ATI Fundamentals Proctored Exam A&B
1. A nurse is assisting with the plan of care for four clients . Which of the following tasks
should the nurse assign to an assistive personnel (AP)?
ANS Assista client to get out of bed after breathing treatment.
2. A nurse is reinforcing teaching with a client about the use of crutches. Which of the
following actions by the client indicates an understanding of theteaching?
ANS The client advance the unaffected legs first while climbing stairs
3. A nurse is preparing to remove a client's peripheral IV catheter. After performing
hand hygiene and applying clean gloves, which of the followingactions should the nurse
take first?
ANS Clamp the infusion tubing.
4. A nurse is reinforcing teaching with a client about living wills, Which of thefollowing
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clients statements indicates an understanding of the teaching?
ANS Theliving will direct my medical care when I am unable to make decision".
5. A nurse is contributing to the plan of care for a client who has a positive throat culture
for streptococci.Which of the following interventions should thenurse recommend to be
included in the plane of care?
ANS Ensure that the client wears a surgical mask during transportation throughout the facility.
6. A nurse is caring for a client who has an indwelling urinary catheter.Whichof the
following actions should the nurse take to prevent urinary tract infec- tion.
ANS Drain urine from the tubing before ambulation.
7. 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 clientsprivacy?
ANS Speak with the clients about their condition after visitors have left.
8. A nurse is reinforcing preoperative teaching with a client who speaks a different
language than the nurse.Which of the following in actions shouldthe nurse take?
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ANS Provide handouts written in the client's primary language.
9. A nurse is taking notes of clients' information on a piece of paper whilereceiving a
report.Which of the following actions should the nurse take todispose of the paper?
ANS Shred the paper in a secure container.
10. A nurse is reinforcing teaching with a client about smoking cessation. Which of the
following should the nurse identify as the first stage of healthbehavior change?
ANS Precontemplation
11. A nurse is collecting data from a client who has an NG tube set to low intermittent
suction.Which of the following findings indicates hypomagne-semia?
ANS Positive Chvostek's sign
12. A charge nurse is reinforcing teaching with an assistive personnel (AP) about
performing pulse oximetry. Which of the following information shouldthe nurse include
in the teaching?
ANS Remove polish from the client's fingernail before applying the oximetry probe
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13. A nurse is collecting data on four clients.Which of the following findingsshould the
nurse report to the provider?
ANS Urine output of 200 mL over 8 hr
14. A nurse is assisting with the care of a recently deceased client. Which ofthe following
actions should the nurse complete prior to the family viewing the body?
ANS - Clean soiled areas of the body
15. A nurse is explaining ethics and values to a newly licensed nurse. The nurse should
explain that allowing a client to make a decision about a treat-ment is an example of
which of the following ethical principles?
ANS Autonomy
16. A nurse is planning to perform wound irrigation for a client who has a largeabdominal
wound. Which of the following actions should the nurse plan to take?
ANS Administer an analgesic 30 min before starting the procedure.
17. A nurse is assisting with the admission of a client who has active tuber- culosis.
Which of the following actions should the nurse plan to take?
ANS Assignthe client to a negative- pressure airflow room
18. A nurse is reinforcing teaching with a client about the prevention of stress injuries.
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