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ATI fundamentals 2024 practice review B, Exams of Nursing

DeVry University - WisconsinNursing

ATI fundamentals 2024 practice review B ATI fundamentals 2024 practice review B ATI fundamentals 2024 practice review B

Typology: Exams

2024/2025

Available from 03/13/2025

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ATI fundamentals 2024 practice review B
1. A nurse is providing discharge teaching to a client who has a new pre-
scription for a home oxygen concentrator. Which of the following instructions
should the nurse provide to the client and his family <Ans> 1. Check the cord
routinely for frays or tearing
2. consider purchasing a generator for power backup
3. observe for signs of hypoxia
2. A nurse receives report about a client who has 0.9% sodium chloride
infusing IV at 125 mL/hr. When the nurse performs the initial assessment, he
notes that the client has received only 80 mL over the last 2 hrs. Which of the
following actions should the nurse take first <Ans> Check the IV tubing for
obstruction
3. a nurse is completing an admission assessment of an older adult patient.
Which of the following findings should the nurse identify as a potential indi-
cation of abuse <Ans> bruises on the arms in various stages of healing
4. A nurse is caring for a group of patients on a medical-surgical unit. In which
of the following situations does the nurse demonstrate the ethical principle of
veracity <Ans> A patient unaware of her recent cancer diagnosis asks the nurse
if she has cancer, and the nurse responds affirmatively.
5. A nurse is planning teaching for a group of adolescents who each recently
had surgical placementof an ostomy. Which of the following methods should
the nurse use as a psychomotor approach to learning <Ans> practice
sessions
6. A nurse is planning strategies to manage time effectively for client care.
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ATI fundamentals 2024 practice review B

  1. A nurse is providing discharge teaching to a client who has a new pre- scription for a home oxygen concentrator. Which of the following instructions should the nurse provide to the client and his family 1. Check the cord routinely for frays or tearing
  2. consider purchasing a generator for power backup
  3. observe for signs of hypoxia
  4. A nurse receives report about a client who has 0.9% sodium chloride infusing IV at 125 mL/hr. When the nurse performs the initial assessment, he notes that the client has received only 80 mL over the last 2 hrs. Which of the following actions should the nurse take first Check the IV tubing for obstruction
  5. a nurse is completing an admission assessment of an older adult patient. Which of the following findings should the nurse identify as a potential indi- cation of abuse bruises on the arms in various stages of healing
  6. A nurse is caring for a group of patients on a medical-surgical unit. In which of the following situations does the nurse demonstrate the ethical principle of veracity A patient unaware of her recent cancer diagnosis asks the nurse if she has cancer, and the nurse responds affirmatively.
  7. A nurse is planning teaching for a group of adolescents who each recently had surgical placementof an ostomy. Which of the following methods should the nurse use as a psychomotor approach to learning practice sessions
  8. A nurse is planning strategies to manage time effectively for client care.

Which of the following strategies should the nurse implemented Use the planning step of the nursing process to prioritize patient care delivery.

  1. A nurse is preparing to insert an IV catheter into a PATIENTS arm prior to initiating IV fluid therapy. Which of the following interventions should the nurse implement infection Apply transparent dressing over the IV insertion site and securement device
  2. A nurse is caring for a patient who has a prescription for wound irrigation. Which of the following actions should the nurse take cleanse the wound from the center outward.
  3. A nurse is caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the rick for injury to the patient Use a bed exit alarm system.
  4. A nurse is responding to a call light and finds a patient lying on the bath- room floor. Which of the following actions should the nurse take first Check the patient for injuries.
  5. A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the following statements should the nurse identify as an indication

Place the patients arm in a dependent position.

  1. A nurse is planning teaching for a patient who has a new diagnosis of type 1 diabetes mellitus about insulin self-administration. Which of the following actions should the nurse take first Determine the clients learning style.
  2. A nurse is caring for a patient who is expressing anger about their diag- nosis of colorectal cancer. which of the following actions should the nurse take Reassure the patient that this is an expected response to grief.
  3. A nurse is preforming a Romberg test during the physical assessment of a patient. Which of the following techniques should the nurse use having the client stand with her arms at her side and her feet together
  4. A nurse is assessing an adult patient who has been immobile for the past 3 weeks. For which of the following findings should the nurse intervene - Erythema on pressure points. (Requires prompt relief of pressure and additional measures to protect the skin from breakdown)
  1. A nurse is caring for a patient who is postoperative and refuses to use an incentive spirometer following major adnominal surgery. Which of the following actions is the nurses priority Determine the reasons why the patient is refusing to use the incentive spirometer.
  2. A nurse is caring for a patient who is receiving fluid therapy through a Peripheral IV catheter. Which of the following findings at the IV site should the nurse idetify as indicating infiltration Skin blanching (Edema and coolness at the IV site indicate this)
  3. A nurse is giving a change of shift report to a patient they admitted earlier that day who has pneumonia. Which of the following pieces of information is priority for the nurse to provide Breath sounds. (When using the A,B,Cs approach to patient care, the nurse should determine that the priority information to provide is the current status of the patient's breath sounds.)
  4. A nurse is caring for a patient who is postoperative following a knee arthroplasty and requires the use of thigh-lengths sequential compression sleeves. Which of the following actions should the nurse take make sure two fingers can fit between the sleeves.
  5. A nurse is caring for a patient who requires an NG tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube Have the patient take sips of water to promote insertion of the NG tube placement into the esophagus.
  6. A charge nurse is observing a newly listened nurse prepare a sterile field for a dressing change. Which of the following actions by the newly licensed nurse requires intervention by the charge nurse The newly licenced nurse places the cap of a bottle of sterile saline solution on the sterile field.

units of air into the bottle of NPD insulin. -Inject 5 units of air into the bottle of regular insulin. -Withdraw the correct dose of regular insulin from the bottle. -Withdraw the correct dose of NPH insulin from the bottle.

  1. A nurse is caring for a client who has terminal liver cancer. Which of the following statements should the nurse identify as an indication that the client is experiencing spiritual distress What could I have done to deserve this illness?
  2. A nurse is caring for a patient who has a respiratory infection. Which of the following techniques should the nurse use when preforming nasotra- cheal suctioning for the patient Apply intermittent suction when withdrawing the catheter.
  3. A patient demonstrates anger when the nurse does not respond within 5 minutes of ringing for the nurse. Which of the following is an appropriate response by the nurse That must be frustrating for you. How can I help right now?
  4. A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a new tracheostomy. Which of the following actions should the nurse plan to take Select a suction catheter that is half the size of the lumen.
  5. A nurse is caring for a patient who is at risk for hypokalemia. which of the following foods should be included in the patients diet Avocados
  6. A nurse is caring for a patient who reports pain. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record which of the following: statements the pain is like a dull ache

in my stomach

  1. A nurse is providing teaching to a patient who is on protective isolation precautions. which of the following client statements indicates an understand- ing of the teaching I will wear a mask when leaving my hospital room
  2. A nurse is reviewing evidenced-pased practice principals about adminis- tration of oxygen therapy with a newly licensed nurse. Which of the following should the nurse include Regulate oxygen via nasal cannula at a flow rate of no more then 6 L/min
  3. A nurse is caring for a patient who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the patient that this condition is a contraindication for which of the following therapies Acupuncter
  4. The nurse is teaching the newly licensed nurse how to insert an IV catheter into the client. Which of the following statements by the newly licensed nurse

Record the diastolic number as the last sound heard? Place the lower border of the cuff slightly over the antecubital space. Release the air from the cuff so the pressure decreases at 5mm Hg per second. Use a blood pressure cuff with a bladder that 50% of the clients arm circum- frence.: Record the diastolic number as the last sound heard.

  1. A nurse is preforming medication reconciliation with a patient. Which of the following actions should the nurse take first?

-Contact the provider about discrepancies in medication dosages. -Provide the patient with a list of prescribed medications. -compare the providers admission prescriptions to a clients list of home medications. -Ask the patient if they take any over-the-counter medications.: Ask the client if they take any over the counter medications

  1. A nurse is demonstrating how to administer medication by intravenous bolus through a saline lock. Which of the following statements by a nurse viewing the demonstration indicates understanding of the procedure? -"I will check for blood return before I inject the medication." -"I will flush the saline lock quickly after administrating the medication." -"I will flush the saline lock with 20mL of 0.9% sodium chloride after injecting the medication." -"I will use the injection port closes to the IV pump.": "I will check for blood return before I inject the medication."
  2. A nurse is assessing a client's IV site who is receiving an Intravenous in- fusion. The nurse notes the client's IV site is cool to palpation and edematous. Which complication should the nurse suspect Extravasation! (This occurs when fluid leaks into the surrounding tissue. The nurse should also assess for blanched skin and pain at the IV site"
  3. A nurse is preforming an admission on a patient who has chronic fatigue:
  4. "The first patient the nurse should assess is patient followed by patient ."

Patient 5: Client has a stage 2 pressure injury on the left heel. Patient 6: is admitted with a new diagnosis of diabetes mellitus.: Patient 3 followed by patient 4.

  1. "A nurse is caring for a client who has COPD." 1000 Vital signs:::: temp: 38.6c (101.5F) BP- 114/ heart rate- 99/min Respiratory rate- 32/min O2 sats- 85% on room air. Nurse notes: 1100 Client admitted with a productive cough with thick yellow sputum. Breath sounds with crackles heard in left upper lobe and decreased breath sounds at bases bilaterally. Diagnostic results 1200: chest x-ray shows lung hyperinflation and left upper lobe pneumonia. Select three findings that require follow-up.: Breath sounds blood pressure. oxygen saturation temperature heart rate: Breath sounds, Oxygen saturation, temperature.
  1. A nurse is caring for a patient who asks about the purpose of advanced directives. Which of the following statements should the nurse make "They indicate the form of treatment a client is willing to accept in the event of serious illness"
  2. A nurse is teaching an older adult patient who is at risk for osteoporosis about beginning a program of regular physical activity. Which of the following types of activity should the nurse recommend? walking briskly. riding a bicycle.

doctor says that, since I am at average risk for colon cancer, I should have a routine screening. What does that involve?" Which of the following responses should the nurse make? -I'll get a blood sample from y ou and send it for a screening test -beginning at age 60, you should have a colonoscopy -should have a fecal occult test every year -the recommendation is to have a sigmoidoscopy every 10 years: You should have a fecal occult blood test every year

  1. "A nurse is caring for a peripheral IV inserted for fluid replacement." Nurses' notes: Day 1. LRs at 100 mL/hr. infusing into a 20-guage IV catheter in left hand. IV dressing dry and intact. IV site without redness or swelling. IV fluid infusing well.

Day 2. IV site edematous, skin surrounding catheter site taut, blanches, and cool to the touch. IV infusion not infusing. Which of the following actions should the nurse take -Stop the iv infusion. -elevate the patients left arm. -apply heat to the patients left arm.

  1. A nurse is caring for a female patient who is currently receiving chemother- apy for treatment of breast cancer. Diagnostic results:: Week 1 Hct 42% (37-47) Hgb 15 g/dL (12-16) WBC count 8,000/mm3 (5,000-10,000) Platelet count 350,000/mm3 (150k-400k) potassium 3.6 mEq/L (3.5-5) week 2 Hct 37% Hgb 12g/dL WBC 6,000/mm Platelet 100,000/mm potassium 3.6 mEq/L The client is at risk for as evidenced by the patients. : Bleeding as evidenced by the platelet count.
  2. A nurse is caring for a 45- year-old patient who is 2 days postoperative fol- lowing an appendectomy and has type 1 diabetes mellitus. their Hgb is 12 g/dL
  1. A nurse is instructing a client who has an injury on the left lower extremity about the use of a cane. Which of the following instructions should the nurse include? A) Hold the cane on the right side. B)Keep two points of support on the floor. C)Place the cane 38 cm (15 in) in front of the feet before advancing. D)After advancing the cane, move the weaker leg forward. E)Advance the stronger leg so that it aligns evenly with the cane.: A, B, D
  2. A nurse is planning care for a client who is on bed rest. Which of the following interventions should the nurse plan to implement Encouraging the client to perform antiembolic exercises every 2 hours
  3. Claire is preparing to apply the sequential compression sleeves to Mr. Tuttle's legs. Which technique should Claire use to determine the correct size of the stocking? A) Measuring the length of the leg from the groin to the heel B) Measuring the thickest part of the calf C) Measuring the distance between the top of the thigh to the bottom of the knee D) Measuring around the largest part of the thigh: D) Measuring around the largest part of the thigh
  4. Claire is evaluating Mr. Tuttle's understanding of the use of a sequential compression device. Which of the following client statements indicates client understanding? A) "This device will keep me from getting sores on my skin." B) "This device will keep the blood pumping through my legs."

C) "With this device on, my leg muscles won't get weak." D) "This device is going to keep my joints in good shape.": B

  1. A nurse is caring for a client who is receiving enteral tube feedings due to dysphagia. Which of the following bed positions should the nurse use for safe care of this client? A) Supine B) Semi-Fowler's C) Lateral Semi-prone Recumbent D) Trendelenburg: B
  2. A nurse is instructing a client who has COPD about using the orthopneic position to relieve shortness of breath. Which of the following statements should the nurse make? A) "Lie on your back with your head and shoulders supported by a pillow." B) "Have your head turned to the side while you lie on your stomach."