ATI Fundamentals Proctored Exam
Questions and Answers
Question 1
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
Correct Answer
d
Question 2
A nurse is providing care for a client who is to undergo a total laryngectomy. Which
of the following interventions is the nurses priority?
a. Determine the client's reading ability
b. Review the use of an artificial larynx
c. With the client schedule a support session
d. For the client explain the techniques of esophageal speech
Correct Answer
d
Page 1 of 58
,Question 3
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
Correct Answer
1. 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
Question 4
A nurse is providing teaching to a client who has a newly prescribed hearing aid.
Which of the following statements by the client indicates an understanding of the
teaching?
A. After insert the hearing aid, i will turn it up as high as it will go
B. I should leave the battery in the hearing aid when i take it out to sleep
C. I will need to get a new hearing aide every year
D. I should gradually increase the time that i wear the hearing aid
Correct Answer
d
Page 2 of 58
,Question 5
A nurse is assessing a client who has diabetes mellitus prior to performing a blood
glucose test. Which of the following findings should indicate to the nurse that the
client has hyperglycemia?
A. Thirst
B. Confusion
C. Coolskin
D. Shakiness
Correct Answer
a
Question 6
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 body
Correct Answer
a
Question 7
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
Correct Answer
a
Page 3 of 58
, Question 8
A nurse is providing teaching to the family of a client who is at the end stage of life.
Which of the following client manifestations should the nurse instruct the family to
expect?
A. Increased periods of wakefulness
B. Altered breathing patterns
C. Increased salivation
D. Warm and dry extremities
Correct Answer
b
Question 9
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 stroke
Correct Answer
a
Question 10
A nurse is caring for a client who has TB. which of the following precautions should
the nurse plan to implement when working with the client?
a. airborne
Correct Answer
a
Question 11
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 response
Correct Answer
c
Page 4 of 58
Questions and Answers
Question 1
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
Correct Answer
d
Question 2
A nurse is providing care for a client who is to undergo a total laryngectomy. Which
of the following interventions is the nurses priority?
a. Determine the client's reading ability
b. Review the use of an artificial larynx
c. With the client schedule a support session
d. For the client explain the techniques of esophageal speech
Correct Answer
d
Page 1 of 58
,Question 3
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
Correct Answer
1. 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
Question 4
A nurse is providing teaching to a client who has a newly prescribed hearing aid.
Which of the following statements by the client indicates an understanding of the
teaching?
A. After insert the hearing aid, i will turn it up as high as it will go
B. I should leave the battery in the hearing aid when i take it out to sleep
C. I will need to get a new hearing aide every year
D. I should gradually increase the time that i wear the hearing aid
Correct Answer
d
Page 2 of 58
,Question 5
A nurse is assessing a client who has diabetes mellitus prior to performing a blood
glucose test. Which of the following findings should indicate to the nurse that the
client has hyperglycemia?
A. Thirst
B. Confusion
C. Coolskin
D. Shakiness
Correct Answer
a
Question 6
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 body
Correct Answer
a
Question 7
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
Correct Answer
a
Page 3 of 58
, Question 8
A nurse is providing teaching to the family of a client who is at the end stage of life.
Which of the following client manifestations should the nurse instruct the family to
expect?
A. Increased periods of wakefulness
B. Altered breathing patterns
C. Increased salivation
D. Warm and dry extremities
Correct Answer
b
Question 9
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 stroke
Correct Answer
a
Question 10
A nurse is caring for a client who has TB. which of the following precautions should
the nurse plan to implement when working with the client?
a. airborne
Correct Answer
a
Question 11
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 response
Correct Answer
c
Page 4 of 58
