Fundamentals ATI Retake
A nurse is caring for a client who is postoperative and asks the nurse “When will I
get to go home? I’m not sure what happens next.” Which of the following actions
should the nurse take next?
Inform the provider that the client is requesting information about his treatment
plan
A nurse is caring for a client who has colon cancer and is scheduled for a colon
resection with a possible colostomy. Before the procedure, the client tells the nurse,
I’m worried about the bag. Which of the following is an appropriate response by the
nurse?
You are worried about having to wear a colostomy bag?
A nurse working on a medical surgical unit is making client assignments for an
upcoming shift. Which of the following tasks should the nurse assign to assistive
personnel?
Assisting with ambulation for a client who has a pulmonary infection
A nurse is preparing to administer an injection to a client. Which of the following
actions should the nurse plan to take after administering the injection?
Discard the needle in a puncture proof container
A charge nurse in a long-term care facility is preparing an educational program
about Delirium for newly hired nurses. Which of the following statements should
the nurse plan to include?
Delirium has an abrupt onset
A nurse is preparing to administer a controlled substance to a client for pain
management. Which of the following actions should the nurse take?
Ask a second nurse to record her signature when wasting any unused portion of the
controlled substance
A nurse is performing a skin assessment on an older adult client. Which of the
following findings should the nurse expect?
Decreased sense of balance
A nurse is caring for a client that refuses to follow the provider’s prescription for
strict bed rest. The nurse overhears assistive personnel tell the client “If you do not
remain in bed, I will place you in restraints.”
False imprisonment
A nurse is preparing to administer IV fluids to a client. The nurse notes sparks
when plugging in the IV pump. Which of the following actions should the nurse take
first?
Unplug the pump
A nurse is caring for an infant who is to undergo surgery. The nurse should identify
which of the following individuals should sign the consent form?
The infants 17-year-old mother
A nurse is reviewing the medical record for a newly admitted client. Which of the
following laboratory values should the nurse report to the provider?
Potassium 5.8
A nurse is planning care for a client who is concerned about her tobacco smoking
habits and is in the contemplation stage of health behavior change. Which of the
following actions should the nurse plan to take during this stage?
Assist the client in setting goals to make the change