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ATI CMS Fundamental Exam: Expert-Approved

Questions from World-Class Academics | Proven Exam

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ch15)an occupational health nurse is caring for an employee who is exposed to an unknown dry chemical, resulting in a chemical burn. Which of the following interventions should the nurse include in the plan of care? a. Irrigate the affected area with running water b. wash the affected area with antibacterial soap c. brush the chemical off the skin and clothing d. leave the clothing in place until emergency personnel arrive - CORRECT ANSWER- - c ch16)a nurse at the providers office is talking about routine screenings with a 45 year old female client who has no specific family history of cancer or diabetes mellitus. Which of the following client statements indicates that the client understands hard to proceed? A. So I don't need the colon cancer procedure for another two to three years B. for now i should continue to have a mammogram each year C. because the doctor just did a papsmear I will come back next year for another one D. i had my blood glucose test next year so I won't need it for another four years - CORRECT ANSWER- - b ch16)a nurse at the health Department is planning strategies related to heart disease. Which of the following activities should the nurse include as part of primary prevention? a. Providing cholesterol screenings b. teaching about healthy diet

c. providing information about anti hypertensive medications d. developing a list of cardiac rehabilitation programs - CORRECT ANSWER- - b ch16)A nurse in a health clinic is caring for a 21 year old client who tells the nurse that their last physical exam was in high school. Which of the following health screenings should the nurse expect from the provider to perform for this client? a. Testicular examination b. blood glucose c. fecal occult blood d. prostate specific antigen - CORRECT ANSWER- - a ch15)A nurse educator is teaching staff members about facility protocol in the event of a tornado. Which of the following should the nurse include? Select all that apply. a. Open doors to client rooms b. place blankets over clients who are confined to beds c. move beds away from the windows d. draw shades and close drapes e. instruct ambulatory clients in the hallways to return to their rooms - CORRECT ANSWER-

• b, c, d ch15)A nurse on a medical surgical unit is informed that a mass casualty event occurred in the community and that it is necessary to discharge stable clients to make beds available for injury victims. Which of the following clients should the nurse recommend for discharge? Select all that apply. a. A client who is dehydrated on receiving IV fluid and electrolytes b. a client who has a nasal gastric tube to treat a small bowel obstruction

b. a client who has a four inch laceration to the head c. a client who has partial thickness on full thickness burns to his face, neck and chest d. a client who has a fractured fibula and tibia - CORRECT ANSWER- - c ch15)A security officer is reviewing actions to take in the event of a bomb threat by phone to a group of nurses. Which of the following statements by a nurse indicates understanding? a. I will get the caller off the phone as soon as possible so I can alert the staff b. I will begin evacuating clients using the elevators c. I will not ask any questions and just let the caller talk d. I will listen for background noises - CORRECT ANSWER- - d ch17)a nurse in a providers office is collecting data from the caregiver of a 12 month old infant who asks if the child is old enough for toilet training period following an educational session with the nurse comma the client agrees to postpone toilet training until the child is older. Learning has occurred in which of the following domains? a. Cognitive b. affective c. psychomotor d. kinaesthetic - CORRECT ANSWER- - b Ch. 23

A nurse is reviewing safety precautions with a group of young adults at a community health fair. Which of the following recommendations should the nurse include to address common health risks for this age group? (Select all that apply.)

A. Install bath rails and grab bars in bathrooms. B. Wear a helmet while skiing. C. Install a carbon monoxide detector. D. Secure firearms in a safe location. E. Remove throw rugs from the home. - CORRECT ANSWER- - B, C, D ch17)a nurse is evaluating how well a client learned the information presented in an instructional session following a heart healthy diet. Which of the following actions should the nurse take to evaluate the clients learning? a. Encourage the client to ask questions b. ask the client to explain how to select or prepare meals c. encourage the client to fill out an evaluation form about how the nurse presented the information d. ask whether the client has resources for further instructions on the topic - CORRECT ANSWER- - b ch17)a nurse is providing preoperative education for a client who will undergo a mastectomy the next day. Which of the following statements should the nurse identify as an indication that the client is ready to learn? a. I don't want my spouse to see my incision b. will you give me pain medicine after the surgery c. can you tell me about how long the surgery will take d. my roommate listens to everything I say - CORRECT ANSWER- - c

A nurse is counseling a young adult who describes having difficulty dealing with several issues. Which of the following statements should the nurse identify as a priority to assess further? A. "I have my own apartment now, but it's not easy living away from my guardians." B. "It's been so stressful for me to even think about having my own family." C. "I don't even know who I am yet, and now I'm supposed to know what to do." D. "My partner is pregnant, and I don't think I have what it takes to be a good parent." - CORRECT ANSWER- - C When using the urgent vs. nonurgent approach to client care, determine that the counseling priority is the problem that reflects a lack of completion of the previous stage of development and progression to the current stage. According to Erikson, it is a task of adolescence to develop identity vs. role confusion. Recognize this young is still struggling with this task and needs assistance in working through that dilemma. Ch. 23

A charge nurse is explaining the various stages of the lifespan to a group of newly licensed nurses. Which of the following examples should the charge nurse include as a developmental task for a young adult? A. Becoming actively involved in providing guidance to the next generation. B. Adjusting to major changes in roles and relationships due to losses. C. Devoting time to establishing an occupation. D. Finding oneself "sandwiches" between and being responsible for two generations. - CORRECT ANSWER- - C Identify exploring career options and then establishing oneself in a specific occupation as a major development task for a young adult.

ch18)a nurse is reviewing car seat seat safety with the parents of a one month old infant. When reviewing car seat use, which of the following instructions should the nurse include? a. Use a car seat that has a 3 point harness system b. position the car seat so that the infant is rear facing c. secure the car seat in the front passenger seat of the vehicle d. convert to a booster seat after 12 months - CORRECT ANSWER- - b Ch. 23 # A nurse is instructing a young adult client about health promotion and illness prevention. Which of the following statements indicates understanding? A. "I already had my immunizations as a child, so I'm protected in that area." B. "It is important to schedule routine health care visits even if I am feeling well." C. "I will just go to an urgent care center for my routine medical care." D. "There's no reason to seek help if I am feeling stressed because it's just part of life." - CORRECT ANSWER- - B Despite being in a relatively good health, young adult clients should plan to participate in routine screenings and health care visits. Ch. 23 # A nurse is reviewing CDC immunization recommendations with a young adults client. Which of the following vaccines should the nurse recommend as routine, rather than catch-up, during young adulthood? (Select all that apply.) A. Influenza B. Measles, mumps, rubella

b. let's make a list of the foods your baby is eating so we can spot any problems c. did the changes begin after you started one particular food d. has your baby been vomiting since starting these new foods e. most babies react with a little indigestion when you start new foods - CORRECT ANSWER- - b, c, d ch19)A nurse is giving a presentation about accident prevention to a group of parents of toddlers. Which of the following accident prevention strategies should the nurse include? Select all that apply. a. Store toxic agents in locked cabinets b. keep toilet seats up c. turn pot handles toward the back of the stove d. place safety gates across stairways e. make sure balloons are fully inflated - CORRECT ANSWER- - a, c, d ch19)a nurse is planning diversionary activities for toddlers on an inpatient unit which of the following activities should the nurse include? Select all that apply. a. Building models b. working with clay c. filling and emptying containers d. playing with blocks e. looking at books - CORRECT ANSWER- - c, d, e ch19)A nurse is teaching the parents of a toddler about discipline. Which of the following actions should the nurse suggest?

a. establish consistent boundaries for the toddler b. place the toddler in a room with the doors closed c. inform the toddler how you feel when he misbehaves d. users favorite snacks to reward the toddler - CORRECT ANSWER- - a ch19)a mother tells the nurse that her two year old toddler has temper tantrums and says no every time the mother tries to help them get dressed. The nurse should recognize the toddler is manifesting which of the following stages of development: a. trying to increase independence b. developing a sense of trust c. establishing a new identity d. attempting to master a skill - CORRECT ANSWER- - a ch19)a nurse is reviewing nutritional guidelines with the parents of a 2 year old toddler. Which of the following parent statements should indicate to the nurse that an understanding of the teaching has happened? a. i should keep feeding my son whole milk until he is 3 years old b. it is OK for me to give my son a cup of Apple juice with each meal c. I will give my son 2 tablespoons of food at mealtimes d. my son loves popcorn and I know it is better for him than sweets - CORRECT ANSWER- - c ch20)A nurse is talking with guardians about several issues with their preschooler. Which of the following issues should the nurse identify as a priority? a. My child mimics the way my partner and I dress b. my child has temper tantrums every time we tell him to do something they don't want to do

d. play with puppets e. color with crayons - CORRECT ANSWER- - a, c, d, e ch20)A nurse is reviewing the Centers for Disease control and prevention's immunization recommendations with the guardians of preschoolers. Which of the following vaccines should the nurse include in the discussion? Select all that apply. a. Influenza type B b. varicella c. polio d. hepatitis A e. seasonal influenza - CORRECT ANSWER- - b, c, e Ch. 24

A charge nurse is explaining the various stages of the lifespan to a group of newly licensed nurses. Which of the following examples should the nurse include as a developmental task for middle adulthood? A. The client evaluates their behavior after a social interaction. B. The client states they are learning to trust others. C. The client wishes to find meaningful friendships. D. The client expresses concerns about the next generation. - CORRECT ANSWER- - D Eriksons task for middle adult as generativity vs. stagnation. Include showing concern for the next generations an example for this age group.

Ch. 43) A nurse is caring for a client who will perform fecal occult blood testing at home. Which of the following information should be included when explaining the procedure to the client? A. Eating more protein is optimal prior to testing B. One stool specimen is sufficient for testing C. A red color change indicates a positive test D. The specimen cannot be contaminated with urine - CORRECT ANSWER- - D Rationale: For fecal occult blood testing. instruct the client not to contaminate the stool specimens with water or urine Ch. 43) A nurse is providing dietary teaching for a client who reports constipation. Which of the following foods should the nurse recommend? A. Mac and cheese B. One medium apple with skin C. One cup of plain yogurt D. Roast chicken and white rice - CORRECT ANSWER- - B Rationale: One medium apple with the skin is the best food source recommend because it contains 4.4 g of fiber Ch. 24

A nurse is preparing a health promotion course for a group of middle adults. Which of the following strategies should the nurse recommend? (Select all that apply.) A. Eye examination every 1 to 3 years B. Decrease intake of calcium supplements

D. Raise the level of the enema fluid container - CORRECT ANSWER- - B Rationale: Clamp the enema tubing for 30 seconds to reduce intestinal spasms Ch. 44) A nurse is teaching a client who reports stress urinary incontinence. Which of the following instructions should the nurse include? (SATA) A. Limit total daily fluid intake B. Decrease or avoid caffeine C. Take calcium supplements D. Avoid drinking alcohol E. Use the Crede maneuver - CORRECT ANSWER- - B, D Rationale: Caffeine and Alcohol are bladder irritants and can worsen stress incontinence Ch. 44) A client who has an indwelling catheter reports a need to urinate. Which of the following actions should the nurse take? A. Check to see wether the catheter is patent B. Reassure the client that is is not possible for them to urinate C. Recatheterize the bladder with a larger-gauge catheter D. Collect a urine specimen for analysis - CORRECT ANSWER- - A Rationale: A clogged or kinked catheter causes the bladder to fill and stimulates the ned to urinate Ch. 44) A nurse is caring for a client who has a prescription for a 24 hour urine collection. Which of the following actions should the nurse take? A. Discard the first voiding B. Keep the urine in a single container at room temperature

C. Dispose of the last voiding D. Ask the client to urinate into the toilet, stop midstream, and finish urinating into the specimen container - CORRECT ANSWER- - A Rationale: Discard the first voiding of the 24 hour urine specimen and note the time Ch. 44) A nurse is reviewing factors that increase the risk of UTIs with a client who has recurrent UTIs. Which of the following factors should the nurse include? (SATA) A. Frequent sexual intercourse B. Lowering of testosterone levels C. Wiping from front to back to clean the perineum D. Location of the urethra closer to the anus E. Frequent catheterization - CORRECT ANSWER- - A, D, E Rationale: A. Having frequent sexual intercourse increases the risk of UTIs in all clients B. NOT CORRECT- decrease in estrogen levels increases UTI risk C. NOT CORRECT- wiping from front to back decreases the risk D. The close proximity of the urethra to the anus is a factor that increases the risk of UTIs E. Frequent catheterization and the use of indwelling catheters are risk factors for UTIs Ch. 44) A nurse is preparing to initiate a bladder-retraining program for a client who has incontinence. Which of the following actions should the nurse take? (SATA) A. restrict the client intake of fluids during the daytime B. have the client record urination times C. Gradually increase the urination intervals D. remind the client to hold urine until the next scheduled urination time E. Provide a sterile container for urine - CORRECT ANSWER- - B, C, D Rationale:

B. Hypotension C. Elevated temperature D. Poor skin turgor E. Peripheral edema - CORRECT ANSWER- - B, C, D Rationale: Prolonged diarrhea leads to dehydration. Expect the client to have hypotension, increased temperature, poor skin turgor

• would have tachycardia not bradycardia and weakened peripheral pulses not peripheral edema Ch. 24

A nurse is collecting history and physical examination data from am middle adult. The nurse should expect to find decreases in which of the following physiologic functions? (Select all that apply.) A. Metabolism B. Ability to hear low-pitched sounds C. Gastric secretions D. Far vision E. Glomerular filtration - CORRECT ANSWER- - A, C, E Ch. 24

A nurse is collecting data to evaluate a middle adults psychosocial development. The nurse should expect muddle adults to demonstrate which of the following developmental tasks? (Select all that apply.) A. Develop an acceptance of diminished strength and increased dependence on others. B. Spend time focusing on improving job performance.

C. Welcome opportunities to be creative and productive. D. Commit to finding friendships and companionship. E. Become involved with community issues and activities. - CORRECT ANSWER- - B, C, E Ch. 25

A nurse is providing teaching for an older adult client who has lost 4.5 kg (9.9 lb) since the last admission 6 months ago. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A. "Eat three large meals a day." B. "Eat your meals in front of the television." C. "Eat foods that are easy to eat, such as finger foods." D. "Invite family members to eat meals with you." E. "Exercise every day to increase appetite." - CORRECT ANSWER- - C, D, E