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ATI RN Nursing Fundamentals

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 20 pages. Originally published on StudyMerit.

Pages
20
Academic year
2025/2026
Language
English

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ATI RN Fundamentals 1. a nurse in a clinical is caring for a middle age adult who states, "the doctor says that since I am at an average risk for colon cancer, I should have a routine screening. what does that involve?" which of the following responsesshould the nurse make? A. "I'll get a blood sample from you and send it for a screening test." B. "beginning at age 60, you should have a colonoscopy." C. "you should have a decal occult blood test every year." D. "the recommendation is to have a sigmoidoscopy every 10 years." "You should have a fecal occult blood test every year." Colorectal cancer screening for clients at average risk begins at age 50. Oneoption for screening is a fecal occult blood test annually. 2. a nurse is caring for a client who is having difficulty breathing. the client is laying in bed with a nasal cannula delivering oxygen. which of the followingintervention should the nurse take first? A. suction the client's airway B. administer a bronchodilator C. increase the humidity in the client's room D. assist the client to an upright position assist the client to an upright position When providing client care, the nurse should first use the least invasive intervention. Therefore, the nurse should elevate the head of the client's bed tothe semi-Fowler's or high Fowler's position to facilitate maximal chest expansion. Sitting upright improves gas exchange and prevents pressure on thediaphragm from abdominal organs. 3. a nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. which of the following actions should the nurse take? A. gently shake the container of medication prior to administration B. transfer the medication to a medicine cup C. place the client in a semi-fowlers position to medication administration D. verify the dosage by measuring the liquid before administering it Gently shake the container of medication prior to administration. The nurse should gently shake the liquid medication to ensure the medication ismixed. 4. a nurse is planning care to improve self-feeding for a client who has visionloss. which of the following interventions should the nurse include in the plan of care? A. tell the client which food she should eat first B. provide small-handle utensils for the client C. thicken liquids on the client's tray Page 1 of 476

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D) Increase the room's temperature. Elevate the head of the client's bed. This action promotes postural drainage and also allows maximal chest expansion, which makes it easier for the client to breathe and decreases noisyrespirations. 79. A nurse is caring for a client who has a terminal diagnosis and whose healthis declining. The client requests information about advance directives. Which of the following responses should the nurse make? A) "We can talk about advance directives, and I can also give you some brochures about them." B) "You should set up a time to talk with your provider about that." C) "Let's discuss how you are feeling today, and we'll save the planning forwhen you are feeling a little better." D) "Why do you want to discuss this without your partner here to plan thiswith you?" "We can talk about advance directives, and I can also give you some brochuresabout them." With this statement, the nurse offers to provide the information the client needs ina direct and simple way. 80. A nurse is assessing a client who reports increased pain following physicaltherapy. Which of the following questions should the nurse ask when assessing the quality of the client's pain? A) "Is your pain constant or intermittent?" B) "What would you rate your pain on a scale of 0 to 10?" C) "Does the pain radiate?" D) "Is your pain sharp or dull?" "Is your pain sharp or dull?" Asking the client whether the pain is sharp, dull, crushing, throbbing, aching,burning, electric- like, or shooting helps determine the quality of the pain. 81. A nurse is giving a change-of-shift report about a client he admitted earlier that day who has pneumonia. Which of the following pieces of information isthe priority for the nurse to provide? A) Admitting diagnosis B) Breath sounds C) Body temperature D) Diagnostic test results Breath sounds Page 25 of 476

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a. Postural hypotension b. Distended neck veins c. Dependent edema d. Bradycardia - would be TACHY since SNS system kicks in when detects low blood volume TACHYCARDIA is for fluid overload. Isnt wherever the water goes the sodium follows. The lady on ati gave me a remediation hw about manifestation of hypernatremia: hyperthermia, tachycardia, and orthostatic hypotension. Therefore it‟s opposite→ bradycardia. TBC by the group 40. A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely increase the client‟s motivation to learn? a. The nurse empathy about the client having to self-inject b. The client's belief that his needs will be met through education c. The client seeking family approval by agreeing to a teaching plan d. The nurse explaining the need for education to the client 41. A nurse is conducting a Weber test on a client. Which of the following is an appropriate action for the nurse to take? a. Deliver a series of high-pitched sounds at random intervals. b. Place an activated tuning fork in the middle of the client's forehead. c. Hold and activated tuning fork against the client's mastoid process. d. Whisper a series of words softly into one ear. 42. A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? Select all that apply. a. “I need to check my medications for expiration dates.” b. “I will use the grab bars when getting in and out of the bathtub.” c. “I need to have a fire escape plan with my family.” d. “I need to set my hot water heater to 140 degrees Fahrenheit.”- no more than 120 degrees e. “I will apply tapes over frayed areas of electrical cord.” Page 50 of 476

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