RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED, Exams of Nursing

Download RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED and more Exams Nursing in PDF only on Docsity! RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 1 RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED Chapter 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 centers 2. A nurse is explaining the various types of health care coverage clients might have to a group of nurses. Which of the following health care financing mechanisms should the nurse include as federally funded? (Select all that apply.) a. Preferred provider organization (PPO) b. Medicare c. Long-term care insurance d. Exclusive provider organization (EPO) e. Medicaid 3. A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as a primary health care strategy? a. Collaborating with providers to perform obesity screenings during routine office visits. b. Ensuring the availability of specialized beds in rehabilitation centers for clients who have obesity. c. Providing specialized intraoperative training in surgical treatments for obesity. d. Educating acute care nurses about postoperative complications related to obesity. RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 2 4. A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as the responsibility of state licensing boards? a. Monitoring evidence-based practice for clients who have a specific diagnosis. b. Ensuring that health care providers comply with regulations. c. Setting quality standards for accreditation of health care facilities. d. Determining whether medications are safe for administration to clients. 5. A nurse is explaining the various levels of health care services to a group of newly licensed nurses. Which of the following examples of care or care settings should the nurse classify as tertiary care? (Select all that apply.) a. Intensive care unit b. Oncology treatment center c. Burn center RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 5 c. Toileting d. Determining pain level e. Measuring vital signs Chapter 3 1. A nurse is caring for a client who decides not to have surgery despite significant blockages of the coronary arteries. The nurse understands that this client’s choice is an example of which of the following ethical principles? a. Fidelity b. Autonomy c. Justice d. Nonmaleficence 2. A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse understands that this aspect of care delivery is an example of which of the following ethical principles? a. Fidelity b. Autonomy c. Justice d. Beneficence 3. A nurse is instructing a group of newly license nurses about the responsibilities organ donation and procurement involve. When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, the newly licensed nurses should understand that this aspect of care delivery is an example of which of the following ethical principles? a. Fidelity b. Autonomy c. Justice d. Nonmaleficence RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 6 4. A nurse questions a medication prescription as too extreme in light of the client’s advanced age and unstable status. The nurse understands that this action is an example of which of the following ethical principles? a. Fidelity b. Autonomy c. Justice d. Nonmaleficence 5. A nurse is instructing a group of newly licensed nurses how to know and what to expect when ethical dilemmas arise. Which of the following situations should the newly licensed nurses identify as an ethical dilemma? a. A nurse on a medical-surgical unit demonstrates signs of chemical impairment. b. A nurse overhears another nurse telling an older adult client that if he doesn’t stay in bed, she will have to apply restraints. RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 7 c. A family has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminally ill. d. A client who is terminally ill hesitates to name their partner on their durable power of attorney form. Chapter 4 1. A nurse observes an 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. Invasion of privacy 2. A nurse is caring for a competent adult client who tells the nurse, “I am leaving the hospital this morning whether the doctor discharges me or not.” The nurse believes that this is not in the client’s best interest, and prepares to administer a PRN sedative medication the client has not requested along with the scheduled morning medication. Which of the following types of tort is the nurse about to commit? a. Assault b. False imprisonment c. Negligence d. Breach of confidentiality 3. A nurse in a surgeon’s office is providing preoperative teaching for a client who is scheduled for surgery the following week. The client tells the nurse that “I plan to prepare my advance directives before I come to the hospital.” Which of the following statements mad by the client should indicate to the nurse an understanding of advance directives? a. “I’d rather have my brother make decisions for me, but I know it has to be my wife.” b. “I know they won’t go ahead with the surgery unless I prepare these forms.” c. “I plan to write that I don’t want them to keep me on a breathing machine.” RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 10 d. Use as many abbreviations as possible. e. Wait until the end of the shift to document. 4. A nurse is discussing occurrences that require completion of an incident report with a newly licensed nurse. Which of the following should the nurse include in the teaching? (Select all that apply.) a. Medication error b. Needlesticks c. Conflict with provider and nursing staff d. Omission of prescription e. Missed specimen collection of a prescribed laboratory test RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 11 5. A nurse is receiving a provider’s prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? (Select all that apply.) a. Repeat the details of the prescription back to the provider. b. Have another nurse listen to the telephone prescription. c. Obtain the provider’s signature on the proscription within 24 hr. d. Decline the verbal prescription because it is not an emergency situation. e. Tell the charge nurse that the provider has prescribed morphine by telephone. Chapter 6 1. A nurse on a medical-surgical unit has received change-of-shift report and will care for four clients. Which of the following tasks should the nurse assign to an assistive personnel (AP)? a. Updating the plan of care for a client who is postoperative b. Reinforcing teaching with a client who is learning to walk using a quad cane c. Reapplying a condom catheter for a client who has urinary incontinence d. Applying a sterile dressing to a pressure injury 2. A nurse manager is assigning care of a client who is being admitted from the PACU following thoracic surgery. The nurse manager should assign the client to which of the following staff members? a. Charge nurse b. Registered nurse (RN) c. Practical nurse (PN) d. Assistive personnel (AP) 3. A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following information should the nurse share with the AP? (Select all that apply.) a. The roommate ambulates independently. b. The client ambulates wearing slippers over antiembolic stockings. c. The client uses a front-wheeled walker when ambulating. d. The client had pain medication 30 min ago. e. The client is allergic to codeine. RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 12 4. A charge nurse is assigning client care for four clients. Which of the following tasks should the nurse assign to a PN? a. Creating a plan of care for a client who is recovering following a stroke. b. Assessing a pressure injury on a client who is on bed rest. c. Providing nasopharyngeal suctioning for a client who has pneumonia. d. Teaching a client who has asthma to use a metered-dose inhaler. 5. A nurse is preparing an in-service program about delegation. Which of the following are components of the five rights of delegation? (Select all that apply.) a. Right place RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 15 5. A nurse is discussing the nursing process with a newly licensed nurse. Which of the following statements by the newly licensed nurse should the nurse identify as appropriate for the planning step of the nursing process? a. “I will determine the most important client problems that we should address.” b. “I will review the past medical history on the client’s record to get more information.” c. “I will carry out the new prescriptions from the provider.” d. “I will ask the client if their nausea has resolved.” Chapter 8 1. A nurse is caring for a client who is 24 hr postoperative following an inguinal hernia repair. The client is tolerating clear liquid well, has active bowel sounds, and is expressing a desire for “real food.” The nurse tells the client “I will call the surgeon and ask for a change in diet.” The surgeon hears the nurse’s report and prescribes a full liquid diet. The nurse used which of the following levels of critical thinking? a. Basic b. Commitment c. Complex d. Integrity 2. A nurse receives a prescription for an antibiotic for a client who has cellulitis. The nurse checks the client’s medical record, discovers that the client is allergic to the antibiotic, and call the provider to request a prescription for a different antibiotic. Which of the following critical thinking attitudes did the nurse demonstrate? a. Fairness b. Responsibility c. Risk-taking d. Creativity 3. A newly licensed nurse is considering strategies to improve critical thinking. Which of the following actions should the nurse take? (Select all that apply.) a. Find a mentor. b. Use a journal to write about the outcomes of clinical judgments. RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 16 c. Review articles about evidence-based practice. d. Limit consultations with other professionals involved in a client’s care. e. Make quick decisions when unsure about a client’s needs. 4. A nurse is caring for a client who has a new prescription 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 thinking is the nurse using when he reviews the medication information? a. Knowledge b. Experience RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 17 c. Intuition d. Competence 5. A nurse uses a head-to-toe approach to conduct a physical assessment of a client who will undergo surgery the following week. Which of the following critical thinking did the nurse demonstrate? a. Confidence b. Perseverance c. Integrity d. Discipline Chapter 9 1. A nurse is performing an admission assessment for an older adult client. After gathering the assessment data and performing the review od systems, which of the following actions is a priority for the nurse? a. Orient the client to their room. b. Conduct a client care conference. c. Review medical prescriptions. d. Develop a plan of care. 2. A nurse is admitting a client who has acute cholecystitis to a medical-surgical unit. Which of the following actions are essential steps of the admission procedure? (Select all that apply.) a. Explain the roles of other care delivery staff. b. Begin discharge planning. c. Inform the client that advance directives are required for hospital admission. d. Document the client’s wishes about organ donation. e. Introduce the client to their roommate. 3. A nurse is caring for a client who had a stroke and is scheduled for transfer to a rehabilitation center. Which of the following tasks are the responsibility of the nurse at the transferring facility? (Select all that apply.) a. Ensure that the client has possession of their valuables. 20 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 20 3. A nurse is wearing sterile gloves in preparation for performing a sterile procedure. Which of the following objects can the nurse touch without breaching sterile technique? (Select all that apply.) a. A bottle containing a sterile solution b. The edge of the sterile drape at the base of the field c. The inner wrapping of an item on the sterile field d. An irrigation syringe on the sterile field e. One gloved hand with the other gloved hand 4. A nurse is reviewing hand hygiene techniques with a group of assistive personnel (AP). Which of the following instructions should the nurse include when discussing handwashing? (Select all that apply.) a. Apply 3 to 5 mL of liquid soap to dry hands. b. Wash the hands with soap and water for at least 15 seconds. 21 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 21 c. Rinse the hands with hot water. d. Use a clean paper towel to turn off hand faucets. e. Allow the hands to air dry after washing. 5. A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following events should the nurse recognize as contaminating the sterile field? (Select all that apply.) a. The provider drops a sterile instrument onto the near side of the sterile field. b. The nurse moistens a cotton ball with sterile normal saline and places it on the sterile field. c. The procedure is delayed 1 hr because the provider receives an emergency call. d. The nurse turns and speak to someone who enters through the door behind the nurse. e. The client’s hand brushes against the outer edge of the sterile field. Chapter 11 1. A nurse is caring for a client who has severe acute respiratory syndrome (SARS). The nurse knows that health care professionals are required to report communicable and infectious diseases. Which of the following illustrate the rationale for reporting? (Select all that apply.) a. Planning and evaluating control and prevention strategies. b. Determining public health priorities. c. Ensuring proper medical treatment. d. Identifying endemic disease. e. Monitoring for common-source outbreaks. 2. A nurse is caring for a client who has a cough for 3 weeks and is beginning to cough up blood. The client has manifestations of which of the following conditions? a. Allergic reaction b. Ringworm c. Systemic lupus erythematosus d. Tuberculosis 22 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 22 3. A nurse is caring for a client who reports a severe sore throat, pain when swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection? a. Prodromal b. Incubation c. Convalescence d. Illness 4. A charge nurse is reviewing with a newly hired nurse the difference in manifestations of a localized versus a systemic infection. Which of the following are manifestations of a systemic infection? (Select all that apply.) 25 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 25 a. Complete a fall-risk assessment. b. Educate the client and family about fall risks. c. Eliminate safety hazards from the client’s environment. d. Make sure the client uses assistive aids in their possession. 5. A nurse discovers a small paper fire in a trash can in a client’s bathroom. The client has been taken to safety and the alarm has been activated. Which of the following actions should the nurse take? a. Open the windows in the client’s room to allow smoke to escape. b. Obtain a class C fire extinguisher to extinguish the fire. c. Remove all electrical equipment from the client’s room. d. Place wet towels along the base of the door to the client’s room. Chapter 13 1. A nurse is providing discharge instructions to a client who has a prescription for oxygen use at home. Which of the following information should the nurse include? (Select all that apply.) a. Family members who smoke must be at least 10 ft from the client when oxygen is in use. b. Nail polish should not be used near a client who is receiving oxygen. c. A “No Smoking” signs should be placed on the front door. d. Cotton bedding and clothing should be replaced with items made from wool. e. A fire extinguisher should be readily available in the home. 2. A nurse educator is presenting module on basic first aid for newly licensed home health nurses. The client who has heat stroke will have which of the following? a. Hypotension b. Bradycardia c. Clammy skin d. Bradypnea 3. A nurse educator is conducting a parenting class for new guardians of infants. Which of the following statements made by a participant indicated understanding? 26 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 26 a. “I will set my water heater at 130oF.” b. “Once my baby can sit up, they should be safe in the bathtub.” c. “I will place my baby on their stomach to sleep.” d. “Once my infant starts to push up, I will remove the mobile from over the crib.” 4. A home health nurse is discussing the dangers of carbon monoxide poisoning with a client. Which of the following information should the nurse include? a. Carbon monoxide has a distinct odor. b. Water heaters should be inspected every 5 years. c. The lungs are damaged from carbon monoxide inhalation. d. Carbon monoxide binds with hemoglobin in the body. 27 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 27 5. A home health nurse is discussing the dangers of food poisoning with a client. Which of the following information should the nurse include? (Select all that apply.) a. Most food poisoning is caused by a virus. b. Immunocompromised individuals are at increased risk for complications from food poisoning. c. Clients who are at high risk should eat or drink only pasteurized dairy products. d. Healthy individuals usually recover from the illness in a few weeks. e. Handling raw and fresh food separately can prevent food poisoning. Chapter 14 1. A nurse is caring for a client who is receiving enteral 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 2. A nurse is caring for a client who is sitting in a chair and asks to return to bed. Which of the following actions is the nurse’s priority at this time? a. Obtain a walker for the client to use to transfer back to bed. b. Call for additional staff to assist with the transfer. c. Use a transfer belt to assist the client back into bed. d. Determine the client’s ability to help with transfer. 3. A nurse is instructing a client who has COPD about using the orthopneic position to relieve shortness of breath. Which of the following statements should the nurse make? a. “Lie on your back with our head and shoulders supported by a pillow.” b. “Have your head turned to the side while you lie on your stomach.” c. “Have a table beside your bed so you can sit on the bedside and rest your arms on the table.” 30 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 30 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. 4. 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 as any questions and just let the caller talk.” d. “I will listen for background noises.” 31 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 31 5. A nurse on a medical surgical unit is informed that a mass casualty event occurred in the community and that 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 and receiving IV fluid and electrolytes. b. A client who has a nasogastric tube to treat a small bowel obstruction. c. A client who is scheduled for elective surgery. d. A client who has chronic hypertension and blood pressure 135/85 mmHg. e. A client who has acute appendicitis and is scheduled for an appendectomy. Chapter 16 1. A nurse is caring for a young adult at a college health clinic. Which of the following actions should the nurse take first? a. Give the client information about immunization against meningitis. b. Tell the client to have a TB skin test every 2 years. c. Determine the client’s health risks. d. Teach the client about exercise recommendations. 2. A nurse in a clinic is planning health promotion and disease prevention strategies for a client who has multiple risk factors for cardiovascular disease. Which of the following interventions should the nurse include? (Select all that apply.) a. Help the client see the benefits of their actions. b. Identify the client’s support systems. c. Suggest and recommend community resources. d. Devise and set goals for the client. e. Teach stress management strategies. 3. A nurse in a health clinic is caring for a 210year client who tells the nurse that their last physical exam was in high school. Which of the following health screenings should the nurse expect the provider to perform for this client? a. Testicular examination b. Blood glucose c. Fecal occult blood 32 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 32 d. Prostate-specific antigen 4. A nurse at a 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 screening b. Teaching about a healthy diet c. Providing information about antihypertensive medications d. Developing a list of cardiac rehabilitation programs 5. A nurse at a provider’s office is talking about routine screenings with a 45-year-old female client who has no specific family history of cancer or diabetes mellitus. 35 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 35 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 instruction on this topic. Chapter 18 1. A nurse is talking with the parents of a 6-month-old infant about gross motor development. Which of the following gross motor skills are expected findings in the next 3 months? (Select all that apply.) a. Rolls from back to front b. Bears weight on legs c. Walks holding onto furniture d. Sits unsupported e. Sits down from standing position 2. A nurse is reviewing safety measures with the parent of an 8-month-old infant. Which of the following statements by the parent indicates an understanding of safety for the infant? a. “My baby loved to play with the crib gym, but I took it out of the crib.” b. “I just bought a soft mattress so my baby will sleep better.” c. “My baby really likes sleeping on the fluffy pillow we just got.” d. “”I put the baby’s car seat out of the way on the table after I put him in it.” 3. A nurse is reviewing car seat safety with the parents of a 1-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 three-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. 4. A nurse is assessing a 2-week-old newborn during a routine checkup. Which of the following findings should the nurse expect? a. Sleeps 14 to 16 hr each day. 36 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 36 b. Posterior fontanel closed. c. Pincer grasp present. d. Hands remain in a closed position. e. Current weight same as birth weight. 5. The mother of a 7-month-old infant tells the nurse at the pediatric clinic that her baby has been fussy with occasional loose stools since she started feeding him fruits and vegetables. Which of the following responses should the nurse make? (Select all that apply.) a. “It might be good to add bananas, as they can help with loose stools.” b. “Let’s make a list of the foods your baby is eating so we can spot any problems.” 37 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 37 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.” Chapter 19 1. A nurse is giving a presentation about accident 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. 2. 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. 3. 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 door closed. c. Inform the toddler how you feel when he misbehaves. d. Use favorite snack to reward the toddler. 4. A mother tells the nurse that her 2-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 her independence. 40 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 40 5. A nurse is talking with guardians who are concerned about several issues with their preschooler. Which of the following issues should the nurse identify as the priority? a. “My child mimics the way my partner and I dress.” b. “My child has temper tantrums every time we tell them to do something they don’t want to do.” c. “I think my child truly believes that toys have personalities and can talk.” d. “I feel bad when I see my child trying so hard to button their shirt.” Chapter 21 41 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 41 1. A nurse is talking with caregivers of a 12-year-old child. Which of the following issues verbalized by the caregivers should the nurse identify as the priority? a. “We just don’t understand why our child can’t keep up with the other kids in simple activities like running and jumping.” b. “Our child keeps trying to find ways around our household rules. They always want to make deals with us.” c. “We think our child is trying too hard to excel in math just to get the top grades in the class.” d. “Our child likes to sing and worries it will make the other kids want to laugh.” 2. A nurse is planning diversionary activities for school-age children on an inpatient pediatric unit. Which of the following activities should the nurse include? (Select all that apply.) a. Building models. b. Playing video games. c. Reading books. d. Using toy carpentry tools. e. Playing board games. 3. A nurse is evaluating teaching about nutrition with the guardians of an 11-year-old child. Which of the following statements should indicate to the nurse an understanding of the teaching? a. “Our child wants to eat as much as we do, but we’re afraid It will lead to becoming overweight.” b. “Our child skips lunch sometimes, but we figure it’s okay as long as we eat a healthy breakfast and dinner.” c. “We limit fast-food restaurant meals to three times a week now.” d. “We reward school achievements with a point system instead of pizza or ice cream.” 4. A nurse is talking with the caregivers of a 10-yeaar-old child who is concerned that their child is becoming secretive, including closing the door when showering and dressing. Which of the following responses should the nurse make? a. “Perhaps you should try to find out what is happening behind those closed doors.” 42 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 42 b. “Suggest that the door be left ajar for safety reasons.” c. “At this age, children tend to become modest and value their privacy.” d. “You should establish a disciplinary plan to stop this behavior.” 5. A nurse is planning a health promotion and primary prevention class for the caregivers of school-age children. Which of the following actions should the nurse plan to take? (Select all that apply.) a. Provide information about the risk of childhood obesity. b. Discuss the danger of substance use disorder. c. Promote discussion about sexual issues. d. Recommend the school-age child sit in the front seat of the car. e. Reinforce stranger awareness. 45 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 45 1. 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 a 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.” 2. A nurse is reviewing CDC immunization recommendations with a young adult 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 c. Pertussis d. Tetanus e. Polio 3. 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 “sandwiched” between and being responsible for two generations. 4. 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 the priority to assess further? a. “I have my own apartment not, 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.” 46 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 46 5. 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. Chapter 24 47 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 47 1. 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 generations. 2. A nurse is collecting data to evaluate a middle adult’s psychosocial development. The nurse should expect middle 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 friendship and companionship. e. Become involved with community issues and activities. 3. A nurse is collecting history and physical examination data from a 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 4. 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 c. DXA screening for osteoporosis d. Increase intake of carbohydrate in the diet e. Screening for depressive disorders 50 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 50 5. A nurse is collecting data from an older adult client as part of a comprehensive physical examination. Which of the following findings should the nurse expect as associated with aging? (Select all that apply.) a. Skin thickening b. Decreased height c. Increased saliva production d. Nail thickening e. Decreased bladder capacity 51 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 51 Chapter 26 1. A nurse provides and introduction to a client as the first step of comprehensive physical examination. Which of the following strategies should the nurse use with this client? (Select all that apply.) a. Address the client with the appropriate title and their last name. b. Use a mix of open- and closed-ended questions. c. Reduce environmental noise. d. Have the client complete a printed history form. e. Perform the general survey before the examination. 2. A nurse is a provider’s office is documenting findings following an examination performed for a client new to the practice. Which of the following parameters should the nurse include as part of the general survey? (Select all that apply.) a. Posture b. Skin lesions c. Speech d. Allergies e. Immunization status 3. A nurse is collecting data for a client’s comprehensive physical examination. After inspecting the client’s abdomen, which of the following skill of the physical examination process should the nurse perform next? a. Olfaction b. Auscultation c. Palpation d. Percussion 4. A nurse is preparing to perform a comprehensive physical examinations of an older adult client. Which of the following interventions should the nurse use in consideration of the client’s age? (Select all that apply.) a. Expect the session to be shorter than for a younger client. b. Plan to allow plenty of time for position changes. c. Make sure the client has any essential sensory aids in place. d. Tell the client to take their time answering questions. 52 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 52 e. Invite the client to use the bathroom before beginning the examination. 5. A nurse in a provider’s office is performing a physical examination of an adult client. Which part of the hands should the nurse use during palpation for optimal assessment of skin temperature? a. Palmar surface b. Fingertips c. Dorsal surface d. Base of the fingers Chapter 27 55 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 55 1. A nurse is a provider’s office is preparing to test a client’s cranial nerve function. Which of the following should the nurse include when testing cranial nerve V? (Select all that apply.) a. “Close your eyes.” b. “Tell me what you can taste.” c. “Clench your teeth.” d. “Raise your eyebrows.” e. “Tell me when you feel a touch.” 2. A nurse is assessing a client’s thyroid gland as part of a comprehensive physical examination. Which of the following findings should the nurse expect? (Select all that apply.) a. Palpating the thyroid in the lower half of the neck. b. Visualizing the thyroid on inspection of the neck. c. Hearing a bruit when auscultating the thyroid. d. Feeling the thyroid ascend as the client swallows. e. Finding symmetric extension off the traches on both sides of the midline. 3. A nurse is assessing an adult client’s internal ear canals with an otoscope as part of a head and neck examination. Which of the following actions should the nurse take? (Select all that apply.) a. Pull the auricle down and back. b. Insert the speculum slightly down and forward. c. Insert the speculum 2 to 2.5 cm (0.8 to 1 in) d. Make sure the speculum does not touch the ear canal. e. Use the light to visualize the tympanic membrane in a cone shape. 4. A nurse is caring for a client who asks what their Snellen eye test results mean. The client’s visual acuity is 20/30. Which of the following responses should the nurse make? a. “Your eyes see at 20 feet what visually unimpaired eyes see at 30 feet.” b. “Your right eye can see the chart clearly at 20 feet, and your left eye can see the chart clearly at 30 feet.” c. “Your eyes see at 30 feet what visually unimpaired eyes see at 20 feet.” d. “Your left eye can see the chart clearly at 20 feet, and your right eye can see the chart clearly at 30 feet.” 56 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 56 5. A nurse is performing a head and neck examination for an older adult client. Which of the following age-related findings should the nurse expect? (Select all that apply.) a. Reddened gums b. Lowered vocal pitch c. Tooth loss d. Glare intolerance e. Thickened eardrums Chapter 29 57 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 57 1. A nurse in a provider’s office is preparing to perform a breast examination for an older adult client who is postmenopausal. Which of the following findings should the nurse expect? (Select all that apply.) a. Smaller nipples b. Less adipose tissue c. Nipple discharge d. More pendulous e. Nipple inversion 2. A nurse in a provider’s office is preparing to auscultate and percuss a client’s thorax as part of a comprehensive physical examination. Which of the following findings should the nurse expect? (Select all that apply.) a. Rhonchi b. Crackles c. Resonance d. Tactile fremitus e. Bronchovesicular sounds 3. During an abdominal examination, a nurse in a provider’s office determines that a client has abdominal distention. The protrusion is at midline, the skin over the area is taut, and the nurse notes no involvement of the flanks. Which of the following possible causes of distention should the nurse suspect? a. Fat b. Fluid c. Flatus d. Hernias 4. During a cardiovascular examination, a nurse in a provider’s office places the diaphragm of the stethoscope on the left midclavicular line at the fifth intercostal space. Which of the following data is the nurse attempting to auscultate? (Select all that apply.) a. Ventricular gallop b. Closure of the mitral valve c. Closure of the pulmonic valve d. Apical heart rate 60 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 60 d. Herpes simplex e. Varicella 5. A nurse is performing an integumentary assessment for a group of clients. Which of the following findings should the nurse recognize as requiring immediate intervention? a. Pallor b. Cyanosis c. Jaundice d. Erythema 61 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 61 Chapter 31 1. A nurse in a provider’s office is preparing to assess a young adult client’s musculoskeletal system as part of a comprehensive physical examination. Which of the following findings should the nurse expect? (Select all that apply.) a. Concave thoracic spine posteriorly b. Exaggerated lumbar curvature c. Concave lumbar spine posteriorly d. Exaggerated thoracic curvature e. Muscle slightly larger on the dominant side 2. A nurse, who is assessing a client’s neurologic system, should ask the client to close their eyes and identify which of the following items? a. A word the nurse whispers 30cm from the ear b. A number the nurse traces on the palm of the hand c. The vibration of a tuning fork the nurse places on the foot d. A familiar object the nurse places in the hand 3. A nurse is caring for a client who reports pain with internal rotation of the right shoulder. This discomfort can affect the client’s ability to perform which of the following activities? a. Exercising the deltoid muscle when using hand weights b. Brushing the hair on the back of the head c. Fastening or zipping closures on the back while dressing d. Reaching into cabinet above the sink 4. A nurse is performing a neurologic examination for a client. Which of the following assessments should the nurse perform to test the client’s balance? (Select all that apply.) a. Romberg test b. Heel-to-toe walk c. Snellen test d. Spinal accessory function e. Rosenbaum test 62 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 62 5. A nurse is collecting data from an older adult client as part of a neurologic examination. Which of the following findings should the nurse expect as changes associated with aging? (Select all that apply.) a. Slower light touch sensation b. Some vision and hearing decline c. Slower fine finger movement d. Some short-term memory decline e. Decreased risk of depression Chapter 32 65 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 65 possibly understand what I am going through?” Which of the following responses should the nurse make? a. “It takes time to get over the loss of a loved one.” b. “You are right. I cannot really understand. Perhaps you’d like to tell me more about what you’re feeling.” c. “Why don’t you try something to take your mind off your troubles, like watching a funny movie.” d. “I might not share your exact situation, but I do know what people go through when they deal with a loss.” 2. A nurse is caring for a client awaiting transport to the surgical suite for a coronary artery bypass graft. Just as the transport team arrives, the nurse takes the client’s vital signs and notes an elevation in BP and HR. the nurse should recognize this response as which part of general adaptation syndrome (GAS)? a. Exhaustion stage b. Resistance stage c. Alarm stage d. Recovery stage 3. A nurse is caring for a client who has left-sided hemiplegia resulting from a CVA accident. The client works as a carpenter and is now experiencing a situational role change based on physical limitations. The client is the primary wage earner in the family. Which of the following describes the client’s role problem? a. Role conflict b. Role overload c. Role ambiguity d. Role strain 4. A nurse is caring for a client who has a new diagnosis of type 2 DM. Which of the following nursing interventions for stress, coping, and adherence to the treatment plan should the nurse initiate at this time? (Select all that apply.) a. Suggest coping skills for the client to use in this situation. b. Allow the client to provide input in the treatment plan. c. Assist the client with time management, and address the client’s priorities. d. Provide extensive instructions on the client’s treatment regimen. e. Encourage the client in the expression of feelings and concerns. 66 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 66 5. A nurse is caring for a family who is experiencing crisis. Which of the following approaches should the nurse use when working with a family using an open structure for coping with crisis? a. Prescribing tasks unilaterally. b. Delegating care to one member c. Speaking to the primary client privately d. Convening a family meeting Chapter 34 67 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 67 1. A nurse in an ambulatory care clinic is caring for a client who had a mastectomy 6 months ago. The client tells the nurse that there has been a decreased desire for sexual relations since the surgery, stating “My body is so different now.” Which of the following responses should the nurse make? a. “Really, you look just fine to me. There’s no need to feel undesirable.” b. “I’m interested in finding out more about how your bod feels to you.” c. “Consider an afternoon at a spa. A facial will make you feel more attractive.” d. “It’s still too soon to expect to feel normal. Give it a little more time.” 2. A nurse is caring for a group of clients on a medical surgical unit. Which of the following clients are at increased risk for body-image disturbances? (Select all that apply.) a. A client who had a laparoscopic appendectomy. b. A client who had a mastectomy. c. A client who had a left above-the-knee amputation. d. A client who had a cardiac catheterization. e. A client who had a stroke with right-sided hemiplegia. 3. A nurse is caring for a client who is 3 days postoperative following a below-the-knee amputation as a result of a motor-vehicle crash. Which of the following statements indicates that the client has a distorted body image? a. “I’ll be able to function exactly as I did before the accident.” b. “I just can’t stop crying.” c. “I am so mad at that guy who hit us. I wish he lost a leg.” d. “I don’t even want to look at my leg. You can check the dressing.” 4. A nurse is caring for a client who is recovering from a MI and a cardiac catheterization. The client states: “I am concerned that things might be a little, you know, ‘different’ with my partner when I got home.” Which of the following statements should the nurse make? a. “Sounds like something you should discuss with them when you get home.” b. “It sounds like your are concerned about sexual functioning. Let’s discuss your concerns.” c. “Oh, I wouldn’t be too concerned. Things will be fine as soon as we get you home.” 70 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 70 b. “I will ask the client if the want to schedule some times to pray during the day.” c. “I will avoid discussing care when the client’s family is around.” d. “I will make sure daily communion is available for this client.” 5. A nurse is caring for a client who tells the nurse that based on religious values and mandates, a blood transfusion is not acceptable treatment option. Which of the following responses should the nurse make? a. “I believe in this case you should make an exception and accept the blood transfusion.” b. “I know your family would approve of your decision to have a blood transfusion.” 71 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 71 c. “Why does your religion mandate that you cannot receive any blood transfusions?” d. “Let’s discuss the necessity for a blood transfusion with your religious and spiritual leaders and come to a reasonable solution.” Chapter 36 1. A nurse is caring for a client who has terminal lung cancer. The nurse observes the client’s family assisting with all ADLs. Which of the following rationales for self-care should the nurse communicate to the family? a. Allowing the client to function independently will strengthen muscles and promote healing. b. The client needs privacy at times for self-reflecting and organizing life. c. The client’s sense of loss can be lessened through retaining control of some areas of life. d. Performing ADLs is a requirement prior to discharge from an acute care facility. 2. A nurse is caring for a client who has stage IV lung cancer and is 3 days postoperative following a wedge resection. The client states, “I told myself that I would go through with the surgery and quit smoking, if I could just live long enough to attend my child’s wedding.” Based on the Kubler-Ross model, which stage of grief is the client experiencing? a. Anger b. Denial c. Bargaining d. Acceptance 3. A nurse is consoling the partner of a client who just died after a long battle liver cancer. The grieving partner states, “I hate them for leaving me.” Which of the following statements should the nurse make to facilitate mourning for the partner? (Select all that apply.) a. “Would you like to contact the chaplain to come and speak with you?” b. “You will feel better soon. You have been expecting for a while now.” c. “Let’s talk about your children and how they are going to react.” 72 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 72 d. “You know, it is quite normal to feel anger toward your loved one at this time.” e. “Tell me more about how are you feeling.” 4. A nurse is caring for a client who has a terminal illness. Death is expected within 24 hr. The client’s family is at the bedside and asks the nurse what to expect at this time. Which of the following findings should the nurse include? a. Regular breathing pattern. b. Warm extremities. c. Increased urine output. d. Decreased muscle tone. 75 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 75 c. Rinse the dentures with hot water after cleaning them. d. Place the dentures in a clean, dry storage container after cleaning them. Chapter 38 1. A nurse in a provider’s office is caring for a client who states that, for the past week, “I have felt tired during the day and cannot sleep at night.” Which of the following responses should the nurse ask when collecting data about the client’s difficulty sleeping? (Select all that apply.) a. “Have your working hours changed recently?” b. “Do you feel confused in the late afternoon?” c. “Do you drink coffee, tea, or other caffeinated drinks? If so, how many cups per day?” d. “Has anyone ever told you that you seem to stop breathing for a few seconds while you are asleep?” e. “Tell me about you personal stress you are experiencing.” 2. A nurse is talking with a client about ways to help sleep and rest. Which of the following recommendations should the nurse give to the client to promote sleep and rest? (Select all that apply.) a. Practice muscle relaxation techniques. b. Exercise each morning. c. Take an afternoon nap. d. Alter the sleep environment for comfort. e. Limit fluid intake at least 2 hr before bedtime. 3. A nurse is caring for a client who has been following the facility’s routine and bathing in the morning. However, at home, the client always takes a warm bath just before bedtime. Now the client is having difficulty sleeping at night. Which of the following actions should the nurse take first? a. Rub the client’s back for 15 min before bedtime. b. Offer the client warm milk and crackers at 2100. c. Allow the client to take a bath in the evening. d. Ask the provider for a sleeping medication. 76 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 76 4. A nurse is preparing a presentation at a local community center about sleep hygiene. When explaining REM sleep, which of the following characteristics should the nurse include? (Select all that apply.) a. REM sleep provides cognitive restoration. b. REM sleep lasts about 90 min. c. It is difficult to awaken a person in REM sleep. d. Sleepwalking occurs during REM sleep. e. Vivid dreams are common during REM sleep. 5. A nurse is instructing a client who has a narcolepsy about measures that might help with self-management. Which of the following statements should the nurse identify as an indication that the client understands the instructions? 77 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 77 a. “I’ll add plenty of carbohydrates to my meals.” b. “I’ll take a short nap whenever I feel a little sleepy.” c. “I’ll make sure I stay warm when I am at my desk at work.” d. “It’s okay to drink alcohol as long as I limit it to one drink per day.” Chapter 39 1. A nurse is caring for a client who is at high risk for aspiration. Which of the following actions should the nurse take? a. Give the client thing liquids. b. Instruct the client to tuck their chin when swallowing. c. Have the client use a straw. d. Encourage the client to lie down and rest after meals. 2. A nurse is preparing a presentation about basic nutrients for a group of high school athletes. She should explain that which of the following nutrients provides the body with the most energy? a. Fat b. Protein c. Glycogen d. Carbohydrates 3. A nurse is caring for a client who requires a low-residue diet. The nurse should expect to see which of the following foods on the client’s meal tray? a. Cooked barley b. Pureed broccoli c. Vanilla custard d. Lentil soup 80 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 80 a. “This device will keep me from getting sores on my skin.” b. “This device will keep the blood pumping through my leg.” c. “With this device on, my leg muscles won’t get weak.” d. “This device is going to keep my joints in good shape.” 5. A nurse is instructing a client, who has an injury of the left lower extremity, about the use of cane. Which of the following instructions should the nurse include? (Select all that apply.) a. Hold the cane on the right side. b. Keep two points of support on the floor. c. Place the cane 38 cm (15 in) in front of the feet before advancing. d. After advancing the cane, move the weaker leg forward. 81 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 81 e. Advance the stronger leg so that it aligns evenly with the cane. Chapter 41 1. A nurse at a clinic is collecting data about pain from a client who reports severe abdominal pain. The nurse asks the client if there has been any accompanying nausea and vomiting. Which of the following pain characteristics is the nurse attempting to determine? a. Presence of associated manifestations. b. Location of the pain c. Pain quality d. Aggravating and relieving factors 2. A nurse is collecting data from a client who is reporting pain despite taking analgesia. Which of the following actions should the nurse take to determine the intensity of the client’s pain? a. Ask the client what precipitates the pain. b. Question the client about the location of the pain. c. Offer the client a pain scale to measure their pain. d. Use open-ended questions to identify the client’s pain sensations. 3. A nurse is discussing the care of a group of clients with a newly licensed nurse. Which of the following clients should the newly licensed nurse identify as experiencing chronic pain? a. A client who has a broken femur and reports hip pain. b. A client who has incisional pain 72 hr following pacemaker insertion. c. A client who has food poisoning and reports abdominal cramping. d. A client who has episodic back pain following a fall 2 years ago. 4. A nurse is monitoring a client for adverse effects following the administration of an opioid. Which of the following effects should the nurse identify as an adverse effect of opioids? (Select all that apply.) a. Urinary incontinence 82 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 82 b. Diarrhea c. Bradypnea d. Orthostatic hypotension e. Nausea 5. A nurse is caring for a client who is receiving morphine via PCA infusion device after abdominal surgery. Which of the following statements indicates that the client knows how to use the device? a. “I’ll wait to use the device until it’s absolutely necessary.” b. “I’ll be careful about pushing the button too much so I don’t get an overdose.” c. “I should tell the nurse if the pain doesn’t stop while I am using this device.” d. “I will ask my adult child to push the dose button when I am sleeping.” 85 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 85 Chapter 43 1. 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. 2. A nurse is providing dietary teaching for a client who reports constipation. Which of the following foods should the nurse recommend? a. Macaroni and cheese b. One medium apple with skin c. One cup of plain yogurt d. Roast chicken and white rice 3. A nurse is assessing a client who has had diarrhea for 4 days. Which of the following findings should the nurse expect? (Select all that apply.) a. Bradycardia b. Hypotension c. Elevated temperature d. Poor skin turgor e. Peripheral edema 4. While a nurse is administering a cleansing edema, the client reports abdominal cramping. Which of the following actions should the nurse take? a. Have the client hold their breath briefly and bear down. b. Clamp the enema tubing. c. Remind the client that cramping is common at this time. d. Raise the level of the enema fluid container. 86 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 86 5. A nurse is preparing to administer a cleansing enema to an adult client in preparation for a diagnostic procedure. Which of the following steps should the nurse take? (Select all that apply.) a. Warm the enema solution prior to instillation. b. Position the client on the left side with the right leg flexed forward. c. Lubricate the rectal tube or nozzle. d. Slowly insert the rectal tube about 5 cm (2 in). e. Hang the enema container 61 cm (24 in) above the client’s anus. Chapter 44 1. A nurse is teaching a client who reports stress urinary incontinence. Which of the following instructions should the nurse include? (Select all that apply.) 87 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 87 a. Limit total daily fluid intake. b. Decrease or avoid caffeine. c. Take calcium supplements. d. Avoid drinking alcohol. e. Used the Cred maneuver. 2. 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 whether the catheter is patent. b. Reassure the client that it is not possible for them to urinate. c. Re-catheterize the bladder with a larger-gauge catheter. d. Collect a urine specimen for analysis. 3. A nurse is caring for a client who has a prescription for a 24-hr 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. 4. 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? (Select all that apply.) 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 5. 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? (Select all that apply.) a. Restrict the client’s intake of fluids during the daytime. b. Have the client record urination time. c. Gradually increase the urination intervals. d. Remind the client to hold urine until the next scheduled urination time. 90 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 90 Chapter 46 1. A nurse is caring for a client who is 1-day postoperative and reports a pain level of 10 on a scale of 0 to 10. After reviewing the client’s medication administration record, which of the following medications should the nurse administer? a. Meperidine 75 mg IM b. Fentanyl 50 mcg/hr transdermal patch c. Morphine 2 mg IV d. Oxycodone 10 mg PO 91 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 91 2. A nurse is teaching a client about medications at discharge. Which of the following statements should the nurse identify as an indication that the client understands the instructions? a. “I can open the time-release capsule with the beads in it and sprinkle them on my oatmeal.” b. “If I am having difficulty swallowing, I will add the liquid medication to a prepared package of pudding.” c. “I can crush the enteric coated pill, if needed.” d. “I will eat two crackers with the pain pills.” 3. A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of the following instructions should the nurse include? a. “Flush the tube before and after each medication.” b. “Mix your medications with your enteral feeding.” c. “Push tablets through the tube slowly.” d. “Mix all the crushed medications prior to dissolving them in water.” 4. A nurse is preparing to inject heparin subcutaneously for a client who is postoperative. Which of the following actions should the nurse take? a. Use a 22-gauge needle. b. Select a site on the client’s abdomen. c. Use the Z-track technique to displace the skin on the injection site. d. Observe for bleb formation to confirm proper placement. 5. A nurse is teaching an adult client how to administer ear drops. Which of the following statements should the nurse identify as an indication that the client understands? a. “I will straighten my ear canal by pulling my ear down and back.” b. “I will gently apply pressure with my finger to the front part of my ear after putting in the drops.” c. “I will insert the nozzle of the ear drop bottle snug into my ear before squeezing the drops in.” d. “After the drops are in, I will place a cotton ball all the way into my ear canal.” Chapter 47 92 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 92 1. A nurse prepares an injection of morphine to administer to a client who reports pain, then asks a second nurse to give the injection because another assigned client needs to use a bedpan. Which of the following actions should the second nurse take? a. Offer to assist the client who needs the bedpan. b. Administer the injection the other nurse prepared. c. Prepare another syringe and administer the injection. d. Tell the client who needs the bedpan to wait while the nurse gives someone else medication. 95 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 95 2. A nurse is preparing to administer lactated Ringer’s (LR) IV 100 mL over 15 min. The nurse should set the IV infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Do not use a trailing zero.) 400mL/hr 3. A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 250 mL IV to infuse over 30 min. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should adjust the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Do not use a trailing zero.) 83 gtt/min 4. A nurse is preparing to administer metoprolol 200-mg PO daily. The amount available is metoprolol 100 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Do not use a trailing zero.) 2 tablets 5. A nurse is preparing to administer ketorolac 0.5 mg/kg IV bolus every 6 hr to a school-age child who weighs 66 lb. The amount available is ketorolac injection 30-mg/mL. How many mL should the nurse administer per dose? (Round the 96 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 96 answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) 0.5 mL 6. A nurse is preparing to administer dextrose 5% in water (D5W) 1,000-mL IV to infuse over 10 hr. The nurse should set the IV infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Do not use a trailing zero.) 100 mL/hr 97 | P a g e RN ATI FUNDAMENTALS TEST BANK ALL CHAPTERS QUESTIONS & ANSWERS LATEST GUIDE 2024 A+ GRADED 97 7. A nurse is preparing to administer acetaminophen 320 mg PO every 4-hr PRN for pain. The amount available is acetaminophen liquid 160-mg/5-mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) 10 mL 8. A nurse is preparing to administer dextrose 5% in lactated Ringer’s (D5LR) 1,000 mL to infuse over 6-hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should adjust the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Do not use a trailing zero.) 42 gtt/min Chapter 49 1. A nurse is demonstrating how to insert an IV catheter. Which of the following statements by a nurse viewing the demonstration indicates understanding of the procedure? a. “I will thread the needle all the way into the vein until the hub rests against the insertion site after I see a flashback of blood.”