ATI Fundamentals Proctored Exam
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8ml
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
d
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
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
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
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c
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."
b
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
d
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
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."
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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
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
A nurse is caring for a client following a
5. inject the medication
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
d
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 up
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a, c
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
b
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
a
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
d
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
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8ml
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
d
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
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
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
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c
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."
b
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
d
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
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."
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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
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
A nurse is caring for a client following a
5. inject the medication
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
d
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 up
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a, c
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
b
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
a
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
d
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
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