NURS101: Fundamentals of Nursing - ATI PRACTICE
TEST B Questions With Complete Solutions
A charge nurse is observing a nurse performing a Mantoux
tuberculin skin test for a client. Which of the following should
prompt the charge nurse to intervene? Correct Answer
Withdrawing the needle and massaging the site gently.
A clinical nurse educator is preparing an education program
about transmission of methicillin-resistant Staphylococcus
aureus (MRSA) in hospitalized clients. Which of the following
information should the nurse include in the program? Correct
Answer Bathe clients with water and chlorhexidine gluconate.
A nurse identifies a pressure ulcer after a client had a long,
extensive recovery following a surgical procedure. When
completing an incident report about the pressure ulcer, the nurse
should take which of the following action? Correct Answer
Include any relevant statements the client made about the ulcer.
A nurse in a clinic teaching a group of clients about preventing
low back pain and injury. Which of the following statements
should the nurse identify as an indication that the client requires
further clarification? Correct Answer "I'll sit with my knees
lower than my hips"
A nurse is admitting a client who has a partial hearing loss.
Which of the following is the priority action by the nurse?
Correct Answer Determine if the client uses hearing aids
, A nurse is assessing a client at a follow-up clinic visit for acute
low back pain. A goal for this client is to use proper body
mechanics at all times. Which of the following findings
indicates that the client is meeting his goal? Correct Answer
The client faces the direction of movements when sliding an
object across the floor.
A nurse is assessing a client who is 2 days postoperative and
auscultates bilateral breath sounds, but absent breath sounds in
the bases. The nurse should suspect which of the following
postoperative complications? Correct Answer Atelectasis
A nurse is assessing a client's ability to ambulate with crutches
using a three-point gait Which of the following actions should
the nurse identify as a risk to the client's safety? Correct
Answer The client places partial weight on the affected leg.
A nurse is auscultating a client's lung and identifies crackles in
the left lower lobe. Which of the following interventions should
the nurse take? Correct Answer Repeat auscultation after
asking the client to breathe deeply and cough
A nurse is auscultating the breath sounds of a client who has
asthma. When the client exhales, the nurse hears continuous
high-pitched squeaking sounds. The nurse should document this
as which of the following adventitious breath sounds? Correct
Answer Wheezes
A nurse is caring for a client who has a Clostridium difficile
infection. Which of the following cleansing agents should the
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