NR 255 ATI RN FUNDAMENTALS
ONLINE PRACTICE ASSESSMENT B 2024
QUESTIONS AND ANSWERS WITH
SOLUTIONS
a nurse on a medical unit is preparing to discharge a client to home. which of the following actions
should the nurse take as part of the medication reconciliation process - ANSWER compare prescriptions
with medications the client received while at the facility
a nurse is reviewing a clients medication prescription that reads, "digoxin 0.25 by mouth every day"
which of the following components of the prescription should the nurse verify with the provider -
ANSWER medication dose
a nurse is teaching a group of staff nurses about the use of essential oils for aromatherapy. the nurse
should include in the teaching that this therapy might be contraindicated for which of the following
clients - ANSWER a client who has asthma
a nurse is admitting a client who has rubella. which of the following types of transmission based
precautions should the nurse initiate - ANSWER droplet
a nurse is preparing to administer 0.5 mL of oral single dose liquid medication to a client. Which of the
following actions should the nurse take - ANSWER gently shake the container of medication prior to
administration
a nurse is preforming a peripheral vascular assessment for a client, when placing the bell of the
stethoscope on the clients neck, the nurse hears the following sound. this sound indicates which of the
following - ANSWER narrowed arterial lumen
blowing sounds resulting from blood flowing through occluded or narrowed arteries are known as a bruit
a nurse is caring for a client who is refusing a blood transfusion for religious reasons. the clients partner
wants the client to have the blood transfusion. which of the following actions should the nurse take -
ANSWER withhold the blood transfusion
, a nurse in an acute care facility is preparing a discharge summary for a client who is transferring to a long
term care facility. which of the following documentation should the nurse include - ANSWER current
medications
a nurse is assessing an adult who has been immobile for the past 3 weeks. for which of the following
findings should the nurse intervene - ANSWER erythema on pressure points
a nurse is planning teaching to a group of adolescents who each recently had surgical placement of an
ostomy. which of the following methods should the nurse use as a psychomotor approach to the learning
- ANSWER practice sessions
a nurse is caring for a client who reports pain. when documenting the quality of the clients pain on an
initial assessment, the nurse should record which of the following client statements - ANSWER "the pain
is like a dull ache in my stomach"
a nurse is reviewing practice guidelines with a group of newly licensed nurses. which of the following
interventions should the nurse include that is within the scope of RN practice - ANSWER initiate an
enteral feeding through a gastrostomy tube
a client who is nonambulatory notifies the nurse that his trash can is on fire. after the nurse confirms the
fire, which of the following actions should the nurse take next - ANSWER evacuate the client
a nurse is discussing the use of herbal supplements for health promotion to a client. which of the
following client statements indicates an understanding of herbal supplement use - ANSWER "I can take
echinacea to improve my immune system"
a nurse enters a clients room and finds her on the floor. the clients roommate reports that the client was
trying to get out of bed and fell over the side rail onto the floor. which of the following statements
should the nurse document about this incident - ANSWER "client found lying on floor"
a nurse is preforming a Romberg test during the physical assessment of a client. which of the following
techniques should the nurse use - ANSWER have the client stand with their arms at their sides and their
feet together
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