ATI Fundamentals Proctored Exam
Latest Updated 2023 With Correct
Questions And Answers
2.A nurse is caring for a client who is scheduled to have his
... [Show More] alanine aminotransferase
(ALT) level checked. The client asks the nurse to explain the laboratory test. Which of
the following isan appropriate response by the nurse?
a. “This test will indicate if you are at risk for developing blood clots
b. “This test will determine if your heart is performing properly”
c. “This test will provide information about the function of your liver”
Rationale: ALT test measures amount of enzyme in blood. ALT mainly found in liver
Rationale: Leadership 7.0. ALT and AST measure you liver function. Creatinine
and BUN measureyour kidney function
d. “This test is used to check how your kidneys are working”
.
3.A nurse is caring for a client who has a prescription for morphine 5mg IM
accidentally administers the whole 10 mg from the single-dose vial. Which of the
following actions shouldthe nurse take first?
e. Notify the client’s provider.
f. Report the incident to the pharmacy.
g. Complete an incident report.
b. -Measure the client’s BP after the nurse administers antihypertensive meds.
c. -Use a communication board to ask what the client wants for
lunch.
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
6. A nurse is teaching an assistive personnel (AP) about proper hand hygiene.
Which of the following statements by the AP indicates an understanding of the
teaching?
"There are times I should use soap and water rather than alcohol based hand
rub to clean my hands."
7. A nurse is caring for a client who is unstable and has vital signs measured every
15 minutes by an electronic blood pressure machine. The nurse notices the
machine begins to measure the blood pressure at varied intervals and the
readings are inconsistent. Which of the following actions should the nurse take?
Discontinue the machine, and measure the blood pressure manually every 15
min.
8. A nurse is providing teaching to a client who has heart failure about how to
reduce his daily intake of sodium. Which of the following factors is the most
important in determining the client's ability to learn new dietary habits?
The involvement of the client in planning the change
9. A nurse is planning to obtain the vital signs of a 2-year-old child who is
experiencing diarrhea and who might have a right ear infection. Which of the
following routes should the nurse use to obtain the temperature?
Temporal
10.A nurse is witnessing a client sign an informed consent form for surgery. Which
of the following describes what the nurse is affirming by this action?
The signature on the preoperative consent form is the client’s
1. Before donning gloves to perform a procedure, proper hand hygiene is
essential. Thenurse understands that the most important aspect of had
hygiene is the amount of
friction
2. A nurse is demonstrating postoperative deep breathing and coughing exercise
to a clientabout to undergo emergency abdominal surgery for appendicitis. The
nurse realizes the client may be unprepared to learn if the client
reports severe pain
3. A client comes to the emergency department reporting that he has had
diarrhea for 4 daysand is urinating less than usual. When assessing the client’s
skin turgor, the nurse should
grasp a fold of the skin on the chest under the clavicle, release it, and not the
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