ATI RN FUNDAMENTAL ONLINE PRACTICE 2019 A WITH NGN (LATEST UPDATED 2024)

ATI RN FUNDAMENTAL ONLINE PRACTICE 2019 A WITH NGN
(LATEST UPDATED 2024)

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?
1. Pad the client's wrist before applying the restraints.
2. Evaluate the client's circulation every 8 hr after application.
3. Remove the restraints every 4 hr to evaluate the client's status.
4. Secure the restraint ties to the bed's side rails. - answers-1
The use of restraints without padding can abrade the client's skin, resulting in
client injury.
A home health nurse is performing a follow-up visit for a client who has a
gastrostomy tube through which they receive intermittent feedings and
medications. The client recently developed diarrhea. Which of the following
findings should the nurse identify as a possible cause of the diarrhea?
1. The client is receiving formula at room temperature.
2. The feedings infuse at a slow, continuous drip over 8 hr each night.
3. The client's caregiver washes out the feeding bag with warm water once
every 24 hr.
4. The client's caregiver flushes the tubing with water before and after
administering medications. - answers-3
Feeding bags should be washed out after each feeding and replaced with a
new feeding bag every 24 hr to prevent bacterial contamination. The nurse
should reinforce this information with the client's caregiver to avoid future
contamination.
A nurse is caring for a client who is postoperative. When the nurse prepares
to change her dressing, she says, "every time you change my bandage, it
hurts so much." Which of the following interventions is the nurse's priority
action?
1. Encourage the client to relax and take deep breaths during the dressing
change.
2. Educate the client about the importance of the dressing change to prevent
infection.
3. Assist the client to a comfortable position for the dressing change.
4. Administer pain medication 45 min before changing the client's dressing. -
answers-4
The priority action the nurse should take when using Maslow's hierarchy of
needs is to meet the client's physiological need for comfort and pain relief.
Therefore, the priority intervention is to administer an analgesic 30 to 60 min
before changing the client's dressing.
A nurse is caring for a client who has diarrhea due to shigella. Which of the
following precautions should the nurse implement for this client?
1. Have the client wear a mask when receiving visitors.
2. Limit the client's time with visitors to no more than 30 min per day.
3. Assign the client to a room with negative-pressure airflow exchange.
4. Wear a gown when caring for the client. - answers-4
The nurse should implement contact precautions for a client who has shigella
to prevent the transmission of the bacteria. The nurse should wear a gown
when providing care for a client who requires contact precautions due to the
risk of contact with bodily fluids and contaminated surfaces.
A nurse is administering 1L of 0.9% sodium chloride to a client who is
postoperative ans has fluid volume deficit. Which of the following changes
should the nurse identify as an indication that the treatment was successful?
1. Increase in hematocrit
2. Increase in respiratory rate
3. Decrease in heart rate
4. Decrease in capillary refill time - answers-3
Fluid volume deficit causes tachycardia. With correction of the imbalance, the
heart rate should return to the expected range.
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 - answersCompare 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 - answers-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." - answers--
"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 - answers-Potassium 5.4 mEq/L