ati proctored test practice fundamentals questions with
complete solutions
A case manager is reviewing the medical records of several
clients. For which of the following clients should the nurse
request an interprofessional care conference?
a. A client who has diabetes mellitus and has had repeated
hospitalizations for diabetic ketoacidosis
b. A client who has alcohol use disorder and has decided to start
attending Alcoholics Anonymous meetings
c. A client who was admitted for dehydration and is receiving a
continuous IV infusion
d. A client who has a history of two prior miscarriages and has
ruptured membranes at 38 weeks of gestation Correct Answer
a. A client who has diabetes mellitus and has had repeated
hospitalizations for diabetic ketoacidosis
A charge nurse assigns a newly licensed nurse to care for a
client who has a chest tube. The nurse expresses concern about
having limited experience with monitoring chest tube drainage.
Which of the following actions should the charge nurse take first
to provide teaching about chest tubes?
a. Refer the nurse to the procedure manual.
b. Use a diagram to explain the procedure to the nurse.
c. Demonstrate the procedure to the nurse.
d. Ask the nurse about their knowledge of the procedure.
Correct Answer d. Ask the nurse about their knowledge of the
procedure.
A charge nurse is observing a newly licensed nurse administer
enteral feedings via NG tube. Which of the following actions by
,the newly licensed nurse indicates an understanding of the
procedure?
a. Instills 100 mL of air into the NG tube after checking for
residual
b. Flushes the NG tube with 0.9% sodium chloride irrigation
every 2 hr
c. Adds 20 mL of blue dye to each feeding to help detect
aspiration
d. Keeps the head of the bed elevated to 45° for 1 hr after
feedings Correct Answer d. Keeps the head of the bed elevated
to 45° for 1 hr after feedings
A charge nurse is observing a newly licensed nurse performing a
physical assessment on a client. Which of the following actions
by the nurse indicates that the charge nurse should intervene?
a. While performing a breast examination, the newly licensed
nurse discusses techniques of breast self-examination with the
client.
b. The newly licensed nurse writes detailed notes while
performing the head-to-toe assessment.
c. The newly licensed nurse uses a penlight to assess for changes
in the contour of the body.
d. The newly licensed nurse uses the dorsal surface of the hand
to assess skin temperature. Correct Answer b. The newly
licensed nurse writes detailed notes while performing the head-
to-toe assessment.
A charge nurse is planning an educational session for staff
nurses about working with parents whose terminally ill children
are candidates for donating their organs. Which of the following
information should the nurse plan to include?
,a. Choosing to donate organs can delay the timing of the child's
funeral.
b. The family can have the child in an open casket without
fearing that the organ donation might disfigure the child's body.
c. The family should understand that an autopsy is mandatory
prior to organ donation.
d. The nurse should introduce the option of organ donation to
the parents when first discussing the child's impending death.
Correct Answer b. The family can have the child in an open
casket without fearing that the organ donation might disfigure
the child's body.
A charge nurse is planning care for a client who has mechanical
restraints in place. Which of the following interventions should
the nurse include in the plan?
a. Remove the client's restraints while sleeping.
b. Document the client's status every 60 min.
c. Check for a new prescription every 6 hr.
d. Provide a staff member to stay with the client continuously.
Correct Answer d. Provide a staff member to stay with the
client continuously.
A charge nurse is preparing to administer 0900 medications and
is told by the pharmacy staff that the medications are not
available. Medication availability has been an ongoing problem,
and the charge nurse has previously discussed this issue with the
pharmacy staff. Which of the following actions should the
charge nurse take first?
a. Document the actual time of medication administration.
b. Notify the risk manager
c. Complete an incident report.
, d. Inform the nurse manager of the issue. Correct Answer d.
Inform the nurse manager of the issue.
A charge nurse is teaching a newly licensed nurse how to
identify true labor. Which of the following should the nurse
include in the teaching?
a. Contractions will be felt primarily in the upper abdomen.
b. The cervix transitions to an anterior position.
c. Contraction intensity decreases with ambulation.
d. The cervix progressively thickens. Correct Answer b. The
cervix transitions to an anterior position.
A charge nurse observes a staff nurse document a dressing
change in a client's chart that was not performed. Which of the
following actions should the charge nurse take first?
a. Ensure that the staff nurse changes the dressing.
b. Notify the nurse manager.
c. Complete an incident report.
d. Gather more information about the staff nurse's actions.
Correct Answer d. Gather more information about the staff
nurse's actions.
A charge nurse overhears two staff nurses in the hallway
discussing the nutritional status of a client who has anorexia
nervosa. Which of the following actions should the charge nurse
take?
a. Apologize to the client for the nurses' actions.
b. Advise the nurses that they are being insubordinate.
c. Tell the nurses to stop the discussion.
d. Document the incident in the client's medical record. Correct
Answer c. Tell the nurses to stop the discussion.
complete solutions
A case manager is reviewing the medical records of several
clients. For which of the following clients should the nurse
request an interprofessional care conference?
a. A client who has diabetes mellitus and has had repeated
hospitalizations for diabetic ketoacidosis
b. A client who has alcohol use disorder and has decided to start
attending Alcoholics Anonymous meetings
c. A client who was admitted for dehydration and is receiving a
continuous IV infusion
d. A client who has a history of two prior miscarriages and has
ruptured membranes at 38 weeks of gestation Correct Answer
a. A client who has diabetes mellitus and has had repeated
hospitalizations for diabetic ketoacidosis
A charge nurse assigns a newly licensed nurse to care for a
client who has a chest tube. The nurse expresses concern about
having limited experience with monitoring chest tube drainage.
Which of the following actions should the charge nurse take first
to provide teaching about chest tubes?
a. Refer the nurse to the procedure manual.
b. Use a diagram to explain the procedure to the nurse.
c. Demonstrate the procedure to the nurse.
d. Ask the nurse about their knowledge of the procedure.
Correct Answer d. Ask the nurse about their knowledge of the
procedure.
A charge nurse is observing a newly licensed nurse administer
enteral feedings via NG tube. Which of the following actions by
,the newly licensed nurse indicates an understanding of the
procedure?
a. Instills 100 mL of air into the NG tube after checking for
residual
b. Flushes the NG tube with 0.9% sodium chloride irrigation
every 2 hr
c. Adds 20 mL of blue dye to each feeding to help detect
aspiration
d. Keeps the head of the bed elevated to 45° for 1 hr after
feedings Correct Answer d. Keeps the head of the bed elevated
to 45° for 1 hr after feedings
A charge nurse is observing a newly licensed nurse performing a
physical assessment on a client. Which of the following actions
by the nurse indicates that the charge nurse should intervene?
a. While performing a breast examination, the newly licensed
nurse discusses techniques of breast self-examination with the
client.
b. The newly licensed nurse writes detailed notes while
performing the head-to-toe assessment.
c. The newly licensed nurse uses a penlight to assess for changes
in the contour of the body.
d. The newly licensed nurse uses the dorsal surface of the hand
to assess skin temperature. Correct Answer b. The newly
licensed nurse writes detailed notes while performing the head-
to-toe assessment.
A charge nurse is planning an educational session for staff
nurses about working with parents whose terminally ill children
are candidates for donating their organs. Which of the following
information should the nurse plan to include?
,a. Choosing to donate organs can delay the timing of the child's
funeral.
b. The family can have the child in an open casket without
fearing that the organ donation might disfigure the child's body.
c. The family should understand that an autopsy is mandatory
prior to organ donation.
d. The nurse should introduce the option of organ donation to
the parents when first discussing the child's impending death.
Correct Answer b. The family can have the child in an open
casket without fearing that the organ donation might disfigure
the child's body.
A charge nurse is planning care for a client who has mechanical
restraints in place. Which of the following interventions should
the nurse include in the plan?
a. Remove the client's restraints while sleeping.
b. Document the client's status every 60 min.
c. Check for a new prescription every 6 hr.
d. Provide a staff member to stay with the client continuously.
Correct Answer d. Provide a staff member to stay with the
client continuously.
A charge nurse is preparing to administer 0900 medications and
is told by the pharmacy staff that the medications are not
available. Medication availability has been an ongoing problem,
and the charge nurse has previously discussed this issue with the
pharmacy staff. Which of the following actions should the
charge nurse take first?
a. Document the actual time of medication administration.
b. Notify the risk manager
c. Complete an incident report.
, d. Inform the nurse manager of the issue. Correct Answer d.
Inform the nurse manager of the issue.
A charge nurse is teaching a newly licensed nurse how to
identify true labor. Which of the following should the nurse
include in the teaching?
a. Contractions will be felt primarily in the upper abdomen.
b. The cervix transitions to an anterior position.
c. Contraction intensity decreases with ambulation.
d. The cervix progressively thickens. Correct Answer b. The
cervix transitions to an anterior position.
A charge nurse observes a staff nurse document a dressing
change in a client's chart that was not performed. Which of the
following actions should the charge nurse take first?
a. Ensure that the staff nurse changes the dressing.
b. Notify the nurse manager.
c. Complete an incident report.
d. Gather more information about the staff nurse's actions.
Correct Answer d. Gather more information about the staff
nurse's actions.
A charge nurse overhears two staff nurses in the hallway
discussing the nutritional status of a client who has anorexia
nervosa. Which of the following actions should the charge nurse
take?
a. Apologize to the client for the nurses' actions.
b. Advise the nurses that they are being insubordinate.
c. Tell the nurses to stop the discussion.
d. Document the incident in the client's medical record. Correct
Answer c. Tell the nurses to stop the discussion.
