ATI Fundamentals Proctored Exam 100%
verified Questions and Multiple-choice Answers
100% correct answers.
A nurse is collecting a sputum specimen for
... [Show More] culture
from a client who has a respiratory infection. Which
of the following actions should the nurse take?
A. Wear sterile gloves when collecting the specimen.
B. Offer the client oral hygiene after the collection
C. Collect the specimen in the evening.
D Collect 1 ml of sputum.
THE CORRECT ANSWER IS B.
A nurse is assessing an older client. Which of the
following findings should the nurse expect?
a. Decreased sense of balanced
b. Increased nighttime sleeping
c. Heightened sense of pain
d. Nighttime urinary incontinence
THE CORRECT ANSWER IS A
A nurse is completing discharge teaching about
ostomy care with a client who has a new stoma.
Which of the following instructions should the nurse
include in the teaching? (select all that apply)
a. "Cut the opening of the pouch 1⁄8 of an inch larger
than the stoma "
b. "Place a piece a gauze over the stoma while
changing the pouch"
c. "Use povidone-iodine to clean around the stoma"
d. "Empty the ostomy pouch when it becomes one-third full of contents"
e. “Expect the stoma to turn a purple-blue color as
its heals"
THE CORRECT ANSWERS ARE; a, b, c, d
A nurse is preparing to obtain informed consent from
a client who speaks a different language than the
nurse. Which of the following actions should the
nurse take?
a. "Request that an assistive-personnel interpret the
information for the client"
b. "Use proper medical terms when giving
information to the client"
c. "Offer written information in the client's language"
d. "Avoid using gestures when speaking to the
client"
THE CORRECT ANSWER IS C
A nurse is teaching a client about home care
equipment. Which of the following information should
the nurse include in the teaching? (select all that
apply)
a. "Avoid using wool blankets when receiving
oxygen"
b. Check the O2 delivery rate at least once a day
c. Align the middle of the ball in the flow meter with
the line of the prescribed flow rate
d. "Keep the oxygen delivery system 0.6 m (2 feet)
from any heat source"
e. "Lay the oxygen tank flat when storing"
THE CORRECT ANSWERS ARE; a, b, c
A nurse is planning care for a client who reports
insomnia. Which of the following actions should the
nurse perform shortly before bedtime?
a. Provide a late supper.
b. Offer a wet washcloth for the client to wash her
face
c. Perform range-of-motion exercises
d. Prepare hot cocoa or tea for the client
THE CORRECT ANSWER IS A
A nurse on a medical-surgical unit is receiving a
change-of-shift report for four clients. Which of the
following clients should the nurse see first?
a. A client who has acute abdominal pain of 4 on a
scale from 0 to 10
b. A client who has pneumonia and an oxygen
saturation of 96%
c. A client who has new onset of dyspnea 24hr after
a total hip arthroplasty •
d. A client who has a urinary tract infection and low grade fever
THE CORRECT ANSWER IS C
A nurse is reviewing a client's intake and output and
notes the following: 0.9% sodium chloride 600mL IV
infusion, cefazolin 250 mg in dextrose 5% in water
100mL intermittent IV bolus, 200mL emesis, 40mL
voided urine, and 20mL urine from straight
catheterization. The nurse should record the client's
net fluid intake as how many mL? (Round the answer
to the nearest whole number. Use a leading zero if it
applies. Do not use a trailing zero.)
DOSAGE CALCULATION
THE CORRECT ANSWER IS 700 mL
A nurse is discussing incident reports with a group of
newly licensed nurses. The nurse should include that
which if the following requires the completion of an
incident report?
a. A client's prescribed laboratory testing was not
obtained
b. A client withdrew consent for a procedure
c. An oncoming nurse arrived to work late
d. A nurse transfused a unit of packed RBCs in 2 hr.
THE CORRECT ANSWER IS A
A nurse is caring for a client who has a new
prescription for negative-pressure therapy for a
chronic wound. The nurse is unfamiliar with the
procedure. Which of the following resources should
the nurse consult to learn more about the
intervention.
a. The client's plan of care
b. The nurse practice act
c. The material safety data sheet
d. The policy and procedure manual
THE CORRECT ANSWER IS D
A nurse is performing postural drainage with
percussion and vibration for a client who has cystic
fibrosis. Which of the following actions should the
nurse take?
a. Cover the area of percussion with a towel.
b. Instruct the client to exhale quickly during
vibration
c. Schedule postural drainage after meals
d. Perform percussion over the lower back
THE CORRECT ANSWER IS D
A nurse is preparing to administer diphenhydramine
20 mg orally to a 6-year-old child who has difficulty
swallowing pills. Available is diphenhydramine
12.5mg/5ml oral syrup. Which of the following images
indicates the correct number of mL the nurse should
administer? (round answer to the nearest whole
number.)
DOSAGE CALCULATION
THE CORRECT ANSWER IS 8ml
A nurse is admitting a client who is malnourished.
The client states, "My wedding ring is loose and I'm
worried I will lose it if it falls off. "Which of the
following is an appropriate response by the nurse?
a. " I will place it in your drawer so it won't get lost."
b. I can pin it to your hospital gown so you won't lose
it."
c. "I will hold onto it until a family member can take
it home."
d. I can put it in a locked storage unit for you
THE CORRECT ANSWER IS D
A charge nurse is teaching a group of newly licensed
nurses about the use of restraints. In which of the
following clinical situations should the nurse apply
restraints?
a. If the client is pacing in the hallway
b. As a part of a fall prevention program
c. At the request of the client's family
d. When the client poses a threat to self
THE CORRECT ANSWER IS D
To ensure client safety, a nurse manager is planning
to observe a newly licensed nurse perform a straight
catheterization on a client. In which of the following
roles is the nurse manager functioning?
a. Case manager
b. Client educator
c. Client care provider
d. Client advocate
THE CORRECT ANSWER IS D
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?
a. "Delirium does not affect a client's perception of
her environment."
b. "Delirium does not affect a client's sleep cycle."
c. "Delirium has an abrupt onset."
d. "Delirium has a slow progression."
THE CORRECT ANSWER IS C
A nurse is speaking with a client who has recently
received a diagnosis of a chronic illness. The client
states, " The doctor must be wrong. I can't be that
sick". The nurse should inform the client that their
reaction is an example of which of the following
expected responses to grief?
a. Acceptance
b. Denial
c. Anger
d. Depression
THE CORRECT ANSWER IS B
A Nurse on a medical-surgical unit is providing care
for four clients. The nurse should identify which of
the following situations as an ethical dilemma?
a. A surgeon who removed the wrong kidney during a
surgical procedure refuses to take responsibility for
her actions
b. A client who has Crohn's disease reports that his
prescription drug plan will not pay for his
medications.
c. A client who has a new colostomy refuses to take
instructions from the ostomy therapist because she
"doesn't like him."
d. the family of a client who has a terminal illness
asks the provider not to tell the client the diagnosis
THE CORRECT ANSWER IS D
A nurse is teaching a client about performing breast
self-examinations. Which of the following statements
by the clients indicates an understanding of the
teaching?
a. "I should perform my self-exam the week that my
period starts"
b. "I should make different patterns on each breast
when I do my self-exam."
c. "I should use the palm of my hand to apply
pressure to each breast."
d. "I should make circular motions with my fingertips
under my arms."
THE CORRECT ANSWER IS D
A nurse is preparing to transfer a client who is
partially weight bearing from the bed to the chair.
Which of the following actions should the nurse
take?
a. Keep his knees straight when moving the client
b. Position the chair next to the bed as a 90degree
angle
c. Stand with his feet together when lifting the client
d. Have the client bear weight on her stronger leg
THE CORRECT ANSWER IS D
A nurse is caring for a client following a laparoscopic
cholecystectomy. The client has a prescription for
ondansetron 4mg IV bolus every 6hr PRN for nausea
and vomiting. Identify the sequence of steps the
nurse should follow to administer the medication.
(Move the steps into the box on the right, placing
them in the order of performance. Use all the steps.)
- Select the injection port of the IV tubing closest to
the client.
- Cleanse the injection port with an antiseptic swab.
- Aspirate for blood return.
- Inject the medication.
- perform hand hygiene
1. perform hand hygiene
2. select the injection port of the IV tubing closest to
the client
3. cleanse the injection port with an antiseptic swab
4. aspirate for blood return
5. inject the medication
THE CORRECT ANSWER IS 1
A nurse is teaching a client who has diabetes
mellitus about mixing regular and NPH insulin. Which
of the following statements but the client indicates
an understanding of the teaching?
a. I should wait 3 minutes after mixing the insulin to
inject it
b. I should draw up the NPH insulin before regular
insulin
c. I should inject air into the vial of regular insulin
first
d. I should roll the vial of NPH insulin between my
hands before drawing it up
THE CORRECT ANSWER IS D
A nurse is assessing the body temperature of an
adult client using a temporal artery thermometer.
Which of the following actions should the nurse
take? (Select all that apply)
a. Slide the probe across the client forehead
b. Pull the clients pinna up & back
c. Hold the client's hair aside while performing the
procedure
d. Document the client's temperature with "AX" next
to the value
e. Move the probe in a circular motion
THE CORRECT ANSWERS ARE A, C
A nurse is preparing to insert a peripheral IV
catheter into the client's arm. Which of the following
actions should the nurse take to help dilate the vein?
a. Stroke the skin near the vein in an upward
position
b. Dangle the client's arm over the edge of the bed
c. Apply a cool compress to the vein for 10 min
d. Instruct the client to flex their arm with the hand
open
THE CORRECT ANSWER IS B
A nurse is preparing to suction a client's
tracheostomy tube. Which of the following actions
should the nurse plan to take?
a. Apply intermittent suction during catheter
insertion
b. Suction the client's airway for 20 seconds with
each pass
c. Hyper-oxygenate the client manually for 30 to 60
seconds before suctioning
d. decrease suction pressure to 150 mm Hg if the O2
sat levels drop during suctioning
THE CORRECT ANSWER IS A
A nurse is assessing a client who received morphine
for severe pain 30mins ago. Which of the following
finding is the nurse's priority?
a. Last bowel movement was 3 days ago
b. Reports pain of 8 on a scale of 0 to 10
c. Distended bladder
d. Respiratory rate 7/min
THE CORRECT ANSWER IS D
A nurse is planning care for a group of clients. Which
of the following tasks should the nurse delegate to
an assistive personnel?
a. Changing the dressing for a client who has a stage
3 pressure injury
b. Determining a client's response to a diuretic
c. Comparing radial pulses for a client who is
postoperative
d. Providing postmortem care to a client
THE CORRECT ANSWER IS d [Show Less]