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ATI FUNDAMENTALS PROCTORED EXAM
2025 LATEST REAL QUESTIONS AND
CORRECT ANSWERS GRADE A
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 - CORRECT ANSWER d. Providing postmortem care to a client A nurse at an assisted living facility is preparing an inservice for residents about electrical safety. Which of the following instructions should the nurse include? - CORRECT ANSWER Disconnect electrical equipment by grasping the plug A nurse is caring for a client who has a tracheostomy collar. As the nurse is performing tracheal suctioning, the client's heart rate and oxygen saturation decrease. which of the following actions should the nurse take? - CORRECT ANSWER Discontinued suctioning.
A nurse is caring for a client who has a new diagnosis of terminal cancer. Which of the following interventions is a priority? - CORRECT ANSWER Discuss the client's prior coping mechanism. A staff nurse is teaching a newly hired nurse how to complete an informed consent document for a client. the stop should include that the nurse signature on the form confirms which of the following requirements? - CORRECT ANSWER a. The client was not coerced. b. The client does not have a mental health condition. c. The client Signed in the nurse's presence. e. The client has legal authority to do so. A nurse is caring for a client who has a chest tube following thoracic surgery. Which of the following tasks should the nurse delegate to an assistive personnel? - CORRECT ANSWER Assist the client to select food choices from the menu.
. A community health nurse is caring for a group of families. The nurse should identify that which of the following families is experiencing a maturational loss? - CORRECT ANSWER A family whose oldest child is moving away for college
statements by the client indicates an understanding of the teaching? - CORRECT ANSWER I will perform ankle and knee exercises every hour- ROM is needed to prevent contractures. A nurse is monitoring a client who is receiving continuous IV fluid therapy via a peripheral vein in the left forearm. Which of the following findings indicates that the client has developed phelbitis at the IV site? - CORRECT ANSWER Erythema along the path of the vein A nurse is planning care for a client who reports insomnia. Which of the following actions should the nurse perform shortly before bedtime? - CORRECT ANSWER Offer a wet washcloth for the client to wash her face
. A nurse is providing teaching to a newly licensed nurse about the care of a client who has MRSA. Which of the following statements by the newly licensed nurse indicates an understanding of teaching? - CORRECT ANSWER I will place the client in a private room A nurse is teaching a client who requires maximal support about how to use a two wheeled walker. Which of the following actions by the client indicates an understanding of teaching - CORRECT ANSWER The client moves the walker ahead 25.4cm with each step
A nurse in a provider's office is caring for a client who states "I always have trouble sleeping". Which of the following actions should the nurse take first? - CORRECT ANSWER Identify the client typical bedtime routine A nurse is teaching about home safety with a client. Which of the following instructions should the nurse include? - CORRECT ANSWER Use electrical tape to secure extension cords next to baseboards on the floor A nurse is caring for a client who is 6 hr postoperative following abdominal surgery and is having difficulty voiding. Which of the following actions should the nurse take? - CORRECT ANSWER Allow the client to hear running water while attempting to void A nurse on a medical surgical unit is receiving a changeof-shift report for four clients. Which of the following clients should the nurse see first? - CORRECT ANSWER A client who has new onset of dyspnea 24 hr after a total hip arthroplasty always look for new onset of anything A nurse is caring for an adolescent client who has fullthickness burns on his leg. The client expresses concern about his future. Which of the following is therapeutic response by the nurse? - CORRECT
A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following actions should the nurse take to prevent the spread of infection? A. Wear a mask when working within 3 feet of the client B. Administer metronidazole C. Don protective eyewear before entering the room. D. Place the client in a negative airflow room. - CORRECT ANSWER Wear a mask when working within 3 feet of the client A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG tube. Which of the following actions should the nurse take? A. Attach the restraints securely to the side rails of the client's bed. B. Apply the restraints to allow as little movement as possible C.Allow room for two fingers to fit between the clients skin and the restraints d. remove the restraints every 4 hours - CORRECT ANSWER Allow room for two fingers to fit between the clients skin and the restraints A nurse is admitting a client who has tuberculosis. Which of the following types of transmission precautions should the nurse plan to initiate?
A. Droplet B. Airborne c. protective environment d. contact - CORRECT ANSWER Airborne A nurse in a well-child clinic receives a telephone call from a parent who states that their child accidentally swallowed paint thinner. The child is awake and alert. Which of the following responses should the nurse make? A. Have your child drink one large glass of water. B. Hang up and call a poison control center hotline. C. Bring your child into the clinic later today. D. Induce vomiting in your child with syrup of ipecac. - CORRECT ANSWER Have your child drink one large glass of water A nurse is documenting a client's medical record. Which of the following entries should the nurse record. A. Oral temperature slightly elevated at 0800 B. Administered pain medication C. Incision without redness or drainage D. Drank adequate amounts of fluid with meals. - CORRECT ANSWER Administered pain medication A nurse is providing oral care for a client who is unconscious. Which of the following actions should the nurse take? A. Place the client in a side-lying position. B. Brush the clients teeth daily
A nurse is assessing an older client. Which of the following findings should the nurse expect? a. Decreased sense of balance b. Increased nighttime sleeping c. Heightened sense of pain d. Nighttime urinary incontinence - CORRECT ANSWER Decreased sense of balance 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" - CORRECT ANSWER Cut the opening of the pouch 1⁄8 of an inch larger than the stoma Place a piece a gauze over the stoma while changing the pouch Use povidone-iodine to clean around the stoma Empty the ostomy pouch when it becomes one-third full of
contents 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" - CORRECT ANSWER Offer written information in the client's language 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" - CORRECT ANSWER Avoid using wool blankets when receiving oxygen check the O2 delivery rate at least once a day
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 - CORRECT ANSWER 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. - CORRECT ANSWER A client's prescribed laboratory testing was not obtained 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 - CORRECT
ANSWER The policy and procedure manual 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 - CORRECT ANSWER Perform percussion over the lower back 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 - CORRECT ANSWER 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 - CORRECT ANSWER I can put it in a locked storage unit for you
ANSWER Delirium has an abrupt onset 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 - CORRECT ANSWER Denial 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 - CORRECT ANSWER the family of a client who has a terminal illness asks the provider not to tell the client the diagnosis
A nurse is teaching a client about performing breast selfexaminations. Which of the following statements by the client 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." - CORRECT ANSWER I should make circular motions with my fingertips under my arms 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 90 degree angle c. Stand with his feet together when lifting the client d. Have the client bear weight on her stronger leg - CORRECT ANSWER Have the client bear weight on her stronger leg 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
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 clients 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 - CORRECT ANSWER Slide the probe across the clients forehead Hold the client's hair aside while performing the procedure 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 - CORRECT ANSWER Dangle the client's arm over the edge of the bed 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. Hyperoxygenate 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 - CORRECT ANSWER Hyperoxegenate the client for 60 seconds. A nurse is assessing a client who received morphine for severe pain 30 mins 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 - CORRECT ANSWER Respiratory rate 7/min A nurse is caring for a client who has been treated multiple times for STIs. Which of the following responses should the nurse take? a. "You must have too many sexual partners" b. "Why do you keep letting this happen?" c. "Let's explore why this might be re-occuring" d. "Don't you have access to condoms?" - CORRECT ANSWER Let's explore why this might be re-occuring A nurse enters the room of a client who has a seizure disorder. The client is sitting in a chair and begins to
