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2023 A with NGN Questions and
Answers GRADED A+ verified
ATI RN Fundamentals Online Practice
2023 A with NGN Questions and
Answers GRADED A+ verified
A nurse is admitting a client who has an abdominal wound with a large amount of purple tissue drainage. Which of the following types of transmission precautions should the nurse initiate? Protective environment Airborne precautions Droplet precautions Contact precautions -
✔️ Contact precautions
A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take? -Discuss the risk factors for colon cancer. -Focus teaching on what the client will need to do in the future to manage his illness. -Provide the client with written information about the phases of loss & grief. -Reassure the client that this is an expected response to grief. -
✔️ -Reassure the client that this is an expected response to grief.
A nurse is caring for a client who is postoperative following a knee arthroplasty & requires the use of thigh-length sequential compression sleeves. Which of the following actions should the nurse take? -Assist the client into a prone position -Place a sleeve over the top of each leg with the opening at the knee -Make sure two finger can fit under the sleeves -Set ankle pressure at 65 mmHg -
✔️ -Make sure two finger can fit under the sleeves
A nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury. Which of the following types of dressings should the nurse use? Alienate Gauze Transparent Hydrocolloid -
✔️ Hydrocolloid
A nurse is preparing an education program for the staff about advocacy. Which of the following information should the nurse include? -Advocacy ensures clients' safety, health, & rights.
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-Advocacy series that nurses are able to explain their own actions. -Advocacy ensures that nurses follow through on their promises to clients. -Advocacy ensures fairness in client care delivery and use of resources. -
✔️ Advocacy ensures clients' safety, health, & rights.
A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation? -Verify the client's name on their identification bracelet with the medication administration record -Call the pharmacy to determine whether the client's medications are available -Compare the clients home medications with the provider's prescriptions -Place the client's home medication bottles in a secure location - ✔️ Compare the clients home medications with the provider's prescriptions
A nurse is assessing an older adult client's risk for falls. Which of the following assessments should the nurse use to identify the client's safety need? (Select all that apply) -Lacrimal apparatus -Pupil clarity -Appearance of bulbar conjunctivae -Visual fields -Visual acuity -
✔️ Pupil clarity Visual fields Visual acuity
A nurse is providing discharge instructions to a client who will be using a walker. Which of the following client statements indicates an understanding of the teaching? -"I can place an extension cord across my living room to plug in my television." -"I will hire someone to trim the tree that hangs low over the stairs of my front porch." -"I will place my alarm clock on my bedroom dresser across the room." -"I will replace the old throw rug in my kitchen with a new one." -
✔️ -"I will hire someone to trim the tree that hangs low over the stairs of my front porch."
A nurse is reviewing a client's fluid & electrolyte status. Which of the following findings should the nurse report to the provider? BUN 15 mg/dL Creatinine 0.8 mg/dL Sodium 143 mEq/L Potassium 5.4 mEq/L -
✔️ Potassium 5.4 mEq/L
nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. the nurse notifies the surgeon, who tells the nurse to continue to
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The client reported fever, chills, cough, and night sweats for the past 2 weeks the nurse is placing the client on isolation precautions. which of the following interventions should the nurse include? -wear an N95 mask when caring for the client -place a container for soiled linens inside the client's room -place the client in a negative airflow room -remove the mask after exiting the client's room -wear a sterile, water-resistant gown if within 3 feet of the client. -
✔️ -wear an N95 mask when caring for the client -place a container for soiled linens inside the clients room -place the client in a negative airflow room -remove mask after exiting the clients room
A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1 mL of the medication from a 2 mL vial. Which of the following actions should the nurse take? -Ask another nurse to observe the medication wastage. -Notify the pharmacy when wasting the medication. -Lock the remaining medication in the controlled substances cabinet. -Dispose of the vial with the remaining medication in a sharps container. -
✔️ Ask another nurse to observe the medication wastage.
A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. Which of the following actions should the nurse take? -Place the client in a side-lying position -Instill 15 mL of irrigation fluid into the catheter with each flush -Subtract the amount of irritant used from the clients urine output -Perform the irrigation using a 20 mL syringe - ✔️ Subtract the amount of irritant used from the clients urine output
A nurse is teaching a client & his family how to care for the client's tracheotomy at home Which of the following instructions should the nurse include in the teaching? -Remove the outer cannula cautiously for routine cleaning -Use tracheostomy covers when outdoors -Use sterile technique when performing tracheostomy care at home -Cleanse irritated skin w/ full strength hydrogen peroxide -
✔️ Use tracheostomy covers when outdoors
A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client asks, "What will happen if I arrived at the emergency department & I had difficulty breathing?" Which of the following responses should the nurse make? -"We would consult the person appointed by your health care proxy to make decisions."
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-"We would give you oxygen through a tube in your nose." -"You would be unable to change your previous wishes about your care." -"We would insert a breathing tube while we evaluate your condition." -
✔️ "We would give you oxygen through a tube in your nose."
the nurse should first , ...... followed by........ -
✔️ -review medications that might be causing confusion
- using other methods to keep the client safe
A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client? -Make sure the client's room has at least six air exchanges per hour. -Make sure the client wears a mask when outside her room if there's construction in the area. -Place the client in a private room with negatives-pressure airflow. -Wear an N95 respirator when giving client direct care. -
✔️ Make sure the client wears a mask when outside her room if there's construction in the area.
The nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7 hr. The nurse should set the infusion pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - ✔️ 107 mL/hr
A nurse is teaching for a client who has heart failure. which of the following 3 statements by the client indicates an understanding of the teaching? -"I have been weighing myself every other morning" -"i am trying to decrease my intake of foods with potassium" -i" i am limiting my sodium intake to 2 grams daily" -" i am eating fewer potato chips and more fruit for snacks" -" i will lie down and rest after meals" -" i know to call my doctor if i gain 3 pounds or more in 2 days" -
✔️ - i am limiting my sodium intake to 2 grams daily" -i am eating fewer potato chips and more fruit for snacks -i know to call my doctor if i gain 3 pounds or more in 2 days"
A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use? -The top of the cane is parallel to the client's waist -When walking, the client moves the cane 46 cm (18 in) forward -The client holds the cane on the stronger side of her body -The client moves her stronger limb forward with the cane -
✔️ -The client holds the cane on the stronger side of her body
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-avoid caffeine while experiencing diarrhea -drink hot liquids several times a day -drink carbonated beverages to replace lost fluids -follow a low-fiber diet -
✔️ -eat probiotic foods such as yogurt -avoid alcohol while experiencing diarrhea -avoid caffeine while experiencing diarrhea -follow a low-fiber diet
A nurse is admitting a client who is having an exacerbation of heart failure. In planning this client's care, when should the nurse initiate discharge planning? During the admission process As soon as the client's condition is stable During the initial team conference After consulting with the client's family -
✔️ During the admission process
A nurse manager is preparing to review medication documentation with a group of newly licenses nurses. Which of the following statements should the nurse manager plan to include in the teaching? "Use the complete name of the medication magnesium sulfate."
"Delete the space between the numerical dose & the unit of measure." "Write the letter U when noting the dosage of insulin." "Use the abbreviation SC when indicating an injection." -
✔️ "Use the complete name of the medication magnesium sulfate."
A nurse in a long term care facility is caring for a client who dies during the nurse's shift. Identify the sequence in which the nurse should perform the following steps. (By placing them in the order of performance) - ✔️ 1. Obtain the pronouncement of death from the provider2. Remove tubes and indwelling catheters3. Wash the clients body4. Ask the client's family members if they'd like to view the body5. Place a name tag on the body
A nurse is auscultating the anterior chest of a client who was newly admitted to a medical-surgical unit. listen to the audio clip of what the nurse auscultates through the stethoscope and identify the type of breath sounds crackles rhonchi friction rub normal breath sounds -
✔️ normal breath sounds
A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take?
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Pad the client's wrist before applying the restraints
Evaluate the client's circulation every 8 hr after application
Remove the restraints every 4 hr to evaluate the client's status
Secure the restraints to the bed's side rails - ✔️ Pad the client's wrist before applying the restraints
A nurse is preparing a change-of-shift report. which of the following tools or documents should the nurse use to communicate continuity of care? Critical pathway
Situation, background, assessment, & recommendation
(SBAR)Transfer report
Medication administration record (MAR) - ✔️ (SBAR)Transfer report
A nurse is caring for a client who is postoperative following abdominal surgery click to highlight the assessment findings below that the nurse should report to the provider. - ✔️ urinary output reported pain level vital signs
A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Which of the following observations should the nurse identify as proper safety protocol? The client uses a wool blanket on their bed. The client identifies the location of a fire extinguisher The client stores an extra oxygen tank on its side under the bed. The client has a weekly inspection checklist for oxygen equipment. - ✔️ The client identifies the location of a fire extinguisher
A nurse is assessing four adult clients. Which of the following physical assessment techniques should the nurse use? -Use the Face, Legs, Activity, Cry, &Consolability (FLACC) pain rating scale for a client who is experiencing pain. -Ensure the bladder of the blood pressure cuff surrounds 80% of the client's arm. -Obtain an apical heart rate by auscultating the third intercostal space left of the sternum. -Palpate the client's abdomen before auscultating bowel sounds. -
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A nurse is talking with an older adult client who is contemplating retirement. This client states, "I keep thinking about how much I enjoy my job. I'm not sure I want to retire." Which of the following responses should the nurse make? -"You would have so much more time to spend time with your family." -"You should consider getting a part-time job or doin volunteer work." -"Let's talk about how the change in your job status will affect you." -"Why wouldn't you want to retire & relax?" -
✔️ Let's talk about how the change in your job status will affect you."
A nurse is caring for a client who has a peripheral IV inserted for fluid replacement the nurse is assessing the client. which of the following actions should the nurse take? - ✔️ -stop the IV infusion -elevate the client's left arm -apply heat to the clients left hand
A nurse is caring for a client who is postoperative & refuses to use an incentive spirometer following a major abdominal surgery. Which of the following actions is the nurse's priority? -Request that a respiratory therapist discuss that technique for incentive spirometry with the client -Determine the reasons why the client is refusing to use the incentive spirometer. -Document the client's refusal to participate in health restorative activities. -Administer a pain medication to the client. -
✔️ Determine the reasons why the client is refusing to use the incentive spirometer.
A nurse is caring for a client who asks about the purpose of advance directives. Which of the following statements should the nurse make? -"They allow the court to overrule an adult client's refusal of medical treatment." -"They indicate the form of treatment a client is willing to accept in the event of a serious illness." -"They permit a client to withhold medical information from health care personnel." -"They allow health care personnel in the emergency department to stabilize a client's condition." -
✔️ "They indicate the form of treatment a client is willing to accept in the event of a serious illness."
A nurse is caring for a client who has a terminal illness & is at the end of life. The nurse should recognize that which of the following statements by the client's partner indicates effective coping? -"I am not worries because I still have hope that he will be okay." -"I am relying on support from our family during this time." -"We can plan our family reunion once he recovers & comes home."
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-"We don't see any reason to start discussing funeral arrangements right now." - ✔️ -"I am relying on support from our family during this time."
A nurse is caring for a client who has pneumonia complete the following sentence by using the list of options The nurse should identify that the client might be experiencing ...... as evidenced by the client's........... - ✔️ extravasation, IV catheter site
A nurse is caring for a client who has an aggressive form of prostate cancer. the provider briefly discusses treatment options & leaves the client's room. When the nurse asks if the client would like to discuss any concerns, the client decides. Which of the following statements should the nurse make? -"I will return shortly after I document this in your record." -"Most men live a long time with prostate cancer." -"I am available to talk if you should change your mind." -"I will make a referral to a cancer support group for you." -
✔️ -"I am available to talk if you should change your mind."
A nurse is responding to a call light & finds a client lying on the bathroom floor. Which of the following actions should the nurse take first? -Check the client for injuries -Move hazardous objects away from the client -Notify the provider -Ask the client to describe how she felt prior to the fall - ✔️ Check the client for injuries
A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complimentary & alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication for with of the following therapies?Biofeedback Aloe Feverfew Acupuncture -
✔️ Acupuncture
A nurse is caring for a client who has a new diagnosis of seizure disorder. the nurse should first address the clients....... followed by the clients ....... -
✔️ physical safety positioning
A nurse is reviewing evidence-based practice principles about administration of oxygen therapy with a newly licensed nurse. Which of the following actions should the nurse include?
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A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching she received about pain management? -"I think I should take my pain medication more often since it is not controlling my pain." -"Breathing faster will help keep my mind off of the pain." -"It might help me to listen to music while I'm lying in bed." -"I don't want to walk today because I have some pain." -
✔️ "It might help me to listen to music while I'm lying in bed."
A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use?
- The top of the cane is parallel to the client's waist.
- When walking, the client moves the cane 46 cm (18 in) forward.
- The client holds the cane on the stronger side of her body.
- The client moves her stronger limb forward with the cane. -
✔️ 3 The client should hold the cane on the stronger side of her body to increase support and maintain alignment.
A nurse receives a report about a client who has 0.9% sodium chloride infusing IV at 125mL/hr. When the nurse performs the initial assessment, he notes that the client has received only 80mL over the last 2 hr. Which of the following actions should the nurse take first?
- Reposition the client.
- Document the client's IV intake in the medical record.
- Request a new IV fluid prescription.
- Check the IV tubing for obstruction. - ✔️ 4 The first action the nurse should take using the nursing process is to assess the client. If checking the IV tubing and verifying an obstruction, the nurse might be able to facilitate the flow of fluid through the tubing. This could re-establish the infusion rate the provider prescribed.
A nurse is caring for a client who requires an NG tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube?
- Position the client with the head of the bed elevated to 30° prior to insertion of the NG tube.
- Remove the NG tube if the client begins to gag or choke.
- Apply suction to the NG tube prior to insertion.
- Have the client take sips of water to promote insertion of the NG tube into the esophagus. -
✔️ 4 Taking sips of water as the NG tube passes through the oropharynx will close the epiglottis over the trachea and prevent the tube from passing into the trachea.
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A nurse is reviewing a client's fluid and electrolyte status. Which of the following findings should the nurse report to the provider?
- BUN 15 mg/dL
- Creatinine 0.8 mg/dL
- Sodium 143 mEq/L
- Potassium 5.4 mEq/L - ✔️ 4 This value is above the expected reference range of 3.5 to 5 mEq/L, so the nurse should report this finding to the provider. This client is at risk for dysrhythmias.
A nurse is providing discharge instructions to a client who will be using a walker. Which of the following client statements indicates an understanding of the teaching? 1."I can place an extension cord across my living room to plug in my television."
- "I will hire someone to trim the tree that hangs low over the stairs of my front porch."
- "I will place my alarm clock on my bedroom dresser across the room."
- "I will replace the old throw rug in my kitchen with a new one." - ✔️ 2 Clearing stairs of any object that could cause the client to trip or require them to bend over while walking will decrease the risk for falls.
A nurse is planning care for a client who has had a stroke, resulting in aphasia and dysphagia. Which of the following tasks should the nurse assign to an assistive personnel? SATA
- Assist the client with a partial bed bath.
- Measure the client's BP after the nurse administers an antihypertensive medication.
- Test the client's swallowing ability by providing thickened liquids.
- Use a communication board to ask what the client wants for lunch.
- Irrigate the client's indwelling urinary catheter. -
✔️ 1, 2, 4 Assisting a client with a bed bath poses minimal risk to the client and is within the AP's range of function. Measuring a client's BP poses minimal risk to the client and is within the AP's range of function. Using a communication board poses minimal risk to the client and is within the AP's range of function.
A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take?
- Discuss the risk factors for colon cancer.
- Focus teaching on what the client will need to do in the future to manage his illness.
- Provide the client with written information about the phases of loss and grief.
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An allogeneic stem cell transplant compromises the client's immune system, greatly increasing the risk for infection. The client will need protection from breathing in any pathogens in the environment.
A nurse is planning strategies to manage time effectively for client care. Which of the following strategies should the nurse implement?
- Combine client care tasks when caring for multiple clients.
- Wait until the end of the shift to document client care.
- Use the planning step of the nursing process to prioritize client care delivery.
- Allow for interruptions in tasks to discuss client care issues with colleagues. -
✔️ 3 Setting up a list of goals and tasks to perform for clients can help the nurse set care priorities and plan tasks accordingly. The priority to-do list is an efficient tool for optimal time management.
A nurse caring for a client who is postoperative following a knee arthroplasty and requires the use of thigh-length sequential compression sleeves. Which of the following actions should the nurse take?
- Assist the client into a prone position.
- Place a sleeve over the top of each leg with the opening at the knee.
- Make sure two fingers can fit under the sleeves.
- Set the ankle pressure at 65 mm Hg. - ✔️ 3 The nurse should ensure that there is enough space for two fingers to fit under the sleeve because any less space between the sleeves and the legs can inhibit circulation when the sleeves inflate.
A nurse is caring for a client who has a respiratory infection. Which of the following techniques should the nurse use when performing nasotracheal suctioning for the client?
- Insert the suction catheter while the client is swallowing.
- Apply intermittent suction when withdrawing the catheter.
- Place the catheter in a location that is clean and dry for later use.
- Hold the suction catheter with her clean, nondominant hand. - ✔️ 2 The nurse should apply intermittent suction during the withdrawal of the catheter to prevent injury to the mucosa. However, suctioning continuously for more than 10 seconds can cause cardiopulmonary compromise.
A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the clients pain?
- "Is your pain constant or intermittent?"
- "What would you rate your pain on a scale of 0 to 10?"
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- "Does the pain radiate?"
- "Is your pain sharp or dull?" - ✔️ 4 Asking the client whether the pain is sharp, dull, crushing, throbbing, aching, burning, electric-like, or shooting helps determine the quality of the pain.
A nurse is providing discharge teaching to a client about self-administering heparin. Which of the following instructions should the nurse include in the teaching?
- Insert the needle at a 15° angle.
- Aspirate for blood return prior to administration.
- Administer the medication into the abdomen.
- Massage the site following the injection. - ✔️ 3 The nurse should instruct the client to administer the medication into the abdomen at least 5.08 cm (2 in) from the umbilicus. The client should pinch or spread the skin at the injection site to administer the medication into the subcutaneous tissue.
A nurse in a long-term care facility is caring for a client who dies during the nurses shift. Identify the sequence in which the nurse should perform the following steps
- Place a name tag on the body
- Obtain the pronouncement of death from the provider
- Remove the tubes and indwelling lines
- Wash the clients body
- Ask the clients family member if they would like to view the body - ✔️ 2,3,4,5,
A nurse is teaching a client and his family how to care for the client's tracheostomy at home. Which of the following instructions should the nurse include in the teaching?
- Remove the outer cannula cautiously for routine cleaning.
- Use tracheostomy covers when outdoors.
- Use sterile technique when performing tracheostomy care at home.
- Cleanse irritated skin with full-strength hydrogen peroxide. -
✔️ 2 Tracheostomy covers protect the client's airway from cold air, dust, and other airborne particles.
A nurse is caring for a client who has a terminal illness and is approaching death. The client is short of breath and has noisy respirations from secretions. Which of the actions should the nurse take?
- Turn the client every 2 hr.
- Administer an antiemetic every 6 hr.
- Hold oral care.
- Increase the room's temperature. -
✔️ 1
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A nurse is caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the risk for injury to the client?
- Use a bed exit alarm system.
- Raise four side rails while the client is in bed.
- Apply one soft wrist restraint.
- Dim the lights in the client's room. - ✔️ 1 The nurse should identify that a client who has dementia requires assistance when exiting their bed and might be unable to remember to ask for help. The client's condition places them at a risk for falling; therefore, a bed alarm system can alert staff members that the client is trying to get out of bed and requires assistance.
A nurse is assessing an older adult client's risk for falls. which of the following assessments should the nurse use to identify the clients safety needs?
- Lacrimal apparatus
- Pupil clarity
- Appearance of bulbar conjunctivae
- Visual fields
- Visual acuity -
✔️ 2,4,
. Cloudy pupils mean that the client has cataracts. This makes vision cloudy and creates halos around lights, which can increase the risk for falls because clients cannot see items in their path clearly. The nurse should use a finger to test the client's peripheral vision by moving the finger out of range and then back into the visual field to determine when the client sees the finger. Clients who have a visual field impairment are at an increased risk for falls because they might not see objects outside of their central vision and trip over them or bump into them and fall. The nurse should use a Snellen chart to assess distance vision and a handheld card to assess near vision. Clients who wear eyeglasses should wear them during the assessments. Clients who have impaired visual acuity are at an increased risk for falls because they might not see objects in their path and trip over them or bump into them and fall.
A nurse is caring for a client who has pharyngeal diptheria. Which of the following types of transmission precautions should the nurse initiate?
- Contact
- Droplet
- Airborne
- Protective -
✔️ 2 Droplet precautions are a requirement for clients who have infections that spread via droplet nuclei that are larger than 5 microns in diameter, including rubella, meningococcal pneumonia, and streptococcal pharyngitis. The nurse should wear a
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mask when providing care or when within 1 m (3 feet) of the client who has a disorder requiring droplet precautions.
A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should in form the client that this condition is a contraindication for which of the following therapies?
- Biofeedback
- Aloe
- Feverfew
- Acupuncture -
✔️ 4 The nurse should inform the client that herpes zoster, or any skin infection, is a contraindication for the use of acupuncture. An open portal on the skin's surface could increase the risk of further infection.
A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the following types of transmission precautions should the nurse initiate?
- Protective environment
- Airborne precautions
- Droplet precautions
- Contact precautions - ✔️ 4 Major wound infections require contact precautions, which means the nurse should admit the client to a private room. All caregivers should wear a gown and gloves during direct contact with this client.
A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client asks what would happen if i arrive at the emergency department and I had difficulty breathing? Which of the following responses should the nurse make?
- "We would consult the person appointed by your health care proxy to make decisions."
- "We would give you oxygen through a tube in your nose."
- "You would be unable to change your previous wishes about your care."
- "We would insert a breathing tube while we evaluate your condition." -
✔️ 2 Oxygen can provide comfort and is not considered a resuscitative measure when the nurse delivers it via nasal cannula.
A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of the following findings should the nurse identify as a potential indication of skin malignancy?
- A lesion with uniform pigmentation
