ATI FUNDAMENTALS OF NURSING PROCTORED EXAM TEST BANK WITH NGN

34. A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of
the following actions should the nurse plan to take?
A
A. insert the other at a 45º angle
B. place the client's arm in a dependent position
C. shave excess hair from the insertion site
D. initiative IV therapy in the veins of the hand place the client's arm in a dependent
position
The nurse should place the client's arm in a dependent position because the veins will
dilate due to gravity.
35. A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a
chair to prevent self-injury, which of the following actions should the nurse take when lifting
this object?
A. bend at the waist
B. keep his feet close together
C. use his back muscles for lifting
D. stand close to the banner when lifting it
Stand close to the cabinet when lifting it.
This action keeps the cabinet close to the nurse's center of gravity and decreases back
strain from horizontal reaching.
36. A nurse is providing care to four clients. Which of the following situations requires the
nurse to complete an incident report?
A. a nurse tied a client's restraints straps to the moveable part of the bedframe
A
B. an assuétude personnel placed a surgical mask on a client who has TB before
transporting her to radiology
C. a nurse administer a medication to a client 30 min before the dose is due
D. a client who has an IV infusion pump receives an additional 250 mL of IV fluid
A client who has an IV infusion pump receives an additional 250 mL of IV fluid.
The nurse should complete an incident report if an IV infusion pump
malfunctions to assist in compiling information for risk management to
determine actions to take to prevent further similar incidents.
37. A nurse manager is preparing to review medication documentation with a group of newly
Licensed nurses. Which of the following statements should the nurse manger plan to
include in the teaching?
A. "use the complete name of the medication magnesium sulfate."
B. "delete the space between the numerical dose and the unit of measure."
C. "write the letter U when noting the dosage of insulin."
D. "use the abbreviation SC when indicating an injection."
"Use the complete name of the medication magnesium sulfate."
The Institute for Safe Medication Practices designates that nurses and providers write the
complete medication name magnesium sulfate when documenting medications to avoid
any misinterpretation of MgSO4 as MSO4, which means morphine sulfate
A
38. A nurse in a surgical suite notes documentation on a client's medical record that he has a
latex allergy. in preparation for the client's procedure, which of the following precautions
should the nurse take?
A. ensure sterilization of non disposable items with ethylene oxide
B. wrap monitoring cords with stockinette and tape them in place
C. cleanse latex pots on IV tubing with chlorohexidine before injection medication D.
wear hypoallergenic latex gloves that contain powder Wrap monitoring cords with
stockinette and tape them in place.
Many monitoring devices and cords contain latex. The nurse should prevent any contact of
these cords and devices with the client's skin by covering them with a
nonlatex barrier material, such as stockinette, and using nonlatex tape to secure them.
39. A nurse is caring for a client who requires an NG tube for stomach decompression.
Which of the following actions should the nurse take when inserting the NG tube?
A. position the client with the head of the bed elevated to 30º prior to insertion of
the NG tube
B. remove the NG tube if the client begins to gag of choke
C. apply suction to the NG tube prior to insertion
D. have the client take sips of water to promote insertion of the NG tube into the
esophagus Have the client take sips of water to promote insertion of the NG tube into
the esophagus.
Taking sips of water as the NG tube passes through the oropharynx will close the epiglottis
over
A
the trachea and prevent the tube's passage into the trachea.
40. A nurse is admitting a client who has an abdominal wound with a large amount of
purulent drainage. Which of the following types of transition precautions hold the nurse
initiate?
A. protective environmen