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ATI FUNDAMENTALS PROCTORED EXAM
2023 WITH NGN
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 post-mortem care to a client – ANSWER-d 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
- ANSWER-c 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.
- ANSWER-a 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. C.Allow room for two fingers to fit between the clients skin and the restraints D. d. remove the restraints every 4 hours – ANSWER-c
C. Incision without redness or drainage D. Drank adequate amounts of fluid with meals. – ANSWER-b 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 mouthwash – ANSWER-a 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. – ANSWER-c
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. D Collect 1 ml of sputum. – ANSWER-b A nurse is assessing an older client. Which of the following findings should the nurse expect? a. Decreased sense of balanced b. Increased night-time sleeping c. Heightened sense of pain d. Night-time urinary incontinence – ANSWER-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"
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" – ANSWER-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 – ANSWER-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 dyspneal 24hr after a total hip arthroplasty • D. A client who E. has a urinary tract infection and low-grade fever – ANSWER-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 - ANSWER700 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
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 – 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 – ANSWER-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 – ANSWER-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 – ANSWER-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."
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 – ANSWER-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." – ANSWER-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 90 degree angle C. Stand with his feet together when lifting the client D. Have the client bear weight on her stronger leg – ANSWER-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 – ANSWER
- perform hand hygiene
- select the injection port of the IV tubing closest to the client
- cleanse the injection port with an antiseptic swab
D. Document the client's temperature with "AX" next to the value E. Move the probe in a circular motion – ANSWER-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 – ANSWER-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 – ANSWER-a 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 – ANSWER-d 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- occurring" D. "Don't you have access to condoms?"
- ANSWER-c A nurse enters the room of a client who has a seizure disorder. The client is sitting in a chair and
medications can interact adversely with this supplement? A. Warfarin B. Ibuterol C. Levothyroxine D. Atorvastatin – ANSWER-a 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 record – ANSWER-d 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 ant embolic 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." – ANSWER-d A nurse is caring for a client who is postoperative and has a new prescription to advance her diet to full 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 Yogurt – ANSWER-d 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?" – ANSWER-d
