ATI FUNDAMENTALS BUNDLE PACKAGE TEST

An RN observes assistive personnel (AP) reprimanding a client for not using the urinal properly. The AP tells the client that diapers will be used next time the urinal is used improperly. Which of the following torts is the AP committing? A: Assault B: Battery C: False imprisonment D: Invasio...

A, B,D Restorative health care involves intermediate follow-up care for restoring health and promoting self-care. Home health care, rehabilitation facilities, and skilled nursing facilities are a type of restorative health care Correct Answer - A nurse is discussing restorative health care with a ...

A nurse is caring for a client who has a new RX for antihypertensive medication. Prior to administering the medication, the nurse uses an electronic database to gather information about the medication and the effects it might have on this client. Which of the following components of critical thinkin...

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? Correct Answer - compare prescriptions with medications the client received while are the facility a nurse is reviewing a cl...

A nurse in a medical-surgical unit is caring for six clients. Complete the following sentence by using the list of options. The first client the nurse should assess is _____ followed by _____. Client 1: Client is admitted with a new diagnosis of rheumatoid arthritis.Client 2: Client has a history...

Regulatory Agencies correct answer - US Department of Health and Human Services US FDA State and local public health agencies State licensing boards The joint commission Professional Standards Review organization Utilization review committees Function of State Licensing Boards correct a...

A nurse is performing mouth care for a client who is unconscious. Which of the following actions should the nurse take? A. Turn the client's head to the side. B. Place two fingers in the client's mouth to open. C. Brush the client's teeth once per day. D. Inject a mouth rinse into the cente...

A nurse is caring for a client who requires a 24-hr urine collection. Which of the following statements by the client indicates an understanding of the teaching? Correct Answer - "I flushed what I urinated at 7:00 a.m. and have saved all urine since." A nurse is assessing a client who has been ...

A nurse is caring for a client who is receiving enteral tube feedings due to dysphagia. Which of the following bed positions should the nurse use for safe care of this client? A. Supine B. Semi Fowler's C. Semi-Prone D. Trendelenburg Correct Answer - B A nurse is caring for a client who is ...

State board of nursing Correct Answer - laws and regulations that govern nursing in their state o Ensure the state hospitals are complying with regulations o Issue and revoke nursing license Nurses must have license in every state they practice in JCHO Correct Answer - Regulations for health ...

Guaic Correct Answer - Test for hidden microscopic blood in stool. Also a good way to screen for colon cancer. Hospice Correct Answer - Serve clients with terminal cancer. Oral care for immobilized patient Correct Answer - lay them on their side. Heimlich maneuver Correct Answer - The proce...

A patient drinks 8 oz of water. Which of the following is a correct conversion of the patients intake? Correct Answer - 240 mL Rationale: One fluid oz equals 30 mL; therefore, 8 fluid oz equals 240 mL. Which of the following represents the correct administration of the prescribed medication? Cor...

Advanced Directive - teaching Correct Answer - Communicates the client's wishes regarding end of life care - are written before a client becomes ill Nurses role is to provide info about advanced directives Document client's advance directive status Ensure advanced directives reflects clients cu...

B, . Joint Commission; C. State Boards of Nursing; E. Food and Drug Administration (FDA) Correct Answer - A nurse is explaining differences among various agencies that address healthcare. Nurse should note which of following are health care regulatory agencies? (Select all that apply.) A: American ...

A nurse is assessing a client who has required bed rest for the past month. Which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis? Bladder distention Decreased blood pressure Calf swelling Diminished bowel sounds Correct Answe...

A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (select all that apply) Correct Answer - A. Home health care B. Rehabilitation facilities D. skilled nursing facilites A nurse is explaining the v...

a nurse is caring for a group of clients on a medical surgical unit. for which of the following client care needs should the nurse initiate a referral for a social worker? select all that apply A. client who has terminal cancer requests hospice care in the home B. client asks about community res...

A nurse is assessing an older adult client's risk for falls. Which of the following assessments should the nurse use to identify the client's safety needs? (Select all that apply). a. lacrimal apparatus b. pupil clarity c. appearance of bulbar conjunctiva d. visual fields e. visual acuity Cor...

A nurse is caring for a 19 year old client who is sexually active and has come to the college health clinic for the first time for a check up. Which of the following interventions should the nurse perform first to determine the client's need for health promotion and disease prevention? A. Measur...

1-1. A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply.) A. Home health care B. Rehabilitation facilities C. Diagnostic centers D. Skilled nursing facilities E. Oncology ...

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 t...

A nurse is caring for a client who states, "I have to check with my wife and see if she thinks I am ready to be discharged." The nurse replies, "How do you feel about going home today?" Which clarifying technique is the nurse displaying to enhance communication between the nurse and the client? ...

A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use? Correct Answer - The client holds the cane on the stronger side of her body. A nurse receives report about a client who has 0.9% sodium chloride infusing IV a...

Medicare Correct Answer - for clients over age 65 and/or with permanent disabilities. premiums applied as insurance program reimburses providers based on DRGs. Premiums applied as Managed Care Organizations (MCOs) provide enrolled clients with comprehensive care overseen by a primary care provider. ...

Sleeping cycles Correct Answer - REM sleep- deep sleep with vivid dreaming, depressed muscle tone, and irregular heart and respiratory rates. Non-REM sleep- deep, restful sleep WITHOUT dreaming Delta stage or slow-wave sleep-occurs during non REM stages III and IV and is equated with quiet sle...

Safety Restraints Correct Answer - -Identify pt using two identifiers -Check patient every 15 minutes -Check skin integrity every 30 minutes -Release/remove restraints every 2 hours -Check vitals, offer food/fluid, toilet, ROM, and document client status every 2 hours -Renew Rx every 24 hours (...

A nurse is performing mouth care for a client who is unconscious. Which of the following actions should the nurse take? A. Turn the client's head to the side. B. Place two fingers in the client's mouth to open. C. Brush the client's teeth once per day. D. Inject a mouth rinse into the cente...

A nurse is teaching an assistive personnel about a upper body mechanics to prevent injury. Which of the following actions by the AP demonstrate an understanding of the teaching? Correct Answer - The AP keeps the object he is lifting close to his body . a nurse is assessing a client who is immobil...

A nurse is performing blood glucose monitoring for a client. After identifying the client and performing hand hygiene, in what order should the nurse take the following steps? A. Apply clean gloves B. Hold the client's hand in a dependent position C. Clean the clients finger with an antiseptic...

Examples of Regulatory Agencies Correct answers - -US Department of Health and Human Services -US Food and Drug Administration (FDA) -State and local public health agencies -State licensing boards -The Joint Commission (TJC) -Professional Standards Review Organizations (PSROs) -Utilization rev...

A nurse is teaching a client how to carve for trach at home. What instructions should be included Correct Answer - Use trach covers when outdoors to protect airway from dust, particles, and cold air A client with a gastronomy tube who receives intermittent feedings and meds recently developed dia...

A nurse is caring for a client who requires a 24-hr urine collection. Which of the following statements by the client indicates an understanding of the teaching? Correct Answer - "I flushed what I urinated at 7:00 a.m. and have saved all urine since." A nurse is assessing a client who has been ...

Tuberculosis Patient Correct Answer - -Place in room with negative-pressure airflow -Wear gloves -Limit clients presence outside of their room -patient should wear a surgical mask -Nurse should wear a N95 Respirator during client care -Nurse should use antimicrobial sanitizer for routine hand ...

When entering a client's room to change a surgical dressing, a nurse notes that the client is coughing and sneezing. Which of the following actions should the nurse take when preparing the sterile field? a. Keep the sterile field at least 6 ft away from the client's bedside. B. Instruct the clie...

negligence Correct Answer - a nurse failing to implement safety malpractice Correct Answer - nurse administering a large dose of medication informed consent Correct Answer - legal document process by which a client has given written permission for the procedure of treatment nurses role in i...

Order of Assessment- General Correct Answer - IPPA- Inspection, palpation, percussion, ausculation Order of assessment for abdomen Correct Answer - IAPP- inspection, auscultation, percussion, palpation Normal Sodium Values? Correct Answer - 136-145 mmol/L normal pottasium level Correct Answ...

Dumping syndrome Correct Answer - results from emptying of the stomach into the small intestine after eating, and manifests as vertigo, tachycardia, syncope, sweating, pallor, palpitations Normal Respiratory Rate for Newborn Correct Answer - 30-60 Normal Heart Rate for a Newborn Correct Answer...

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 t...

proper surgical hand washing Correct Answer - The nurse who is performing a surgical hand-washing technique should wash with her hands held higher than the elbows so that water and soapsuds can drain away from the clean area toward the dirty area. percardial friction rub Correct Answer - A perica...

When should you implement seizure precautions in relation to Na+ changes? Correct Answer - <135 mEq/L or >145 mEq/L When mixing insulins, which type would be drawn into the syringe first? Correct Answer - Intermediate. Then rapid-acting. That way your insulin doesn't dip quickly and sudden...

Hypotonic fluids Correct Answer - D5W 0.45% NaCl Hypertonic fluids Correct Answer - 10-15% DW 3% NaCl Isotonic fluids Correct Answer - 0.9% Nacl RInger's Solution Lactated Ringer's for a high sodium Correct Answer - report values administer HYPOtonic fluids Administer Diuretics ...

Gwen Aspiration Pneumonia S/S N.Interventions/Goals Correct Answer - S/S: Lethargy, Temp 99.1, HR 92, WBC 13 N. Interventions/Goals: HOB 30*, Apply O2 4L NC Humidified, Keep O2 at 92% Dorthy - Pressure Ulcers Pathophysiology/Causes S/S N. Interventions/Goals LABS Correct Answer - Patho/C...

Gwen Aspiration Pneumonia S/S N.Interventions/Goals Correct Answer - S/S: Lethargy, Temp 99.1, HR 92, WBC 13 N. Interventions/Goals: HOB 30*, Apply O2 4L NC Humidified, Keep O2 at 92% Dorthy - Pressure Ulcers Pathophysiology/Causes S/S N. Interventions/Goals LABS Correct Answer - Patho/C...

Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia? Correct Answer - Yes. A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the following client's needs may the nurse assign to an assistive personnel (AP)? A....

A nurse is teaching a client and his family how to care for the client's tracheostomy at home. Which of the following instructions should the nurse include in the teaching? a. remove the outer cannula cautiously for routine cleaning b. use tracheostomy covers when outdoors c. use sterile tech...

A nurse is caring for a client who reports pain. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record what? A. "I am having mild pain." B. "The pain is like a dull ache in my stomach." C. "I notice it get worse after i eat." D. "The pai...

A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1 mL of the medication from a 2 mL vial. Which of the following actions should the nurse take? 1. Ask another nurse to observe the medication wastage 2. Notify the pharmacy when wasting the med...

A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Which of the following observations should the nurse identify as proper safety protocol? -The client uses a wool blanket on their bed. -The client identifies the location of a fire extinguisher. -...

Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia? Correct Answer - Yes. A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the following client's needs may the nurse assign to an assistive personnel (AP)? A....

A nurse is admitting a client who has an abdominal wound with a large amount of purple tissue drainage. Which of the following types of transmission precautions should the nurse initiate? Protective environment Airborne precautions Droplet precautions Contact precautions Correct Answer - Contact...

terminal illness and questions directed to nurse about religion and death Correct Answer - encourage the patient to express feeling about death and dying -therapeutic technique of reflection first priority action when performing tracheostomy care Correct Answer - 1. perform hand hygiene -T...

after helping to reposition a patient who reports SOB what actions should the nurse take next? Correct Answer - observe rate, depth, character of pts respirations -priority: nurse must first assess and collect further data before notifying the provider or applying another nursing intervention -n...

after helping to reposition a patient who reports SOB what actions should the nurse take next? Correct Answer - observe rate, depth, character of pts respirations -priority: nurse must first assess and collect further data before notifying the provider or applying another nursing intervention -n...