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ATI Fundamentals Retake Exam 2023 - Actual Questions and Revised Answers - 100% Pass Assured
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A. Encourage the client to eat meat to speed recovery. B. Advise the client to skip the meat and eat the rest of the meal. C. Suggest high-protein enteral feedings be ordered. D. Ask the dietitian to recommend alternative protein choices.
Answer: D. Ask the dietitian to recommend alternative protein choices.
Expert-Verified Explanation:
A. Use pictures of different food groups to help the client plan a daily menu. B. Ask the client what they already know about meal planning. C. Provide a brochure with sample menus for breakfast, lunch, and dinner. D. Involve the family in the discussion of the client’s meal plan.
Answer: B. Ask the client what they already know about meal planning.
Expert-Verified Explanation:
A. Eggs
B. Latex C. Seafood D. Bee stings
Answer: B. Latex
Expert-Verified Explanation:
6. A nurse is caring for a client who has a prescription for a high-protein diet to promote wound healing following surgery. The client states, “My religious practices do not allow me to eat meat on certain days.” Which of the following actions should the nurse take?
A. Encourage the client to eat meat anyway to promote healing. B. Advise the client to eat everything on the tray except the meat. C. Suggest the client receive high-protein enteral feedings. D. Ask the dietitian to recommend alternative food choices for the client.
Answer: D. Ask the dietitian to recommend alternative food choices for the client.
Expert-Verified Explanation:
D. “Advance directives from one state are valid in all other states.”
Answer: B. “I know that I can change my advance directives if I need to in the future.”
Expert-Verified Explanation:
9. A nurse is preparing a client for a Romberg test to evaluate balance. Which of the following statements should the nurse make?
A. “Stand with your feet together and your arms at your sides.” B. “After I place the tuning fork, tell me when you no longer hear the sound.” C. “I’m going to stroke the lateral side of the bottom of your foot.” D. “Touch each fingertip as quickly as possible with your thumb.”
Answer: A. “Stand with your feet together and your arms at your sides.”
Expert-Verified Explanation:
A. Suggest the family leave at night so the client can rest undisturbed. B. Keep the client’s status confidential and update them only if asked. C. Encourage the family to participate, for example by combing the client’s hair. D. Ask the family to convince the client to eat.
Answer: C. Encourage the family to participate, for example by combing the client’s hair.
Expert-Verified Explanation:
A. Count the client’s radial pulse for 30 seconds and multiply by 2. B. Assist the client to a side-lying position before auscultating the heart. C. Auscultate Erb’s point on the client’s chest. D. Count the apical and radial pulses simultaneously with another nurse.
Answer: D. Count the apical and radial pulses simultaneously with another nurse.
Expert-Verified Explanation:
Expert-Verified Explanation:
Which of the following findings best indicates a fluid volume deficit?
A. BUN of 18 mg/dL B. Bounding pulse C. Urine specific gravity of 1. D. Prominent neck veins
Answer: C. Urine specific gravity of 1.
Expert-Verified Explanation:
15. A nurse is caring for four clients in an acute care setting. Which of the following client statements presents an ethical dilemma requiring further action?
A. “I might file a lawsuit because of how my surgery went.” B. “Please don’t tell my doctor, but I’m taking my partner’s oxycodone.” C. “Please don’t get me out of bed this morning. It hurts too much.” D. “I don’t want to take my medication because it makes me nauseous.”
Answer: B. “Please don’t tell my doctor, but I’m taking my partner’s oxycodone.”
Expert-Verified Explanation:
16. A nurse is documenting the assessment of a client’s lower legs, which display 6 mm edema. Which of the following should the nurse record in the client’s chart?
A. 1+ pitting edema B. 2+ pitting edema C. 3+ pitting edema D. 4+ pitting edema
Answer: C. 3+ pitting edema
Expert-Verified Explanation:
Answer: C. Expect the staple’s center to bend and each side to lift free.
Expert-Verified Explanation:
19. A nurse is reinforcing teaching with a client who has hypertension and must measure blood pressure (BP) daily at home. Which client statement indicates proper understanding of the teaching?
A. “I will wait 15 minutes after drinking coffee to measure my BP.” B. “I will measure my BP with my arm elevated above my heart.” C. “I should remove constrictive clothing prior to measuring my BP.” D. “I should measure my BP immediately after eating breakfast.”
Answer: C. “I should remove constrictive clothing prior to measuring my BP.”
Expert-Verified Explanation:
20. A nurse is contributing to the plan of care for a client who requires isolation precautions. For which of the following conditions should the nurse recommend airborne precautions?
A. Pneumonia B. Measles (Rubeola) C. Pertussis D. Methicillin-resistant Staphylococcus aureus (MRSA)
Answer: B. Measles (Rubeola)
Expert-Verified Explanation:
A. “Do you receive Holy Communion? ” B. “Do you follow a kosher diet? ” C. “Do you consume pork products? ” D. “Do you oppose blood transfusions if needed? ”
Answer: C. “Do you consume pork products? ”
Expert-Verified Explanation:
Expert-Verified Explanation:
24. A nurse is caring for four clients. Which client scenario would most benefit from the therapeutic communication technique of silence?
A. A client who plans to leave the facility against medical advice B. A client who shares plans for funeral arrangements C. A client who complains that the night nurse delayed medication D. A client who has just learned of the death of a child
Answer: D. A client who has just learned of the death of a child
Expert-Verified Explanation:
25. A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to reduce infection risk?
A. Clean the perineal area at least once every 24 hours. B. Empty the drainage bag when it is completely full. C. Flush the catheter daily with sterile water. D. Keep the drainage bag connected when emptying urine.
Answer: D. Keep the drainage bag connected when emptying urine.
Expert-Verified Explanation:
26. A nurse is caring for a client receiving chemotherapy who has developed stomatitis. Which of the following actions should the nurse take to reduce oral discomfort?
A. Offer lemon-glycerin swabs. B. Encourage the client to drink hot tea. C. Rinse the mouth with 0.9% sodium chloride solution. D. Provide a commercial alcohol-based mouthwash.
Answer: C. Rinse the mouth with 0.9% sodium chloride solution.
Expert-Verified Explanation:
A. Inform the nurses that the neighbor’s dog actually caused the wound. B. Tell the coworkers that this discussion is inappropriate for a public space. C. Complete an incident report when returning to the unit. D. Report the conversation to the client’s provider.
Answer: B. Tell the coworkers that this discussion is inappropriate for a public space.
Expert-Verified Explanation:
Which of the following findings is the priority for the nurse to report to the provider?
A. Nocturia (voiding three times during the night) B. Burning and discomfort with urination C. WBC count of 11,000/mm³ D. Urinary output of 60 mL over the past 3 hours
Answer: D. Urinary output of 60 mL over the past 3 hours
Expert-Verified Explanation:
31. A nurse is planning to administer medication to a client who has a Clostridium difficile infection. Which of the following actions should the nurse take to prevent transmission of this infection?
A. Perform hand hygiene with an alcohol-based rub after removing gloves. B. Place the client in a negative-pressure airflow room. C. Wear a mask when giving oral medications. D. Remove and discard the cover gown in the client’s room after providing care.
Answer: D. Remove and discard the cover gown in the client’s room after providing care.