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ATI PN FUNDAMENTALS LATEST
TEST BANK REAL EXAM/ PN FUNDAMENTALS
ATI PROCTORED 2023 EXAM
COMPLETE 300 QUESTIONS WITH CORRECT
ANSWERS (RATIONALES PROVIDED)
ALREADY GRADED A+
A nurse is caring for a client who just died and practiced the islamic faith. Which of the following cultural practices should the nurse expect? - ANSWER>>>The client face should be toward mecca. A nurse is assisting with a client who has active Tb. Which of the following actions should the nurse plan to take? - ANSWER>>>Assign the client to a negative pressure airflow room. A nurse is assisting with the plan of care for a client who has a bacterial infection and a persistent oral temperature of 38.9 * C (102 F). Which of the following interventions should the nurse include in the plan of care to treat the fever? - ANSWER>>>Administer acetaminophen A nurse is contributing to the plan of care for a client who has a positive throat culture for streptococci. Which of the following interventions should the nurse recommend to be included in the plan of care? - ANSWER>>>Ensure that the client wears a surgical mask during transportation throughout the facility. A nurse is planning care for a client who is disoriented and at risk for falls. Which of the following interventions should the nurse include? - ANSWER>>>Place the client in a room near the nurses’ station. Ensure that the client is wearing non skid slippers. Reinforce teaching about how to use the call bell.
A nurse is contributing to a plan of care for a client who has a new prescription for a wrist restraint. Which of the following actions should the nurse include in the plan? - ANSWER>>>Pad bony prominences on the wrist. A nurse is reinforcing teaching with a client who has a partial hearing loss about how to modify the home environment. Which of the following is a priority modification that the nurse should include? - ANSWER>>>Flashing smoke alarm A nurse is caring for four clients who are required to provide informed consent for treatment. The nurse should identify that which of the following clients is able to provide informed consent? - ANSWER>>>An 18 year old client who has acute appendicitis. A nurse is reviewing the medical record of a client who has heart failure. The nurse should identify which of the following lab results as an indication that the client has fluid volume excess? - ANSWER>>>BUN 8mg/dL A nurse is moving a client up in bed with assistance of a second nurse. Which of the following actions should the nurse take? - ANSWER>>>Place feet apart with the foot nearest the clients bed in front of the other foot. A nurse is reinforcing teaching about the use of crutches with a client who has a fractured right tibia and fibula. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER>>>I will keep the crutch tips dry. A charge nurse smells smoke, enters the visitor’s restroom, and sees flames in the trashcan. What is the sequence of actions that the nurse should take? - ANSWER>>>Evacuate Alarm Confine Extinguish A nurse is calculating the input and output for a client over the last 8 hours. The client is receiving a continuous IV infusion at 150mL/ hr and had 4 oz
A nurse is preparing to admin a topical med to a PT. Which of the following actions should the nurse take? - ANSWER>>>Compare the label of the med container w/ the med admin record x3. A nurse is palpating the pulse located on the top of the pts foot. Which of the following pulses should the nurse document that she is palpitating? - ANSWER>>>Dorsalis pedis A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent urinary tract infection? - ANSWER>>>Drain urine from the tubing before ambulation A nurse is explaining ethics & values to a newly licensed nurse. The nurse should explain that allowing a Pt to make a decision about treatment is an example of which of the following ethical principles? - ANSWER>>>Autonomy A nurse is reinforcing pre-op teaching w/ a pt who does not speak the same language as the nurse. Which of the following actions should the nurse take? - ANSWER>>>Provide handouts written in the clients primary language A nurse is reinforcing teaching about health promotion with a group of young adult clients. Which of the following information should the nurse include? - ANSWER>>>Young adults should receive a dental assessment every 6 months A nurse is caring for a Pt who is refusing medical treatment. Which of the following actions should the nurse take? - ANSWER>>>Document the clients refusal of the treatment A nurse is caring for a Pt who is receiving intermittent enteral feedings. Which of the following is the priority action for the nurse to take? - ANSWER>>>measure the Pts gastric before each feeding
A nurse is assisting w/ the plan of care for four pts. Which of the following tasks should the nurse assign to an assistive personnel (AP)? - ANSWER>>>Assist a pt to get out of bed after a breathing treatment A nurse is speaking w/ a pt who has type 2 diabetes mellitus & a prescription for insulin. The pt verbalizes anger about having to take insulin. Which of the following responses should the nurse make? - ANSWER>>>"I see that you are angry. Lets sit down and talk." A nurse is preparing to remove a clients peripheral IV catheter. After performing hand hygiene and applying clean gloves, which of the following actions should the nurse take first? - ANSWER>>>Clamp the infusion tubing A nurse is caring for a client who has a Clostridium difficile infection. which of the following solutions should the nurse use to perform hand hygiene while caring for this client? - ANSWER>>>Mild soap A nurse is caring for a client who is receiving continuous NG tube feedings. The nurse listens to the client's bowel sounds. Which of the following actions should the nurse take? - ANSWER>>>decrease rate of feeding a nurse is contributing to the plan of care for a client who has a prescription for elastic bandages to the lower extremities which of the following actions should the nurse recommend for the plan of care? - ANSWER>>>Compare the clients pedal pulses bilaterally every 4 hr. A nurse is caring for a client who has metastatic cancer & practices Catholicism. The client asks the nurse to discuss the afterlife w/ her. Which of the following statements by the nurse assists in the meeting the clients spiritual needs? - ANSWER>>>" Tell me what the afterlife means to you." A nurse is reinforcing postop teaching with a client about how to turn, cough and deep breathe. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER>>>" This can help prevent pneumonia"
Which of the following interventions should the nurse delegate to an AP? - ANSWER>>>Apply thromboembolic stockings. A nurse is planning to transfer a patient from an acute care facility to a long term care facility. Which of the following information should the nurse plan to include in the transfer report? - ANSWER>>>Resolved health conditions A nurse is caring for a client who has recently undergone a total bilateral mastectomy. which of the following statements by the client requires immediate action by the nurse? - ANSWER>>>When I look at myself in the mirror, I don't know if i can go on a client who has advanced cancer tells the nurse that he has a difficult time talking to anyone about the illness. Which of the following actions should the nurse take to encourage therapeutic communication? - ANSWER>>>let the client know that he is available and willing to listen A nurse is reinforcing teaching with a client about smoking cessation. Which of the following should the nurse identify as the first stage of health behavior change? - ANSWER>>>Precontemplation A nurse is caring for a client who is postoperative and is experiencing nausea and vomiting. The nurse should identify which of the following findings as indications that the client has fluid volume deficit? (S.A.T.A.) - ANSWER>>>Orthostatic hypotension Flat neck veins cool extremities A nurse is caring for a client who is alert and in a long term care facility. Which of the following actions should the nurse take to protect the client's privacy? - ANSWER>>>Speak with the client about his condition after the visitors have left. A nurse has delegated various client care tasks to the assistive personnel on the care team. Which of the following actions by the AP should the nurse identify as correct? - ANSWER>>>Donning a mask to measure the
vital signs of a patient with pertussis A nurse is reinforcing teaching about hospice care measures with the fam of a pt who is dying. Which of the following statements by a member of the clients family indicates an understanding of the teaching? - ANSWER>>>We will keep her room cool to help her breathe better A nurse is reinforcing teaching with a client about the use of crutches. Which of the following actions by the client indicates an understanding of the teaching? - ANSWER>>>When ascending stairs the client should first advance the unaffected leg. A nurse is providing wound care for a group of clients. Which of the following wounds should the nurse identify as healing by secondary intention? - ANSWER>>>A stage 3 pressure injury on the coccyx A nurse is using Maslow's hierarchy of needs in assisting with discharge planning for a client. Which of the following activities should the nurse recommend as the priority for this client? - ANSWER>>>Attend an exercise program A nurse is reinforcing teaching with a client about the prevention of stress injuries. Which of the following instructions should the nurse include? - ANSWER>>>When lifting a heavy object keep it close to your body. A nurse is preparing to administer an enteral feeding to a client who has an NG tube in place. Which of the following methods should the nurse use to verify correct placement of an NG tube? - ANSWER>>>Check the PH of the gastric aspirate. A nurse is collecting data from an older client. Which of the following should the nurse report to the provider? - ANSWER>>>The client reports urinary incontinence
c. Clean the toys every afternoon before putting them away. d. Wash their hands between each interaction with children. - ANSWER>>>d. Wash their hands between each interaction with children. The nurse is admitting a patient with an infectious disease process. Which question will be most appropriate for a nurse to ask about the patient's susceptibility to this infectious process? a. "Do you have a spouse?" b. "Do you have a chronic disease?" c. "Do you have any children living in the home?" d. "Do you have any religious beliefs that will influence your care?" - ANSWER>>>b. "Do you have a chronic disease?" The patient experienced a surgical procedure, and Betadine was utilized as the surgical prep. Two days postoperatively, the nurse's assessment indicates that the incision is red and has a small amount of purulent drainage. The patient reports tenderness at the incision site. The patient's temperature is 100.5° F, and the WBC is 10,500/mm3. Which action should the nurse take first? a. Plan to change the surgical dressing during the shift. b. Utilize SBAR to notify the primary health care provider. c. Reevaluate the temperature and white blood cell count in 4 hours. d. Check to see what solution was used for skin preparation in surgery. - ANSWER>>>b. Utilize SBAR to notify the primary health care provider. The nurse is providing an education session to an adult community group about the effects of smoking on infection. Which information is most important for the nurse to include in the educational session? a. Smoke from tobacco products clings to your clothing and hair. b. Smoking affects the cilia lining the upper airways in the lungs. c. Smoking can affect the color of the patient's fingernails. d. Smoking tobacco products can be very expensive. - ANSWER>>>b. Smoking affects the cilia lining the upper airways in the lungs. A female adult patient presents to the clinic with reports of a white discharge and itching in the vaginal area. A nurse is taking a health history. Which question is the priority? a. "When was the last time you visited your primary health care provider?"
b. "Has this condition affected your eating habits in any way?" c. "What medications are you currently taking?" d. "Are you able to sleep at night? - ANSWER>>>c. "What medications are you currently taking?" The nurse is caring for a school-aged child who has injured the right leg after a bicycle accident. Which signs and symptoms will the nurse assess for to determine if the child is experiencing a localized inflammatory response? a. Malaise, anorexia, enlarged lymph nodes, and increased white blood cells b. Chest pain, shortness of breath, and nausea and vomiting c. Dizziness and disorientation to time, date, and place d. Edema, redness, tenderness, and loss of function - ANSWER>>>d. Edema, redness, tenderness, and loss of function Which interventions utilized by the nurse will indicate the ability to recognize a localized inflammatory response? a. Vigorous range-of-motion exercises b. Turn, cough, and deep breathe c. Orient to date, time, and place d. Rest, ice, and elevation - ANSWER>>>d. Rest, ice, and elevation The nurse is caring for a group of medical-surgical patients. Which patient is most at risk for developing an infection? a. A patient who is in observation for chest pain. b. A patient who has been admitted with dehydration. c. A patient who is recovering from a right total hip surgery. d. A patient who has been admitted for stabilization of heart problems. - ANSWER>>>c. A patient who is recovering from a right total hip surgery. The nurse is caring for a patient diagnosed with leukemia and is preparing to provide fluids through a vascular access (IV) device. Which nursing intervention is a priority in this procedure? a. Review the procedure with the patient. b. Position the patient comfortably. c. Maintain surgical aseptic technique.
A patient presents with pneumonia. Which priority intervention should be included in the plan of care for this patient? a. Observe the patient for decreased activity tolerance. b. Assume the patient is in pain and treat accordingly. c. Provide the patient ice chips as requested. d. Maintain the room temperature at 65° F. - ANSWER>>>a. Observe the patient for decreased activity tolerance. The nurse is caring for a patient in an intensive care unit who needs a bath. Which priority action will the nurse take to decrease the potential for a health care-associated infection? a. Use local anesthetic on reddened areas. b. Use nonallergenic tape on dressings. c. Use a chlorhexidine wash. d. Use filtered water. - ANSWER>>>c. Use a chlorhexidine wash. The infection control nurse is reviewing data for the medical-surgical unit. The nurse notices an increase in postoperative infections from Aspergillus. Which type of health care-associated infection will the nurse report? a. Vector b. Exogenous c. Endogenous d. Suprainfection - ANSWER>>>b. Exogenous The patient has contracted a urinary tract infection (UTI) while in the hospital. Which action will most likely increase the risk of a patient contracting a UTI? a. Reusing the patient's graduated receptacle to empty the drainage bag b. Allowing the drainage bag port to touch the graduated receptacle c. Emptying the urinary drainage bag at least once a shift d. Irrigating the catheter infrequently - ANSWER>>>b. Allowing the drainage bag port to touch the graduated receptacle Which nursing action will most likely increase a patient's risk for developing a health care-associated infection? a. Uses surgical aseptic technique to suction an airway. b. Uses a clean technique for inserting a urinary catheter.
c. Uses a cleaning stroke from the urinary meatus toward the rectum. d. Uses a sterile bottled solution more than once within a 24-hour period - ANSWER>>>b. Uses a clean technique for inserting a urinary catheter. The nurse is caring for a patient in labor and delivery. When near completing an assessment of the patient's cervix, the electronic infusion device being used on the intravenous (IV) infusion alarms. Which sequence of actions is most appropriate for the nurse to take? a. Complete the assessment, remove gloves, and silence the alarm. b. Discontinue the assessment, silence the alarm, and assess the intravenous site. c. Complete the assessment, remove gloves, wash hands, and assess the intravenous infusion. d. Discontinue the assessment, remove gloves, use hand gel, and assess the intravenous infusion - ANSWER>>>c. Complete the assessment, remove gloves, wash hands, and assess the intravenous infusion. The nurse is dressed and is preparing to care for a patient in the perioperative area. The nurse has scrubbed hands and has donned a sterile gown and gloves. Which action will indicate a break in sterile technique? a. Touching clean protective eyewear b. Standing with hands above waist area c. Accepting sterile supplies from the surgeon d. Staying with the sterile table once it is open - ANSWER>>>a. Touching clean protective eyewear The nurse is caring for a patient with an incision. Which actions will best indicate an understanding of medical and surgical asepsis for a sterile dressing change? a. Donning clean goggles, gown, and gloves to dress the wound b. Donning sterile gown and gloves to remove the wound dressing c. Utilizing clean gloves to remove the dressing and sterile supplies for the new dressing d. Utilizing clean gloves to remove the dressing and clean supplies for the new dressing - ANSWER>>>c. Utilizing clean gloves to remove the dressing and sterile supplies for the new dressing
The nurse is caring for a patient who becomes nauseated and vomits without warning. The nurse has contaminated hands. Which action is best for the nurse to take next? a. Wash hands with an antimicrobial soap and water. b. Clean hands with wipes from the bedside table. c. Use an alcohol-based waterless hand gel. d. Wipe hands with a dry paper towel. - ANSWER>>>a. Wash hands with an antimicrobial soap and water. The nurse is performing hand hygiene before assisting a health care provider with insertion of a chest tube. While washing hands, the nurse touches the sink. Which action will the nurse take next? a. Inform the health care provider and recruit another nurse to assist. b. Rinse and dry hands and begin assisting the health care provider. c. Extend the handwashing procedure to 5 minutes. d. Repeat handwashing using antiseptic soap - ANSWER>>>d. Repeat handwashing using antiseptic soap The nurse on the surgical team and the surgeon have completed a surgery. After donning gloves, gathering instruments, and placing in the transport carrier, what is the next step in handling the instruments used during the procedure? a. Sending to central sterile for cleaning and sterilization b. Sending to central sterile for cleaning and disinfection c. Sending to central sterile for cleaning and boiling d. Sending to central sterile for cleaning - ANSWER>>>a. Sending to central sterile for cleaning and sterilization The nurse is observing a family member changing a dressing for a patient in the home health environment. Which observation indicates the family member has a correct understanding of how to manage contaminated dressings? a. The family member places the used dressings in a plastic bag. b. The family member saves part of the dressing because it is clean. c. The family member removes gloves and gathers items for disposal.
d. The family member wraps the used dressing in toilet tissue before placing in trash - ANSWER>>>a. The family member places the used dressings in a plastic bag. The nurse is caring for a group of patients. For which patient will the nurse question the form of precautions being used? a. A patient with Clostridium difficile in droplet precautions b. A patient with tuberculosis in airborne precautions c. A patient with MRSA infection in contact precautions d. A patient with a lung transplant in protective environment precautions - ANSWER>>>a. A patient with Clostridium difficile in droplet precautions The home health nurse is teaching a patient and family about hand hygiene in the home. The nurse to emphasize washing hands before and after what form of contact? a. Shaking hands b. Performing treatments c. Opening the refrigerator d. Working on a computer - ANSWER>>>b. Performing treatments The surgical mask the perioperative nurse is wearing becomes moist. Which action will the perioperative nurse take next? a. Apply a new mask. b. Reapply the mask after it air-dries. c. Change the mask when relieved by next shift. d. Do not change the mask if the nurse is comfortable. - ANSWER>>>a. Apply a new mask. The nurse is caring for a patient on contact precautions. Which action will be most appropriate to prevent the spread of disease? a. Place the patient in a room with negative airflow. b. Wear a gown, gloves, face mask, and goggles for interactions with the patient. c. Transport the patient safely and quickly when going to the radiology department.
c. Removing sterile gloves and disposing of in kick bucket d. Providing a medical evaluation of the nurse to the manager - ANSWER>>>b. Testing the patient and offering treatment to the nurse
. The nurse is caring for a patient who needs a protective environment. The nurse has provided the care needed and is now leaving the room. In which order will the nurse remove the personal protective equipment, beginning with the first step? 1. Remove eyewear/face shield and goggles. 2. Perform hand hygiene, leave room, and close door. 3. Remove gloves. 4. Untie gown, allow gown to fall from shoulders, and do not touch outside of gown; dispose of properly. 5. Remove mask by strings; do not touch outside of mask. 6. Dispose of all contaminated supplies and equipment in designated receptacles. a. 3, 1, 4, 5, 6, 2 b. 1, 4, 5, 3, 6, 2 c. 1, 4, 5, 3, 2, 6 d. 3, 1, 4, 5, 2, 6 - ANSWER>>>d. 3, 1, 4, 5, 2, 6 The nurse manager is evaluating current infection control data for the intensive care unit. The nurse compares past patient data with current data to look for trends. The nurse manager examines the infection chain for possible solutions. In which order will the nurse arrange the items for the infection chain beginning with the first step? 1. A mode of transmission 2. An infectious agent or pathogen 3. A susceptible host 4. A reservoir or source for pathogen growth 5. A portal of entry to a host 6. A portal of exit from the reservoir a. 3, 2, 4, 1, 5, 6 b. 1, 3, 5, 4, 6, 2 c. 4, 2, 1, 6, 3, 5 d. 2, 4, 6, 1, 5, 3 - ANSWER>>>d. 2, 4, 6, 1, 5, 3 The nurse is caring for a patient in protective environment. Which actions will the nurse take? (Select all that apply.) a. Wear an N95 respirator when entering the patient's room. b. Maintain airflow rate greater than 12 air exchanges/hour. c. Place in special room with negative-pressure airflow. d. Open drapes during the daytime. e. Listen to the patient's interests.
f. Place dried flowers in a plastic vase. - ANSWER>>>b. Maintain airflow rate greater than 12 air exchanges/hour. d. Open drapes during the daytime. e. Listen to the patient's interests. The nurse is assessing a new patient admitted to home health. Which questions will be most appropriate for the nurse to ask to determine the risk of infection? (Select all that apply.) a. "Can you explain the risk for infection in your home?" b. "Have you traveled outside of the United States?" c. "Will you demonstrate how to wash your hands?" d. "What are the signs and symptoms of infection?" e. "Are you able to walk to the mailbox?" f. "Who runs errands for you?" - ANSWER>>>a. "Can you explain the risk for infection in your home?" b. "Have you traveled outside of the United States?" c. "Will you demonstrate how to wash your hands?" d. "What are the signs and symptoms of infection?" The circulating nurse in the operating room is observing the surgical technologist while applying a sterile gown and gloves to care for a patient having an appendectomy. Which behaviors indicate to the nurse that the procedure by the surgical technologist is correct? (Select all that apply.) a. Ties the back of own gown. b. Touches only the inside of gown. c. Slips arms into arm holes simultaneously. d. Extended fingers fully into both of the gloves. e. Uses hands covered by sleeves to open gloves. f. Applies surgical cap and face mask in the operating suite. - ANSWER>>>b. Touches only the inside of gown. c. Slips arms into arm holes simultaneously. d. Extended fingers fully into both of the gloves. e. Uses hands covered by sleeves to open gloves. The nurse is preparing to insert a urinary catheter. The nurse is using open gloving to apply the sterile gloves. Which steps will the nurse take? (Select all that apply.)
