ATI PN CMS FUNDAMENTALS PROCTORED EXAM ( VERSION 1
)70 QUESTIONS AND VERIFIED ANSWERS 2023-2025
QUESTIONS AND CORRECT
A nurse is contributing to the plan of care for a client who is dying. Which of the
following interventions should the nurse recommend to include the client's family in the
plan of care? (Select all that apply.)
keep the family updated about the client's status
Suggest the family members return home at night to allow the client to rest
encourage the family to comb the clients hair
tell the client's family what to expect as the client's death nears
ask the family to encourage the client to eat - keep the family updated about the client's
status
A nurse is checking a client for a pulse deficit after detecting an irregular heart rate.
Which of the following actions should the nurse take?
count the client's radial and apical pulses simultaneously with another nurse.
calculate the client's pulse for 30 seconds and multiply by 2
assist the client to a side-lying position
auscultate the area of the client's chest over the Erb's point - count the client's radial
and apical pulses simultaneously with another nurse.
A nurse is reinforcing teaching with a client who is scheduled for a bladder scan. Which
of the following instructions should the nurse include in the teaching?
"You will need to sign a consent form before we begin the procedure."
"I will place a gel pad directly above your pubic area before I place the probe."
"You will need to hold your urine for 1 hour prior to the procedure."
"You will receive a contrast dye through an IV catheter prior to the scan." - "I will place a
gel pad directly above your pubic area before I place the probe."
A charge nurse is reinforcing teaching with a newly licensed nurse who is setting up a
sterile field. Which of the following actions by the newly licensed nurse indicates an
understanding of the teaching?
opening the first flap of a sterile package toward herself
dropping sterile gauze onto the field from a height of 7.5 cm (3 in)
removing and inverting a lid before placing it onto a nonsterile surface
maintaining the sterile field below waist level. - removing and inverting a lid before
placing it onto a nonsterile surface
, A nurse is caring for a client who has been vomiting excessively and has diarrhea.
Which of the following findings should the nurse identify as an indication of fluid
volume deficit?
BUN 18 mg/dL
a bounding pulse
urine specific gravity 1.045
prominent neck veins - urine specific gravity 1.045
A nurse is providing care to four clients in an acute care setting. The nurse should
identify that which of the following client statements presents and ethical dilemma?
"I might file a lawsuit because of how my surgery went."
"Please don't tell my doctor, but I am taking my partner's oxycodone."
"Please don't get me out of bed this morning. It hurts too much."
"I don't want to take my medicine. It makes me sick to my stomach." - "Please don't tell
my doctor, but I am taking my partner's oxycodone."
A nurse is preparing to document information about a client's lower legs, which are
swollen with 6 mm edema. Which of the following information should the nurse
document?
1+ pitting edema
2+ pitting edema
3+ pitting edema
4+ pitting edema - 3+ pitting edema
A nurse is assisting with the care of a client who has a prescription for IV therapy. The
client tells the nurse that he has numerous allergies. Which of the following allergies
should the nurse bring to the attention of the charge nurse prior to the initiation of the
therapy?
eggs
latex
seafood
bee stings - latex
A nurse is caring for a client who has a prescription for a high-protein diet to
promote wound healing following surgery. The client's religion prohibits eating
meat on particular days. Which of the following actions should the nurse take?
a. encourage the client to eat meat during this time to promote healing
b. advise the client to eat everything on the tray except the meat
c. suggest the client receive high-protein enteral feedings
d. ask the dietitian to recommend alternative food choices for the client - ask the
dietitian to recommend alternative food choices for the client
)70 QUESTIONS AND VERIFIED ANSWERS 2023-2025
QUESTIONS AND CORRECT
A nurse is contributing to the plan of care for a client who is dying. Which of the
following interventions should the nurse recommend to include the client's family in the
plan of care? (Select all that apply.)
keep the family updated about the client's status
Suggest the family members return home at night to allow the client to rest
encourage the family to comb the clients hair
tell the client's family what to expect as the client's death nears
ask the family to encourage the client to eat - keep the family updated about the client's
status
A nurse is checking a client for a pulse deficit after detecting an irregular heart rate.
Which of the following actions should the nurse take?
count the client's radial and apical pulses simultaneously with another nurse.
calculate the client's pulse for 30 seconds and multiply by 2
assist the client to a side-lying position
auscultate the area of the client's chest over the Erb's point - count the client's radial
and apical pulses simultaneously with another nurse.
A nurse is reinforcing teaching with a client who is scheduled for a bladder scan. Which
of the following instructions should the nurse include in the teaching?
"You will need to sign a consent form before we begin the procedure."
"I will place a gel pad directly above your pubic area before I place the probe."
"You will need to hold your urine for 1 hour prior to the procedure."
"You will receive a contrast dye through an IV catheter prior to the scan." - "I will place a
gel pad directly above your pubic area before I place the probe."
A charge nurse is reinforcing teaching with a newly licensed nurse who is setting up a
sterile field. Which of the following actions by the newly licensed nurse indicates an
understanding of the teaching?
opening the first flap of a sterile package toward herself
dropping sterile gauze onto the field from a height of 7.5 cm (3 in)
removing and inverting a lid before placing it onto a nonsterile surface
maintaining the sterile field below waist level. - removing and inverting a lid before
placing it onto a nonsterile surface
, A nurse is caring for a client who has been vomiting excessively and has diarrhea.
Which of the following findings should the nurse identify as an indication of fluid
volume deficit?
BUN 18 mg/dL
a bounding pulse
urine specific gravity 1.045
prominent neck veins - urine specific gravity 1.045
A nurse is providing care to four clients in an acute care setting. The nurse should
identify that which of the following client statements presents and ethical dilemma?
"I might file a lawsuit because of how my surgery went."
"Please don't tell my doctor, but I am taking my partner's oxycodone."
"Please don't get me out of bed this morning. It hurts too much."
"I don't want to take my medicine. It makes me sick to my stomach." - "Please don't tell
my doctor, but I am taking my partner's oxycodone."
A nurse is preparing to document information about a client's lower legs, which are
swollen with 6 mm edema. Which of the following information should the nurse
document?
1+ pitting edema
2+ pitting edema
3+ pitting edema
4+ pitting edema - 3+ pitting edema
A nurse is assisting with the care of a client who has a prescription for IV therapy. The
client tells the nurse that he has numerous allergies. Which of the following allergies
should the nurse bring to the attention of the charge nurse prior to the initiation of the
therapy?
eggs
latex
seafood
bee stings - latex
A nurse is caring for a client who has a prescription for a high-protein diet to
promote wound healing following surgery. The client's religion prohibits eating
meat on particular days. Which of the following actions should the nurse take?
a. encourage the client to eat meat during this time to promote healing
b. advise the client to eat everything on the tray except the meat
c. suggest the client receive high-protein enteral feedings
d. ask the dietitian to recommend alternative food choices for the client - ask the
dietitian to recommend alternative food choices for the client
