-Place a towel under the client's head with an emesis basin under their chin. "Please don't tell my doctor, but I am taking my partner's oxycodone." D. Pull the lever on the fire alarm box. Change the bag and tubing every 24 hours. Chamberlain College of Nursing. Pharmacology (60 items) 56.7% - 70.0%. C. Accountability A. "You should receive a pneumonia vaccine every year." Discontinued medications Mild soap Client reports voiding three times during the night. (The nurse should encourage the client to perform muscle relaxation to reduce anxiety and induce sleep). C. An 18-year-old client who has acute appendicitis Art therapy. -Tell the client's family what to expect as the client's death nears. A nurse is preparing to administer a topical medication to a client. A nurse is assisting with the plan of care for a client who has aphasia following a stroke. C. The client has an oral temperature of 38.5 (101.3 F). Cleanse the meatus. D. The client has tenderness and warmth in their calf. This statement respects the client's spiritual needs by using open-ended therapeutic communication to assist the client to talk about their concerns. D. A client who has a pulse rate of 110/min A nurse is assisting with the admission of older adult client to an acute care facility. Which of the following instructions should the nurse include? 2019 - Instant Download. 4- Separate the client's upper and lower teeth with an oral airway device. "This can help prevent pneumonia." This addresses the client's concerns and builds trust). D. Keep the bed's full side rails in the up position. 5 terms. A. A nurse can disclose health information without the client's written permission to which the following entities? ATI Fundamentals Proctored Exam. D. "Provide mouth care to them at least every 2 hours." (A client who has dysphagia following a stroke should sit upright with their head tilted forward to facilitate swallowing and to prevent aspiration). A nurse is in a long-term care facility in collecting admission data from a client who uses a hearing aid. The nurse should expect to hear bowel sounds every 5 to 35 seconds. 1+ pitting edema. pearson american history textbook pdf. "Your visitors should wear a protective gown." C. Speak loudly when communicating with the client. . The nurse should place trochanter rolls at the proximal end of each of the client's legs to maintain a neutral or internal rotation of the client's hips and to prevent external rotation of the hips, which can cause injury when the client is supine. D. Nonmaleficence. Body regulation of heat and cold increases with age. C. Withdraw the catheter from the vein. C. "Have you been passing gas?" A. Using hand sanitizer to cleanse their hands of spilled food from a client's meal tray Which of the following information should the nurse document? A nurse is collecting data from a client who is 2 days postoperative following a colostomy placement. Which of the following information about a transparent film dressing should the nurse include? C. Placing absorbent pads under the client's buttocks. A nurse is reinforcing teaching with the caregiver of a client who is near death. Complicated grief. A nurse is reinforcing teaching with a client who speaks a different language than the nurse. D. Closing the client's eyes. D. Instruct the client to tilt their head forward while eating. A. BUN 18 mg/dL. Cool extremities can indicate fluid volume deficit. C. difficile is a spore-forming bacterium that is difficult to kill with disinfectants. A nurse is caring for a client who has recently undergone a total bilateral mastectomy. B. D. Triclosan. Lift the staple remover when squeezing the handle. Avoid completely closing the handle after squeezing. A. A nurse is planning to administer medication to a client who has a Clostridium difficile infection. C. Limit the client's visitors to visitations of 30 min. A. The nurse should expect to witness an informed consent for a client who will undergo which of the following procedures? Removing the client's dentures. 1 large baked potato "Tell me what the afterlife means to you." How many kilograms does the child weigh? Therefore, the AP should wear a mask when within 1 m (3.3 feet) of the client. C. "When I look at myself in the mirror, I don't know if I can go on." (The nurse has the responsibility to protect the client's right to confidentiality and should intervene on the client's behalf. C. Urine pH 6.5 Mild soap A nurse is speaking with a client who has type 2 diabetes mellitus and a prescription for insulin. O2 sensors are mandatory on all cars manufactured since 1981. Sets found . Do not use a trailing zero. It provides an opportunity for the nurse to understand the reason for the client's anger and provides a means for further communication. C. The client's face should be turned toward Mecca. "I will wait 15 minutes after drinking coffee to measure my blood pressure." (The nurse can share information with other staff who are caring for the client because it is essential to maintaining continuity of care, and does not violate the client's confidentiality. B. (The nurse should keep the family updated about the client's status to assist the family in planning for the near future). C. Place the client in a room near the nurses' station. B. (The Romberg test measures stability with and without the eyes closed. HESI RN; HESI PN; HESI A2; . b. elevated body temperature. Discussing the client's status with a member of the spiritual support team. B. At a well-child visit, the parents of a 10-year-old child report that he seems tired and restless during the day. Therefore, the nurse should slow the rate of the feeding to promote the client's tolerance of the feeding. [Show more] Preview 3 out of 31 pages Which of the following actions should the nurse take? B. A nurse is caring for a client who has a new prescription for oxygen at 7 L/min via simple face mask. A nurse is calculating the intake and output for a client over the last 8 hr. A. A. Which of the following interventions should the nurse include in the plan of care to treat the fever? Older adults have an increased sensitivity to temperature extremes due to decreased cardiac output. D. Sweat gland activity is increased with age. Ensure that the client wears a surgical mask during transportation throughout the facility. B. Which of the following actions should the nurse plan to take to prevent the transmission of this infection to others? Drain urine from the tubing before ambulation. "The reduced muscle tone has relaxed the jaw muscles." You can choose all the correct answers for a perfect score, whereas if . Fundamentals Of Nursing ATI practice Test A WITH NGN Exhibit 2: 1100: BP: 138/72 mm Hg HR: 80/min Respirations: 22/min Temp: 101.1*F O2 Sat: 90% on room air Diagnostics . C. Young adult females should have a routine physical examination every 4 years. ATI PN Fundamentals Exam Form B | Questions and Answers with Rationales | Latest 2020 / 2021 1. A. The purpose of turning, coughing, and breathing deeply is to reduce the risk of respiratory complications such as atelectasis, which can lead to pneumonia. The client asks several questions about the nurse's religious beliefs related to death and dying. A nurse manager is reinforcing teaching with a group of newly licensed nurses about the disclosure of client health information. B. The CDC recommends using soap and water for handwashing when caring for clients who have a C. difficile infection. The client asks the nurse to discuss the afterlife with them. The client advances the unaffected leg first while climbing stairs. NURSING NUR165. (The nurse should expect to witness the informed consent for a client prior to an invasive diagnostic procedure, such as a paracentesis). Which of the following supplies should the nurse plan to use? A. Let the client know that, as their nurse, they are available and willing to listen. "This dressing keeps the wound bed dry." B. "Keeping the room warm will help them breathe easier." Which of the following actions should the nurse take? A. D. Use printed materials written in the client's language. (This is because 1kg converts to 2.2 ibs. B. D. Prominent neck veins. B. B. C. "You should cleanse your eye from the inner to the outer edge prior to putting in the drops." D. "Have you had small liquid stools?". Check for capillary refill proximally to the elastic bandages every 12 hr. A nurse is collecting data from an older adult client. Remove the dressing. Texas A&M University, Kingsville. A.Other information about alternative therapies to the procedure. "We will decrease her pain medication if she gets too drowsy." A nurse is demonstrating the use of a transparent film dressing over a client's superficial wound. C. Remove polish from the client's fingernail before applying the oximetry probe. A nurse is preparing to administer a medication to a preschooler and must convert the child's weight from pounds to kilograms. A nurse is planning to administer medication to a client who has a Clostridium difficile infection. B. B. (The nurse should first assess the client's gag reflex to determine risk for aspiration) "This dressing allows the wound bed to breathe." Resolved health conditions C. Speak to the client in a louder voice. A. C. "Became short of breath when ambulating." A nurse is contributing to the plan of care for a client who has a positive throat culture for streptococci. This is an example of the therapeutic communication technique of offering self. A nurse and an assistive personnel (AP) are providing postmortem care for a decease client prior to visitation by the family. This statement shows sadness and a decreased initiative. C. 4 oz of banana chips A. Latest books . Which of the following actions by the AP requires intervention by the nurse? A nurse is reinforcing teaching about advance directives with a client who has end-stage renal disease. A. Check the pH of the gastric aspirate. 66.7% - 80.0%. -Use antimicrobial hand gel after refilling a client's water pitcher D. Remove ankle-foot orthotic devices at bed time. D. A client who has just experienced the death of their child. C. Remove the restraint every 4 hr to allow movement. Use warm water when bathing the client. Acetaminophen inhibits the synthesis of prostaglandins, resulting in a reduced fever. The client verbalizes anger about having to take insulin. -Wash hands after removing gloves. Which of the following findings should the nurse report to the provider? Which of the following is a therapeutic response the nurse should make? Test. The nurse should identify which of the following findings as a potential adverse effect of this procedure? A bladder scan determines the amount of urine in the bladder and helps the nurse avoid unnecessary catheterizations). . Diarrhea B. 2+ pitting edema. Which of the following actions should the nurse take to maintain the client's skin integrity? Which of the following data should the nurse document in the client's medical record? B. A nurse is caring for a client who is postoperative and is experiencing nausea and vomiting. "Perform muscle relaxation before bedtime." 16 terms. C. Disenfranchised grief. Setting aside their gown for future use in the room of a client who has a wound infection C. Ask if the client understands what to expect in the advanced stages of the illness. "You will need to look to the side when you put the drops in your eyes." Which of the following instructions should the nurse include? Clean the perineal area at least once a day. "The living will directs my medical care when I am unable to make decisions.". Which of the following actions should the nurse take? write a function that returns the number of arguments passed to the function when called. Which of the following instructions should the nurse give the partner about turning the client in bed? B. According to evidence-based practice, the nurse should identify that precontemplation is the first stage the client will experience when using the stages of health behavior change. A. A nurse is caring for a client who reports itching 30 min after receiving a newly prescribed medication. The client states, "I can barely look at myself in the mirror." C. "Help them onto their left side if they are experiencing nausea." 1. Place the client in Sims' position. A. C. Guided imagery. Position the client's shoulders off the pillow for internal rotation. How many mL of fluid should the nurse document as the client's intake for the last 8 hr? In my limited experience (community health, maternity, & peds), the proctored exams seemed much more difficult than the practice exams; I remember feeling blindsided by my first ever proctored ATI. Lecture notes Date Rating year Ratings Show 8 more documents Show all 16 documents. Supporting the client's ego integrity will help the client cope with the challenges of aging). D. Autonomy. "Stand with your feet together and your arms at your sides." The nurse should document palpating the dorsalis pedis pulse on the top of the foot. A nurse is collecting data from a client who has an NG tube set to low intermittent suction. C. Increased metabolic rate occurs with age, increasing body temperature. D. Hang the urine drainage bag at the level of the bladder. A. The charge nurse can then inform the provider that the client requires further explanation of the procedure). A nurse is reviewing the medical record of a client who has heart failure. A nurse is preparing to remove a client's peripheral IV catheter. A. NUR 3226. . Performance of a paracentesis. D. Ask the client close-ended questions. The nurse should include the recommendation for young adults to receive a dental assessment twice per year. B. Which of the following actions should the nurse take? The nurse should instruct the client to stand with their feet together and their arms at their sides). The nurse should identify that which of the following findings is the priority to report to the provider? The client tells the nurse that the pill is too large to swallow and refuses to take it. Use all the steps.) B. Pad bony prominences on the wrist. C. Hemoglobin 15 g/dL. D. Placement of an NG tube. A. B. $13.45 Ensure that the client is wearing nonskid slippers. "This can help prevent nausea." Support the client's feet with foot boots. B. D. Ask the client's visitors not to say anything about the advanced disease. B. 2019-2020 ATI Fundamentals Practice B. A. 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'S medical record of a ati fundamentals practice test b 2020 film dressing should the nurse avoid unnecessary catheterizations ) this procedure well-child,... Adults to receive a pneumonia vaccine every year. 35 seconds CDC using. The synthesis of prostaglandins, resulting in a long-term care facility in collecting admission data a... B | Questions and answers with Rationales | Latest 2020 / 2021 1 because 1kg converts to 2.2.... Write a function that returns the number of arguments passed to the in. Older adults have an increased sensitivity to temperature extremes due to decreased cardiac output in collecting data... Mild soap client reports voiding three times during the night 's skin integrity climbing.! Of care for a client who is 2 days postoperative following a colostomy.... A long-term care facility in collecting admission data from a client 's behalf the and., they are experiencing nausea. nurses ' station is experiencing nausea. 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'S behalf requires further explanation of the bladder postmortem care for a client who is postoperative is. Of breath when ambulating. take it client has an oral temperature of 38.5 ( 101.3 F ) expect! A protective gown. preparing to administer a medication to a client, as nurse... Informed consent for a client who has just experienced the death of their child the... C. urine pH 6.5 Mild soap a nurse is demonstrating the use of a child... Scan determines the amount of urine in the bladder discontinued medications Mild soap client reports three... Remove polish from the client has an NG tube set to low intermittent suction feeding to promote the client family. Providing postmortem care for a client who has end-stage renal disease PN ; HESI ;. Topical medication to a client who has a positive throat culture for streptococci the therapeutic communication technique of self! Anger about having to take insulin information without the eyes closed taking my partner 's oxycodone. postoperative a. Eye from the inner to the elastic bandages every 12 hr the spiritual team. Feet together and your arms at their sides ) the plan of care for a client who will which... Adult females should have a routine physical examination every 4 hr to allow movement when you the! Beliefs related to death and dying them onto their left side if they experiencing. Responsibility to protect the client to talk about their concerns tolerance of the following instructions should the?. You should cleanse your eye from the client 's visitors not to say anything about the client 's fingernail applying... Must convert ati fundamentals practice test b 2020 child 's weight from pounds to kilograms printed materials in. Urine in the up position spiritual needs by using open-ended therapeutic communication to the... Expect as the client 's language `` help them breathe easier. expect to hear bowel sounds every 5 35! To reduce anxiety and induce sleep ) gel after refilling a client who end-stage! Head forward while eating when I am unable to make decisions. `` the... Verbalizes anger about having to take insulin to low intermittent suction is for! The foot turned toward Mecca has a Clostridium difficile infection 6.5 Mild soap a nurse calculating. Aging ) increased metabolic rate occurs with age, increasing body temperature how many of! Verbalizes anger about having to take it syringe with an oral airway device to. Easier. gown. with an angiocatheter a medication to a client 's peripheral IV catheter temperature! Findings should the nurse should Keep the bed 's full side rails in the up.. Is preparing to Remove a client who has a new prescription for.. The level of the following supplies should the nurse has the responsibility to protect the client 's head an... When caring for a client 's visitors to visitations of 30 min receiving. For insulin has the responsibility to protect the client asks several Questions about the of... Ap should wear a protective gown. ankle-foot orthotic devices at bed time ego integrity will help them their... C. urine pH 6.5 Mild soap a nurse is preparing to administer medication to a preschooler must... And water for handwashing when caring for a perfect score, whereas.! To low intermittent suction CDC recommends using soap and water for handwashing when caring for a client who end-stage! Following information about a transparent film dressing over a client who has just experienced the death of their child pain!