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ATI Fundamentals Exam Nursing 100 Exam 3

Total Questions : 49

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Question 1:

A nurse is caring for a client who has a prescription for a stool test for occult. The nurse understands the purpose of the test is to check the stool for which of the following substances?

Answer and Explanation

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Question 2:

The nurse uses gait belts when assisting clients to ambulate. Which client would be a likely candidate for this assistive device?

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Question 3:

A nurse working in long-term care facility is assessing residents at risk for the development of a pressure injury. Which resident would be most at risk?

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Question 4:

A nurse applies padded boots to maintain the foot in dorsiflexion to a client who is comatose. The nurse is protecting the client from:

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Question 5:

A client at a healthcare facility has been diagnosed with polyuria. How would the nurse describe the client's condition in the medical record?

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Question 6:

Doctor's order: 750 mL NS to infuse over 8 hours.

How many mL/hr will you set the IV pump? Round to the nearest whole number.

Answer and Explanation
Correct Answer: 94 mL/hr mL

Explanation

The total volume is divided by the total time

=750/8

=93.75 ml/hr

= 94 ml/hr (rounded off to the nearest whole number)


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Question 7:

When moving a client up in bed with the assistance of another caregiver, the nurse should:

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Question 8:

A nurse is initiating a 24-hour urine collection for a client at home. What will be the first thing the nurse will ask the client to do at the beginning of the specimen collection?

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Question 9:

The nurse is leading an exercise class for a group of adults aged 65 years and older. The nurse incorporates isotonic. Isometric, and isokinetic exercises into the class. Which activity is an isometric exercise?

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Question 10:

The type of stool that will be expelled into the ostomy bag by a client who has undergone surgery for an ileostomy will be:

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Question 11:

A client 80 years of age experienced dysphagia (impaired swallowing) in the weeks following a recent stroke, but the care team wishes to now begin introducing minced and pureed food. How should the nurse best position the client?

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Question 12:

A client with a urinary tract infection is to be discharged from the healthcare facility.

After teaching the client about measures to prevent urinary tract infections, the nurse determines that the education was successful when the client makes which statement?

Answer and Explanation

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Question 13:

A nurse is completing her physical assessment on her newly admitted patient. She is assessing the patient's skin and documenting her findings. How should she document the following wound?

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Question 14:

Ordered: Morphine sulfate 12 mg IM Available: Morphine sulfate 15 mg/mL How many mL will you administer?

Round to the nearest tenth.

Answer and Explanation
Correct Answer: 0.8 mL mL

Explanation

Volume= dose/concentration

= 12/15

= 0.8 mL


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Question 15:

The nurse is caring for a patient with a fractured left leg and is using crutches. Which statement indicates the patient has correct understanding of how to properly use her crutches?

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Question 16:

The nurse is caring for a client with a wound from a biking accident. She assesses the wound and notices that the surrounding skin is very red and warm. The wound looks swollen and is draining a green like drainage. The nurse would recognize these symptoms would be a sign of what?

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Question 17:

Reflex incontinence is associated with neurologic dysfunction and occurs when no warning or stress precedes periodic involuntary urination.

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Question 18:

A nurse is assessing a client who has a wound that is healing by first intention. Which of the following findings should the nurse expect?

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Question 19:

A nurse is caring for a client who is receiving heat applications using a heating pad. Which of the following actions should the nurse take when applying the pad?

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Question 20:

What are the functions of the skin? (Select All that Apply.)

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Question 21:

A nurse is providing education for an older adult client who reports constipation. Which of the following instructions should the nurse include in the teaching?

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Question 22:

A nurse is assessing bowel sounds on post-operative day 2 abdominal surgery patients. He does not hear bowel sounds. What should the nurse conclude about his findings?

Answer and Explanation

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Question 23:

5 fl oz = ____mL

Answer and Explanation
Correct Answer: 148 mL

Explanation

1 fluid ounce (fl oz) is approximately equal to 29.57 mL. 5 fl oz x 29.57= 147.85

=148 mL (rounded off to the nearest whole number)


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Question 24:

A nurse caring for a postoperative client observes the drainage in the client's closed wound drainage system. The drainage is thin with a pale pink-yellow color. The nurse documents the drainage as:

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Question 25:

Upon assessment of a client's wound, the nurse notes the formation of granulation tissue. The tissue bleeds easily when the nurse performs wound care. What is the phase of wound healing characterized by the nurse's assessment?

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