Fundamentals ATI
A nurse is performing postural drainage with percussion and vibration for a client who has
cystic fibrosis. Which of the following actions should the nurse take?
Instruct the patient to exhale quickly
A nurse is caring for a client who has wrist restraints after an episode of violent behavior.
Which of the following actions should the nurse take? Remove one restraint at a time
a nurse is mixing a short acting insulin and an intermediate acting insulin…which of the
following actions should the nurse take first. Inject air into the intermediate acting
insulin first
a nurse is implementing seizure precautions for a client who has a seizure disorder. Which of
the following equipment should the nurse keep at the client’s bedside? (select all that apply)
supplemental oxygen supplies
blood glucose monitor
oral suction equipment
nurse is caring for client who is postoperative and asks the nurse, “when will I get to go
home?” I am not sure what happens next which of the following actions should the nurse
take?
Inform the provider that the client is requesting information about his treatment
A nurse is caring for client who is receiving a warm, moist compares to reliever lower back
pain which of the following findings should indicate to the nurse that the compares has been
effective? The client states that he is able to concentrate while reading
A nurse is assessing the skin of a client who has worked outdoors for the past 20 years
which of the following is the priority A change in appearance of a mole on the shoulder
A nurse is preparing to administer several medications Via NG tube to a client who is
receiving a continuous tube feeding which of the following actions should the nurse take? A
Flush the NG with 5ML of sterile water prior to administration
A nurse is planning care for a client who has a latex allergy and is schedules for surgery.
which of the following actions is appropriate to include in the clients plan of care? Schedule
the client as the first surgical procedure of the day
A nurse is caring for a client who has TB. Which of the following precaution should the nurse
plan to implement for the client? Airborne
a nurse is preparing to perform a physical assessment of a client’s abdomen. Identify the
sequence in which the nurse should the nurse perform the following steps.
1.Provide adequate light to inspect the abdomen.
2.Listen to the abdominal arteries use the bell of stethoscope.
3. Check areas of tenderness by pressing fingers 1.3 cm into the abdomen
4.Locate liver and spleen borders by pressing hands 2.5 to 7.5cm into the
abdomen
5.Percuss all 4 quadrants of abdomen to measure sound quality.
a nurse working on a medical-surgical unit is making assignments for the upcoming shift.
Which of the following tasks should the nurse assign to the assistive personal? Assisting
with ambulation for a client who has a pulmonary disease
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