ATI FUNDAMENTALS PROCTORED EXAM 2019 RETAKE

FUNDAMENTALS PROCTORED EXAM 2019 RETAKE

lOMoARcPSD|11068812

A. Oral temperature slightly elevated at 0800

B. Administered pain medication

C. Incision without redness or drainage

D. Drank adequate amounts of fluid with meals.

8. A nurse is providing oral care for a client who is unconscious. Which of the following actions

should the nurse take?

A. Place the client in a side-lying position.

B. Brush the clients teeth daily

C. Apply mineral oil to the client’s lips

D. Rinse the client’s mouth with an alcohol-based mouthwash

9. A nurse is collaborating with a risk management team about potential legal issues involving

client care. The nurse should identify which of the following situations is an example of

negligence?

A. A nurse administers a medication without first identifying the client.

B. An assistive personnel discusses client care in the facility cafeteria with visitors

present.

C. A nurse begins a blood transfusion without obtaining consent.

D. An assistive personnel prevents a client from leaving the facility.

10. A nurse is collecting a sputum specimen for culture from a client who has a respiratory

infection. Which of the following actions should the nurse take?

A. Wear sterile gloves when collecting the specimen.

B. Offer the client oral hygiene after the collection

C. Collect the specimen in the evening.

D Collect 1 ml of sputum.

11. A nurse is assessing an older client. Which of the following findings should the nurse expect?

• Decreased sense of balanced

• Increased nighttime sleeping

• Heightened sense of pain

• Nighttime urinary incontinence

12. A nurse is completing discharge teaching about ostomy care with a client who has a new

stoma. Which of the following instructions should the nurse include in the teaching? (select all

that apply)

• “Cut the opening of the pouch ⅛ of an inch larger than the stoma “

• “Place a piece a gauze over the stoma while changing the pouch”

• “Use povidone-iodine to clean around the stoma”

• “Empty the ostomy pouch when it becomes one-third full of contents”

• “Expect the stoma to turn a purple-blue color as its heals”