ATI FUNDAMENTALS PROCTORED PRACTICE A & B COMPLETE SOLUTIONS

1. A charge nurse is discussing the responsibility of nurses carig for clients who have C. difficile. Which of the following information should the nurse include in the teaching?: Have family members wear a gown and gloves when cisiting 2. A nurse is giving change-of-shift report about a client they admitted earlier that day who has pneumonia. Which of the following pieces of information is the priority for the nurse to provide?: Breath sounds 3. A nurse is preparing to delegate client care tasks to an assistive personnel. Which of the following tasks should the nurse delegate?: Ambulatory a client who is postoperative 4. A nurse enters a clients room and finds her on the floor. The clients roommate reports that the client was trying to get out of bed and fell over the side rail onto the floor. Which of the following statements should the nurse document about this incident?: Client found lying on floor 5. A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take?: Cleanse the wound from the center outward 6. A nurse is admitting a client who has rubella. Which of the following types of transmission based precautions should the nurse initiate?: Droplet 7. A nurse is providing discharge teaching for a client who has a new prescription for a home oxygen concentrator. Which of the following instructions should the nurse provide to the client and his family?: Check the cord routinely for grays or tearing Consider purchasing a generator for power backup Observe for signs of hypoxia 8. A nurse is calculating a client's fluid intake over the past 8 hr. Which of the following should the nurse plan to document on the client's intake and output record as 120 mL of fluid?: 8 oz of ice chips 9. A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take?: Place the client in a room with negative-pressure airflow. Wear gloves when assisting the client with oral care. Use antimicrobial sanitizer for hand hygiene. 10. A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The clients partner wants the client to have the blood transfusion. Which of the following actions should the nurse take?: Withhold the blood transfusion. 11. A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the following statements should the nurse identify as an indication that the client understands the teaching?: when descending stairs, I will first shift my weight to my right leg. 12. A nurse has accepted a verbal prescription for three tenths of a milligram of levothyroxine IV stat for a client who has myxedema coma. How should the nurse transcribe the dosage of this medication in the client's medical record?: 0.3 mg 13. A nurse is caring for a client who has an in dwelling urinary catheter. Which of the following findings indicates that the catheter requires irrigation?: Bladder scan shows 525 mL of urine 14. A nurse is assessing an adult who has been immobile for the past 3 weeks. For which of the following findings should the nurse intervene?: Erythema on pressure points 15. A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through an open system.