RN ATI FUNDAMENTALS OF NURSING
PROCTORED EXAM 2023 WITH NGN
102 - ANS
1.2 Milligrams is equal to how many micrograms - ANS1200 mcg
a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would you
anticipate administering? - ANSVitamin K
A patient with diabetes who is receiving peritoneal dialysis Is at risk for which of the
following? - ANS?
After scrolling through your social media, you notice a coworker posted a photo with a
patient from your unit. What is the most appropriate action to take? - ANSReport the
situation to the hospital compliance officer.
Black and tarry Colored stools are classic symptoms of what condition? - ANSBleeding
gastric ulcer
dietary teaching for a patient with chronic renal failure should include choices that are: -
ANSLow potassium, low protein, moderate fat
Failed to capture question - ANSFailed to capture answer
Failed to capture question - ANSFailed to capture answer
In addition to pain, pallor, and pulselssness, a neurovascular assessment Also includes
checking for - ANSParasthesia and paralysis
Is a patient with peritonitis Presents with tachycardia, hypotension , and dehydration.
What other assessment finding would you anticipate as part of your physical
assessment? - ANSSevere abdominal pain or rebound tenderness
Is the provider gives you a telephone order to explain a surgical procedure to your
patient and obtain surgical consent. How should you respond? - ANSInform the provider
that explaining the procedure is outside the nurse's scope of practice.
Is what is the earliest sign indicating increased intracranial pressure(ICP)? - ANSLevel
of consciousness
Is your patient with hepatitis C Exhibits signs of jaundice and a distended abdomen.
What procedure would you anticipate being performed by the provider at the bedside for
this patient? - ANSParacentesis
,RN ATI FUNDAMENTALS OF NURSING
PROCTORED EXAM 2023 WITH NGN
Is your patient with stage IV Terminal lung cancer continues to experience increasing
pain as each day passes. What would you anticipate the provider ordering for this
patient? - ANSPalliative care consult
Patients with diabetes are at a high risk for complications for damage in what body
areas? - ANSNerve and kidney damage
To reduce the risk of infection and phlebotomy in an adult patient with a peripherL IV,
What is the minimum duration the catheter should remain in place before routine
replacement. - ANS72 hours
Upon entering your patient's room you note that they are having a seizure. What is your
1st action? - ANSPosition the patient on their side to maintain the airway
Upon entry to your patient's room, you find her sitting in high Fowler's Position and
complaining of shortness of breath. Her respiratory rate is 34 breaths/minute And 02 sat
is 84%. Which mode of oxygen delivery would most likely reverse the symptoms? -
ANSNon rebreather mask
What are the most common causes of acute onset pancreatitis? - ANSAlcoholism and
gallstones
What is a proton pump inhibitor, such as pantoprazole (protonix) used for? -
ANSReduce gastric acid secretion
What is an early symptom that a patient is developing a complication of heart failure? -
ANSEdema in the legs and feet
What is clubbing of the fingers most likely associated with? - ANSChronic oxygen
deficiency
What is the best indication of an acute neurological problem? - ANSChange in level of
consciousness
What lab values are expected to be in a patient with end stage renal disease on
hemodialysis - ANSBUN 32, CREATNINE 8.32
What medication is contraindicated In a patient with A hemorrhagic CVA? - ANSHeparin
What patient population is the pneumococcal vaccine PPSV23 indicated for? -
ANSAdults aged 65 years and older
What type of personal protective equipment(Ppe) Is applied prior to entering a room for
a patient with with C diff? - ANSGown and gloves
,RN ATI FUNDAMENTALS OF NURSING
PROCTORED EXAM 2023 WITH NGN
When would sucralfate(Carafate) 4 times daily be scheduled for? - ANS1 hour before
meals and at bedtime
Which adaptive equipment would be most appropriate to use for a severely contracted
patient who is unable to bear weight when transferring from bed to chair - ANSPatient
Lift example hoyer
Which of the following nursing diagnosis is most important for a patient with chronic
obstructive pulmonary disease(COPD) - ANSImpaired gas exchange
Which tool should you use to assess pain in your 80 year old patient with severe
dementia? - ANS?
While in a supine position your patient States" I'm tired and cannot catch my breath".
Physical assessment reveals juggler vein distention and a 3rd heart sound(S3). These
symptoms are indicative of what condition? - ANSHeart failure
You are caring for a patient post lobotomy With a chest tube in place for drainage. What
is a priority in caring for this patient? - ANSEncourage the patient to cough and deep
breathe.
You are caring for a patient with history of diabetes mellitus. You walk into the room and
find the patient lethargic and diaphoretic. What is your 1st action? - ANSObtain capillary
blood glucose level
You are ordered to give Digoxin(lanoxin). Your patience vital signs are BP 130/75, temp
97.9F, HR 52, RR 16, o2 sat 100% on room air. What should you do next? - ANSHOLD
DIGOXIN AND CALL PROVIDER
You find your coworker looking through your patient's medical record.. She States how
is Mr. Smith doing? He is my best friend's dad. We are so worried about him. What is
the best course of action? - ANSTell her you cannot give her information and report her
actions to your manager.
You have 4 patients who have high priority needs. One needs to go to surgery, 1 needs
stat lab draws From a PICC line, Another has chest pain rated 8/10 And another needs
toileting. Which patient should you tend to 1st? - ANSThe patient with chest pain
You have a patient going for dialysis. There are medications include Lisinopril(prinivil),
ondansetron (zofran), famotidine(pepcid) and atorvastatin(lipitor). Which medication
would you possibly hold and seek clarification? - ANSLISINOPRIL(PRINIVIL)
, RN ATI FUNDAMENTALS OF NURSING
PROCTORED EXAM 2023 WITH NGN
You receive a provider's order that is not consistent with evidence based practice.What
is your 1st step? - ANSClarify the order with the provider
You received a report on a patient that sustained a right hemisphere CVA 48 hours ago.
What do you expect the patient to exhibit? - ANSLift sided weakness of the leg, arm,
and face and face
You were hired to work the medical unit and when you arrive at work the charge nurse
has assigned you to the post surgical unit since they are under staffed. Which is the
most appropriate action? - ANSReport to the post surgical unit
You're patient Recently had a G Tube Placed and interminent enteral Feedings have
been initiated. What symptoms may indicate intolerance to the feedings? - ANSVomiting
and diarrhea
Your 18 year old female patient was admitted with dehydration secondary to anorexia
nervosa. During your assessment you note she has a flat effect and says" I just want to
die, I'm tired of my life ". What should be your 1st intervention? - ANSStay with the
patient and ask if she has a plan to carry out this wish
Your 68 year old patient is a is a Type one diabetic with a history of schizophrenia And
exhibit signs and symptoms of tardiness dyskinesia. Is what long term medication is
associated with signs and symptoms of tardive dyskinesia? -
ANSChlorpromazine(thorazine)
Your 72 Year old male patient is admitted for colon cancer Related complications and
has a history of CHF, stroke and a recent Knee replacement.Based on your patient's
risk assessment,You determine he is at risk for Venous thromboembolism (VTE) What
is an appropriate VTE prophylaxis prophylaxis order for this patient? -
ANSEnoxaparin(Lovenox) once daily and intermittent pneumatic compressions(IPC)
Your 85 year old patient with atrial fibrillation fell at home 3 days ago. You notice she
has been having several episodes of acute confusion since being admitted to your unit.
What is the most important order you should anticipate from the provider? You're? -
ANSHold wayfaring (coumadin) for the next 48 hours
Your coworker posted photos on social media from a birthday party they had for her in
the unit break room. What should be your next course of action? - ANSNo action is
necessary because no PHI was displayed.
Your male patient complaints of discomfort while inflating the balloon during insertion of
a endwelling urinary catheter. What would be the most appropriate action? -
ANSDeflate the balloon, advance the catheter further, then reinflate the balloon.
PROCTORED EXAM 2023 WITH NGN
102 - ANS
1.2 Milligrams is equal to how many micrograms - ANS1200 mcg
a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which medication would you
anticipate administering? - ANSVitamin K
A patient with diabetes who is receiving peritoneal dialysis Is at risk for which of the
following? - ANS?
After scrolling through your social media, you notice a coworker posted a photo with a
patient from your unit. What is the most appropriate action to take? - ANSReport the
situation to the hospital compliance officer.
Black and tarry Colored stools are classic symptoms of what condition? - ANSBleeding
gastric ulcer
dietary teaching for a patient with chronic renal failure should include choices that are: -
ANSLow potassium, low protein, moderate fat
Failed to capture question - ANSFailed to capture answer
Failed to capture question - ANSFailed to capture answer
In addition to pain, pallor, and pulselssness, a neurovascular assessment Also includes
checking for - ANSParasthesia and paralysis
Is a patient with peritonitis Presents with tachycardia, hypotension , and dehydration.
What other assessment finding would you anticipate as part of your physical
assessment? - ANSSevere abdominal pain or rebound tenderness
Is the provider gives you a telephone order to explain a surgical procedure to your
patient and obtain surgical consent. How should you respond? - ANSInform the provider
that explaining the procedure is outside the nurse's scope of practice.
Is what is the earliest sign indicating increased intracranial pressure(ICP)? - ANSLevel
of consciousness
Is your patient with hepatitis C Exhibits signs of jaundice and a distended abdomen.
What procedure would you anticipate being performed by the provider at the bedside for
this patient? - ANSParacentesis
,RN ATI FUNDAMENTALS OF NURSING
PROCTORED EXAM 2023 WITH NGN
Is your patient with stage IV Terminal lung cancer continues to experience increasing
pain as each day passes. What would you anticipate the provider ordering for this
patient? - ANSPalliative care consult
Patients with diabetes are at a high risk for complications for damage in what body
areas? - ANSNerve and kidney damage
To reduce the risk of infection and phlebotomy in an adult patient with a peripherL IV,
What is the minimum duration the catheter should remain in place before routine
replacement. - ANS72 hours
Upon entering your patient's room you note that they are having a seizure. What is your
1st action? - ANSPosition the patient on their side to maintain the airway
Upon entry to your patient's room, you find her sitting in high Fowler's Position and
complaining of shortness of breath. Her respiratory rate is 34 breaths/minute And 02 sat
is 84%. Which mode of oxygen delivery would most likely reverse the symptoms? -
ANSNon rebreather mask
What are the most common causes of acute onset pancreatitis? - ANSAlcoholism and
gallstones
What is a proton pump inhibitor, such as pantoprazole (protonix) used for? -
ANSReduce gastric acid secretion
What is an early symptom that a patient is developing a complication of heart failure? -
ANSEdema in the legs and feet
What is clubbing of the fingers most likely associated with? - ANSChronic oxygen
deficiency
What is the best indication of an acute neurological problem? - ANSChange in level of
consciousness
What lab values are expected to be in a patient with end stage renal disease on
hemodialysis - ANSBUN 32, CREATNINE 8.32
What medication is contraindicated In a patient with A hemorrhagic CVA? - ANSHeparin
What patient population is the pneumococcal vaccine PPSV23 indicated for? -
ANSAdults aged 65 years and older
What type of personal protective equipment(Ppe) Is applied prior to entering a room for
a patient with with C diff? - ANSGown and gloves
,RN ATI FUNDAMENTALS OF NURSING
PROCTORED EXAM 2023 WITH NGN
When would sucralfate(Carafate) 4 times daily be scheduled for? - ANS1 hour before
meals and at bedtime
Which adaptive equipment would be most appropriate to use for a severely contracted
patient who is unable to bear weight when transferring from bed to chair - ANSPatient
Lift example hoyer
Which of the following nursing diagnosis is most important for a patient with chronic
obstructive pulmonary disease(COPD) - ANSImpaired gas exchange
Which tool should you use to assess pain in your 80 year old patient with severe
dementia? - ANS?
While in a supine position your patient States" I'm tired and cannot catch my breath".
Physical assessment reveals juggler vein distention and a 3rd heart sound(S3). These
symptoms are indicative of what condition? - ANSHeart failure
You are caring for a patient post lobotomy With a chest tube in place for drainage. What
is a priority in caring for this patient? - ANSEncourage the patient to cough and deep
breathe.
You are caring for a patient with history of diabetes mellitus. You walk into the room and
find the patient lethargic and diaphoretic. What is your 1st action? - ANSObtain capillary
blood glucose level
You are ordered to give Digoxin(lanoxin). Your patience vital signs are BP 130/75, temp
97.9F, HR 52, RR 16, o2 sat 100% on room air. What should you do next? - ANSHOLD
DIGOXIN AND CALL PROVIDER
You find your coworker looking through your patient's medical record.. She States how
is Mr. Smith doing? He is my best friend's dad. We are so worried about him. What is
the best course of action? - ANSTell her you cannot give her information and report her
actions to your manager.
You have 4 patients who have high priority needs. One needs to go to surgery, 1 needs
stat lab draws From a PICC line, Another has chest pain rated 8/10 And another needs
toileting. Which patient should you tend to 1st? - ANSThe patient with chest pain
You have a patient going for dialysis. There are medications include Lisinopril(prinivil),
ondansetron (zofran), famotidine(pepcid) and atorvastatin(lipitor). Which medication
would you possibly hold and seek clarification? - ANSLISINOPRIL(PRINIVIL)
, RN ATI FUNDAMENTALS OF NURSING
PROCTORED EXAM 2023 WITH NGN
You receive a provider's order that is not consistent with evidence based practice.What
is your 1st step? - ANSClarify the order with the provider
You received a report on a patient that sustained a right hemisphere CVA 48 hours ago.
What do you expect the patient to exhibit? - ANSLift sided weakness of the leg, arm,
and face and face
You were hired to work the medical unit and when you arrive at work the charge nurse
has assigned you to the post surgical unit since they are under staffed. Which is the
most appropriate action? - ANSReport to the post surgical unit
You're patient Recently had a G Tube Placed and interminent enteral Feedings have
been initiated. What symptoms may indicate intolerance to the feedings? - ANSVomiting
and diarrhea
Your 18 year old female patient was admitted with dehydration secondary to anorexia
nervosa. During your assessment you note she has a flat effect and says" I just want to
die, I'm tired of my life ". What should be your 1st intervention? - ANSStay with the
patient and ask if she has a plan to carry out this wish
Your 68 year old patient is a is a Type one diabetic with a history of schizophrenia And
exhibit signs and symptoms of tardiness dyskinesia. Is what long term medication is
associated with signs and symptoms of tardive dyskinesia? -
ANSChlorpromazine(thorazine)
Your 72 Year old male patient is admitted for colon cancer Related complications and
has a history of CHF, stroke and a recent Knee replacement.Based on your patient's
risk assessment,You determine he is at risk for Venous thromboembolism (VTE) What
is an appropriate VTE prophylaxis prophylaxis order for this patient? -
ANSEnoxaparin(Lovenox) once daily and intermittent pneumatic compressions(IPC)
Your 85 year old patient with atrial fibrillation fell at home 3 days ago. You notice she
has been having several episodes of acute confusion since being admitted to your unit.
What is the most important order you should anticipate from the provider? You're? -
ANSHold wayfaring (coumadin) for the next 48 hours
Your coworker posted photos on social media from a birthday party they had for her in
the unit break room. What should be your next course of action? - ANSNo action is
necessary because no PHI was displayed.
Your male patient complaints of discomfort while inflating the balloon during insertion of
a endwelling urinary catheter. What would be the most appropriate action? -
ANSDeflate the balloon, advance the catheter further, then reinflate the balloon.
