- Information
- AI Chat
ATI Fundamentals Quiz Bank
Fundamentals of Nursing (NRS 130 )
Long Island University
Recommended for you
Preview text
ATI Fundamentals Quiz Bank
A nurse is teaching a client who is postoperative about the importance of turning, coughing, and breathing deeply. Which statement is an indication that the patient understands: “If I do this often, I won’t get pneumonia.” (Turning, coughing, and deep breathing prevent respiratory complications such as pneumonia by promoting lung expansion and secretion removal)
A nurse is teaching a middle ages client about health promotion and disease prevention. The nurse should inform the client that which of the following changes could occur: Decreased estrogen and testosterone production. (Tone of large intestines decreases leading to risk for constipation, decrease in muscle mass, likelihood of chronic illness increases)
A nurse if inserting an NG tube for bowel obstruction. Which action should she take first: Explain procedure (least invasive priority setting framework when caring for client, assign priority to nursing interventions least invasive. Informing client reduces fear and assists in gaining the client’s cooperation)
A nurse is performing a physical examination for a client. To evaluate the client’s skin moisture, the nurse should use which of the following techniques: Palpation
A hospice nurse is reviewing religious practices of a group of clients with a newly licensed nurse. Which of the following indicates an understanding of the teaching: People who practice Judaism stay with the body until burial (Islamic: body is washed and wrapped and buried as soon as possible; Hindu: may place body north following death, cremation; Buddhist: male family members prepare the body)
A nurse is caring for an older client who becomes agitated when the nurse requests that the client’s dentures be removed prior to surgery. Which of the following responses should the nurse provide: “What worries you about being without your teeth? (therapeutic, validates the client’s feelings of agitation and seeks a reason)
A nurse in urgent care is caring for a 15 year old with symptoms of STI. The client’s parents are unavailable but grandmother accompanied. Which action should nurse take: Ask adolescent to sign consent (unemancipated minors can legally give informed consent for diagnostic procedures and treatment in some situations. These situations include treatment of STI and substance abuse)
A nurse is teaching to a group of unit nurses about wound healing by secondary intention. Which of the following should the nurse include in the teaching: Granulation tissue fills the wound (red tissue that fills during healing, it is left open to drain and heal by secondary intention which occurs 5-21 days. Open wounds increase risk of infection. Primary intention involves closing the wound using sutures or staples at time the incision is made, lines become well approximated. Tertiary intention includes using sutures to close an open wound at a later date after the wound drains and it can include placing grafted skin over the area. Grafting is required for full thickness burns/deeper wounds.)
A nurse is changing dressing for a client recovering from appendectomy, wound is feeling by secondary intention. Which observation should be reported: Halo of erythema (Can indicate underlying infection, this and any other manifestation of infection, purulent drainage, swelling, warmth, odor, should be reported. Tenderness is expected, grainy appearance is granulation tissue and indicates proliferative stage of healing, serosanguineous drainage is made of RBCs and plasma and is expected in postoperative healing)
A nurse is caring in a LT facility. Which alerts the nurse for delirium: reduced level of consciousness (sudden memory impairment, illogical thinking, sleep disturbances. Gradual memory loss and difficulty with abstract thought is related to dementia. Verbalization of feelings of hopelessness is common in depression)
A nurse is admitting a client who has a hearing aid. Which action should they take before interviewing: Make sure the device is functioning
A nurse is assessing a client who has fluid volume excess. Which findings should the nurse expect: Crackles in lung fields (manifestations include crackles, dependent edema, full neck veins when upright, elevated BP, and sudden weight gain)
A nurse is caring for a client who has terminal pancreatic cancer. When the client states, It’s devastating that I will not be here to see my child graduate, the nurse should identify that the patient is in: Depression
A nurse is caring for a client who is scheduled to receive TENS for pain management. The client asks the nurse how a TENS unit helps to relieve pain. Which of the following responses should the nurse make: “It modulates the transmission of the pain impulse” (Applies a low voltage electrical stimulation directly over a location of pain at an acupressure point. It modulates the transmission of pain impulse and can cause a release of endorphins to assist with pain relief. Massage can be applied to facilitate relaxation which decreases muscle tension. It can also decrease pain intensity by increasing superficial circulation to an area of the body experiencing pain. Distraction can draw the client’s attention away from the pain and help decrease perception of pain
A nurse is providing discharge teaching for a client who has type 2 diabetes mellitus and will be caring for herself at home. The client expresses concerns about preparing an appropriate diet for her diabetes due to cultural preferences: The dietitian will help you choose foods that you are used to that also meet your health needs
A newly licensed nurse is preparing to administer medications. The nurse notes that the provider has prescribed a medication that is unfamiliar to him. Which of the following actions should the nurse take: Consult medication reference book (nurse must have knowledge about medications to administer them safely. There is no reason to believe that the prescription is in error, therefore it is unnecessary for the nurse to confirm with the provider)
A nurse is caring for a client who has bilateral casts. Which of the following actions should the nurse take when assisting with feeding: Sit at the bedside
make changes in home environment to reduce dust mites, share plan for managing attack with child’s teacher 7. A nurse is preparing an education session about school age children to caregivers, she should include: egocentrism decreases, begins to understand reversibility, understands events can be interpreted in different ways a. Animism: preschool, 2-6 years old, preoperational b. Egocentrism: common in preschool, wanes during school age years due to more life experience and exposure to other ways of thinking c. Reversibility: some objects that have been changed can return to original, school age d. Conservation and spatiality, understands that events can be interpreted differently: school age e. Deductive reasoning: formal operational, 12+, ability to draw conclusions from a set of facts by organizing thoughts and problem solving. 8. A nurse is planning a class on puberty, what should be included: Primary sex organs mature, begins with growth spurt in height and weight, secondary sex characteristics emerge, onset is influenced by genetis, environment, and gender 9. Discussion about climacteric changes: Both males and females, menopause in females, changes occur gradually over a number of years in males, manifest as heart palpitations, hot flashes, night sweats, and vaginal dryness in women 10. A nurse is providing prenatal education in first trimester, which teratogens should be avoided: Hyperthermia, uncontrolled glucose, rubella, smoking a. Four types of teratogens: metabolic, drugs, infections, physical agents 11. Which statements are consistent with Piaget’s theory: Individuals acquire knowledge over time, intelligence is a natural ability, children construct knowledge that evolves over time, knowledge is constructed in new ways at critical points during development 12. Nurse teaching diabetes: weight management, glucose testing, daily exercise, foot care a. Elevated glucose can result in damage to blood vessels placing the client at risk for delayed wound healing and damage to the neurologic system resulting in neuropathy and altered sensation to areas such as hands and feet 13. A nurse asks a first grader about rules, they respond, “We need to wash our hands before lunch, be respectful, and pay attention. If we don’t we get into trouble. Which of Kohlberg’s stages: Punishment and obedience a. Punishment and obedience: 4-10 years, preconventional, rules are viewed in terms of positive or negative consequences to action b. Good boy nice girl: 10-13 through adulthood, conventional, actions are guided by desire to please others, rules are maintained to gain acceptance c. Social contract: postconventional, concepts of right and wrong as well as shared standard values with the larger community, rules are challenged if they infringe on rights
d. Law and order: 10-13 through adulthood, conventional, actions are guided by expectations and desire to please, rules are obeyed to maintain order 14. Care for older adult, living alone, hypertension: Maintain functional capacity, encourage free weights, participate in social functions, install grab bars
ATI Fundamentals Quiz Bank
Course: Fundamentals of Nursing (NRS 130 )
University: Long Island University
This is a preview
Access to all documents
Get Unlimited Downloads
Improve your grades
