ATI Fundamentals Proctored 2020

Practice A 1. A nurse in a clinic is caring for a middle adult client 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?" Whic ...

Practice A 1. A nurse in a clinic is caring for a middle adult client 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 responses should 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 fecal occult blood test every year." D. "The recommendation is to have a sigmoidoscopy every 10 years." C. "You should have a fecal occult blood test every year." Colorectal cancer screening for clients at average risk begins at age 50. One option 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 lying in bed with a nasal cannula delivering oxygen. Which of the following interventions 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 D. 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 to the semi-Fowler's or high Fowler's position to facilitate maximal chest expansion. Sitting upright improves gas exchange and prevents pressure on the diaphragm 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-Fowler's position prior to medication administration D. Verify the dosage by measuring the liquid before administration A. Gently shake the container of medication prior to administration The nurse should gently shake the liquid medication to ensure the medication is mixed. 4. A nurse is planning care to improve self-feeding for a client who has vision loss. Which of the following interventions should the nurse include in the plan of care? A. Tell the client which food should should eat first. B. Provide small-handle utensils for the client. C. Thicken liquids on the client's tray D. Use a clock pattern to describe food on the client's plate D. Use a clock pattern to describe food on the client's plate Describing the location of the food on the plate by using a clock pattern allows the client to have greater independence during meals. 5. A nurse is teaching an older adult client who is at risk for osteoporosis about beginning a program of regular physical activity. Which of the following types of activity should the nurse recommend? A. Walking briskly B. Riding a bicycle C. Performing isometric exercises D. Engaging in high-impact aerobics A. Walking briskly Weight-bearing exercises are essential for maintaining bone mass, which helps to prevent osteoporosis. Walking engages older adult clients in this preventive and therapeutic strategy. 6.A nurse is assessing a client's readiness to learn about insulin administration. Which of the following statements should the nurse identify as an indication that the client is ready to learn? A. "I can concentrate best in the morning." B. "It is difficult to read the instructions because my glasses are at home." C. "I'm wondering why I need to learn this." D. "You will have to talk to my wife about this." A. "I can concentrate best in the morning." The client's statement indicates a readiness to learn because he is verbalizing the best time for him to learn. 7.A nurse is giving discharge instructions to a client who will require oxygen therapy at home. Which of the following statements should the nurse identify as an indication that the client understands how to manage this therapy at home? A. "I'll make sure that, when my friend comes by, she smokes at least 6 feet away from my oxygen. B. "I'll use a woolen blanket if I get chilly while I'm using my oxygen. C. "I'll check the wires and cables on my TV to make sure they are in good working order. D. "I'll lay my oxygen tank down on the floor when the grandchildren visit so they don't knock it over. C. "I'll check the wires and cables on my TV to make sure they are in good working order. Oxygen is a highly flammable gas. The client should make sure any electrical equipment in the room where she is using supplemental oxygen is functioning properly so it does not create any electrical sparks. The visitors should smoke outside the house. Woolen and synthetic materials can create sparks, so the client should use a cotton blanket during O2 therapy. 8. A nurse is caring for a client who is reporting difficulty falling asleep. Which of the following measures should the nurse recommend? A. Drink a cup of hot cocoa before bedtime B. Exercise 1 hr before going to bed C. Use progressive relaxation techniques at bedtime D. Reflect on the day's activities before going to bed C. Use progressive relaxation techniques at bedtime Progressive relaxation promotes sleep by decreasing stress and reducing muscle tension. Cocoa contains caffeine, a stimulant, and can interfere with sleep. Exercising within 2 hr of bedtime can interfere with sleep. Reflecting can cause stress and worry, which can interfere with sleep. 9. A nurse is assisting a client who is postoperative with the use of an incentive spirometer. Into which of the following positions should the nurse place the client? A. Side-lying B. Supine C. Semi-Fowler's D. Trendelenburg C. Semi-Fowler's Positioning the client in semi-Fowler's or high-Fowler's position allows for maximum expansion of the lungs.