ATI Fundamentals Proctored Exam 2023 with
NGN (over 100 Questions, Answers and
Rationales)
1. A nurse in a clinical is caring for a middle age adult who states, "the doctor says that since I am at an
average risk for colon cancer, I should have a routine screening. What does that involve?" which of
the following responsesshould the nurse make?
a) "I'll get a blood sample from you and send it for a screening test."
b) "beginning at age 60, you should have a colonoscopy."
c) "you should have a decal occult blood test every year."
d) "the recommendation is to have a sigmoidoscopy every 10 years."
"You should have a fecal occult blood test every year."
Colorectal cancer screening for clients at average risk begins at age 50. Oneoption for screening is a fecal
occult blood test annually.
2. A nurse is caring for a client who is having difficulty breathing. the client is laying in bed with a
nasal cannula delivering oxygen. which of the followingintervention should the nurse take first?
a) Suction the client's airway
b) administer a bronchodilator
c) increase the humidity in the client's room
d) assist the client to an upright position
Assist the client to an upright position
When providing client care, the nurse should first use the least invasive intervention. Therefore, the nurse
should elevate the head of the client's bed tothe semi-Fowler's or high Fowler's position to facilitate
maximal chest expansion. Sitting upright improves gas exchange and prevents pressure on thediaphragm
from abdominal organs.
,4 a nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. which of
the following actions should the nurse take?
e) gently shake the container of medication prior to administration
f) transfer the medication to a medicine cup
g) place the client in a semi-fowlers position to medication administration
h) verify the dosage by measuring the liquid before administering it
Gently shake the container of medication prior to administration.
The nurse should gently shake the liquid medication to ensure the medication ismixed.
5 a nurse is planning care to improve self-feeding for a client who has visionloss. which of the
following interventions should the nurse include in the plan of care?
a. tell the client which food she should eat first
b. provide small-handle utensils for the client
c. thicken liquids on the client's tray
d. use a clock pattern to describe food on the client's plate
Use a clock pattern to describe food on the client's plate.
Use a clock pattern to describe food on the client's plate.MY ANSWERDescribing the location of the food
on the plate by using a clock patternallows the client to have greater independence during meals.
6 a nurse is teaching an older adult client who is at risk for osteoporosis aboutbeginning a program of
regular physical activity. which of the following types of activity should the nurse recommend?
a. walking briskly
b. riding a bicycle
c. performing isometric exercises
d. engaging in high-impact aerobics
walking briskly
Weight-bearing exercises are essential for maintaining bone mass, which helps toprevent osteoporosis.
Walking engages older adult clients in this preventive and therapeutic strategy.
7 a nurse is assessing a client's readiness to learn about insulin administration.which of the following
statements should the nurse identify as an indication that the client is ready to learn?
a. "I can concentrate best in the morning."
b. "it is difficult to read the instructions because my glasses are at home."
c. "I'm wondering why I need to learn this."
d. "you will have to talk to my wife about this."
"I can concentrate best in the morning."
The client's statement indicates a readiness to learn because he is verbalizing thebest time for him to learn.
8 a nurse is giving discharge instructions to a client who will require oxygen therapy at home. which of
the following statements should the nurse identifyas an indication that the client understands how to
manage this therapy at home?
a. "I'll make sure that, when my friend comes by, she smokes at least 6 feetaway from my oxygen
tank."
b. "I'll use a woolen blanket if I get chilly while I'm using my oxygen."
c. "I'll check the wires and cables on my TV to make sure they are in goodworking order."
, d. "I'll lay my oxygen tank down on the floor when the grandchildren visit
so they don't knock it over."
"I'll check the wires and cables on my TV to make sure they are in good workingorder."
Oxygen is a highly flammable gas. The client should make sure any electrical equipment in the room
where she is using supplemental oxygen is functioning properly so it does not create any electrical
sparks.
9 a nurse is caring for a client who is reporting difficulty falling asleep. whichof the following
measures should the nurse recommend?
a. drink a cup of hot cocoa before bedtime
b. exercise 1 hr before going to bed
c. use progressive relaxation techniques at bedtime
d. reflect on the day's activities before going to bed
Use progressive relaxation techniques at bedtime.
Progressive relaxation promotes sleep by decreasing stress and reducing muscletension.
10 a nurse is assisting a client who is postoperative with the use of an incentive spirometer. into which
of the following positions should the nurse place theclient?
a. side-lying
b. supine
c. semi-fowlers
d. trendelenburg
Semi-Fowler's
Positioning the client in semi-Fowler's or high-Fowler's position allows formaximum expansion of
the lungs.
11 a nurse is assessing an adult client who has been immobile for the past 3 week. the nurse should
identify that which of the following findings requiresfurther intervention?
a. erythema on pressure points
b. lower-extremity pulse strength on 2+
c. fluid intake of 3,000 mL per day
d. a bowel movement every other day
Erythema on pressure points
Erythema on pressure points requires prompt relief of pressure and additionalmeasures to protect the skin
from further breakdown.
12 a nurse is caring for a client who requires a 24-hour urine collection. which
of the following statement by the client indicates an understanding of the
teaching?
a. "I had a bowel movement, but I was able to save the urine."
b. "I have a specimen in the bathroom from about 30 minutes ago."
c. "I flushes what I urinated at 7 am and have saved all urine since."
d. "I drink a lot, so I will fill up the bottle and complete the txt quickly."
"I flushed what I urinated at 7:00 a.m. and have saved all urine since."
For a 24-hr urine collection, the client should discard the first voiding and saveall subsequent voidings.
NGN (over 100 Questions, Answers and
Rationales)
1. A nurse in a clinical is caring for a middle age adult who states, "the doctor says that since I am at an
average risk for colon cancer, I should have a routine screening. What does that involve?" which of
the following responsesshould the nurse make?
a) "I'll get a blood sample from you and send it for a screening test."
b) "beginning at age 60, you should have a colonoscopy."
c) "you should have a decal occult blood test every year."
d) "the recommendation is to have a sigmoidoscopy every 10 years."
"You should have a fecal occult blood test every year."
Colorectal cancer screening for clients at average risk begins at age 50. Oneoption for screening is a fecal
occult blood test annually.
2. A nurse is caring for a client who is having difficulty breathing. the client is laying in bed with a
nasal cannula delivering oxygen. which of the followingintervention should the nurse take first?
a) Suction the client's airway
b) administer a bronchodilator
c) increase the humidity in the client's room
d) assist the client to an upright position
Assist the client to an upright position
When providing client care, the nurse should first use the least invasive intervention. Therefore, the nurse
should elevate the head of the client's bed tothe semi-Fowler's or high Fowler's position to facilitate
maximal chest expansion. Sitting upright improves gas exchange and prevents pressure on thediaphragm
from abdominal organs.
,4 a nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. which of
the following actions should the nurse take?
e) gently shake the container of medication prior to administration
f) transfer the medication to a medicine cup
g) place the client in a semi-fowlers position to medication administration
h) verify the dosage by measuring the liquid before administering it
Gently shake the container of medication prior to administration.
The nurse should gently shake the liquid medication to ensure the medication ismixed.
5 a nurse is planning care to improve self-feeding for a client who has visionloss. which of the
following interventions should the nurse include in the plan of care?
a. tell the client which food she should eat first
b. provide small-handle utensils for the client
c. thicken liquids on the client's tray
d. use a clock pattern to describe food on the client's plate
Use a clock pattern to describe food on the client's plate.
Use a clock pattern to describe food on the client's plate.MY ANSWERDescribing the location of the food
on the plate by using a clock patternallows the client to have greater independence during meals.
6 a nurse is teaching an older adult client who is at risk for osteoporosis aboutbeginning a program of
regular physical activity. which of the following types of activity should the nurse recommend?
a. walking briskly
b. riding a bicycle
c. performing isometric exercises
d. engaging in high-impact aerobics
walking briskly
Weight-bearing exercises are essential for maintaining bone mass, which helps toprevent osteoporosis.
Walking engages older adult clients in this preventive and therapeutic strategy.
7 a nurse is assessing a client's readiness to learn about insulin administration.which of the following
statements should the nurse identify as an indication that the client is ready to learn?
a. "I can concentrate best in the morning."
b. "it is difficult to read the instructions because my glasses are at home."
c. "I'm wondering why I need to learn this."
d. "you will have to talk to my wife about this."
"I can concentrate best in the morning."
The client's statement indicates a readiness to learn because he is verbalizing thebest time for him to learn.
8 a nurse is giving discharge instructions to a client who will require oxygen therapy at home. which of
the following statements should the nurse identifyas an indication that the client understands how to
manage this therapy at home?
a. "I'll make sure that, when my friend comes by, she smokes at least 6 feetaway from my oxygen
tank."
b. "I'll use a woolen blanket if I get chilly while I'm using my oxygen."
c. "I'll check the wires and cables on my TV to make sure they are in goodworking order."
, d. "I'll lay my oxygen tank down on the floor when the grandchildren visit
so they don't knock it over."
"I'll check the wires and cables on my TV to make sure they are in good workingorder."
Oxygen is a highly flammable gas. The client should make sure any electrical equipment in the room
where she is using supplemental oxygen is functioning properly so it does not create any electrical
sparks.
9 a nurse is caring for a client who is reporting difficulty falling asleep. whichof the following
measures should the nurse recommend?
a. drink a cup of hot cocoa before bedtime
b. exercise 1 hr before going to bed
c. use progressive relaxation techniques at bedtime
d. reflect on the day's activities before going to bed
Use progressive relaxation techniques at bedtime.
Progressive relaxation promotes sleep by decreasing stress and reducing muscletension.
10 a nurse is assisting a client who is postoperative with the use of an incentive spirometer. into which
of the following positions should the nurse place theclient?
a. side-lying
b. supine
c. semi-fowlers
d. trendelenburg
Semi-Fowler's
Positioning the client in semi-Fowler's or high-Fowler's position allows formaximum expansion of
the lungs.
11 a nurse is assessing an adult client who has been immobile for the past 3 week. the nurse should
identify that which of the following findings requiresfurther intervention?
a. erythema on pressure points
b. lower-extremity pulse strength on 2+
c. fluid intake of 3,000 mL per day
d. a bowel movement every other day
Erythema on pressure points
Erythema on pressure points requires prompt relief of pressure and additionalmeasures to protect the skin
from further breakdown.
12 a nurse is caring for a client who requires a 24-hour urine collection. which
of the following statement by the client indicates an understanding of the
teaching?
a. "I had a bowel movement, but I was able to save the urine."
b. "I have a specimen in the bathroom from about 30 minutes ago."
c. "I flushes what I urinated at 7 am and have saved all urine since."
d. "I drink a lot, so I will fill up the bottle and complete the txt quickly."
"I flushed what I urinated at 7:00 a.m. and have saved all urine since."
For a 24-hr urine collection, the client should discard the first voiding and saveall subsequent voidings.
