ATI RN Fundamentals Proctored Focus,
ATI Fundamentals Practice A, A2, B, &
Final, ATI Fundamentals Review 2019/
Updated 2024-2025
Legal responsibilities: completing an informed consent - CORRECT ANSWERS--
witness
-parents may sign for minors
-client must understand & have no further questions
-have them sign
-document the questions the client had, if used an interpreter, reinforcement of
teaching, etc
Medical & Surgical Asepsis: Planning care for a client who has a latex allergy -
CORRECT ANSWERS--check before any procedure
-ensure latex free everything is used by staff, client, and team
Safe Medication Administration & Error Reduction: Appropriate Actions Following a
Medication Error - CORRECT ANSWERS--assess client
-inform charge nurse
-complete incident report
Older Adult (65 & up): identify expected changes in development: - CORRECT
ANSWERS-PHYSICAL:
-decrease in skin turgor
-decrease in subcutaneous fat & connective tissue
-thinning & graying of hair, sparser distribution
-thicker fingernails & toenails
-slower reaction time
-decrease in touch, smell, taste
-decline in vision
-decrease in muscle tone & height
-joint degeneration
-decrease in GI motility
-decalcification of bones
-decrease in bladder capacity
-decline in estrogen & testosterone
-dental problems
COGNITIVE:
-dementia, delirium, depression
,PSYCHOSOCIAL:
-face death
-deal with family losses
-integrity vs despair
Urinary elimination: Effects of Aging on Urinary Infections - CORRECT ANSWERS--
increasing risk of UTIs with age
-residual urine from insufficient bladder emptying
-poor tone from aging leads to frequency
Adverse Effects, Interactions, Contraindications: Priority Assessment Findings (pain
management) - CORRECT ANSWERS--decreased respirations (morphine, opioids)
-EPS symptoms
-seizures
-LOC changes
Specimen Collection for Glucose Monitoring: Obtaining a Capillary Blood Glucose
Sample - CORRECT ANSWERS--check meds, gather stuff
-outer edge of fingertip most common site
-alternate sites
-warm site prior
-cleanse w/warm water & soap or an antiseptic swab
-pierce skin w/lancet, hold perpendicular to skin
-wipe away first drop of blood
-milk finger if needed
-don't smear blood on strip
Intravenous therapy: Recognizing Phlebitis - CORRECT ANSWERS--edema
-throbbing
-burning
-pain at site
-erythema
-red line up the arm w/a palpable band at the vein site
Breast self-examination - CORRECT ANSWERS--inspect in front of mirror
-palpate in the shower
-do it 2-3 days after period ends
-postpartum clients should do BSE on the same day each month
-areola should be darker than nipple & round or oval shaped
-nipples should be everted
-one slightly larger than other
Ergonomic principles: Safely Transferring a Client from the Bed to the Chair -
CORRECT ANSWERS--use 2 or more people to help
-use assistive equipment
,-assess client's ability to help
-avoid twisting or bending at the waist
caring for a client with c-diff - CORRECT ANSWERS--contact precautions
-wash hands with soap and water
-keep one stethoscope in room
-use PPE
Identifying an intentional tort: - CORRECT ANSWERS--assault (threatens to place
catheter)
Discharge teaching for a client with diabetes mellitus: - CORRECT ANSWERS-DIET:
-limit calories & decrease total fat intake to 30% of total calories/day
-eat omega 3 fatty acids and fiber
-low sat fats
-use artificial sweetners
WHEN SICK:
-monitor glucose Q 3-4 hr
-take DM meds as prescribed
-increase fluids
-test urine for ketones
-encourage rest
-report persistent fever above 101, confusion, rapid breathing, persistent N/V, etc.
-assess support systems
-assess ability to self-admin insulin
-check glucose before meals and at bedtime
-return demonstrations on self admin
-store test strips in dry closed container
-hand hygiene
-continuous pump needles need to be changed Q 2-3 days
-rotate injection sites
-record I&Os and daily weights
-hypoglycemia warrants immediate evaluation of glucose
FOOT CARE:
-inspect feet daily, wash w/mild soap & warm water-test temp first
-avoid lotions
-use mild foot powders
-NO home corn/callous remedies
-nail care after bath/shower
-avoid open toe or open heel shoes
-leather shoes better
-no barefoot
-cotton or wool socks
-water heater should be no more than 120
, Client safety: fall risk precautions - CORRECT ANSWERS--complete fall risk
assessment upon admission
-show client how to use call light, make sure it is within reach
-ensure adequate lighting
-orient the client to the setting, make sure they know how to use all assistive devices
-place fall risk clients near nurses station
-bedside tables, overbed tables, and frequently used items should be within reach
-bed in lowest position
-sedated/unconscious clients bed rails up, bed in lowest position
-avoid use of full side bed rails for clients who get out of bed or attempt to w/out
assistance
-nonskid footwear & nonskid bathmats
-keep floor free from clutter (no rugs, cords, furniture)
-educate family & client on fall risk status/prevention
-lock wheels on beds, wheelchairs, & cartss
-use chair & bed sensors
Home safety: Teaching an older adult client about home safety - CORRECT
ANSWERS--remove items that could cause the client to trip (rugs, cords, carpets)
-place electrical/extension cords against a wall behind furniture
-monitor gait/balance, provide aids PRN
-make sure steps/sidewalks are in good condition
-grab bars near toilet, tub, shower
-stool riser, toilet cushion
-nonskid bath mats/shower mats
-shower chair or bedside commode PRN
-ensure adequate lighting
-water heater 120
-no smoking if on oxygen, cotton stuff only, no heating oil or nail polish remover
-cook meat and fish fully, handle properly
Client safety: alternatives to restraints for a client who is confused - CORRECT
ANSWERS--one to one care
-keep close to nurse's station
-low to the floor beds with mattress on the floors
-bed alarms
-rocking chair in the room
-relaxation techniques
-family stay with the patient
Hygiene: Bathing a client who has dementia - CORRECT ANSWERS--assess client's
ability to help
-collect equipment & explain procedure, reassure, maintain their dignity
-apply gloves
-lock wheels on beds
ATI Fundamentals Practice A, A2, B, &
Final, ATI Fundamentals Review 2019/
Updated 2024-2025
Legal responsibilities: completing an informed consent - CORRECT ANSWERS--
witness
-parents may sign for minors
-client must understand & have no further questions
-have them sign
-document the questions the client had, if used an interpreter, reinforcement of
teaching, etc
Medical & Surgical Asepsis: Planning care for a client who has a latex allergy -
CORRECT ANSWERS--check before any procedure
-ensure latex free everything is used by staff, client, and team
Safe Medication Administration & Error Reduction: Appropriate Actions Following a
Medication Error - CORRECT ANSWERS--assess client
-inform charge nurse
-complete incident report
Older Adult (65 & up): identify expected changes in development: - CORRECT
ANSWERS-PHYSICAL:
-decrease in skin turgor
-decrease in subcutaneous fat & connective tissue
-thinning & graying of hair, sparser distribution
-thicker fingernails & toenails
-slower reaction time
-decrease in touch, smell, taste
-decline in vision
-decrease in muscle tone & height
-joint degeneration
-decrease in GI motility
-decalcification of bones
-decrease in bladder capacity
-decline in estrogen & testosterone
-dental problems
COGNITIVE:
-dementia, delirium, depression
,PSYCHOSOCIAL:
-face death
-deal with family losses
-integrity vs despair
Urinary elimination: Effects of Aging on Urinary Infections - CORRECT ANSWERS--
increasing risk of UTIs with age
-residual urine from insufficient bladder emptying
-poor tone from aging leads to frequency
Adverse Effects, Interactions, Contraindications: Priority Assessment Findings (pain
management) - CORRECT ANSWERS--decreased respirations (morphine, opioids)
-EPS symptoms
-seizures
-LOC changes
Specimen Collection for Glucose Monitoring: Obtaining a Capillary Blood Glucose
Sample - CORRECT ANSWERS--check meds, gather stuff
-outer edge of fingertip most common site
-alternate sites
-warm site prior
-cleanse w/warm water & soap or an antiseptic swab
-pierce skin w/lancet, hold perpendicular to skin
-wipe away first drop of blood
-milk finger if needed
-don't smear blood on strip
Intravenous therapy: Recognizing Phlebitis - CORRECT ANSWERS--edema
-throbbing
-burning
-pain at site
-erythema
-red line up the arm w/a palpable band at the vein site
Breast self-examination - CORRECT ANSWERS--inspect in front of mirror
-palpate in the shower
-do it 2-3 days after period ends
-postpartum clients should do BSE on the same day each month
-areola should be darker than nipple & round or oval shaped
-nipples should be everted
-one slightly larger than other
Ergonomic principles: Safely Transferring a Client from the Bed to the Chair -
CORRECT ANSWERS--use 2 or more people to help
-use assistive equipment
,-assess client's ability to help
-avoid twisting or bending at the waist
caring for a client with c-diff - CORRECT ANSWERS--contact precautions
-wash hands with soap and water
-keep one stethoscope in room
-use PPE
Identifying an intentional tort: - CORRECT ANSWERS--assault (threatens to place
catheter)
Discharge teaching for a client with diabetes mellitus: - CORRECT ANSWERS-DIET:
-limit calories & decrease total fat intake to 30% of total calories/day
-eat omega 3 fatty acids and fiber
-low sat fats
-use artificial sweetners
WHEN SICK:
-monitor glucose Q 3-4 hr
-take DM meds as prescribed
-increase fluids
-test urine for ketones
-encourage rest
-report persistent fever above 101, confusion, rapid breathing, persistent N/V, etc.
-assess support systems
-assess ability to self-admin insulin
-check glucose before meals and at bedtime
-return demonstrations on self admin
-store test strips in dry closed container
-hand hygiene
-continuous pump needles need to be changed Q 2-3 days
-rotate injection sites
-record I&Os and daily weights
-hypoglycemia warrants immediate evaluation of glucose
FOOT CARE:
-inspect feet daily, wash w/mild soap & warm water-test temp first
-avoid lotions
-use mild foot powders
-NO home corn/callous remedies
-nail care after bath/shower
-avoid open toe or open heel shoes
-leather shoes better
-no barefoot
-cotton or wool socks
-water heater should be no more than 120
, Client safety: fall risk precautions - CORRECT ANSWERS--complete fall risk
assessment upon admission
-show client how to use call light, make sure it is within reach
-ensure adequate lighting
-orient the client to the setting, make sure they know how to use all assistive devices
-place fall risk clients near nurses station
-bedside tables, overbed tables, and frequently used items should be within reach
-bed in lowest position
-sedated/unconscious clients bed rails up, bed in lowest position
-avoid use of full side bed rails for clients who get out of bed or attempt to w/out
assistance
-nonskid footwear & nonskid bathmats
-keep floor free from clutter (no rugs, cords, furniture)
-educate family & client on fall risk status/prevention
-lock wheels on beds, wheelchairs, & cartss
-use chair & bed sensors
Home safety: Teaching an older adult client about home safety - CORRECT
ANSWERS--remove items that could cause the client to trip (rugs, cords, carpets)
-place electrical/extension cords against a wall behind furniture
-monitor gait/balance, provide aids PRN
-make sure steps/sidewalks are in good condition
-grab bars near toilet, tub, shower
-stool riser, toilet cushion
-nonskid bath mats/shower mats
-shower chair or bedside commode PRN
-ensure adequate lighting
-water heater 120
-no smoking if on oxygen, cotton stuff only, no heating oil or nail polish remover
-cook meat and fish fully, handle properly
Client safety: alternatives to restraints for a client who is confused - CORRECT
ANSWERS--one to one care
-keep close to nurse's station
-low to the floor beds with mattress on the floors
-bed alarms
-rocking chair in the room
-relaxation techniques
-family stay with the patient
Hygiene: Bathing a client who has dementia - CORRECT ANSWERS--assess client's
ability to help
-collect equipment & explain procedure, reassure, maintain their dignity
-apply gloves
-lock wheels on beds
