ATI Fundamentals Retake
A nurse is planning care for a group of clients. Which of the following tasks
should the nurse delegate to an assistive-personnel?
a. Changing the dressing for a client who has a stage 3 pressure injury
b. Determining a client's response to a diuretic
c. Comparing radial pulses for a client who is postoperative
d. Providing postmortem care to a client - ANS -d. Providing postmortem care to
a client
A nurse is conducting a health assessment for a client who takes herbal
supplements. Which of the following statements by the client indicates an
understanding of the use of the supplements?
A. I take ginkgo biloba for a headache
B. I take echinacea to control my cholesterol
C. I use ginger when I get car sick
,D. I use garlic for my menopausal symptoms
- ANS -I use ginger when I get car sick
A nurse is caring for a client who has influenza and isolation precautions in
place. Which of the following actions should the nurse take to prevent the
spread of infection?
A. Wear a mask when working within 3 feet of the client
B. Administer metronidazole
C. Don protective eyewear before entering the room.
D. Place the client in a negative airflow room. - ANS -Wear a mask when working
within 3 feet of the client
A nurse obtains a prescription for wrist restraints for a client who is trying to
pull out his NG tube. Which of the following actions should the nurse take?
A. Attach the restraints securely to the side rails of the client's bed.
B. Apply the restraints to allow as little movement as possible
,Callow room for two fingers to fit between the client’s skin and the restraints
d. removes the restraints every 4 hours - ANS -Allow room for two fingers to fit
between the client’s skin and the restraints
A nurse is admitting a client who has tuberculosis. Which of the following types
of transmission precautions should the nurse plan to initiate?
A. Droplet
B. Airborne
c. protective environment
d. contact - ANS -Airborne
A nurse in a well-child clinic receives a telephone call from a parent who states
that their child accidentally swallowed paint thinner. The child is awake and
alert. Which of the following responses should the nurse make?
A. Have your child drink one large glass of water.
B. Hang up and call a poison control center hotline.
, C. Bring your child into the clinic later today.
D. Induce vomiting in your child with syrup of ipecac. - ANS -Have your child
drink one large glass of water
A nurse is documenting a client's medical record. Which of the following entries
should the nurse record?
A. Oral temperature slightly elevated at 0800
B. Administered pain medication
C. Incision without redness or drainage
D. Drank adequate amounts of fluid with meals. - ANS -Administered pain
medication
A nurse is providing oral care for a client who is unconscious. Which of the
following actions should the nurse take?
A. Place the client in a side-lying position.
B. Brush the client’s teeth daily
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