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FUNDAMENTALS ATI EXAM AND
COMPREHENSIVE ANSWERS
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Which of
the following actions should the nurse take? - CorreCt Answers -Hold the
container of solution 30 cm (12in) above the anus
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Which of the following is the priority action the nurse should
take? - CorreCt Answers -Check the patency of the clients airway

A nurse is completing discharge teaching with a client
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The nurse should record how many mL of intake on the clients
record? - CorreCt Answers -

A nurse is caring for a client who has a prescription for a stool test for
guaiac
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Which of the following statements should the nurse identify as an
indication that the client needs further teaching? - CorreCt Answers -I
watch television until I fall asleep at night

A nurse is giving a presentation about client confidentiality to a group of
newly licensed nurses
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8,
pulse 92/min, resp rate 18/min, and BP 98/58
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Which of the
following ppe should the nurse wear when setting up the clients meal tray? CorreCt Answers -Mask

A nurse is assessing a clients radial pulse and determines that the pulse is
irregular
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Which of the
following actions should the nurse implement to improve the development
of skin breakdown? - CorreCt Answers -Apply a moisture barrier ointment
to the clients skin
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The nurse should explain that, according to Erickson, acceptance of
death is a primary task of which of the following stages of psychosocial
development? - CorreCt Answers -

A nurse is admitting a client who reports anorexia and is experiencing
malnutrition
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A nurse is preparing a sterile field
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A nurse is assessing a client who is experiencing prostatic hypertrophy
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- CorreCt Answers -*report of feeling
pressure
*tenderness over the symphysis pubis
* distended bladder
* voiding 30 mL frequently

A nurse is preparing to administer ophthalmic solution to a client
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A nurse has just finished a wound irrigation for a client who requires
contact precautions
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Which of
the following situations requires the nurse to perform the Heimlich
maneuver? - CorreCt Answers -The client is not making any sounds

A nurse is planning care for an older adult who is at risk for developing
pressure ulcers
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A nurse is assisting a provider with a sterile procedure and prepares to pour
solution onto a piece of gauze
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- CorreCt Answers -1) remove the
bottle cap
2) place the bottle cap face up on clean surface
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4) pour 1 to 2 mL into a receptacle
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A nurse is filling out an incident report after finding a client lying on the
floor
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A nurse is planning to discharge a client who has quadriplegia to his home
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When a
family member asks how respite care can help, which of the following
responses should the nurse provide? - CorreCt Answers -Respite care
allows the primary caregiver time away from day to day care
responsibilities
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The client has brought her standard walker from
home
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A nurse is caring who has emphysema and has difficulty with mobility
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Which of the following physiological responses to prolonged
immobility should the nurse expect? - CorreCt Answers -Increased calcium
excretion

A nurse is orienting a new assistive personnel to the unit
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The nurse explains that the client will wear antiembolism
stockings during and after the procedure
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Which of the following actions should the nurse take to address
the clients safety? - CorreCt Answers -Move client to a room closer to the
nurses station

A nurse is caring for an older adult client who has a fractured hip and will
require rehabilitation care
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Which of the following explanations
should the nurse provide? - CorreCt Answers -The services began with the
clients admission to the hospital
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Which of the following
actions is the priority for the nurse to include in the clients plan of care? CorreCt Answers -Auscultate breath sounds at least every 2 hrs

A nurse is assessing a clients bowel sounds
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Which of the following clients should the nurse
assign to the room closest to the nurses station? - CorreCt Answers -A client
who sustained a head injury and is having periods of confusion
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Which of the following should the nurse
include as a criterion for applying restraints? - CorreCt Answers -The nurse
has already considered alternatives to restraints
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Which of the following actions should the
nurse take prior to administrating the fine feeding? - CorreCt Answers -Test
the pH of gastric aspirate

A nurse removes an indwelling urinary catheter that an older adult client
has had in place for 2 days
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Which of the following actions should the nurse
take? - CorreCt Answers -Discard the tablet and obtain another dose of
medication

A nurse is caring for a client who has limited hand movement
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Additional data includes pulse 100/min, respiratory
rate 24/min, BP 132/76, and temp 98
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Which of the following actions
should the nurse perform? - CorreCt Answers -Complete a neurological
check

A nurse is admitting a client from a long term care facility
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Which of the following statements should the nurse identify
as an indication that the client understands the discharge instructions? CorreCt Answers -I'll apply ice to my ankle today and tomorrow

A nurse is providing oral care for a client who is immobile
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Which of the following is the priority assessment the nurse should
complete? - CorreCt Answers -Respiratory rate

A nurse finds an open vial of morphine lying on top of the cabinet in a
clients room
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For which of
the following findings should the nurse loosen restraint? - CorreCt Answers
-The clients hand is cool and pale

A nurse receives a client care assignment from the charge nurse that he
believes is unfair
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The
nurse is using which level of communication at this time? - CorreCt
Answers -Interpersonal

A nurse is assessing a client for putting edema and notes and indentation of
6mm at the point of pressure
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The nurse should explain that, according to Erickson,
establishing relationships with commitment is a primary task of which of

the following stages of psychosocial development? - CorreCt Answers Intimacy vs
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Which of the following types of precautions should
the nurse plan to initiate? - CorreCt Answers -Contact

A nurse intercepts a messenger at the nurses station who has a flower
delivery for a client on the unit
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Welch from the neighborhood
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The nurse anticipates which of the following activities first in delivering
client care using the nursing process? - CorreCt Answers -Collect and
organize client data



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