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ATI fundamentals proctored exam A&B
ie
ird
A nurse is assisting with the plan of care for four clients . Which
uB
of the following tasks should the nurse assign to an assistive Assist a client to get out of bed after breathing treatment.
personnel (AP)?
Ed
A nurse is reinforcing teaching with a client about the use of
crutches. Which of the following actions by the client indicates an The client advance the unaffected legs first while climbing stairs
understanding of the teaching?
A nurse is preparing to remove a client's peripheral IV catheter.
After performing hand hygiene and applying clean gloves, which Clamp the infusion tubing.
of the following actions should the nurse take first?
A nurse is reinforcing teaching with a client about living wills,
The living will direct my medical care when I am unable to make
Which of the following clients statements indicates an under-
decision".
standing of the teaching?
A nurse is contributing to the plan of care for a client who has
a positive throat culture for streptococci. Which of the following Ensure that the client wears a surgical mask during transportation
interventions should the nurse recommend to be included in the throughout the facility.
plane of care?
A nurse is caring for a client who has an indwelling urinary
catheter. Which of the following actions should the nurse take to Drain urine from the tubing before ambulation.
prevent urinary tract infection.
A nurse at a long term care facility is caring for a client who is alert.
Which of the following actions should the nurse take to protect the Speak with the clients about their condition after visitors have left.
clients privacy?
A nurse is reinforcing preoperative teaching with a client who
speaks a different language than the nurse. Which of the following Provide handouts written in the client's primary language.
e
e
in actions should the nurse take?
i
i
rd
rd
A nurse is taking notes of clients' information on a piece of paper
while receiving a report. Which of the following actions should the Shred the paper in a secure container.
i
i
uB
uB
nurse take to dispose of the paper?
A nurse is reinforcing teaching with a client about smoking ces-
Ed
sation. Which of the following should the nurse identify as the first Precontemplation
stage of health behavior change?
A nurse is collecting data from a client who has an NG tube set to
low intermittent suction. Which of the following findings indicates Positive Chvostek's sign
hypomagnesemia?
A charge nurse is reinforcing teaching with an assistive personnel
Remove polish from the client's fingernail before applying the
(AP) about performing pulse oximetry. Which of the following
oximetry probe
information should the nurse include in the teaching?
A nurse is collecting data on four clients. Which of the following
Urine output of 200 mL over 8 hr
findings should the nurse report to the provider?
A nurse is assisting with the care of a recently deceased client.
Which of the following actions should the nurse complete prior to - Clean soiled areas of the body
the family viewing the body?
A nurse is explaining ethics and values to a newly licensed nurse.
The nurse should explain that allowing a client to make a decision
Autonomy
about a treatment is an example of which of the following ethical
principles?
A nurse is planning to perform wound irrigation for a client who has
a large abdominal wound. Which of the following actions should Administer an analgesic 30 min before starting the procedure.
the nurse plan to take?
ie
A nurse is assisting with the admission of a client who has active
tuberculosis. Which of the following actions should the nurse plan Assign the client to a negative- pressure airflow room
ird
to take?
ie
A nurse is reinforcing teaching with a client about the prevention
uB
rd
of stress injuries. Which of the following instructions should the When lifting a heavy object, keep it close to your body."
nurse include?
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Ed
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ird
A nurse is assisting with a presentation to a group of older adults
at a community center about hypothermia and hyperthermia.
uB Circulation become less efficient with age
Which of the following information should the nurse include about
age-related change?
Ed
A nurse is caring for a client who has COPD. Which three findings
Breath sounds, blood pressure, oxygen saturation
that require follow-up?
A nurse is reinforcing teaching about health promotion with a
group of young adult clients. Which of the following information Young adults should receive a dental assessment every 6 months
should the nurse include?
A nurse is caring for a postoperative client who is at risk for
thrombus formation. Which of the following interventions should Apply thromboembolic stocking
the nurse delegate to an assistive personnel (AP)?
A nurse is reviewing the vital signs of four adult clients. Which of
A client who has a pulse rate of 110/min
the following findings requires further data collection by the nurse?
A nurse is caring for a client who has metastatic cancer and
practices Catholicism. The client asks the nurse to discuss the
Tell me what the afterlife means to you".
afterlife with them.Which of the following statements by the nurse
assist in the meeting the client's spiritual?
A nurse is preparing to administer topical medication to a client. Compare the label of the medication container with the medication
Which of the following actions should the nurse take? administration record three times.
A charge nurse smells smoke, enters the visitor restroom, and 1.Evacuate client from area 2. Pull the lever of the fire alarm box
sees flames in the trash can. What is the sequence of actions that 3. Close the fire doors on the united 4. Use a fire extinguisher to
the nurse should take? put out the fire.
A nurse is reinforcing preoperative teaching with a client about
e
e
how to turn, cough, and deep breathe. Which of the following
i
i
"This can help prevent pneumonia".
rd
rd
statements by the clients indicates an understanding of the teach-
ing?
i
i
uB
uB
1. Wear an N95 mask when caring for the client 2. Place a trash
A nurse is assisting in the care of a client who is being placed on
can for soiled linens inside the client's room 3. Place the client in a
transmission -based precautions. Which of the following actions
Ed
negative airflow room 4. Perform hand hygiene before leaving the
should the nurse plan to take when caring for these clients?
client's room
A nurse is positioning a client who has quadriplegia in the supine
position. Which of the following actions should the nurse take to Internally rotate the client's hip by using a trochanter roll
prevent client musculoskeletal injury?
A nurse is contributing to a place of care for a client who has a
new prescription for a wrist restraint. Which of the following actions Pad bony prominences on the wrist.
should the nurse include in the plan?
A nurse is reinforcing teaching with a client who has partial hear-
ing loss about how to modify the home environment. Which of the Flashing smoke alarm
following is a priority modification that the nurse should include?
A nurse is assisting with the plan of care for a client who has
aphasia following a stroke. Which of the following interventions Ask the client close- ended question
should the nurse use to assist the client with communication?
A nurse in an emergency department is caring for a client. Com- 1. Obtain a prescription from the provider for restraints is incorrect.
plete the following sentence by using the list of options? 2. Using alternative methods to keep the client safe is correct.
A nurse is reinforcing teaching about the use of crutches with
a client who has a fractured right tibia and fibula. Which of the
I will be sure to keep the crutch tips dry".
following statements by the client indicate an understanding of the
teaching?
A client who has advanced cancer tells the nurse that they have
ie
let the client know that, as their nurse, they are available and willing
a difficult time talking to the illness. Which of the following actions
to listen
ird
should the nurse take to encourage therapeutic communication?
ie
uB
rd
A nurse is caring for a client who is postoperative following ab-
Vital signs, Urinary output, Reported pain level
dominal surgery. Click to highlight the finding the nurse should
Bi
Ed
du
2/7
Ed
ATI fundamentals proctored exam A&B
ie
ird
A nurse is assisting with the plan of care for four clients . Which
uB
of the following tasks should the nurse assign to an assistive Assist a client to get out of bed after breathing treatment.
personnel (AP)?
Ed
A nurse is reinforcing teaching with a client about the use of
crutches. Which of the following actions by the client indicates an The client advance the unaffected legs first while climbing stairs
understanding of the teaching?
A nurse is preparing to remove a client's peripheral IV catheter.
After performing hand hygiene and applying clean gloves, which Clamp the infusion tubing.
of the following actions should the nurse take first?
A nurse is reinforcing teaching with a client about living wills,
The living will direct my medical care when I am unable to make
Which of the following clients statements indicates an under-
decision".
standing of the teaching?
A nurse is contributing to the plan of care for a client who has
a positive throat culture for streptococci. Which of the following Ensure that the client wears a surgical mask during transportation
interventions should the nurse recommend to be included in the throughout the facility.
plane of care?
A nurse is caring for a client who has an indwelling urinary
catheter. Which of the following actions should the nurse take to Drain urine from the tubing before ambulation.
prevent urinary tract infection.
A nurse at a long term care facility is caring for a client who is alert.
Which of the following actions should the nurse take to protect the Speak with the clients about their condition after visitors have left.
clients privacy?
A nurse is reinforcing preoperative teaching with a client who
speaks a different language than the nurse. Which of the following Provide handouts written in the client's primary language.
e
e
in actions should the nurse take?
i
i
rd
rd
A nurse is taking notes of clients' information on a piece of paper
while receiving a report. Which of the following actions should the Shred the paper in a secure container.
i
i
uB
uB
nurse take to dispose of the paper?
A nurse is reinforcing teaching with a client about smoking ces-
Ed
sation. Which of the following should the nurse identify as the first Precontemplation
stage of health behavior change?
A nurse is collecting data from a client who has an NG tube set to
low intermittent suction. Which of the following findings indicates Positive Chvostek's sign
hypomagnesemia?
A charge nurse is reinforcing teaching with an assistive personnel
Remove polish from the client's fingernail before applying the
(AP) about performing pulse oximetry. Which of the following
oximetry probe
information should the nurse include in the teaching?
A nurse is collecting data on four clients. Which of the following
Urine output of 200 mL over 8 hr
findings should the nurse report to the provider?
A nurse is assisting with the care of a recently deceased client.
Which of the following actions should the nurse complete prior to - Clean soiled areas of the body
the family viewing the body?
A nurse is explaining ethics and values to a newly licensed nurse.
The nurse should explain that allowing a client to make a decision
Autonomy
about a treatment is an example of which of the following ethical
principles?
A nurse is planning to perform wound irrigation for a client who has
a large abdominal wound. Which of the following actions should Administer an analgesic 30 min before starting the procedure.
the nurse plan to take?
ie
A nurse is assisting with the admission of a client who has active
tuberculosis. Which of the following actions should the nurse plan Assign the client to a negative- pressure airflow room
ird
to take?
ie
A nurse is reinforcing teaching with a client about the prevention
uB
rd
of stress injuries. Which of the following instructions should the When lifting a heavy object, keep it close to your body."
nurse include?
Bi
Ed
du
1/7
, u
Ed
ie
ird
A nurse is assisting with a presentation to a group of older adults
at a community center about hypothermia and hyperthermia.
uB Circulation become less efficient with age
Which of the following information should the nurse include about
age-related change?
Ed
A nurse is caring for a client who has COPD. Which three findings
Breath sounds, blood pressure, oxygen saturation
that require follow-up?
A nurse is reinforcing teaching about health promotion with a
group of young adult clients. Which of the following information Young adults should receive a dental assessment every 6 months
should the nurse include?
A nurse is caring for a postoperative client who is at risk for
thrombus formation. Which of the following interventions should Apply thromboembolic stocking
the nurse delegate to an assistive personnel (AP)?
A nurse is reviewing the vital signs of four adult clients. Which of
A client who has a pulse rate of 110/min
the following findings requires further data collection by the nurse?
A nurse is caring for a client who has metastatic cancer and
practices Catholicism. The client asks the nurse to discuss the
Tell me what the afterlife means to you".
afterlife with them.Which of the following statements by the nurse
assist in the meeting the client's spiritual?
A nurse is preparing to administer topical medication to a client. Compare the label of the medication container with the medication
Which of the following actions should the nurse take? administration record three times.
A charge nurse smells smoke, enters the visitor restroom, and 1.Evacuate client from area 2. Pull the lever of the fire alarm box
sees flames in the trash can. What is the sequence of actions that 3. Close the fire doors on the united 4. Use a fire extinguisher to
the nurse should take? put out the fire.
A nurse is reinforcing preoperative teaching with a client about
e
e
how to turn, cough, and deep breathe. Which of the following
i
i
"This can help prevent pneumonia".
rd
rd
statements by the clients indicates an understanding of the teach-
ing?
i
i
uB
uB
1. Wear an N95 mask when caring for the client 2. Place a trash
A nurse is assisting in the care of a client who is being placed on
can for soiled linens inside the client's room 3. Place the client in a
transmission -based precautions. Which of the following actions
Ed
negative airflow room 4. Perform hand hygiene before leaving the
should the nurse plan to take when caring for these clients?
client's room
A nurse is positioning a client who has quadriplegia in the supine
position. Which of the following actions should the nurse take to Internally rotate the client's hip by using a trochanter roll
prevent client musculoskeletal injury?
A nurse is contributing to a place of care for a client who has a
new prescription for a wrist restraint. Which of the following actions Pad bony prominences on the wrist.
should the nurse include in the plan?
A nurse is reinforcing teaching with a client who has partial hear-
ing loss about how to modify the home environment. Which of the Flashing smoke alarm
following is a priority modification that the nurse should include?
A nurse is assisting with the plan of care for a client who has
aphasia following a stroke. Which of the following interventions Ask the client close- ended question
should the nurse use to assist the client with communication?
A nurse in an emergency department is caring for a client. Com- 1. Obtain a prescription from the provider for restraints is incorrect.
plete the following sentence by using the list of options? 2. Using alternative methods to keep the client safe is correct.
A nurse is reinforcing teaching about the use of crutches with
a client who has a fractured right tibia and fibula. Which of the
I will be sure to keep the crutch tips dry".
following statements by the client indicate an understanding of the
teaching?
A client who has advanced cancer tells the nurse that they have
ie
let the client know that, as their nurse, they are available and willing
a difficult time talking to the illness. Which of the following actions
to listen
ird
should the nurse take to encourage therapeutic communication?
ie
uB
rd
A nurse is caring for a client who is postoperative following ab-
Vital signs, Urinary output, Reported pain level
dominal surgery. Click to highlight the finding the nurse should
Bi
Ed
du
2/7
