindingsshould thenurse expect?  Decreasedsenseofbalanced  Increasednighttimesleeping  Heightenedsense ofpain  Nighttimeurinaryincontinence 12. A nurse is completing discharge teaching about ostomy care with a client who has a new stoma.Whichofthefollowinginstructionsshouldthenurseincludeintheteaching? (selectall that apply)  “Cuttheopeningof thepouch ⅛ ofan inchlargerthan thestoma“  “Placeapiecea gauze overthe stomawhile changingthepouch”  “Usepovidone-iodinetocleanaroundthestoma”  “Emptytheostomypouch whenit becomesone-third full ofcontents”  “Expectthestomatoturnapurple-bluecolor asitsheals” 13. Anurseispreparingtoobtaininformedconsentfromaclientwhospeaksadifferent language than the nurse. Which of the following actions should the nurse take?  “Requestthatanassistive personnelinterprettheinformationforthe client”  “Usepropermedicaltermswhengivinginformationtotheclient” lOMoARcPSD|11068812 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE Page3 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE GUIDE  “Offerwritteninformationintheclient’slanguage”  “Avoidusinggestureswhenspeakingtotheclient” 14. Anurseisteachingaclientabouthomecareequipment.Whichofthefollowinginformation should the nurse include in the teaching? (select all that apply)  “Avoidusingwoolblanketswhenreceivingoxygen”  “Keepthe oxygendeliverysystem0.6 m (2feet) fromanyheat source”  “Checktheoxygendeliveryrate atleastonceaday”  “Alignthemiddle oftheballin theflowmeterwith thelineoftheprescribed flow rate”  “Laythe oxygen tankflat when storing” 15. Anurseisplanningcareforaclientwhoreportsinsomnia.Whichofthefollowingactions should the nurse perform shortly before bedtime?  Providealatesupper.  Offerawetwashclothfortheclient towashherface  Performrange-of-motionexercises  Preparehotcocoaorteafortheclient 16. Anurseonamedical-surgicalunitisreceivingachange-of-shiftreportforfourclients. Which of the following clients should the nurse see first?  Aclient whohasacuteabdominal painof4on ascalefrom0 to 10  Aclient whohaspneumoniaandan oxygensaturation of 96%  Aclient whohasnewonset ofdyspnea24hrafteratotal hiparthroplasty  Aclientwho hasaurinarytractinfectionandlow-gradefever 17. A nurse is reviewing a client’s intake and output and notes the following: 0.9% sodium chloride600mLIVinfusion,cefazolin250mgindextrose5%inwater100mLintermittentIV bolus, 200mL emesis, 40mL voided urine, and 20mL urine from straight catheterization. The nurse should record the client’s net fluid intake as how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)  700mL,therestareoutput 18. Anurseisdiscussingincidentreportswithagroupofnewlylicensednurses.Thenurse should include that which if the following requires the completion of an incident report?  Aclient’sprescribedlaboratorytestingwasnotobtained  Aclientwithdrewconsentforaprocedure  Anoncomingnurse arrivedtowork late  Anursetransfusedaunit ofpacked RBCsin2 hr. 19. Anurseiscaringforaclientwhohasanewprescriptionfornegative-pressuretherapyfora chronic wound. The nurse is unfamiliar with the procedure. Which of the following resources should the nurse consult to learn more about the intervention.  Theclient’splanofcare  Thenursepracticeact  Thematerial safetydatasheet  Thepolicyand proceduremanual lOMoARcPSD|11068812 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE Page4 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE GUIDE 20. Anurseisperformingposturaldrainagewithpercussionandvibrationforaclientwhohas cystic fibrosis. Which of the following actions should the nurse take?  Coverthe areaof percussionwith atowel.  Instructtheclienttoexhalequicklyduringvibration  Scheduleposturaldrainageaftermeals  Performpercussionoverthelowerback 21. A nurse is preparingto administer diphenhydramine 20 mgorallyto a 6-year-old child who hasdifficultyswallowingpills.Availableisdiphenhydramine12.5mg/5mloralsyrup.Whichof the following images indicates the correct number of mL the nurse should administer? (round answer to the nearest whole number.) Shouldbethefirstsyringe 8ml 22. Anurseisadmittingaclientwhoismalnourished.Theclientstates,“Myweddingringis loose and I'm worried I will lose it if it falls off.”Which of the following is an appropriate response by the nurse?  “Iwillplaceitinyourdrawersoitwon’tgetlost.” lOMoARcPSD|11068812 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE Page7 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE GUIDE  Suctiontheclient’sairwayfor20secondswitheachpass  Hyperoxygenatethe clientmanuallyfor30 to60secondsbefore suctioning  Decreasesuctionpressureto150mmHgiftheoxygensaturationleveldropduringsuctioni ng (???) 35. Anurseisassessingaclientwhoreceivedmorphineforseverepain30minsago.Whichof the following finding is the nurse’s priority?  Lastbowelmovementwas3daysago  Reportspain of 8 on ascale of0 to 10  Distended bladder  Respiratoryrate7/min 36. AnurseiscaringforaclientwhohasbeentreatedmultipletimesforSTIs.Whichofthe following responses should the nurse take?  “Youmust havetoomanysexual partners”  “Whydoyou keeplettingthis happen?”  “Let'sexplorewhythismight be reoccuring”  “Don’tyouhaveaccessto condoms?” 37. Anurseenterstheroom ofaclientwhohas aseizuredisorder.Theclientissittinginachair and begins to experience a seizure. Which of the following actions should the nurse take first?  Moveitemsintheroomawayfromthe client  Turntheclientontotheirside  Helptheclientlieonthefloor  Loosentheclient’sclothing 38. Anurseistestingaclient forconductiondeafness byperformingWeber’stest.Whichofthe following actions should the nurse take when performing this test?  Moveavibratingtuningforminfrontoftheclient’searcanalsoneaftertheother  Placethebaseofavibratingtuningforkontheclient’smastoid process  Placethe baseofavibratingtuningforkon thetop ofthe client’shead  Counthowmanysecondsaclient canhearatuningforkafterithasbeen struck 39. Anurseisobtainingthemedicationhistoryofaclientwhoasksabouttakingginkgobiloba. The nurse should identify which of the following medications can interact adversely with this supplement?  Warfarin  Albuterol  Levothyroxine  Atorvastatin 40. Anurseisobtaininginformedconsentfromaclientwhoisscheduledforsurgery.Theclient states, “I don’t want to go through with the procedure.” Which of the following actions should the nurse take?  Discussalternativetreatmentswiththeclient  Explaintotheclient therisksinvolvedwith nothavingthe procedure  Expressapprovaloftheclient’sdecisiontonothavetheprocedure  Documenttheclient’sdecisioninthemedical record lOMoARcPSD|11068812 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE Page8 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE GUIDE 41. Anurseisprovidingteachingtoaclientaboutreducingtheadverseeffectsofimmobility. Which of the following statements by the client indicates an understanding of the teaching? · “ Iwill havemypartnerhelpme changeposition every4 hours” · “ Iwillremove myantiembolic stockingswhileIamin bed” · “Iwill holdmybreath when risingfromasittingposition” · “Iwill perform ankleand kneeexerciseseveryhour.” 42. A nurse is caringfor a client who is postoperative and has a new prescription to advance her diettofulltofullliquids.Whichofthefollowingfoodsshouldthenurseoffertheclient asapart of a full liquid diet? · Oatmeal · Applesauce · Scrambledeggs · PlainYogurt 43. Anurseispreparingaclientwhohasterminalcancerfordischarge.Whichofthefollowing questions should the nurse ask when assessing the client’s psychosocial history? · “Whatmedicationsareyoucurrentlytaking?” · “AreyouexperiencinganyPain?” · “Have anyof yourrelativesbeen diagnosedwith cancer?” · “WhatTechniquesdoyou usetocopewith stress?” 44. Anurseisperformingaskinassessmentonanolderadultclient.Whichofthefollowing findings should the nurse expect? · Thickenedouterlayerofskin · Increasedskinelasticity · Reducedsweat production · IncreasedProductionofoils 45. Anurseiscaringforaclientwhobeginstocryafterreceivingadiagnosisofcancer.Which of the following responses should the nurse make? · “ Iwould geta second opinionifIwereyou.” · “itmightseembadnow, butthingswillgetbetter.” · “it must bedifficult foryouto receivethiskindofnews.” · Ithinkyouwouldbenefitfromspeakingwithourchaplain.” 46. Anurseispreparingtoobtainahealthhistoryfromaclient.Whichofthefollowingactions should the nurse take? · Usethe client’sfirstnamewheninitiallymeetingtheclient. · Telltheclientthepurposeforcollectingthe information. · Explaintotheclient thenecessityoffull disclosureof information.· · Avoiddocumentingdirectquotesfromtheclientaspartofsubjectivedata. 47. Anurseiscaringforaclientwhohasbraincancer and istransferringtohospicecare. The client’ssontellsthenurse,“Idon’tknow what to tellmydadifheaskshowheisgoingtodie.” Which of the following is an appropriate response by the nurse? · “Let’stalkmoreaboutyourdad’scondition.” lOMoARcPSD|11068812 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE Page9 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE GUIDE · “Thesocialworkerwillhelpyouanswerthose questions.” · “Tryto helpyour dadenjoythistimeasmuch ashecan.” · “Ithink thatyou shoulddiscussthiswiththehospicenurse.” 48. ANurseispreparingtoadministerseveralmedicationstoaclient.Whichofthefollowing data should the nurse plan to use to confirm the client’s identity? · Theclient’sroom number · Theclient’sadmittingdiagnosis · Thename oftheclient’s next of kin · Theclient’stelephonenumber 49. Anurseiscaringforaclientwhoisprescribedaspecialdiet.Theclientisconcernedthathe does not have the resources to purchase the food he needs to adhere to the diet at home. The nurse should notify which of the following members of the health care team. · Socialworker · Occupationaltherapist · RegisteredDietician · Primarycare provider 50. A nurse is teaching a newly licensed nurse about the care of a client who has a methicillin- resistantStaphylococcusaureus(MRSA)infection.Whichofthefollowingstatementsbynewly licensed nurse indicates an understanding of the teaching? · “ Iwill placetheclient inaPrivateroom.” · “Iwillremovemygownbeforemyglovesafterprovidingclientcare.” · “ Iwill wearanN95respiratormaskwhencaringforthe client.” · “Iwilltelltheclient’svisitorstowearamaskwhentheyarewithin3feet ofthe client.” 51. Anurseisplanningcareforaclientwhoreportshavingalatexallergy.Whichofthe following interventions should the nurse include in the plan? · Coverthebloodpressurecuffwithastockinette. · Wearpowderedgloveswhenprovidingcaretothe client. · ApplyadhesivetapewhensecuringanIVinsertion site. · Useplasticsyringesformedicationadministration. 52. Anurseiscaringforaclientwhoisscheduledforsurgery.Whilethenurseiswitnessingthe client’s signature, the client states, “ I trust my doctor, but I don’t understand what is meant by resecting my intestines.” Which of the following actions should the nurse take? · Describethesurgeryto theclient. · NotifytheProvider. · Completeanincidentreport · Providebrochuresabouttheprocedure. 53. Anurseisdocumentingclientcare.Whichofthefollowingabbreviationsshouldthenurse use? · “SQ”for subcutaneous · “SS”forslidingscale · “BRP”forbathroomprivileges lOMoARcPSD|11068812 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE Page12 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE GUIDE 67. Anurseiscaringforaclientwhohasurinaryincontinence.Whichofthefollowing interventions should the nurse take to prevent skin breakdown?  Applypowdertothe clientperinealarea  Restrictclient'sfluidintake  Requesta prescriptionsforan indwellingurinarycatheter  Applyamoisturebarrierointmentafterperineal hygiene 68. Anurseiscaringforaclientwhowasrecentlydiagnosedwithaterminalillness.Theclient tells the nurse” I am looking forward to seeing my grandchildren grow up.” the nurse should identify the client is experiencing which of the following stages of grief?  Acceptance  Bargaining  Anger  Denial 69. Anurseisteachingaclientaboutthecareanduseofhearingaids.Whichofthefollowing instructions should the nurse include in the teaching?  Cleanthe hearingaid bysoakingitin warm water  Turnthehearingaid offandthevolumedown before insertion  Replacethe batteryifthehearingaid emitsawhistling sound  Leavethebatteryinplacewhenthe hearingaidisnot in use 70. Anurseisassessingaclient’seyesforaccommodation.Whichofthefollowingactions should the nurse take?  Observethe client’seyesforthesixcardinalpositionofgaze  Verifytheclient's abilitytoreadlettersona snelleneyechart  Checktheclient’spupilreactionwhenfocusingondistantandnearbyobjects  Testtheclient’seyesforreactionstolightresponse lOMoARcPSD|11068812 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE Page13 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE GUIDE ATIFUNDAMENTALSPROCTOR…WhatcameoutwhenItookiton 4/4/2019 1. Anurseisteachingtheassistivepersonnelaboutupperbodymechanicstopreventinjury.Whichof the following actions by the AP demonstrate an understanding of the teaching? TheAPkeepstheobjectheisliftingclosetohis body …thequestionwaswordeddifferentlybut“holdingtheobjectclosetobody”isacorrectanswerforone question. 2. A nurseisassessingaclientwhoisimmobileandnoticesaredareaovertheclient’scoccyx. Which of the following actions should the nurse take? Change the clients position every 4 hours Applypetroleumbaseointmentintheredarea Assess the red area for blanching Usefrictionwhencleansingtheclient’sskin …samethingforthisquestion,wordingisdifferent,butanansweris“assessforblanching.” 6.Anurseisplanningcaretopreventskinbreakdownforaclientwhoisimmobileandhasurinary incontinence. Which of the following actions should the nurse include in the plan of care. Ans:requestaprescriptionforanindwellingurinarycatheter 8.Anurseisteachingaclientwhohadanenucleationaboutcareofanartificialeye.Whichofthe following information should be included in the teaching? (select all that apply) Storetheartificialeyeinthelabelcontainerfilledwith0.9%sodiumchlorideirrigation Remove from the artificial eye by retracting the upper eyelid Apply pressure just below artificial eye to break the suction Cleartheartificialeyewithhydrogenperoxidebeforestoring Retract the upper and lower lids to reinsert the artificial eye …thisexactquestioncameout,Ichosethe3 boldedanswers. 10. Anurseiscaringforaclientwhois2dayspostoperativefollowingbowelresectionandreports sudden severe abdominal pain. Which of the following actions should the nurse take first? Determineareasofresonanceacrosstheabdomenusingasystematicapproach Expose the client’s abdomen to look for changes in appearance Performabdominalpalpationbypressinggentlywiththefingerpads Use the diaphragm of the stethoscope to listen for bowel sounds 11. Anurseisprovidingcareforaclientwhoistoundergoatotallaryngectomy.Whichofthe following interventions is the nurses priority? lOMoARcPSD|11068812 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE Page14 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE GUIDE Determinetheclient’sreadingability Review the use of an artificial larynx Withtheclientscheduleasupportsession Fortheclientexplainthetechniquesofesophagealspeech …exactquestionandanswer. 12. Ahomecarenurseisteachingaclientabouthomesafety.Whichofthefollowingstatementsby the client indicates an understanding of the teaching? (select all that apply) Iwillusethebarswhengettinginandoutofthebathtub I need to check my medications for expiration dates Ineedtohaveafireescapeplanwithmyfamily Iwillapplytapeoverfrayedareasofelectricalcords Ineedtosetmyhotwaterheaterto140degreesFahrenheit …thisSATAwasexactlythesameaswell,Ichosethebolded3. 14. anurseinanemergencydepartmentisassessingaclientwhoreportsarightlowerquadrantpain, nauseaandvomitingforthepast48hours?Whichofthefollowingactionsshouldthenursetakefirst? Offer pain medication Palpate the abdomen Auscultatebowelsounds Administeranantiemetic 15. Anurseiscaringforaclientwhorecentlyreceivedadiagnosisofterminalcancer.Whichofthe following statement by the client partner indicates maladaptive coping? Ans:Idon'tknowofifIwillbeabletomeethisphysicalneeds. 16. A nurseisplanningcareforaclientwhohasastage1pressureulcerontherightheel.Thenurse should anticipate application of which of the following dressings? Dry gauge Transparent Calciumalginate Hydrogel …thisquestionwasdifferentbutaquestionwasaskedaboutaStage1pressureulcerand“transparent self- adhesive” dressing was the answer I chose. 17. A nurseiscaringforaclientwhohasbraincancerandistransferringtohospicecare.Theclient’s son tells the nurse “I don’t know what to tell my dad if he asks how he is goingto die”. Which of the following is an appropriate response from the nurse? lOMoARcPSD|11068812 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE Page17 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE GUIDE 29. A nurse is caring for a client who refuses to follow the providers prescription for bed rest. The nurseoverhearstheassistivepersonneltelltheclientthatifshedoesnotremaininbedhewillplace her in restraints. The nurse should identify that the AP is committing which of the following torts? Libel Defamationofcharacter Assault Battery …verysimilarwordingandsameanswer. 30. AnurseispreparingtoinsertanIVcatheterforanolderadultclientwhohasfragileskin.Whichof the following actions should the nurse take? Stabilize the vein by applying traction above the insertion site Engorge the vein by placing the arm in the dependent position Use friction at the insertion site to increase venous distention Leavethetourniquetonfor30to60secondsafterinitialinsertion …exactquestionandanswer. 31. A nurse is planning care for a client who has a new prescription for parental nutrition in 20% dextroseandfatemulsion.Whichofthefollowingistheappropriateactiontoindicateintheplanof care? Prepare the client for a central venous line Change the PN infusion bag every 48 hours AdministerthePNandfatemulsionseparately Obtain a random blood glucose daily …exactquestionandanswer. 32. A nurse is caring for a client who is schedule for surgery while witnessing the client signature. WhiletheclientissayingItrustmydoctor, butIdon’tunderstandwhathemeantwhenhesaidhe’ll reset my intestines.Which of the following actions should the nurse take? Providebrochuresabouttheprocedure Notifytheprovider Complete an incident report Describethesurgerytotheclient …didn’tcomeup,buttherewasaSATAaboutthenursebeingawitnesstoaconsentformbeingsigned. Something like “what is the nurse authorizing when she signs off that she was witness to the patient giving/ signing their consent?” lOMoARcPSD|11068812 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE Page18 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE GUIDE 33. A nurseiscaringforaclientwhoisagitatedandthreatingtoharmothers. Thenurseplacesthe client in restraints but does not notify the provider or obtain a prescription for the restraints. The situation respects which of the following torts? Falseimprisonment Invasion of privacy Assault Negligence …exactquestionandanswer. 34. AnurseisconductingaWebbertestonaclient.Whichofthefollowingisanappropriateaction for the nurse to take? Placeanactivatedtuningforkinthemiddleoftheclient’sforehead(shouldjustbeheadnot forehead technically) …exactquestionandanswer. 37. Anurseonamedicalunitiscaringforagroupofclients.Forwhichofthefollowingtasksshouldthe nurse wear a face shield. Ans:ChangingthebriefofanolderclientwhohasClostridiumdifficile 38. Anadultclienttellsanurseaboutrecentlackofsleepduetochangingtoanightshiftjob.Which of the following interventions should the nurse suggest? Usethetelevisiontomaskexternalnoises Listentosoftmusicbeforelyingdown Exercisejustpriortobedtime(…ATIEbooksaysexcersicehastobeatleast 2hours priorto bedtime) Keepthesleepingenvironmentwarm …alsoseenext question 43. A nurse is caring for a client who has a new diagnosis of fibromyalgia. The client tells the nurse that shewantstousetraditionalChinesemedicinefortreatmentinsteadofthemedicationprescribedbyher provider. Which of the following is an appropriate response by the nurse? Ans:YoushouldasktheproviderifsherecommendtraditionalChinesemedicine. 45.Anurseiscaringforaclientwhoreportsthatshehasinsomnia.Whichofthefollowing interventions is appropriate for the nurse to recommend? Eatalightcarbohydratesnackbeforebedtime Exercise1hourbeforebedtime Drinkacupofhotcocoabeforebedtime Take a 30 min nap daily lOMoARcPSD|11068812 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE Page19 ATIFUNDAMENTALSPROCTOREDEXAM2019RETAKE GUIDE …thisquestionwaspresenteddifferentlybecauseoneoftheanswerchoiceswas“eatalargemeal before bed,” which is incorrect. 39. AnurseisteachingagroupofnewlylicensednursesabouttheBradenscale.Whichofthe following responses by a newly licensed nurse indicates understanding in the teaching? Eachelementhasarange1to5 points Thehigherthescorethehigherthepressureulcerrisk The clients age is part of the measurement Thescalemeasuressixelements …exactquestionandanswer. 40. Anurseisplanningcareforclientwhoisscheduledforanintravenouspyelogram.Whichofthe following actions is appropriate for the nurse to include? Ensuretheclientisfreeofmetalobjects Administer240ml(8oz)oralcontrastbeforetheprocedure(…wrongb/cIVcontrast,notoral) Monitor the client for pain in the suprapubic region Assisttheclientwithabowelcleansing 46.Astaffnurseisteachinganewlyhirednurseaboutalternativestotheuseofrestraintsonclients who are confused. Which of the following instructions should the staff nurse include” Ans:Idon'tknowofifIwillbeabletomeethisphysicalneeds. 49.Anurseisplanningtoobtainabloodsamplefromaclientforcapillarybloodglucoseposttest. Which of the following should the nurse take to obtain the sample? Thepadofthefingertip Thelateralaspectofthefinger Thepinnaoftheear Thesideofthewrist …exactquestionandanswer. 51.anurseisplanningtodischargeaclientwhohasdiabetesandanewprescriptionforinsulinwhich of the following actions should the nurse plan to complete first? Provide the client with a contact number for a diabetes education specialist Make a copy of the medication record of the reconciliation for the client Determinewhethertheclientcanaffordtheinsulinadministrationsupplies