ATI 2019 Fundamentals Proctored Exam latest version ATI 2019 Fundamentals Proctored Exam l | Exams Nursing

ATI 2019 Fundamentals Proctored Exam

latest version 2025/2026.

A nurse is planning care for a group of clients. Which of the following tasks should the

nurse delegate to an assistive personnel?

a. Changing the dressing for a client who has a stage 3 pressure injury

b. Determining a client's response to a diuretic

c. Comparing radial pulses for a client who is postoperative

d. Providing postmortem care to a client - CORRECT ANSWERS-d. Providing

postmortem care to a client

A nurse is conducting a health assessment for a client who takes herbal supplements.

Which of the following statements by the client indicates an understanding of the use of

the supplements?

A. I take ginkgo biloba for a headache

B. I take echinacea to control my cholesterol

C. I use ginger when I get car sick

D. I use garlic for my menopausal symptoms

- CORRECT ANSWERS-I use ginger when I get car sick

A nurse is caring for a client who has influenza and isolation precautions in place.

Which of the following actions should the nurse take to prevent the spread of infection?

A. Wear a mask when working within 3 feet of the client

B. Administer metronidazole

C. Don protective eyewear before entering the room.

D. Place the client in a negative airflow room. - CORRECT ANSWERS-Wear a mask

when working within 3 feet of the client

A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his

NG tube. 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 possible

C.Allow room for two fingers to fit between the clients skin and the restraints

d. remove the restraints every 4 hours - CORRECT ANSWERS-Allow room for two

fingers to fit between the clients skin and the restraints

A nurse is admitting a client who has tuberculosis. Which of the following types of

transmission precautions should the nurse plan to initiate?

A. Droplet

B. Airborne

c. protective environment

d. contact - CORRECT ANSWERS-Airborne

A nurse in a well-child clinic receives a telephone call from a parent who states that their

child accidentally swallowed paint thinner. The child is awake and alert. Which of the

following responses should the nurse make?

A. Have your child drink one large glass of water.

B. Hang up and call a poison control center hotline.

C. Bring your child into the clinic later today.

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ATI 2019 Fundamentals Proctored Exam

latest version 2025/2026.

A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel? a. Changing the dressing for a client who has a stage 3 pressure injury b. Determining a client's response to a diuretic c. Comparing radial pulses for a client who is postoperative d. Providing postmortem care to a client - CORRECT ANSWERS-d. Providing postmortem care to a client A nurse is conducting a health assessment for a client who takes herbal supplements. Which of the following statements by the client indicates an understanding of the use of the supplements? A. I take ginkgo biloba for a headache B. I take echinacea to control my cholesterol C. I use ginger when I get car sick D. I use garlic for my menopausal symptoms

CORRECT ANSWERS-I use ginger when I get car sick A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following actions should the nurse take to prevent the spread of infection? A. Wear a mask when working within 3 feet of the client B. Administer metronidazole C. Don protective eyewear before entering the room. D. Place the client in a negative airflow room. - CORRECT ANSWERS-Wear a mask when working within 3 feet of the client A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG tube. 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 possible C.Allow room for two fingers to fit between the clients skin and the restraints d. remove the restraints every 4 hours - CORRECT ANSWERS-Allow room for two fingers to fit between the clients skin and the restraints A nurse is admitting a client who has tuberculosis. Which of the following types of transmission precautions should the nurse plan to initiate? A. Droplet B. Airborne c. protective environment d. contact - CORRECT ANSWERS-Airborne A nurse in a well-child clinic receives a telephone call from a parent who states that their child accidentally swallowed paint thinner. The child is awake and alert. Which of the following responses should the nurse make? A. Have your child drink one large glass of 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. - CORRECT ANSWERS-Have your child drink one large glass of water A nurse is documenting a client's medical record. Which of the following entries should the nurse record. A. Oral temperature slightly elevated at 0800 B. Administered pain medication C. Incision without redness or drainage D. Drank adequate amounts of fluid with meals. - CORRECT ANSWERS-Administered pain medication A nurse is providing oral care for a client who is unconscious. Which of the following actions should the nurse take? A. Place the client in a side-lying position. B. Brush the clients teeth daily C. Apply mineral oil to the client's lips D. Rinse the client's mouth with an alcohol-based mouthwash - CORRECT ANSWERS- Place the client in a side-lying position A nurse is collaborating with a risk management team about potential legal issues involving client care. The nurse should identify which of the following situations is an example of negligence? A. A nurse administers a medication without first identifying the client. B. An assistive personnel discusses client care in the facility cafeteria with visitors present. C. A nurse begins a blood transfusion without obtaining consent. D. An assistive personnel prevents a client from leaving the facility. - CORRECT ANSWERS-A nurse begins a blood transfusion without obtaining consent A nurse is collecting a sputum specimen for culture from a client who has a respiratory infection. 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 collection C. Collect the specimen in the evening. D Collect 1 ml of sputum. - CORRECT ANSWERS-Offer the client oral hygiene after the collection A nurse is assessing an older client. Which of the following findings should the nurse expect? a. Decreased sense of balance b. Increased nighttime sleeping c. Heightened sense of pain d. Nighttime urinary incontinence - CORRECT ANSWERS-Decreased sense of balance A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which of the following instructions should the nurse include in the teaching? (select all that apply) a. "Cut the opening of the pouch 1⁄8 of an inch larger than the stoma " b. "Place a piece a gauze over the stoma while changing the pouch" c. "Use povidone-iodine to clean around the stoma" d. "Empty the ostomy pouch when it becomes one-third full of contents"

(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) DOSAGE CALCULATION - CORRECT ANSWERS-700 mL A nurse is discussing incident reports with a group of newly licensed nurses. The nurse should include that which if the following requires the completion of an incident report? a. A client's prescribed laboratory testing was not obtained b. A client withdrew consent for a procedure c. An oncoming nurse arrived to work late d. A nurse transfused a unit of packed RBCs in 2 hr. - CORRECT ANSWERS-A client's prescribed laboratory testing was not obtained A nurse is caring for a client who has a new prescription for negative-pressure therapy for a chronic wound. The nurse is unfamiliar with the procedure. Which of the following resources should the nurse consult to learn more about the intervention. a. The client's plan of care b. The nurse practice act c. The material safety data sheet d. The policy and procedure manual - CORRECT ANSWERS-The policy and procedure manual A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis. Which of the following actions should the nurse take? a. Cover the area of percussion with a towel. b. Instruct the client to exhale quickly during vibration c. Schedule postural drainage after meals d. Perform percussion over the lower back - CORRECT ANSWERS-Perform percussion over the lower back A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old child who has difficulty swallowing pills. Available is diphenhydramine 12.5mg/5ml oral syrup. Which of the following images indicates the correct number of mL the nurse should administer? (round answer to the nearest whole number.) DOSAGE CALCULATION - CORRECT ANSWERS-8ml A nurse is admitting a client who is malnourished. The client states, "My wedding ring is loose and I'm worried I will lose it if it falls off."Which of the following is an appropriate response by the nurse? a. " I will place it in your drawer so it won't get lost." b. I can pin it to your hospital gown so you won't lose it." c. "I will hold onto it until a family member can take it home." d. I can put it in a locked storage unit for you - CORRECT ANSWERS-I can put it in a locked storage unit for you A charge nurse is teaching a group of newly licensed nurses about the use of restraints. In which of the following clinical situations should the nurse apply restraints? a. If the client is pacing in the hallway b. As a part of a fall prevention program c. At the request of the client's family d. When the client poses a threat to self - CORRECT ANSWERS-When the client poses a threat to self

To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client. In which of the following roles is the nurse manager functioning? a. Case manager b. Client educator c. Client care provider d. Client advocate - CORRECT ANSWERS-Client advocate A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include? a. "Delirium does not affect a client's perception of her environment." b. "Delirium does not affect a client's sleep cycle." c. "Delirium has an abrupt onset." d. "Delirium has a slow progression." - CORRECT ANSWERS-Delirium has an abrupt onset 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 the client that their reaction is an example of which of the following expected responses to grief? a. Acceptance b. Denial c. Anger d. Depression - CORRECT ANSWERS-Denial A Nurse on a medical-surgical unit is providing care for four clients. The nurse should identify which of the following situations as an ethical dilemma? a. A surgeon who removed the wrong kidney during a surgical procedure refuses to take responsibility for her actions b. A client who has Crohn's disease reports that his prescription drug plan will not pay for his medications. c. A client who has a new colostomy refuses to take instructions from the ostomy therapist because she "doesn't like him." d. the family of a client who has a terminal illness asks the provider not to tell the client the diagnosis - CORRECT ANSWERS-the family of a client who has a terminal illness asks the provider not to tell the client the diagnosis A nurse is teaching a client about performing breast self-examinations. Which of the following statements by the client indicates an understanding of the teaching? a. "I should perform my self-exam the week that my period starts" b. "I should make different patterns on each breast when I do my self-exam." c. "I should use the palm of my hand to apply pressure to each breast." d. "I should make circular motions with my fingertips under my arms." - CORRECT ANSWERS-I should make circular motions with my fingertips under my arms A nurse is preparing to transfer a client who is partially weight bearing from the bed to the chair. Which of the following actions should the nurse take? a. Keep his knees straight when moving the client b. Position the chair next to the bed as a 90 degree angle c. Stand with his feet together when lifting the client

a. Apply intermittent suction during catheter insertion b. Suction the client's airway for 20 seconds with each pass c. Hyperoxygenate the client manually for 30 to 60 seconds before suctioning d. decrease suction pressure to 150 mm Hg if the O2 sat levels drop during suctioning - CORRECT ANSWERS-Hyperoxegenate the client for 60 seconds. A nurse is assessing a client who received morphine for severe pain 30 mins ago. Which of the following finding is the nurse's priority? a. Last bowel movement was 3 days ago b. Reports pain of 8 on a scale of 0 to 10 c. Distended bladder d. Respiratory rate 7/min - CORRECT ANSWERS-Respiratory rate 7/min A nurse is caring for a client who has been treated multiple times for STIs. Which of the following responses should the nurse take? a. "You must have too many sexual partners" b. "Why do you keep letting this happen?" c. "Let's explore why this might be re-occuring" d. "Don't you have access to condoms?" - CORRECT ANSWERS-Let's explore why this might be re-occuring A nurse enters the room of a client who has a seizure disorder. The client is sitting in a chair and begins to experience a seizure. Which of the following actions should the nurse take first? a. Move items in the room away from the client b. Turn the client onto their side c. Help the client lie on the floor d. Loosen the client's clothing - CORRECT ANSWERS-Help the client lie on the floor A nurse is testing a client for conduction deafness by performing Weber's test. Which of the following actions should the nurse take when performing this test? a. Move a vibrating tuning form in front of the client's ear canals one after the other b. Place the base of a vibrating tuning fork on the client's mastoid process c. Place the base of a vibrating tuning fork on the top of the client's head d. Count how many seconds a client can hear a tuning fork after it has been struck - CORRECT ANSWERS-Place the base of a vibrating tuning fork on the top of the client's head A nurse is obtaining the medication history of a client who asks about taking ginkgo biloba. The nurse should identify which of the following medications can interact adversely with this supplement? a. Warfarin b. Albuterol c. Levothyroxine d. Atorvastatin - CORRECT ANSWERS-Warfarin A nurse is obtaining informed consent from a client who is scheduled for surgery. The client states, "I don't want to go through with the procedure." Which of the following actions should the nurse take? a. Discuss alternative treatments with the client b. Explain to the client the risks involved with not having the procedure c. Express approval of the client's decision to not have the procedure

d. Document the client's decision in the medical record - CORRECT ANSWERS- Document the clients decision in the medical record A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching? a. " I will have my partner help me change position every 4 hours" b. " I will remove my antiembolic stockings while I am in bed" c." I will hold my breath when rising from a sitting position" d." I will perform ankle and knee exercises every hour." - CORRECT ANSWERS-I will perform ankle and knee exercises every hour A nurse is caring for a client who is postoperative and has a new prescription to advance her diet to full liquids. Which of the following foods should the nurse offer the client as a part of a full liquid diet? a. Oatmeal b. Applesauce c. Scrambled eggs d. Plain Yogurt - CORRECT ANSWERS-Plain yogurt A nurse is preparing a client who has terminal cancer for discharge. Which of the following questions should the nurse ask when assessing the client's psychosocial history? a. " What medications are you currently taking?" b." Are you experiencing any Pain?" c. " Have any of your relatives been diagnosed with cancer?" d. " What Techniques do you use to cope with stress?" - CORRECT ANSWERS-What techniques do you use to cope with stress? A nurse is performing a skin assessment on an older adult client. Which of the following findings should the nurse expect? a. Thickened outer layer of skin b. Increased skin elasticity c. Reduced sweat production d. Increased Production of oils - CORRECT ANSWERS-Reduced sweat production A nurse is caring for a client who begins to cry after receiving a diagnosis of cancer. Which of the following responses should the nurse make? a. " I would get a second opinion if I were you." b " it might seem bad now, but things will get better." c " it must be difficult for you to receive this kind of news." d I think you would benefit from speaking with our chaplain." - CORRECT ANSWERS-it must be difficult for you to receive this kind of news A nurse is preparing to obtain a health history from a client. Which of the following actions should the nurse take? a. Use the client's first name when initially meeting the client. b. Tell the client the purpose for collecting the information. c. Explain to the client the necessity of full disclosure of information. d. Avoid documenting direct quotes from the client as part of subjective data. - CORRECT ANSWERS-tell the client the purpose for collecting the information

A nurse is documenting client care. Which of the following abbreviations should the nurse use? a. " SQ" for subcutaneous b. "SS" for sliding scale c. "BRP" for bathroom privileges d. "OJ" for orange juice - CORRECT ANSWERS-BRP for bathroom privileges A nurse is preparing to bathe a client who has dementia. Which of the following actions should the nurse take? a. Give detailed instructions for the client to follow. b. Complete the bath even if the client is in distress. c. Use distractions when bathing the client. d. Allow the client to select the temperature of the bath water. - CORRECT ANSWERS- use distractions when bathing the client A hospice nurse is caring for a client who has end stage cancer. Which of the following interventions should the nurse include to promote the client's dignity? a. Provide guided imagery exercises to the client. b. Refrain from discussing the client's prognosis c. Suggest that the client keep a journal. d. Encourage the client to share their life story. - CORRECT ANSWERS-refrain from discussing the clients prognosis A nurse is caring for a client who has a closed wound drainage system. Which of the following actions should the nurse take? a. Wear sterile gloves when emptying the container. b. Reset the container with the drainage port closed c. Connect the drain to high pressure suction. d. .Cleanse the drain plug with alcohol after emptying - CORRECT ANSWERS-Cleanse the drain plug with alcohol after emptying A nurse receives a telephone prescription from a provider for a client who is experiencing pain. Which of the following responses should the nurse make? a. " Will you please spell the name of that medication for me?" b. "Let me clarify that you want the medication given qid, correct?" c. " I will sign my name now and leave a space for you to sign your name." d. "Let me provide you with the client's medical record number for identification." - CORRECT ANSWERS-Will you please spell the name of that medication for me? During change of shift report, a nurse discovers she overlooked a prescription for a type and cross-match of a client who is to have surgery the next day. Which of the following actions should the nurse take first? a. Inform the provider of the delay in obtaining the type and cross-match. b. Obtain the client's type and cross-match. c. Prepare an incident report for risk management. d. Document the incident in the client's medical record. - CORRECT ANSWERS-Inform the provider of the delay in obtaining the type and cross-match A Nurse is caring for client who has pneumonia. The nurse should recognize which of the following should be discarded in a biohazard bag? a. An emesis basin filled with blood from severe coughing b. A bedpan containing diarrhea from a client who was receiving antibiotics

c. A disposable tissue containing expectorated sputum d. A calibrated toilet insert filled with urine. - CORRECT ANSWERS-An emesis basin filled with blood from severe coughing A nurse is caring for a client who is receiving enteral feedings via NG tube. Which following actions should the nurse take prior to administering the formula? a. Check for gastric residual volume b. Encourage the client to breathe deeply and cough. c. Flush the tube with sterile 0.9% sodium chloride irrigation. d. Encourage the client to take sips of water. - CORRECT ANSWERS-check for gastric residual volume A nurse is caring for a client immediately following the insertion of an NG tube. Which of the following should indicate to the nurse that the tube is placed incorrectly? a. The client has a dry mouth b. The client is coughing c. The client has active bowel sounds d. The client is hiccuping - CORRECT ANSWERS-The client is coughing A nurse is inserting an NG tube for a client who requires gastric decompression. Which of the following actions should the nurse take to verify proper placement of the tube? a. Assess the client for a gag reflex b. Measure the pH of the gastric c. Place the end of the NG tube in the water to observe for bubbling d. Asculatate 2.5 cm above the umbilicus while injecting 15 ml of water - CORRECT ANSWERS-Measure the pH of the gastric A nurse is caring for a client who reports a pain level of 5 on a scale from 0-10. The client informs the nurse that pain meds are not an option for managing pain. Which of the following is an appropriate response by the nurse? a. Would you like to get you a back massage? b. Why do you think pain med is not going to help you? c. You may take any herbal remedies you bring from home d. I'm sure it will work if you just give it a chance - CORRECT ANSWERS-Would you like to get you a back massage? a nurse is caring for a client who has an extracellular fluid volume deficit. Which of the following findings should the nurse expect? a. Bradycardia b. Postural hypotension c. Distended neck vein d. Dependent edema - CORRECT ANSWERS-Postural hypotension A nurse is caring for a client who is immunocompromised which of the following actions should the nurse take? a. Use sterile gloves to provide perineal care b. Cleanse hands with an alcohol based hand rub before client contact c. Have the client apply a mask when children are visiting d. Place the client in a semi-private room - CORRECT ANSWERS-Cleanse hands with an alcohol based hand rub before client contact Which of the following veins should the nurse select when initiating iv therapy? a. The radial vein on the left arm

a. request a prescription for an indwelling urinary cath - CORRECT ANSWERS-request a prescription for an indwelling urinary cath A nurse is teaching a client who had an enucleation about care of an artificial eye. Which of the following information should be included in the teaching? (select all that apply) a. Store the artificial eye in the label container filled with 0.9% sodium chloride irrigation b. Remove from the artificial eye by retracting the upper eyelid c. Apply pressure just below artificial eye to break the suction d. Clear the artificial eye with hydrogen peroxide before storing e. Retract the upper and lower lids to reinsert the artificial eye - CORRECT ANSWERS- Apply pressure just below artificial eye to break the suction Clear the artificial eye with hydrogen peroxide before storing Retract the upper and lower lids to reinsert the artificial eye A nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden severe abdominal pain. Which of the following actions should the nurse take first? a. Determine areas of resonance across the abdomen using a systematic approach b. Expose the client's abdomen to look for changes in appearance c. Perform abdominal palpation by pressing gently with the finger pads d. Use the diaphragm of the stethoscope to listen for bowel sounds - CORRECT ANSWERS-Expose the client's abdomen to look for changes in appearance A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurses priority? a. Determine the client's reading ability b. Review the use of an artificial larynx c. With the client schedule a support session d. For the client explain the techniques of esophageal speech - CORRECT ANSWERS- For the client explain the techniques of esophageal speech A home care nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (select all that apply) a. I will use the bars when getting in and out of the bath tub b. I need to check my medications for expiration dates c. I need to have a fire escape plan with my family d. I will apply tape over frayed areas of electrical cords e. I need to set my hot water heater to 140 degrees Fahrenheit - CORRECT ANSWERS-I will use the bars when getting in and out of the bath tub I need to check my medications for expiration dates I need to have a fire escape plan with my family a nurse in an emergency department is assessing a client who reports a right lower quadrant pain, nausea and vomiting for the past 48 hours? Which of the following actions should the nurse take first?

a. Offer pain medication b. Palpate the abdomen c.Auscultate bowel sounds d.Administer an antiemetic - CORRECT ANSWERS-Auscultate bowel sounds A nurse is caring for a client who recently received a diagnosis of terminal cancer. Which of the following statement by the client partner indicates maladaptive coping? a. I don't know if I will be able to meet his physical needs. - CORRECT ANSWERS-I don't know if I will be able to meet his physical needs A nurse is planning care for a client who has a stage 1 pressure ulcer on the right heel. The nurse should anticipate application of which of the following dressings? a. Dry gauge b. Transparent c. Calcium alginate d. Hydrogel - CORRECT ANSWERS-b A nurse is caring for a client who has brain cancer and is transferring to hospice care. The client's son tells the nurse "I don't know what to tell my dad if he asks how he is going to die". Which of the following is an appropriate response from the nurse? a. "lets discuss your concerns about your father," or anything along those lines that is therapeutic. - CORRECT ANSWERS-lets discuss your concerns about your father," or anything along those lines that is therapeutic a nurse is teaching an older adult client who has type 2 diabetes mellitus about how to care for corns and calluses toes. Which of the following statements by the client indicates understanding of the teaching? a. I can apply lotion to soften the calluses as long as I don't put lotion between my toes b. I can place an oval corn pad over toes that have corns as longs as a remove the pad weekly c. I should soak my feet in warm water daily to soften corns and calluses d. I should use an over the counter liquid medication to remove corns - CORRECT ANSWERS-I can apply lotion to soften the calluses as long as I don't put lotion between my toes A nurse is caring for a client who has wrists restraints after an episode of violent behavior. Which of the following actions should the nurse take? a. Tie the restraints to the side rail b. Secure restraints with a square knot c. Remove one restraint at a time d. Remove the restraints every 3 hours - CORRECT ANSWERS-Remove one restraint at a time A nurse is admitting a client who has a clostridium difficile infection. Which of the following actions should the nurse take? Select all that apply a. Use an N95 respirator while providing client care b. wear a gown and gloves when providing client care c. assign the client to a private room with positive air flow d. wash hands with soap and water after contact with the client

A nurse is caring for a client who refuses to follow the providers prescription for bed rest. The nurse over hears the assistive personnel tell the client that if she does not remain in bed he will place her in restraints. The nurse should identify that the AP is committing which of the following torts? a. Libel b. Defamation of character c. Assault d. Battery - CORRECT ANSWERS-Assult A nurse is preparing to insert an IV catheter for an older adult client who has fragile skin. Which of the following actions should the nurse take? a. Stabilize the vein by applying traction above the insertion site b. Engorge the vein by placing the arm in the dependent position c. Use friction at the insertion site to increase venous distention d.Leave the tourniquet on for 30 to 60 seconds after initial insertion - CORRECT ANSWERS-Engorge the vein by placing the arm in the dependent position A nurse is planning care for a client who has a new prescription for parental nutrition in 20% dextrose and fat emulsion. Which of the following is the appropriate action to indicate in the plan of care? a. Prepare the client for a central venous line b. Change the PN infusion bag every 48 hours c. Administer the PN and fat emulsion separately d.Obtain a random blood glucose daily - CORRECT ANSWERS-Prepare the client for a central venous line A nurse is caring for a client who is schedule for surgery while witnessing the client signature. While the client is saying I trust my doctor, but I don't understand what he meant when he said he'll reset my intestines. Which of the following actions should the nurse take? a. Provide brochures about the procedure b. Notify the provider c. Complete an incident report d. Describe the surgery to the client - CORRECT ANSWERS-Notify the provider A nurse is caring for a client who is agitated and threatening to harm others. The nurse places the client in restraints but does not notify the provider or obtain a prescription for the restraints. The situation respects which of the following torts? a. False imprisonment b. Invasion of privacy c. Assault d. Negligence - CORRECT ANSWERS-False imprisonment A nurse is conducting a Webber test on a client. Which of the following is an appropriate action for the nurse to take? a.Place an activated tuning fork in the middle of the client's head - CORRECT ANSWERS-Place an activated tuning fork in the middle of the client's head A nurse on a medical unit is caring for a group of clients. For which of the following tasks should the nurse wear a face shield. a. Changing the brief of an older client who has Clostridium difficile - CORRECT ANSWERS-Changing the brief of an older client who has Clostridium difficile

An adult client tells a nurse about recent lack of sleep due to changing to a night shift job. Which of the following interventions should the nurse suggest? a. Use the television to mask external noises b. Listen to soft music before lying down c. Exercise just prior to bedtime d.Keep the sleeping environment warm - CORRECT ANSWERS-Listen to soft music before lying down A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend? a. Eat a light carbohydrate snack before bedtime b. Exercise 1 hour before bedtime c. Drink a cup of hot cocoa before bedtime d.Take a 30 min nap daily - CORRECT ANSWERS-a A nurse is caring for a client who has a new diagnosis of fibromyalgia. The client tells the nurse that she wants to use traditional Chinese medicine for treatment instead of the medication prescribed by her provider. Which of the following is an appropriate response by the nurse? a. You should ask the provider if she recommends traditional Chinese medicine. - CORRECT ANSWERS-You should ask the provider if she recommends traditional Chinese medicine A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates understanding in the teaching? a. Each element has a range 1 to 5 points b. The higher the score the higher the pressure ulcer risk c. The clients age is part of the measurement d. The scale measures six elements - CORRECT ANSWERS-The scale measures six elements A nurse is planning care for client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include? a. Ensure the client is free of metal objects b. Administer 240 ml (8oz) oral contrast before the procedure c. Monitor the client for pain in the suprapubic region d. Assist the client with a bowel cleansing - CORRECT ANSWERS-Ensure the client is free of metal objects A staff nurse is teaching a newly hired nurse about alternatives to the use of restraints on clients who are confused. Which of the following instructions should the staff nurse include a. I don't know if I will be able to meet his physical needs. - CORRECT ANSWERS-I don't know of if I will be able to meet his physical needs A nurse is planning to obtain a blood sample from a client for capillary blood glucose posttest. Which of the following should the nurse take to obtain the sample? a. The pad of the finger tip b. The lateral aspect of the finger c. The pinna of the ear d. The side of the wrist - CORRECT ANSWERS-The lateral aspect of the finger

A nurse is caring for a client who has a drainage evacuator. Which of the following is an appropriate action by the nurse? a. I don't know of if I will be able to meet his physical needs. - CORRECT ANSWERS-I don't know of if I will be able to meet his physical needs A nurse is preparing to transfer a client who is partially weight bearing from the bed to a chair. Which of the following action should the nurse a. Have the client bear weight on her stronger leg - CORRECT ANSWERS-Have the client bear weight on her stronger leg A nurse in an acute care facility is preparing to transfer a client to a long-term facility. Which of the following information should be nurse include in the hand off report? a. Effectiveness of the last dose of pain medication - CORRECT ANSWERS- Effectiveness of the last dose of pain medication A nurse is providing teaching to a client who is self-administer an ophthalmic solution. Which of the following statements by the client indicates understanding of the teaching? a. I will keep my eyes closed for 5 mins after inserting drops b. I will insert the drops in the center of the eye c. I will press the inner corner of my eye after insert drops d. I will raise my eye lid up while looking down and insert drops - CORRECT ANSWERS-I will press the inner corner of my eye after insert drops A nurse in a long-term care facility is planning care for 4 clients. Which of the following client's is at greatest risk of developing a pressure ulcer? a. A client who is incontinent of urine 1 to 2 times a day b. A client who is receiving enteral tube feedings c. Client who requires assistance to transfer from the bed to a chair d. Client who is unresponsive to pain stimuli - CORRECT ANSWERS-Client who is unresponsive to pain stimuli A nurse is assessing a client's personal hygiene. Which of the following findings indicates that the client might have difficulty with routinely bruising their teeth? A. Theclientsmucosaismoist B. The client gums feel spongy C. The client has a missing tooth D. The Client's tongue is a dull red color - CORRECT ANSWERS-The client gums feel spongy A nurse is planning to discharge a client who has diabetes mellitus and a new prescription for insulin. Which of the following actions should the nurse plan to complete first? A. Makeacopyofthemedicationreconciliationformfortheclient B. Providetheclientwiththecontactnumberforadiabeteseducationspecialist C. Determine whether the client can afford the insulin administration supplies D. Obtain printed about insulin self administration - CORRECT ANSWERS-Determine whether the client can afford the insulin administration supplies

A community health nurse is teaching a group of clients about kegel exercises to prevent urinary incontinence. Which of the following instructions should the nurse include? A. Contact your pelvic muscle when performing the exercises B.Expect improvement after 2 weeks of performing the exercises C. Hold your breath when performing the exercises D. Tighten your buttocks when performing the exercises - CORRECT ANSWERS- Contact your pelvic muscle when performing the exercises A nurse is assessing the skin of a client who has worked outdoors for the past 20 years. Which of the following findings is the nurse's priority? A. Skin tags noted in the neck region B. A change in appearance of a mole on the shoulder C. A flat, nonpalpable, discovered area of skin on the trunk D. Atrophic wart on the left index finger - CORRECT ANSWERS-A change in appearance of a mole on the shoulder A nurse is caring for a client who has a high fever. Which of the following actions should the nurse take? A cover the client with heavy blankets after shivering subsides B place ice packs on the clients neck and behind the knees C apply a bath blanket between the client and a cooling blanket D give the client a sponge bath using alcohol water solution - CORRECT ANSWERS- apply a bath blanket between the client and a cooling blanket A nurse is caring for an infant who is to undergo surgery. The nurse should identify which of the following individuals should sign the consent form? A. The infants 17 year old mother B. The infants provider C. The infants grandmother D. The mother's 21 year old sibling - CORRECT ANSWERS-The infants 17 year old mother A nurse is assisting in the use of a fracture bedpan for a client who is immobile due to a cast. Which of the following actions should the nurse use? A. Encourage the client to try to defecate for 20 min while on the fracture pan. B. Keep the bed flat while the client is on the fracture pan. C. Hyperextend the clients back while the fracture pan is in place. D. Place the shallow end of the fracture pan under the clients buttocks. - CORRECT ANSWERS-Encourage the client to try to defecate for 20 min while on the fracture pan A nurse is reviewing the medical record of a client who asks about the use of a magnet therapy for pain relief. The nurse should identify which of the following findings is a contraindication for receiving this type of therapy? A. The client is allergic to penicillin B. The client has a prescription for metoprolol C. The client has a history of alcohol use disorder D. The client has an implanted defibrillator - CORRECT ANSWERS-The client has an implanted defibrillator A nurse is caring for a client who requires airborne precautions. The nurse is preparing to leave the clients room following a dressing change. Which of the following pieces of personal protective equipment should the nurse remove first?

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