ATI Fundamentals Test Bank: Nursing Practice Questions and Answers, Quizzes of Nursing

Download ATI Fundamentals Test Bank: Nursing Practice Questions and Answers and more Quizzes Nursing in PDF only on Docsity!

RN ATI FUNDAMENTALS TEST BANK, LATEST COMPLETE

100+ QUESTIONS & 100% ACCURATE ANSWERS ,

ALREADY RATED A+ GUARANTEED PASS.

"A nurse is a assisting with emergency care of a client who has been exposed to a chemical toxin. Which of the following actions should the nurse take?

• Rinse the clients skin with water
• Remove the clients clothing by pulling it over their head
• Dispose of the clients clothing in a single biohazard bag
• Prepare to administer potassium iodide to the client - CORRECT ANSWER=> Rinse the clients skin with water The nurse should have the client shower to remove the chemical toxin from their skin, hair, and eyes to reduce the effects of exposure." "A nurse is supervising a newly licensed nurse perform hand hygiene. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?
• Washes their hands for 10 sec
• Turns off the faucet with a towel
• Uses hot water to wash their hands
• Hods their hands above their elbows - CORRECT ANSWER=> Turns off the faucet with a towel The nurse should use a towel to turn off the faucet to reduce the risk of contaminating the hands." "A nurse is caring for a client whose religious belief prohibits them from receiving blood products. The client states, ''My adult children don’t agree with my beliefs and want me to receive a transfusion.'' Which of the following responses should the nurse make?
• ''Your children opinions do not matter.''
• ''You should receive blood products if it will save your life.''
• ''You have the right to choose what treatments are best for you.''
• ''Your health care provider will make the final choice on treatments that are in your best interest.'' -

CORRECT ANSWER=> ''You have the right to choose what treatments are best for you.''

The client's beliefs and preferences are most important, and the nurse should respect these and advocate for the client, regardless of the outcome." "A nurse is checking a clients allergy bracelet before administering a medication and finds the client is allergic to that medication. The nurse does not administer the medication to the client. This is an example of which of the following unexpected events?

• Near miss event
• Client safety event
• Adverse event
• Sentinel event - CORRECT ANSWER=> Near miss event A near-miss event is an error that could have harmed the client which almost occurs, but was caught and avoided. The nurse noted the client had an allergy to the medication prior to administering it, avoiding harm to the client." "A nurse is caring for a client who is at risk for suicide. Which of the following actions should the nurse take? (Select all that apply) -Place the client on round-the-clock surveillance
• Remove objects from the room that the client could use to harm themselves
• Search items brought into the clients room by visitors
• Refrain from asking the client if they intend to harm themselves
• Screen the client for suicidal ideations - CORRECT ANSWER=> Place the client on round the clock surveillance Remove objects from the room that the client could use to harm themselves Search items brought into the clients room by visitors Screen the client for suicidal ideations" "A nurse is caring for a client who has an indwelling urinary catheter in place. Which of the following actions is the priority for the nurse to take to reduce the clients risk of developing a healthcare associated infection?
• Wipe down the clients bedside table with an antiseptic wipe.
• Conduct informal audits of medical records to identify the number of healthcare associated infections
• Perform hand hygiene

Instruct the client on ways to reduce the risk for infection - CORRECT ANSWER=> Perform hand hygiene

According to evidence-based practice, hand hygiene among medical professionals, clients, and visitors is the priority intervention to reduce the risk for the client to develop a healthcare-associated infection." "A nurse is preparing a poster about fire safety for a community health fair. The nurse should include on the poster that which of the following components contains needed elects for fire to occur? (SATA)

• Carbon dioxide
• Nitrogen

The nurse should instruct the newly licensed nurse to hold onto the plug, rather than the cord, to unplug electric cords. Pulling on the cord can damage the cord, and result in an electric shock that could injure the nurse or the client." "A nurse is assisting with teaching a class about hospital-acquired injuries. The nurse should include which of the following is a hospital-acquired injury? (SATA)

• Blood transfusion incompatibility
• Wrong site surgery
• Ineffective insulin usage
• Dysphagia following a stroke
• Dehydration due to diarrhea - CORRECT ANSWER=> Blood transfusion incompatibility Wrong site surgery Ineffective insulin usage" "A nurse is assisting with teaching a class about events that require an occurrence report. Which of the following events should the nurse include? (SATA)
• A clients visitor falls in the hallway
• A nurse forgets their computer password
• A client develops an unexpected reaction to a medication
• A clients dentures are lost
• An antibiotic was administered to a client 30 min after the scheduled time - CORRECT ANSWER=> A clients visitor falls in the hallway A client develops an unexpected reaction to a medication A clients dentures are lost" "A nurse is preparing to administer medications to a client. Which of the following information should the nurse use to identify the client? (SATA)
• The client's full name
• The client's date of birth
• The client's telephone number
• The client's diagnosis
• The client's room number - CORRECT ANSWER=> The client's full name The client's date of birth The client's telephone number"

“A nurse is assisting with conducting a home hazard assessment for a client who has dementia. Which of the following findings indicates an understanding of home safety?

• An extension cord is secured under a rug
• A toaster is plugged in when not in use
• The water heater is set to 55c (131f)
• The edges of stairs are marked with brightly colored tape - CORRECT ANSWER=> The edges of stairs are marked with brightly colored tape The nurse should instruct the client to mark edges of stairs with brightly colored tape to alert the client of the steps and reduce the risk of fall." "A nurse is assisting with teaching a newly licensed nurse about using a lift device to transfer a client. Which of the following actions by the nurse indicates an understanding of the teaching? (SATA)
• Locks breaks on the client's bed
• Check the maximum weight of the lift bed before using it
• Place the client on the edge of the sling
• Uses the lift without assistance from another team member - CORRECT ANSWER=> Locks breaks on the clients bed Checks the maximum weight of the lift bed before using it Performs a safety check before lifting the client" "A nurse is caring for a client who has a prescription for wrist restraints. Which of the following actions should the nurse take? -Tie the restraints to the side rails on the clients bed
• Remove the restraints with each vital sign check
• Use a square knot to secure the restraints
• Make sure one finger can fit under the restraints - CORRECT ANSWER=> Remove the restraints with each vital sign check The nurse should remove the restraints and check the client's skin and circulation with each vital sign and at least every 2 hr to monitor for client injury." "A nurse is planning to implement the transforming care at the bedside plan on a medical-surgical unit. Which of the following interventions should the nurse include in the plan?
• Require nurses to spend 50% of their time at the bedside of clients
• Perform change of shift report at the nurses station
• Complete client round every 4 hr

Mental status" "A nurse is preparing to administer a premixed medication to a client. The nurse should check the label for which of the following information? (SATA)

• The date the medication was mixed
• The client's age
• The client's room number
• The dose of the mixed medication
• The time the medication was mixed - CORRECT ANSWER=> The date the medication was mixed The dose of the mixed medication The time the medication was mixed" "A nurse manager is planning an in service about culturally competent care, Which of the following cultural competencies should the manager describe as enabling a nurse to interact with client from other cultures?
• Cultural awareness
• Cultural encounter
• Cultural knowledge
• Cultural desire - CORRECT ANSWER=> Cultural encounter Cultural encounters allow the nurse interaction with clients from cultures other than the nurse's own." "A nurse is caring for a client who is emotionally distraught. Which of the following uses of touch should the nurse implement to convey caring?
• Briefly holding the client's hand
• A lengthy front-facing hug
• rubbing the client's shoulders
• Sitting beside the client and touching their tjigh - CORRECT ANSWER=> Briefly holding the client's hand" "A nurse enters a clients room and finds the client crying. The nurse sits beside the bed in silence. Which of the Swansons five categories of caring behaviors is the nurse demonstrating?
• Knowing
• Being with
• Doing for
• Maintaining belief - CORRECT ANSWER=> Being with

Being with is being physically and emotionally present with the client. Being with does not have to involve any speaking. The nurse in this example is being present and available by sitting beside the bed in silence, allowing space for the client to talk when and if they want to talk." "A nurse is planning an in service for a group of staff nurses about spirtiual care. Which of the following situations should the nurse identify as appropriate for consultation with pastoral staff? (SATA)

• Ethical dilemma
• Terminal illness
• Death of a client
• Financial arrangements
• Hardship - CORRECT ANSWER=> Ethical dilemma Terminal illness Death of a client Hardship" "A nurse is caring for a client who has a prescription for opioid analgesia. The client tells the nurse, '' I dont want to take that medication because it makes me sleepy.'' Which of the following responses should the nurse make?
• ''You need to take the medication so that you will not be in pain.''
• ''This medication does not affect your reasoning ability.''
• ''Controlling pain is more important right now than your mental state.''
• ''I will speak to your provider to see if there is a different medication to treat your pain.'' - CORRECT

ANSWER=> ''I will speak to your provider to see if there is a different medication to treat your pain.''

The nurse is advocating for the client by acknowledging the client's wishes and providing a possible solution." "A nurse is providing information to a client who is from the Baby Boomer generation about a newly prescribed medication. Using the information about generational preferences, which of the following methods of teaching should the nurse use?

• Send a text message
• Talk with the client in person
• Provide a link to a teaching video or animation
• A formal face to face meeting with written notes - CORRECT ANSWER=> Talk with the client in person Most clients from the Baby Boomer generation prefer in-person interactions in which the nurse is engaged and attentive."

• Identify a clinical problem
• Collect best evidence relevant to the question
• Evaluate studies to determine validity
• Share the findings with others - CORRECT ANSWER=> Identify a clinical problem According to EBP, the first action the nurse should take is to identify a clinical problem." "A nurse is caring for a client who has suction equipment in their room. The client asks the nurse, ''Why do you check my suction equipment every day even though I am not using it?'' Which of the following statements should the nurse make?
• ''It is part of an outcome audit that is being performed.''
• ''It is part of quality assurance plan of the unit.''
• It is part of a plan developed by your case manager.''
• ''It is part of a quality improvement program.'' - CORRECT ANSWER=> ''It is part of quality assurance plan of the unit.'' Quality assurance is a system that focuses on a problem-driven approach to improve client outcomes and promote a safe physical environment. Routine maintenance checks are part of the quality assurance process and are performed to ensure equipment is in proper working order." "A nurse is assisting a quality improvement team that is using the Plan-Do-Study-Act (PDSA) model to address an increase in pressure injuries on a medical unit. Which of the following actions should the nurse identify as an example of the ''Do'' step of the PDSA model?
• Reviewing data collected on clients who received the new protocol
• Developing a plan to initiate a change in client care
• Implementing a new evidence based practice protocol
• Accepting the new protocol in the units policy and procedure guidelines - CORRECT ANSWER=> Implementing a new evidence based practice protocol The "Do" step of the PDSA model includes implementing the plan." "A nurse is explaining National Patient Safety Goals (NPSGs) to a newly licensed nurse. The nurse should include that which of the following is a goal addressed in the NPSGs?
• Improving staff communication
• Improving staff retention
• Increasing client satisfaction
• Increasing client involvement in their plan of care - CORRECT ANSWER=> Improving staff communication

NPSGs were established to improve quality of care by addressing certain client safety concerns. These safety concerns include infection prevention, reduced medication and surgical errors, improved client identification, and increased communication among staff members." "A nurse is assisting with teaching a class about incident reports. The nurse should include that which of the following situations requires an incident report?

• A client vomits after receiving oral mediation
• A client refuses to take a medication
• A nurse administers an antibiotic to a client 25 min after the scheduled time
• A nurse administers the wrong medication to a client - CORRECT ANSWER=> A nurse administers the wrong medication to a client Administering the wrong medication to a client requires an incident report. The nurse should monitor the client for adverse effects and report the incident to the charge nurse or the provider." "A nurse is assisting with teaching a class about sentinel events. The nurse should include that which of the following situation is a sentinel event?
• A nurse infused an incompatible blood product to a client
• A client fell getting out of bed
• A client who is confused walks out of the nursing unit
• A nurse receives a needle stick injury from a contaminated needled - CORRECT ANSWER=> A nurse infused an incompatible blood product to a client A sentinel event is a serious, reportable event that results in death, permanent harm, or severe injury to a client. Examples of sentinel events include wrong site surgery, client suicide while in a health care facility, and infusion of an incompatible blood product." "A nurse is reviewing a health care facilitys policy that states to use gauze dressing over IV insertion sites. After completing a literature reverie, the nurse discovers that evidence based practice (EBP) indicates to use a transparent dressing over IV sites. Which of the following actions should the nurse take next?
• Recommend changing the procedure to the policy and procedure committee
• Evaluate the results of the change in procedure
• Implement the change into clinical pracice
• Communicate the outcomes of the procedure change with others - CORRECT ANSWER=> Recommend changing the procedure to the policy and procedure committee EBP indicates the next step the nurse should take is to recommend changing the procedure to the policy and procedure committee."

• Bechmark
• Structure
• Outcome
• Process - CORRECT ANSWER=> Process Medication reconciliation is included in the process category of quality measurement. The process category includes activities of delivering care, such as administering medications, implementing fall precautions, and performing a medication reconciliation." "A nurse is assisting with teaching a class about quality core measures. Which of the following information should the nurse include?
• A cost effective analysis is used to identify quality core measures
• Quality core measures are standard of care for treatment
• Client satisfaction is an example of quietly core measure
• Quality core measures are filled out by clients to evaluate healthcare facility services - CORRECT

ANSWER=> Quality core measures are standard of care for treatment

Quality core measures are standards of care required for health care facilities to ensure they are providing best practices of care." "A nurse is assisting with using the Plan-Do-Study-Act (PDSA) model to decrease client falls in a long term care facility. The nurse should identify that developing guidelines to decrease falls in included in which of the following steps of the PDSA model?

• Do
• Plan
• Study
• Act - CORRECT ANSWER=> Plan Developing guidelines to decrease falls is part of the "Plan" step of the PDSA model. In the planning step, the need for a change is identified, and plans are developed to initiate the change." "A nurse is orienting a newly licensed nurse to the unit Which of the following statements by the newly licensed nurse indicates an understanding of the importance of documentation of client education?
• ''Client documentation can decrease hospital reimbursement.''
• ''Client documentation can decrease the need to re-evaluate the clients educational needs.''
• ''Client documentation can increase staffing and services.''
• ''Client documentation can increase liability.'' - CORRECT ANSWER=> ''Client documentation can increase staffing and services.'' Accurate documentation ensures the health care facility is reimbursed for services, which allows the facility to maintain or increase staffing and services."

"A nurse is reviewing a clients plan of care. ''The client will ambulate 20 feet using a walk'' is the desired outcome. Which of the following aspects of the SMART goal should the nurse identify as missing from the outcome?

• Specific
• Timed
• Measurable
• Achievable - CORRECT ANSWER=> Timed Timed is not demonstrated in the written outcome because there is no time frame in which to measure the outcome." "A nurse is teaching a group of newly licensed nurses about client education. Which of the following information should the nurse include in the teaching?
• Documentation of client eduction is not required for Joint Commission accreditation
• Client education does not change a clients values
• Client eduction does not influence the clients pain level
• Client education can improve self care at home - CORRECT ANSWER=> Client education can improve self care at home Client education does improve self-care at home and decreases visits to the emergency department or urgent care facilities." "A nurse is discussing the nurses role in client education with a newly licensed nurse. Which of the following statement sibyl the newly licensed nurse indicates an understanding of a nurses role?
• ''Nurses make up the greatest percentage of members on a healthcare team.''
• ''Providers Mae up the greater percentage of members on a health care team.''
• ''Physician assistants have the greatest percentage of members on a health care team.''
• ''Physical therapists have the greatest percentage of members on a health care team.'' - CORRECT

ANSWER=> ''Nurses make up the greatest percentage of members on a healthcare team.''

Nurses make up more than 70% of the health care team. Therefore, they play a significant role in client education. Client education has played a historically significant role in nursing. Florence Nightingale certified this as a nurse's function." "A nurse is panning a smoking cessation program for a client. Which of the following actions is a component of SMART outcome goals?

• Providing a reward for accomplishing the outcome
• Providing motivation to accomplish the outcome
• Providing a time frame to accomplish the outcome

• Notify the health care provider
• Notify physical therapy to assist getting the client out of bed to meet goals - CORRECT ANSWER=> Determine if different nursing interventions are required The first step the nurse should take when an outcome is not achieved is to determine if different nursing interventions are required, whether the care plan was realistically achievable for the client, or if the care plan was not carried out properly. If possible, the nurse should always follow the steps of the nursing process when evaluating the care plan." "A nurse is planning an in service for staff nurses about psychomotor client teaching strategies. Which of the following activities requires the use of gross motor skills? (SATA)
• A client walking with crutches
• A client using a manual wheelchair
• Administering an intradermal injection to a client
• Opening a clients medication bottle
• Applying adhesive bandage to a clients finger - CORRECT ANSWER=> A client walking with crutches A client using a manual wheelchair" "A nurse is providing teaching to a client who speaks a different language than the nurse. Which of the following actions should the nurse take?
• Ask the clients family member to translate
• Request a medical interpreter to be present
• Ask another nurse on the unit to translate
• Provide the client with only written materials - CORRECT ANSWER=> Request a medical interpreter to be present Nurses should use certified medical interpreters when providing education to clients who speak a different language than they do." "A nurse is preparing a low stimulus environment for an education session on smoking cessation. Which of the following should the nurse implement?
• Set the thermostat to a comfortable temperature
• Dim the lights in the room
• Leave the door open during the educational session
• Play relaxing music - CORRECT ANSWER=> Set the thermostat to a comfortable temperature Learning is best achieved in a private, low-stimulus environment. A low-stimulus environment provides good ventilation, adequate lighting, a comfortable temperature, and a decreased noise level."

"A nurse is providing teaching to a client who has a recent diagnosis of pancreatic cancer. The nurses using strategies in the affective domain of learning. Which of the following client statements is part of the affective domain?

• ''I have been crying a lot since I learned about my diagnosis. Im worried about everything.''
• ''I am learning how to take my blood pressure so I can check it at home everyday.''
• ''I understand I may lose wright because I may not feel like eating much.''
• ''I will take my pain medication on a schedule to prevent my pain from becoming severe.'' - CORRECT

ANSWER=> ''I have been crying a lot since I learned about my diagnosis. Im worried about everything.''

The affective domain of learning involves the client's feelings regarding values, attitudes, and beliefs. This statement by the client reflects the affective domain of learning." "A nurse is preparing to educate a client about the proper procedure for a dressing change. Which of the following indicates an understanding of Knowles fundamental principles of client readiness?

• The client states, 'I will do it myself.'
• The client has been awake all night
• The client is engaged and alert
• The client used to help change their partners dressing - CORRECT ANSWER=> The client is engaged and alert For education to be effective, the client must show readiness to learn, including the ability to engage." "A nurse is reviewing information about client education with a newly licensed nurse. Which of the following information should 4th ensures include as the focus of client education?
• Empowering clients to be accountable for self care
• Providing the client with disease orientated education
• Providing education only to the cline to protect confidentiality
• Encouraging clients to let go of previous experiences - CORRECT ANSWER=> Empowering clients to be accountable for self care One of the main purposes of client education is to empower clients to be comfortable with and accountable for their own self-care." "A nurse is preparing for a teaching session with a client who has pernicious anemia. Which of the following should the nurse identify as part of the implementation process?
• Determine the clients health literacy
• Develop a teaching plan that meets the clients needs
• Use demonstration to tech the client about Vitamin B12 injections
• Determine if the client has met the goals - CORRECT ANSWER=> Use demonstration to tech the client about Vitamin B12 injections

• Provide games, discussion, and question and answer
• Repeat demonstrations at the completion of class and lecture
• Allow time for role play and demonstration - CORRECT ANSWER=> Provide games, discussion, and question and answer Games address the psychomotor learning domain, discussion addresses the affective learning domain, and question-and-answer addresses the cognitive learning domain." "A nurse is teaching a client about how to perform daily blood pressure readings at home. Which of the following statements by the client is an example of the teach back method of learning?
• ''Show me again how to position the blood pressure cuff on my arm.''
• ''I have an electronic blood pressure machine at home that I will use.''
• ''I believe I can take my blood pressure successfully after talking through the steps.''
• ''Let me show you how I will take my blood pressure at home each day.'' - CORRECT ANSWER=> ''Let me show you how I will take my blood pressure at home each day.'' The success of teach-back is evaluated by asking the client to repeat the educational information back to the nurse in their own words or allowing the client to demonstrate a skill that they have been taught. This statement by the client indicates understanding and is an example of the teach-back method of learning." "A nurse is planning a teaching session for a client. Place the steps of the teaching process in the correct order. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps)
• Planning
• Analysis
• Evolution
• Assessment
• Implementing - CORRECT ANSWER=> 1. Assessment

2. Analysis
3. Planning
4. Implementation
5. Evaluation" "A nurse is caring for a client who has impaired cognition and has begun taking a new medication. Which of the following actions should the nurse take during client education?

• Expect the client to understand the information
• Direct the education to the caregivers as well as the client
• Provide written handouts only
• Speak quickly - CORRECT ANSWER=> Direct the education to the caregivers as well as the client

Impaired cognition can be temporarily related to emotions such as stress or from a physical or mental disability. The nurse might not be able to recognize impaired cognition until after the evaluation process. A client might benefit from caregiver involvement and frequent evaluations." "A nurse is using a question and answer session to teach a client about a diabetic diet. Which of the following outcomes is an example of cognitive learning?

• The client will be able to prepare a diabetic meal
• The client understands a diabetic meal plan
• The client accepts a diabetic meal plan
• The client states, ''I am never giving up soda and candy.'' - CORRECT ANSWER=> The client understands a diabetic meal plan A client who is thinking through information and comprehending it is engaging the cognitive domain of learning." "A nurse is assessing a clients health literacy prior to providing education. Which of the following actions should the nurse take? (SATA)
• Ask questions regarding the clients healthcare needs and concerns.
• Obtain a health history
• Assess the client education level
• Perform a physical assessment
• Use medical terminology when educating the client - CORRECT ANSWER=> Ask questions regarding the clients healthcare needs and concerns. Obtain a health history Assess the client education level" "A nurse is assessing a postoperative client prior to a teaching session. The nurse notes that the client is grimacing and restless. Which of the following barriers to learning is the client exhibiting?
• Psychomotor deficit
• Depression
• Physical discomfort
• Lack of motivation - CORRECT ANSWER=> Physical discomfort Physical discomfort is a barrier to learning and is exhibited by nonverbal cues such as grimacing and restlessness. A client who is in pain is unable to focus on much else other than the pain, especially if it is severe. The nurse should implement interventions to alleviate the client's pain before teaching." "A charge nurse is reviewing oral care and hygiene practices with another nurse for a client who has glaucoma. Which of the following information should the charge nurse include?