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ATI Fundamentals Proctored Exam | Latest Real Questions and Correct Answers – Grade A, Exams of Health sciences

Bellevue College Health sciences

This document features the latest verified real questions and correct answers from the ATI Fundamentals Proctored Exam. It thoroughly covers core nursing topics such as hygiene and safety, mobility and immobility, infection control, therapeutic communication, nursing process, and documentation. Ideal for nursing students preparing for ATI assessments or building foundational knowledge for NCLEX success.

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ATI FUNDAMENTALS PROCTORED

EXAM 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 clientd. Providing postmortem care to a client

A nurse is conducting a health assessment for a client who takes herbal supplements. Which of the

following statements by the client indicates an understanding of the use of the supplements?

A. I take ginkgo biloba for a headache

B. I take echinacea to control my cholesterol

C. I use ginger when I get car sick

D. I use garlic for my menopausal symptoms

I use ginger when I get car sick

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.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 hoursAllow 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. contactAirborne

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?

- ANSWER-

Partial preview of the text

Download ATI Fundamentals Proctored Exam | Latest Real Questions and Correct Answers – Grade A and more Exams Health sciences in PDF only on Docsity!

ATI FUNDAMENTALS PROCTORED

EXAM 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 clientd. Providing postmortem care to a client A nurse is conducting a health assessment for a client who takes herbal supplements. Which of the following statements by the client indicates an understanding of the use of the supplements? A. I take ginkgo biloba for a headache B. I take echinacea to control my cholesterol C. I use ginger when I get car sick D. I use garlic for my menopausal symptoms I use ginger when I get car sick 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.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 hoursAllow 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. contactAirborne 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?

- ANSWER-

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.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.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 C. Apply mineral oil to the client's lips D. Rinse the client's mouth with an alcohol-based mouthwashPlace the client in a side- lying position A nurse is collaborating with a risk management team about potential legal issues involving client care. The nurse should identify which of the following situations is an example of negligence? A. A nurse administers a medication without first identifying the client. B. An assistive personnel discusses client care in the facility cafeteria with visitors present. C. A nurse begins a blood transfusion without obtaining consent. D. An assistive personnel prevents a client from leaving the facility.A nurse begins a blood transfusion without obtaining consent A nurse is collecting a sputum specimen for 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.Offer the client oral hygiene after the collection 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 incontinenceDecreased 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"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

- ANSWER-

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 manualThe 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 backPerform 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 CALCULATION8ml 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 youI can put it in a locked storage unit for you 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 selfWhen the client poses a threat to self 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 advocateClient advocate 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."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. DepressionDenial

- ANSWER-

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 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 self-examinations. 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."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 legHave 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 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 hygiene1-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 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 upI should roll the vial of NPH insulin between my hands before drawing it up 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

- ANSWER-

A nurse is obtaining the medication history of a client who asks about taking ginkgo biloba. The nurse should identify which of the following medications can interact adversely with this supplement? a. Warfarin b. Albuterol c. Levothyroxine d. AtorvastatinWarfarin A nurse is obtaining informed consent from a client who is scheduled for surgery. The client states, "I don't want to go through with the procedure." Which of the following actions should the nurse take? a. Discuss alternative treatments with the client b. Explain to the client the risks involved with not having the procedure c. Express approval of the client's decision to not have the procedure d. Document the client's decision in the medical recordDocument the clients decision in the medical record A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching? a. " I will have my partner help me change position every 4 hours" b. " I will remove my antiembolic stockings while I am in bed" c." I will hold my breath when rising from a sitting position" d." I will perform ankle and knee exercises every hour."I will perform ankle and knee exercises every hour A nurse is caring for a client who is postoperative and has a new prescription to advance her diet to full liquids. Which of the following foods should the nurse offer the client as a part of a full liquid diet? a. Oatmeal b. Applesauce c. Scrambled eggs d. Plain YogurtPlain yogurt A nurse is preparing a client who has terminal cancer for discharge. Which of the following questions should the nurse ask when assessing the client's psychosocial history? a. " What medications are you currently taking?" b." Are you experiencing any Pain?" c. " Have any of your relatives been diagnosed with cancer?" d. " What Techniques do you use to cope with stress?"What techniques do you use to cope with stress? A nurse is performing a skin assessment on an older adult client. Which of the following findings should the nurse expect? a. Thickened outer layer of skin b. Increased skin elasticity c. Reduced sweat production d. Increased Production of oilsReduced sweat production A nurse is caring for a client who begins to cry after receiving a diagnosis of cancer. Which of the following responses should the nurse make? a. " I would get a second opinion if I were you." b " it might seem bad now, but things will get better." c " it must be difficult for you to receive this kind of news." d I think you would benefit from speaking with our chaplain."it must be difficult for you to receive this kind of news

- ANSWER-

A nurse is preparing to obtain a health history from a client. Which of the following actions should the nurse take? a. Use the client's first name when initially meeting the client. b. Tell the client the purpose for collecting the information. c. Explain to the client the necessity of full disclosure of information. d. Avoid documenting direct quotes from the client as part of subjective data.tell the client the purpose for collecting the information A nurse is caring for a client who has brain cancer and is transferring to hospice care. The client's son tells the nurse, " I don't know what to tell my dad if he asks how he is going to die." Which of the following is an appropriate response by the nurse? a. " Let's talk more about your dad's condition." b. "The social worker will help you answer those questions." c. " Try to help your dad enjoy this time as much as he can." d. " I think that you should discuss this with the hospice nurse."lets talk more about your dads condition A Nurse is preparing to administer several medications to a client. Which of the following data should the nurse plan to use to confirm the client's identity? a. The client's room number b. The client's admitting diagnosis c. The name of the client's next of kind. d. The client's telephone numberthe clients telephone number A nurse is caring for a client who is prescribed a special diet. The client is concerned that he does not have the resources to purchase the food he needs to adhere to the diet at home. The nurse should notify which of the following members of the health care team. a. Social worker b. Occupational therapist c. Registered Dietician d. Primary care providersocail worker A nurse is teaching a newly licensed nurse about the care of a client who has a methicillin resistant Staphylococcus aureus (MRSA) infection. Which of the following statements by newly licensed nurse indicates an understanding of the teaching? a. " I will place the client in a Private room." b. " I will remove my gown before my gloves after providing client care." c. " I will wear an N95 respirator mask when caring for the client." d. " I will tell the client's visitors to wear a mask when they are within 3 feet of the client."i will place the client in a private room A nurse is planning care for a client who reports having a latex allergy. Which of the following interventions should the nurse include in the plan? a. Cover the blood pressure cuff with a stockinette. b. Wear powdered gloves when providing care to the client. c. Apply adhesive tape when securing an IV insertion site. d. Use plastic syringes for medication administration.cover the blood pressure cuff with a stockinette A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's signature, the client states, " I trust my doctor, but I don't understand what is meant by resecting my intestines." Which of the following actions should the nurse take? a. Describe the surgery to the client. b. Notify the Provider. c. Complete an incident report d. Provide brochures about the procedure.notify the provider

- ANSWER-

A nurse is caring for a client who is receiving enteral feedings via NG tube. Which following actions should the nurse take prior to administering the formula? a. Check for gastric residual volume b. Encourage the client to breathe deeply and cough. c. Flush the tube with sterile 0.9% sodium chloride irrigation. d. Encourage the client to take sips of water.check for gastric residual volume A nurse is caring for a client immediately following the insertion of an NG tube. Which of the following should indicate to the nurse that the tube is placed incorrectly? a. The client has a dry mouth b. The client is coughing c. The client has active bowel sounds d. The client is hiccupingThe client is coughing A nurse is inserting an NG tube for a client who requires gastric decompression. Which of the following actions should the nurse take to verify proper placement of the tube? a. Assess the client for a gag reflex b. Measure the pH of the gastric c. Place the end of the NG tube in the water to observe for bubbling d. Asculatate 2.5 cm above the umbilicus while injecting 15 ml of waterMeasure the pH of the gastric A nurse is caring for a client who reports a pain level of 5 on a scale from 0-10. The client informs the nurse that pain meds are not an option for managing pain. Which of the following is an appropriate response by the nurse? a. Would you like to get you a back massage? b. Why do you think pain med is not going to help you? c. You may take any herbal remedies you bring from home d. I'm sure it will work if you just give it a chanceWould you like to get you a back massage? a nurse is caring for a client who has an extracellular fluid volume deficit. Which of the following findings should the nurse expect? a. Bradycardia b. Postural hypotension c. Distended neck vein d. Dependent edemaPostural hypotension A nurse is caring for a client who is immunocompromised which of the following actions should the nurse take? a. Use sterile gloves to provide perineal care b. Cleanse hands with an alcohol based hand rub before client contact c. Have the client apply a mask when children are visiting d. Place the client in a semi-private roomCleanse hands with an alcohol based hand rub before client contact Which of the following veins should the nurse select when initiating iv therapy? a. The radial vein on the left arm b. The cephalic vein in the left distal forearm c. The cephalic within on the back of the right hand d. The basilic vein in the right antecubital fossaThe cephalic vein in the left distal forearm interventions should the nurse take to prevent skin breakdown? a. Apply powder to the client perineal area b. Restrict client's fluid intake

- ANSWER-

c. Request a prescriptions for an indwelling urinary catheter d. Apply a moisture barrier ointment after perineal hygieneApply a moisture barrier ointment after perineal hygiene client tells the nurse" I am looking forward to seeing my grandchildren grow up." the nurse should identify the client is experiencing which of the following stages of grief? a. Acceptance b. Bargaining c. Anger d. DenialDenial A nurse is teaching a client about the care and use of hearing aids. Which of the following instructions should the nurse include in the teaching? a. clean the hearing aid by soaking it in warm water b. Turn the hearing aid off and the volume down before insertion c. Replace the battery if the hearing aid emits a whistling sound d. Leave the battery in place when the hearing aid is not in useTurn the hearing aid off and the volume down before insertion A nurse is teaching a client about the care and use of hearing aids. Which of the following should the nurse take? a. Observe the client's eyes for the six cardinal position of gaze b. Verify the client's ability to read letters on a snellen eye chart c. Check the client's pupil reaction when focusing on distant and nearby objects d. Test the client's eyes for reactions to light responseCheck the client's pupil reaction when focusing on distant and nearby objects A nurse is teaching the assistive personnel about upper body mechanics to prevent injury. Which of the following actions by the AP demonstrate an understanding of the teaching? a. holding the object close to the body b. holding the object away from the bodyholding the object close to the body A nurse is assessing a client who is immobile and notices a red area over the client's coccyx. Which of the following actions should the nurse take? a. Change the clients position every 4 hours b. Apply petroleum base ointment in the red area c. Assess the red area for blanching d. Use friction when cleansing the client's skinAssess the red area for blanching A nurse is planning care to prevent skin breakdown for a client who is immobile and has urinary incontinence. Which of the following actions should the nurse include in the plan of care. a. request a prescription for an indwelling urinary cathrequest a prescription for an indwelling urinary cath A nurse is teaching a client who had an enucleation about care of an artificial eye. Which of the following information should be included in the teaching? (select all that apply) a. Store the artificial eye in the label container filled with 0.9% sodium chloride irrigation b. Remove from the artificial eye by retracting the upper eyelid c. Apply pressure just below artificial eye to break the suction d. Clear the artificial eye with hydrogen peroxide before storing e. Retract the upper and lower lids to reinsert the artificial eyeApply pressure just below artificial eye to break the suction Clear the artificial eye with hydrogen peroxide before storing

- ANSWER-

a. "lets discuss your concerns about your father," or anything along those lines that is therapeutic.lets discuss your concerns about your father," or anything along those lines that is therapeutic a nurse is teaching an older adult client who has type 2 diabetes mellitus about how to care for corns and calluses toes. Which of the following statements by the client indicates understanding of the teaching? a. I can apply lotion to soften the calluses as long as I don't put lotion between my toes b. I can place an oval corn pad over toes that have corns as longs as a remove the pad weekly c. I should soak my feet in warm water daily to soften corns and calluses d. I should use an over the counter liquid medication to remove cornsI can apply lotion to soften the calluses as long as I don't put lotion between my toes A nurse is caring for a client who has wrists restraints after an episode of violent behavior. Which of the following actions should the nurse take? a. Tie the restraints to the side rail b. Secure restraints with a square knot c. Remove one restraint at a time d. Remove the restraints every 3 hoursRemove one restraint at a time A nurse is admitting a client who has a clostridium difficile infection. Which of the following actions should the nurse take? Select all that apply a. Use an N95 respirator while providing client care b. wear a gown and gloves when providing client care c. assign the client to a private room with positive air flow d. wash hands with soap and water after contact with the client e. Ensure the client does not receive fresh fruitswear a gown and gloves when providing client care assign the client to a private room with positive air flow wash hands with soap and water after contact with the client A nurse is planning care for a client who has latex allergy and is scheduled for surgery. Which of the following actions is appropriate to include in the clients plan of care? a. Schedule the client as the first surgical procedure of the day b. Cleanse the stoppers with primidone iodine for withdrawing medication c. Remove the stop stocks from iv tubing d.Ensure the gloves in the surgical suite are powdered glovesSchedule the client as the first surgical procedure of the day A nurse is providing discharge teaching to a client who does not speak the same language as the nurse. Which of the following action should the nurse take? a. direct verbal discharge instruction to the interpreterdirect verbal discharge instruction to the interpreter A nurse is teaching a client how to self-administer daily low dose heparin injections. Which of the following factors is most likely to increase the clients motivation to learn? a. The client's belief that his needs will be met through education b. The nurse explaining the need for education to the client c. The client seeking family approval by agreeing to a teaching plan d. The nurse's empathy about the client having to self- injectThe client's belief that his needs will be met through education

- ANSWER-

A nurse is caring for a client who is receiving continuous enteral feedings through gastrostomy tubes. Which of the following actions should the nurse take? a. Heat the formula to 105 degrees Fahrenheit b. Flush the tubing with 10 ml of water every 2 hours c. Change the tubing every 72 hours d. Aspirate residual volume every 4 hours (Every 4-8 hours is correct)Aspirate residual volume every 4 hours (Every 4-8 hours is correct) A nurse is caring for a client who has an incisional wound and a prescription for wound care. Which of the following answers indicates the proper method of cleaning a wound site? a. use a different sterile swab for each strokeuse a different sterile swab for each stroke A nurse is teaching a client who requires maximum support about how to use a two wheeled walker. Which of the following actions by the client indicates an understanding of teaching? a. The client picks up the walker with each step b. The client stoops slightly forward when moving the walker c. The client stands with her elbows slightly flexed while holding the walker d. The client moves the walker ahead 10 inches with each step (Incorrect b/c 6 inches max) ANSWER- The client stands with her elbows slightly flexed while holding the walker A nurse is caring for a client who refuses to follow the providers prescription for bed rest. The nurse over hears the assistive personnel tell the client that if she does not remain in bed he will place her in restraints. The nurse should identify that the AP is committing which of the following torts? a. Libel b. Defamation of character c. Assault d. BatteryAssult A nurse is preparing to insert an IV catheter for an older adult client who has fragile skin. Which of the following actions should the nurse take? a. Stabilize the vein by applying traction above the insertion site b. Engorge the vein by placing the arm in the dependent position c. Use friction at the insertion site to increase venous distention d.Leave the tourniquet on for 30 to 60 seconds after initial insertionEngorge the vein by placing the arm in the dependent position A nurse is planning care for a client who has a new prescription for parental nutrition in 20% dextrose and fat emulsion. Which of the following is the appropriate action to indicate in the plan of care? a. Prepare the client for a central venous line b. Change the PN infusion bag every 48 hours c. Administer the PN and fat emulsion separately d.Obtain a random blood glucose dailyPrepare the client for a central venous line A nurse is caring for a client who is schedule for surgery while witnessing the client signature. While the client is saying I trust my doctor, but I don't understand what he meant when he said he'll reset my intestines. Which of the following actions should the nurse take? a. Provide brochures about the procedure b. Notify the provider c. Complete an incident report d. Describe the surgery to the clientNotify the provider

- ANSWER-

A nurse is planning to obtain a blood sample from a client for capillary blood glucose posttest. Which of the following should the nurse take to obtain the sample? a. The pad of the finger tip b. The lateral aspect of the finger c. The pinna of the ear d. The side of the wristThe lateral aspect of the finger A nurse is planning to discharge a client who has diabetes and a new prescription for insulin which of the following actions should the nurse plan to complete first? a. Provide the client with a contact number for a diabetes education specialist b. Make a copy of the medication record of the reconciliation for the client c. Determine whether the client can afford the insulin administration supplies d. Obtain printed information about self- administrationDetermine whether the client can afford the insulin administration supplies 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 clientWear a mask when working within 3 feet of the client A nurse is delegating client's care to the assistive personnel. Which of the following tasks should the nurse delegate to the AP? obtain input & output for the patient that was stable ADLs specimen collection I&O vital signs if stableobtain input & output for the patient that was stable ADLs specimen collection I&O vital signs if stable A nurse is teaching about home safety with. Which of the following instructions should the nurse include? a. Use electrical tape to secure extension cords next to base boards on the floor b. Replace carpet floors with tiles c. Unplug electronics by grasping the cord d. To use a fire extinguisher, aim high at the top of the flamesUse electrical tape to secure extension cords next to base boards on the floor A nurse is caring for a client who has restraints to each extremity. Which of the following assessment should the nurse perform first? a. Elimination needs b. Comfort level c. Peripheral pulses d. Skin integrityPeripheral pulses A nurse in a long-term care facility is assessing a client. Which of the following findings should the nurse recognize as an indication a fecal impaction? a. Seepage of liquid stoolSeepage of liquid stool A nurse is caring for a client who has a tracheostomy which of the following actions should the nurse take? a. Cotton tip applicator to clean the inside of the cannula b. Soak the outer cannula in warm soapy tap water c. Cleanse the skin around the stoma with normal saline

- ANSWER-

d. Secure the tracheostomy ties to allow one finger to fit snuggly underneathSecure the tracheostomy ties to allow one finger to fit snuggly underneath A nurse is caring for a client who has a drainage evacuator. Which of the following is an appropriate action by the nurse? a. I don't know of if I will be able to meet his physical needs.I don't know of if I will be able to meet his physical needs A nurse is preparing to transfer a client who is partially weight bearing from the bed to a chair. Which of the following action should the nurse a. Have the client bear weight on her stronger legHave the client bear weight on her stronger leg A nurse in an acute care facility is preparing to transfer a client to a long-term facility. Which of the following information should be nurse include in the hand off report? a. Effectiveness of the last dose of pain medicationEffectiveness of the last dose of pain medication A nurse is providing teaching to a client who is self-administer an ophthalmic solution. Which of the following statements by the client indicates understanding of the teaching? a. I will keep my eyes closed for 5 mins after inserting drops b. I will insert the drops in the center of the eye c. I will press the inner corner of my eye after insert drops d. I will raise my eye lid up while looking down and insert dropsI will press the inner corner of my eye after insert drops A nurse in a long-term care facility is planning care for 4 clients. Which of the following client's is at greatest risk of developing a pressure ulcer? a. A client who is incontinent of urine 1 to 2 times a day b. A client who is receiving enteral tube feedings c. Client who requires assistance to transfer from the bed to a chair d. Client who is unresponsive to pain stimuliClient who is unresponsive to pain stimuli A nurse is assessing a client's personal hygiene. Which of the following findings indicates that the client might have difficulty with routinely bruising their teeth? A. Theclientsmucosaismoist B. The client gums feel spongy C. The client has a missing tooth D. The Client's tongue is a dull red colorThe client gums feel spongy A nurse is planning to discharge a client who has diabetes mellitus and a new prescription for insulin. Which of the following actions should the nurse plan to complete first? A. Makeacopyofthemedicationreconciliationformfortheclient B. Providetheclientwiththecontactnumberforadiabeteseducationspecialist C. Determine whether the client can afford the insulin administration supplies D. Obtain printed about insulin self administrationDetermine whether the client can afford the insulin administration supplies A community health nurse is teaching a group of clients about kegel exercises to prevent urinary incontinence. Which of the following instructions should the nurse include? A. Contact your pelvic muscle when performing the exercises B.Expect improvement after 2 weeks of performing the exercises C. Hold your breath when performing the exercises

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b. I will tell the clients visitors to wear a mask when they are within 3 feet of the client. c. I will place the client in a private room d. I will remove my gown before my gloves after providing client care.I will place the client in a private room 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 has an abrupt onsetDelirium has an abrupt onset A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take? A.choose the most proximal site on the extremity selected B. apply a cool compress for several minutes before insertion of the IV catheter C. place the tourniquet below the proposed insertion site D. place the extremity in a dependent positionplace the extremity in a dependent position A nurse is teaching a client who is about to undergo a bowel resection about advance directives. Which of the following instructions should the nurse include in the teaching? A.Your partner must be present when you sign the advance directives B. You will receive written information about advance directives prior to signing C. You are required to sign advance directives prior to surgery D. Your provider must sign the advance directives before surgeryYou will receive written information about advance directives prior to signing A nurse is caring for a client who has wrist restraints after an episode of violent behavior. Which of the following actions should the nurse take? a. Remove one restraint at a timeRemove one restraint at a time A nurse is preparing to administer several medications via NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take? A. Dilute each crushed medication with sterile water B. Mix the medication together in a single syringe C. Flush the NG tube with 5mL of sterile water prior to administration D. Combine the medication with the formula in the feeding bagFlush the NG tube with 5mL of sterile water prior to administration A nurse is planning care for a client who has urinary incontinence. Which of the following interventions should the nurse include in the client's plan of care? a. Toilet the client every 4hr while the client is awake b. Apply a moisture barrier in a thick layer to vulnerable skin areas c. Cleanse the skin with antibacterial soap and hot water after each incontinence episode d. Reduce the clients daily fluid intakeApply a moisture barrier in a thick layer to vulnerable skin areas A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of the following actions should the nurse take first? A. Complete an incident report B. Obtain the client's vital signs C. Document the fluid infusion in the client's chart D. Report the incident in to the unit managerObtain the client's vital signs

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A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (SATA) a. I need to check my medications for expiration dates b. I will use the grab bars when getting in and out of the bathtub c. I need to have a fire escape plan with my familyI need to check my medications for expiration dates

I will use the grab bars when getting in and out of the bathtub
I need to have a fire escape plan with my family A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's signature, the client states, I trust my doctor, but I don't understand what is meant by resecting my intestine. Which of the following actions should the nurse take? a. notify the providernotify the provider A nurse is discussing the stages of general adaptation syndrome with a newly licensed nurse. The nurse should identify that which of the following manifestations occurs during the alarm reaction stage? A. Dilated pupils B. Physical exhaustion C. Bradycardia D. DepressionDilated pupils A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump. Which of the following actions should the nurse take first? A. Unplug the pump B. obtain a replacement pump C. Notify the biomedical department to fix the pump D. Label the pump with a defective equipment stickerUnplug the pump A nurse is caring for a client who is receiving a warm, moist compress to relieve lower back pain. Which of the following findings should indicate to the nurse that the compress has been effective? A. The client's skin on the lower back is intact without redness B. The client's laughing at a television show C. The client states that he is able to concentrate while eating D. The clients's vital signs are within the expected reference rangeThe client states that he is able to concentrate while eating A nurse is preparing a sterile field to assist with suturing a clients laceration. Which of the following actions should the nurse plan to take? A. Pour the sterile solution with the bottle 20cm(8in) above the sterile bowl B. Hold the bottle of sterile solution so that the label is facing the palm of the hand C. Place the lid of the sterile solution bottle face down on the sterile drape D. Apply sterile gloves before opening the bottle of sterile solutionHold the bottle of sterile solution so that the label is facing the palm of the hand A nurse is caring for a client who is scheduled to have his alanine amino transferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse? A. This test will determine if your heart is performing properly B. This test will indicate if you are at risk for developing blood clots C. This test is used to check how your kidneys are working D. This test will provide information about the function of your liverThis test will provide information about the function of your liver

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ATI FUNDAMENTALS PROCTORED

EXAM LATEST REAL QUESTIONS

AND CORRECT ANSWERS GRADE A

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