Virtual ATI Fundamentals Pre-Assessment graded A+ 2024exam.
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Course
VATI
Institution
VATI
A nurse in a long-term care facility enters the day room and finds the window curtains on fire. Clients are panicking and the room is filling with smoke. Indicate the emergency actions the nurse must take. (Move the steps into the box on the right, placing them in the order of performance. Use all ...
Virtual ATI Fundamentals Pre-
Assessment graded A+ 2024exam
A nurse in a long-term care facility enters the day room and finds the window
curtains on fire. Clients are panicking and the room is filling with smoke. Indicate the
emergency actions the nurse must take. (Move the steps into the box on the right,
placing them in the order of performance. Use all the steps.) - correct answer -
Remove the clients from the room
- Activate the fire alarm
- Close the door
- Extinguish the fire
A nurse is assessing a client following the application of an aquathermia pad. Which
of the following is the first indication to the nurse that the client is experiencing a
superficial burn injury to the application site?
A. Blistering
B. Erythema
C. Eschar
D. Absence of pain - correct answer B. Erythema
Erythema is an indication that the client has experienced a superficial burn with
damage limited to the epidermis. Other manifestations include edema, pain, and
increased sensitivity to heat.
A nurse is assessing a client who is experiencing prostatic hypertrophy. Which of the
following findings associated with urinary retention should the nurse expect? (Select
all that apply.) - correct answer - Report of feeling pressure
- Tenderness over the symphysis pubis
- Distended bladder
- Voiding 30 mL frequently
Clinical findings of urinary retention include frequent voiding of 25 to 60 mL of urine.
A nurse is teaching a client who has diabetes about which dietary source should
provide the greatest percentage of calories. Which of the following statements
indicates the client understands the teaching?
A. "Most of my calories each day should be from fats."
B. "I should eat more calories from complex carbohydrates than anything else."
C. "Simple sugars are needed more than other calorie sources."
, Virtual ATI Fundamentals Pre-
Assessment graded A+ 2024exam
D. "Protein should be my main source of calories." - correct answer "I should eat
more calories from complex carbohydrates than anything else."
The client who has diabetes should consume the majority of calories from complex
carbohydrates, such as whole grains, fruits, and vegetables.
A nurse is providing discharge teaching to a client who was recently diagnosed with
a latex allergy. Which of the following client statements indicates an understanding of
the teaching?
A. "I will apply elastic bandages to cuts."
B. "I will use dishwashing gloves when cleaning the dishes."
C. "I will buy balloons for my son's birthday."
D. "I will use ink pens for writing." - correct answer "I will use ink pens for writing."
The client understands pencil erasers contain latex and should use pens for writing
instead.
A nurse is calculating a client's intake and output for an 8-hr shift. The client's intake
included 1,000 mL 0.9% sodium chloride IV, one 6-oz cup of coffee, 6 oz of water,
one 180 mL bowl of soup, 3 oz of flavored gelatin, and 3 oz of ice cream. How many
mL should the nurse document as the client's total intake for the shift? (Round the
answer to the nearest whole number) - correct answer 1720 mL
A charge nurse observes a nurse administer intermittent tube feeding via an NG tube
to a client. Which of the following actions should prompt the charge nurse to
intervene?
A. The nurse initiates the feeding after aspirating 50 mL of gastric residual.
B. The nurse irrigates the NG tube with tap water after feeding.
C. The nurse administers the feeding through a syringe barrel by gravity.
D. The nurse allows the client to rest in a supine position during feeding. - correct
answer The nurse allows the client to rest in a supine position during feeding.
The nurse should elevate the head of the bed to a minimum of 30° to prevent
aspiration from reflux during feedings.
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