ATI Fundamentals
Version 3
1. A nurse is teaching a group of older adults about expected changes of aging.
Which of the following statements by a group member indicates that the
teaching has been effective?
"I should expect my heart rate to take longer to return to normal after
excessive as I get older."
2. A nurse is caring for a client who is postoperative and has paralytic ileum. Which
of the following abdominal assessments should the nurse expect?
Absent bowel sounds with distention
3. A nurse is planning care for a client who reports abdominal pain. An assessment
by the nurse reveals the client has a temperature of 39.2 degrees C (102
degrees F), heart rate of 105/min, a soft contender abdomen, and census
overdue by 2 days. Which of the following findings should be the nurse's
priority?
Temperature
4. A nurse is caring for a child who is postoperative following a tonsillectomy.
Which of the following actions should the nurse take?
Administer analgesics to the child on a routine schedule throughout the day
and night.
5. A nurse is assessing the heart sounds of a client who has developed chest pain
that becomes worse wth inspiration. the nurse auscultates a high-pitched
scratching sound during both systole and diastole with diaphragm of the
stethoscope positioned at the left sternal border. Which of the following heart
sounds should the nurse document?
Pericardial friction rub
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