ATI FUNDAMENTALS PROCTORED REAL EXAM 180 QUESTIOINS AND CORRECT
ANSWERS GRADED A+
A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to
an assistive personnel?
a. Changing the dressing for a client who has a stage 3 pressure injury
b. Determining a client's response to a diuretic
c. Comparing radial pulses for a client who is postoperative
d.Providing postmortem care to a client - answer-d
A nurse is conducting a health assessment for a client who takes herbal supplements. Which of the
following statements by the client indicates an understanding of the use of the supplements?
A. I take ginkgo biloba for a headache
B. I take echinacea to control my cholesterol
C. I use ginger when I get car sick
D. I use garlic for my menopausal symptoms - answer-c
A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following
actions should the nurse take to prevent the spread of infection?
A. Wear a mask when working within 3 feet of the client
B. Administer metronidazole
C. Don protective eyewear before entering the room.
D. Place the client in a negative airflow room. - answer-a
A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG tube. Which
of the following actions should the nurse take?
A. Attach the restraints securely to the side rails of the client's bed.
B. Apply the restraints to allow as little movement as possible
C.Allow room for two fingers to fit between the clients skin and the restraints
d. remove the restraints every 4 hours - answer-c
,A nurse is admitting a client who has tuberculosis. Which of the following types of transmission
precautions should the nurse plan to initiate?
A. Droplet B.
Airbornes
c. protective environment
d. contact - answer-b
A nurse in a well-child clinic receives a telephone call from a parent who states that their child
accidentally swallowed paint thinner. The child is awake and alert. Which of the following responses
should the nurse make?
A. Have your child drink one large glass of water.
B. Hang up and call a poison control center hotline.
C. Bring your child into the clinic later today.
D. Induce vomiting in your child with syrup of ipecac. - answer-a
A nurse is documenting a client's medical record. Which of the following entries should the nurse record.
A. Oral temperature slightly elevated at 0800
B. Administered pain medication
C. Incision without redness or drainage
D. Drank adequate amounts of fluid with meals. - answer-b
A nurse is providing oral care for a client who is unconscious. Which of the following actions should the
nurse take?
A. Place the client in a side-lying position.
B. Brush the clients teeth daily
C. Apply mineral oil to the client's lips
D. Rinse the client's mouth with an alcohol-based mouthwash - answer-a
A nurse is collaborating with a risk management team about potential legal issues involving client care.
The nurse should identify which of the following situations is an example of negligence?
,A. A nurse administers a medication without first identifying the client.
B. An assistive personnel discusses client care in the facility cafeteria with visitors present.
C. A nurse begins a blood transfusion without obtaining consent.
D. An assistive personnel prevents a client from leaving the facility. - answer-c
A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's
signature, the client states, " I trust my doctor, but I don't understand what is meant by resecting my
intestines." Which of the following actions should the nurse take?
a. Describe the surgery to the client.
b. Notify the Provider.
c. Complete an incident report
d. Provide brochures about the procedure. - answer-b
A nurse is documenting client care. Which of the following abbreviations should the nurse use? a.
" SQ" for subcutaneous
b. "SS" for sliding scale
c. "BRP" for bathroom privileges
d. "OJ" for orange juice - answer-c
A nurse is preparing to bathe a client who has dementia. Which of the following actions should the nurse
take?
a. Give detailed instructions for the client to follow.
b. Complete the bath even if the client is in distress.
c. Use distractions when bathing the client.
d. Allow the client to select the temperature of the bath water. - answer-c
A hospice nurse is caring for a client who has end stage cancer. Which of the following interventions
should the nurse include to promote the client's dignity?
a. Provide guided imagery exercises to the client.
, b. Refrain from discussing the client's prognosis
c. Suggest that the client keep a journal.
d. Encourage the client to share their life story. - answer-b
A nurse is caring for a client who has a closed wound drainage system. Which of the following actions
should the nurse take?
a. Wear sterile gloves when emptying the container.
b. Reset the container with the drainage port closed
c. Connect the drain to high pressure suction.
d. Press straight down on the container to create vacuum. - answer-d
A nurse receives a telephone prescription from a provider for a client who is experiencing pain. Which of
the following responses should the nurse make?
a. " Will you please spell the name of that medication for me?"
b. "Let me clarify that you want the medication given qid, correct?"
c. " I will sign my name now and leave a space for you to sign your name."
d. "Let me provide you with the client's medical record number for identification." - answer-a
During change of shift report, a nurse discovers she overlooked a prescription for a type and crossmatch
of a client who is to have surgery the next day. Which of the following actions should the nurse take
first?
a. Inform the provider of the delay in obtaining the type and cross-match.
b. Obtain the client's type and cross-match.
c. Prepare an incident report for risk management.
d. Document the incident in the client's medical record. - answer-a
A Nurse is caring for client who has pneumonia. The nurse should recognize which of the following
should be discarded in a biohazard bag?
a. An emesis basin filled with blood from severe coughing
b. A bedpan containing diarrhea from a client who was receiving antibiotics
ANSWERS GRADED A+
A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to
an assistive personnel?
a. Changing the dressing for a client who has a stage 3 pressure injury
b. Determining a client's response to a diuretic
c. Comparing radial pulses for a client who is postoperative
d.Providing postmortem care to a client - answer-d
A nurse is conducting a health assessment for a client who takes herbal supplements. Which of the
following statements by the client indicates an understanding of the use of the supplements?
A. I take ginkgo biloba for a headache
B. I take echinacea to control my cholesterol
C. I use ginger when I get car sick
D. I use garlic for my menopausal symptoms - answer-c
A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following
actions should the nurse take to prevent the spread of infection?
A. Wear a mask when working within 3 feet of the client
B. Administer metronidazole
C. Don protective eyewear before entering the room.
D. Place the client in a negative airflow room. - answer-a
A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG tube. Which
of the following actions should the nurse take?
A. Attach the restraints securely to the side rails of the client's bed.
B. Apply the restraints to allow as little movement as possible
C.Allow room for two fingers to fit between the clients skin and the restraints
d. remove the restraints every 4 hours - answer-c
,A nurse is admitting a client who has tuberculosis. Which of the following types of transmission
precautions should the nurse plan to initiate?
A. Droplet B.
Airbornes
c. protective environment
d. contact - answer-b
A nurse in a well-child clinic receives a telephone call from a parent who states that their child
accidentally swallowed paint thinner. The child is awake and alert. Which of the following responses
should the nurse make?
A. Have your child drink one large glass of water.
B. Hang up and call a poison control center hotline.
C. Bring your child into the clinic later today.
D. Induce vomiting in your child with syrup of ipecac. - answer-a
A nurse is documenting a client's medical record. Which of the following entries should the nurse record.
A. Oral temperature slightly elevated at 0800
B. Administered pain medication
C. Incision without redness or drainage
D. Drank adequate amounts of fluid with meals. - answer-b
A nurse is providing oral care for a client who is unconscious. Which of the following actions should the
nurse take?
A. Place the client in a side-lying position.
B. Brush the clients teeth daily
C. Apply mineral oil to the client's lips
D. Rinse the client's mouth with an alcohol-based mouthwash - answer-a
A nurse is collaborating with a risk management team about potential legal issues involving client care.
The nurse should identify which of the following situations is an example of negligence?
,A. A nurse administers a medication without first identifying the client.
B. An assistive personnel discusses client care in the facility cafeteria with visitors present.
C. A nurse begins a blood transfusion without obtaining consent.
D. An assistive personnel prevents a client from leaving the facility. - answer-c
A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's
signature, the client states, " I trust my doctor, but I don't understand what is meant by resecting my
intestines." Which of the following actions should the nurse take?
a. Describe the surgery to the client.
b. Notify the Provider.
c. Complete an incident report
d. Provide brochures about the procedure. - answer-b
A nurse is documenting client care. Which of the following abbreviations should the nurse use? a.
" SQ" for subcutaneous
b. "SS" for sliding scale
c. "BRP" for bathroom privileges
d. "OJ" for orange juice - answer-c
A nurse is preparing to bathe a client who has dementia. Which of the following actions should the nurse
take?
a. Give detailed instructions for the client to follow.
b. Complete the bath even if the client is in distress.
c. Use distractions when bathing the client.
d. Allow the client to select the temperature of the bath water. - answer-c
A hospice nurse is caring for a client who has end stage cancer. Which of the following interventions
should the nurse include to promote the client's dignity?
a. Provide guided imagery exercises to the client.
, b. Refrain from discussing the client's prognosis
c. Suggest that the client keep a journal.
d. Encourage the client to share their life story. - answer-b
A nurse is caring for a client who has a closed wound drainage system. Which of the following actions
should the nurse take?
a. Wear sterile gloves when emptying the container.
b. Reset the container with the drainage port closed
c. Connect the drain to high pressure suction.
d. Press straight down on the container to create vacuum. - answer-d
A nurse receives a telephone prescription from a provider for a client who is experiencing pain. Which of
the following responses should the nurse make?
a. " Will you please spell the name of that medication for me?"
b. "Let me clarify that you want the medication given qid, correct?"
c. " I will sign my name now and leave a space for you to sign your name."
d. "Let me provide you with the client's medical record number for identification." - answer-a
During change of shift report, a nurse discovers she overlooked a prescription for a type and crossmatch
of a client who is to have surgery the next day. Which of the following actions should the nurse take
first?
a. Inform the provider of the delay in obtaining the type and cross-match.
b. Obtain the client's type and cross-match.
c. Prepare an incident report for risk management.
d. Document the incident in the client's medical record. - answer-a
A Nurse is caring for client who has pneumonia. The nurse should recognize which of the following
should be discarded in a biohazard bag?
a. An emesis basin filled with blood from severe coughing
b. A bedpan containing diarrhea from a client who was receiving antibiotics
