Question

ati fundamental test 2024 (nursing process)

1. when providing care for a client who has facial fractures, the nurse notices a strong mouth odor. which of the following terms should the nurse use to document this finding?

a. stomatitis
b. gingivitis
c. halitosis
d. pyorrhea

1. a nurse is collecting data about a clients skin turgor. which of the following actions should the nurse take?

a. lightly palpate the skin using the fingertips.
b. press the skin over the clients ankle bone.
c. observe for nonblanching, pinpoint - size, red or purple spots on the skin of the abdomen.
d. grasp a fold of skin on the clients forearm or near the sternum.

1. a nurse is evaluating the 24 - hr i&o records of several clients. which of the following client findings indicates an acceptable fluid balance?

a. intake 2,500 ml, output 500 ml
b. intake 2,400 ml, output 2,500 ml
c. intake 1,200 ml, output 700 ml
d. intake 800 ml, output 2,100 ml

1. a nurse is caring for an adult client who is competent and has refused an analgesic injection. the nurse administers the injection despite the clients objections. which of the following types of tort has the nurse committed?

a. assault
b. false imprisonment
c. negligence
d. battery

Explanation:

• Question 80: Halitosis is the medical term for bad breath. Stomatitis is inflammation of the mouth, gingivitis is inflammation of the gums, and pyorrhea is a more advanced gum disease with pus. So the term for strong mouth odor is halitosis.
• Question 81: To check skin turgor, the nurse grasps a fold of skin (e.g., on forearm or near sternum). Light palpation with fingertips (A) is for other assessments. Pressing over ankle (B) is for edema. Non - blanching spots (C) are petechiae.
• Question 82: For fluid balance, intake and output should be relatively close. Intake of 2400 mL and output of 2500 mL (B) shows a small negative balance (within acceptable range as some insensible losses occur). Other options have large imbalances.
• Question 83: Battery is the intentional touching (in this case, injection) without consent. Assault is the threat of touching. False imprisonment is restricting movement. Negligence is failure to act as a reasonable person.

Answer:

• 80. C. Halitosis
• 81. D. Grasp a fold of skin on the client's forearm or near the sternum.
• 82. B. Intake 2,400 mL, output 2,500 mL
• 83. D. Battery