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FUNDAMENTALS EXAM 4 ATI QUESTIONS
AND ANSWERS
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The nurse asks the client if there has been any
accompanying nausea and vomiting
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Which of the following steps should
the nurse take? (Select all that apply) - CorreCt Answers ---Warm the enema
solution prior to instillation
--Position the client on the left side with the right leg flexed forward
-- Lubricate the rectal tube or nozzle

A nurse is using an interpreter to communicate with a client
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Which information should the nurse consider when planning care for these
clients? - Correct Answers -The same religious beliefs can influence
individuals differently

A nurse enters the room of a client who is crying while reading from a
religious book and asks to be left alone
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Which statement by the nurse indicates culturally
responsive care to the client? - Correct Answers -"I will ask the client if they
want to schedule some times to pray during the day
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Which response should the nurse make? - Correct Answers -"Let's
discuss the necessity for a blood transfusion with your religious and
spiritual leaders and come to a reasonable solution
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Which of the following actions should the nurse take to
determine the intensity of the client's pain? - Correct Answers -Offer the
client a pain scale to measure their pain

A nurse is discussing the care of a group of clients with a newly licensed
nurse
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Which of the following effects should the nurse
identify as an adverse effect of opioids? (Select all that apply) - Correct
Answers -Bradypnea, Orthostatic hypotension, & Nausea

A nurse is caring for a client who is receiving morphine via a patientcontrolled analgesia (PCA) infusion device after abdominal surgery
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A nurse is caring for a client who is 2 days postoperative following an
appendectomy and has type 1 diabetes mellitus
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1
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The nurse should recognize that the client
has which of the following risk factors for impaired wound healing? Select
all that apply
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The surgeon suspects an incisional wound
infection and has prescribed antibiotic therapy for the nurse to initiate after
collecting wound and blood specimens for culture and sensitivity
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Select all that apply
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A nurse educator is reviewing the wound healing process with a group of
nurses
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- Correct Answers -Stage 3 pressure injury & open burn area

A client who had abdominal surgery 24hr ago suddenly reports a pulling
sensation and pain in their surgical incision
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Which of the
following actions should the nurse take? Select all that apply
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--Position the client supine with the hips and knees bent

A nurse is caring for a client who is at risk for developing pressure injury
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Which of the following responses should the nurse ask when collecting data
about the client's difficulty sleeping? (Select all that apply) - CorreCt
Answers ---"Have your working hours changed recently?"
--"Do you drink coffee, tea, or other caffeinated drinks? If so, how many
cups per day?"
--"Has anyone ever told you that you seem to stop breathing for a few
seconds while you are asleep?"
--"Tell me about any personal stress you are experiencing
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Which of
the following recommendations should the nurse give to the client to
promote sleep and rest? (Select all that apply) - CorreCt Answers ---Practice
muscle relaxation techniques
--Exercise each morning
--Alter the sleep environment for comfort
--Limit fluid intake at least 2 hours before bed

A nurse is caring for a client who has been following the facility's routine
and bathing in the morning
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Now the client is having difficulty sleeping
at night, Which action should the nurse take first? - Correct Answers -Allow
the client to take a bath in the evening

A nurse is preparing a presentation at a local community center about sleep
hygiene
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Which of the following statements
should the nurse identify as an indication that the client understands the
instructions? - Correct Answers -"I'll take a short nap whenever I feel a little
sleepy
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What information should be included when explaining the
procedure to the client? - Correct Answers -The specimen cannot be
contaminated with urine

A nurse is providing dietary teaching for a client who reports constipation
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Which of the
following findings should the nurse expect? (Select all that apply) - CorreCt
Answers ---Hypotension
--Elevated temperature
--Poor skin turgor

While a nurse is administering a cleansing enema, the client reports
abdominal cramping

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