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ATI HEALTH ASSESSMENT EXAM (FUNDAMENTALS)

Total Questions : 51

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Question 1:

A nurse manager in a community clinic is planning an in-service to increase staff nurses' knowledge on cultural diversity in health care. Which of the following information should the nurse manager include in the presentation?
(Select All that Apply)

Answer and Explanation

A
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Question 2:

A nurse is completing the intake health assessment at a clinic. Which of the following is the priority action for the nurse to take?

Answer and Explanation

A
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Question 3:

A nurse is caring for a client who has limited hand movement. Which of the following actions should the nurse take to assist the client with feeding?

Answer and Explanation

A
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Question 4:

A nurse is assessing a client who reports feeling stress and anxiety. The client appears restless and is pacing in the room. The client is alert and oriented to person, place, and time. Which of the following findings is subjective?

Answer and Explanation

A
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Question 5:

A nurse has just finished a wound irrigation for a client who requires contact precautions. Which of the following pieces of personal protective equipment (PPE) should the nurse remove first?

Answer and Explanation

A
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Question 6:

A nurse is assessing a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply.)

Answer and Explanation

A
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Question 7:

A nurse is interviewing a client during admission to an alcohol treatment center. Which of the following approaches should the nurse take?

Answer and Explanation

A
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Question 8:

A nurse is caring for a client who is postoperative. Nurses' Notes

0745:

Client awake and eating breakfast while watching the news on television. Client has hearing loss, does not wear hearing aid, and TV volume is loud. Rates pain as a 2 on a 0 to 10 pain scale.

Incisional dressing dry and intact. 1000:

Client ambulated in hallway with physical therapist. Client grimacing. appears upset and is guarding incisional site. Reports pain a 5 on a 0 to 10 pain scale. Opioid analgesic administered.

1045

Client resting with eyes closed and listening to music with earphones. Reports feeling "very sleepy after pain medication. Now rates pain as a 3 on a 0 to 10 pain scale.
Which of the following factors could present a barrier to the nurse effectively communicating with the client? (Select all that apply).

Answer and Explanation

A
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Question 9:

A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of the following prescriptions with the provider?

Answer and Explanation

A
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Question 10:

A nurse is assessing a client who has malnutrition. Which of the following findings should the nurse expect?

Answer and Explanation

A
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Question 11:

A nurse is caring for a client who has ovarian cancer and is in the end stages of the dying process.

Provider Prescriptions

Admission: Do-not-resuscitate (DNR) prescription 0940:

Oxycodone acetaminophen 5 mg/325 mg one tablet every 6 hr PRN for pain 1550:

Proceed with withdrawal of mechanically administered nutrition and hydration (MANH)

A nurse is planning care for a client who has requested withdrawal of medically administered nutrition and hydration (MANH). Which of the following should the nurse include in the plan of care? Select all that apply.
(Select All that Apply.)

Answer and Explanation

A
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Question 12:

A nurse is using a medical interpreter to communicate with a client. Which of the following actions should the nurse take?

Answer and Explanation

A
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Question 13:

A community health nurse is reflecting on unconscious feelings they may have toward some of the clients they care for. The nurse should identify this as which of the following concepts of cultural competence?

Answer and Explanation

A
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Question 14:

The nurse is completing an assessment of a client who was sexually assaulted. What assessment should the nurse conduct last?

Answer and Explanation

A
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Question 15:

A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following laboratory values gives the nurse an assessment of the adequacy of the client's protein uptake and synthesis?

Answer and Explanation

A
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Question 16:

A student nurse is preparing a client room for the treatment of an ovarian cyst. What would be least important for the student nurse to do immediately before performing the client's physical exam with the primary nurse?

(Select All that Apply.)

Answer and Explanation

A
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Question 17:

A nurse in the post-anesthesia care unit is caring for a client who is postoperative following a thoracotomy and lobectomy. Which of the following postoperative assessments should the nurse give highest priority to?

Answer and Explanation

A
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Question 18:

A nurse is observing a client's nonverbal behavior. When evaluating this behavior, the nurse should factor in which of the following principles influencing nonverbal communication?

Answer and Explanation

A
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Question 19:

A 35-year-old woman has been admitted to the hospital for a hysterectomy secondary to uterine cancer caused by smoking, and the nurse is collecting subjective data prior to surgery. Which statements by the nurse could be construed as non-judgmental?
(Select All that Apply.)

Answer and Explanation

A
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Question 20:

A nurse is caring for a client who is grieving and has experienced sleep disturbances, weight loss, and often feels angry and irritable. The client also states that they feel depressed. Which of the following assessments is the nurse's priority?

Answer and Explanation

A
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Question 21:

A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider subjective data?

Answer and Explanation

A
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Question 22:

A community health nurse is making efforts to expand their cultural competence when working with clients. To develop cultural competence, the nurse must appreciate understand which of the following characteristics of their clients?

Answer and Explanation

A
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Question 23:

A nurse is taking a new client's health history at a clinic. Which question should the nurse begin with to obtain the health history?

Answer and Explanation

A
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Question 24:

A nurse is using the Cultural Formulation Interview (CFI) tool while collecting a health history from a client who is from a culture different than the nurse. Which of the following statements should the nurse make?

Answer and Explanation

A
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Question 25:

A nurse is assessing a 6-year-old child who has experienced violence at school. Which of the following strategies should the nurse use during their assessment of this client

Answer and Explanation

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