ATI FUNDAMENTALS PROCTORED REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS 224-2025 LATEST GRADED A+
A nurse is caring for a client who has a stage II pressure ulcer, Which of the following wound dressings
should the nurse apply to the ulcer?
a. Hydrocolloid
b. Collagen
c. Calcium alginate
d. Proteolytic enzyme - answer-Hydrocolloid
A hospice nurse is. reviewing religious practices of a group of clients with a newly licensed nurse. Which
of the following statements by the newly licensed nurse indicates an understanding of the teaching?
a. people who practice the Islamic faith pray over the deceased for a period of 5 days before burial
b. People who practice the Hindu faith bury the deseased with their head facing north
c. People who practice Judaism stay with the body of the deceased until burial
d. People who are practicing the Buddhist faith have the female family members prepare the body
following death. - answer-c. people who practice Judaism stay with the body of the deceased until
burial
A Nurse is caring for a client who is postoperative following a vaginal hysterectomy and asks for a drink.
Her postoperative diet prescription states, "clear liquids; advance as tolerated." Which of the following
responses should the nurse make?
a. "lunch trays should be here within the hour."
b. "I am going to listen to your abdomen."
c. "Ill get you some water to drink."
d. "Let's wait a bit so you don't feel sick" - answer-b. "I am going to listen to your abdomen."
A nurse on a mental health unit is preparing to terminate the nurse-client relationship with a client who
no longer requires care. Which of the following concepts should the nurse and client discuss in the
termination phase of the relationship?
a. Loss
b. Trust
c. Self-disclosure
,d. Risk-taking - answer-a. Loss
A nurse is inserting an NG tube into a client who begins to cough and gag. Which of the following actions
should the nurse take?
a. Remove the NG tube
b. Advance the NG tube quickly
c. Pull the NG tube back slightly
d. Ask the client to tilt his head backward - answer-c. Pull the NG tube back slightly
A nurse is teaching a client who is postoperative following a TKA about the muscles he will need to
strengthen in PT, Which of the following muscle groups is responsible for movement at the knee joint?
a. Antigravity
b. Antagonistic
c. Synergistic
d. Skeletal - answer-b. Antagonistic
A nurse is caring for a client who has xerostomia with a lack of saliva. Which of the following nutrients
will be affected by the lack of salivary amylase?
a. Fat
b. Protein
c. Starch
d. Fiber - answer-c. Starch
A nurse is teaching a client how to self-administer insulin. Which of the following actions should the
nurse take to evaluate the client's understanding of the process within the psychomotor domain of
learning?
a. Ask the pt if he wants to self-administer his insulin
b. Have the client list the steps of the procedure
c. Have the client demonstrate the procedure
d. Ask the client if he understands the purpose of insulin - answer-c. Have the client demonstrate the
procedure
,A nurse is administering a cleansing enema to a client who is scheduled for a diagnostic procedure.
Which of the following actions should the nurse take? Lubricate up to 3.2 cm (1.5 in) of the tip of
the rectal tube
b. Position the client on the right side
c. Insert the tip of the tubing 8 cm (3.1 in)
d. Hold the enema container 61 cm (24 in) above the rectum - answer-c. Insert the tip of the tubing 8 cm
(3.1 in)
foods high in fiber? Select all that apply...
a. Canned peaches
b. White rice
c. Black beans
d. Whole-grain bread
E. Tomato juice - answer-c. Black beans
d. Whole-grain bread
A nurse is caring for an older adult client who has dysphagia following a CVA. Which of the following
actions should the nurse take when assisting the client at mealtime?
a. Encourage the client to drink fluids before swallowing food
b. Offer the client tart or sour foods first
c. Tilt the client's head backward when swallowing
d. Turn on the TV - answer-b. Offer the client tart or sour foods first
A nurse is caring for a client who is receiving mechanical ventilation via a trach tube and has a
gastrostomy tube for enteral feedings. Which pieces of info are critical to communicate to the next
nurse who will be caring for this client?
select all that apply
a. Room temperature
b. New prescriptions
, c. Number of visitors
d. ABG results
e. Trach secretion characteristics - answer-b. New prescriptions
d. ABG results
e. Trach secretion characteristics
A nurse is caring for a client who has a terminal illness. The family wants to care for the client at home.
Which of the following statements indicates that the nurse understands family-centered care?
a. "Social services can contact various community resources that will be helpful"
b. "I will review the care plan to make the necessary changes
c. "Let's set up a meeting time with the doctor to discuss your options for home care."
d. I will make a list of things we need to do before d/c - answer-c. "Let's set up a meeting time with the
doctor to discuss your options for home care."
A nurse is preparing to insert an NG tube for a client. Which of the following actions will help facilitate
the insertion of the tube? (select all that apply)
a. Coat the tip of the tube with a water-based lubricant
b. As the client to swallow water while the tube enters her throat
c. Place the coiled tube in ice chips prior to insertion
d. Tell the client to tilt her head backward as insertion begins
e. Instruct the client to bear down during insertion - answer-a. Coat the tip of the tube with a
waterbased lubricant
b. As the client to swallow water while the tube enters her throat
d. Tell the client to tilt her head backward as insertion begins
DETAILED ANSWERS 224-2025 LATEST GRADED A+
A nurse is caring for a client who has a stage II pressure ulcer, Which of the following wound dressings
should the nurse apply to the ulcer?
a. Hydrocolloid
b. Collagen
c. Calcium alginate
d. Proteolytic enzyme - answer-Hydrocolloid
A hospice nurse is. reviewing religious practices of a group of clients with a newly licensed nurse. Which
of the following statements by the newly licensed nurse indicates an understanding of the teaching?
a. people who practice the Islamic faith pray over the deceased for a period of 5 days before burial
b. People who practice the Hindu faith bury the deseased with their head facing north
c. People who practice Judaism stay with the body of the deceased until burial
d. People who are practicing the Buddhist faith have the female family members prepare the body
following death. - answer-c. people who practice Judaism stay with the body of the deceased until
burial
A Nurse is caring for a client who is postoperative following a vaginal hysterectomy and asks for a drink.
Her postoperative diet prescription states, "clear liquids; advance as tolerated." Which of the following
responses should the nurse make?
a. "lunch trays should be here within the hour."
b. "I am going to listen to your abdomen."
c. "Ill get you some water to drink."
d. "Let's wait a bit so you don't feel sick" - answer-b. "I am going to listen to your abdomen."
A nurse on a mental health unit is preparing to terminate the nurse-client relationship with a client who
no longer requires care. Which of the following concepts should the nurse and client discuss in the
termination phase of the relationship?
a. Loss
b. Trust
c. Self-disclosure
,d. Risk-taking - answer-a. Loss
A nurse is inserting an NG tube into a client who begins to cough and gag. Which of the following actions
should the nurse take?
a. Remove the NG tube
b. Advance the NG tube quickly
c. Pull the NG tube back slightly
d. Ask the client to tilt his head backward - answer-c. Pull the NG tube back slightly
A nurse is teaching a client who is postoperative following a TKA about the muscles he will need to
strengthen in PT, Which of the following muscle groups is responsible for movement at the knee joint?
a. Antigravity
b. Antagonistic
c. Synergistic
d. Skeletal - answer-b. Antagonistic
A nurse is caring for a client who has xerostomia with a lack of saliva. Which of the following nutrients
will be affected by the lack of salivary amylase?
a. Fat
b. Protein
c. Starch
d. Fiber - answer-c. Starch
A nurse is teaching a client how to self-administer insulin. Which of the following actions should the
nurse take to evaluate the client's understanding of the process within the psychomotor domain of
learning?
a. Ask the pt if he wants to self-administer his insulin
b. Have the client list the steps of the procedure
c. Have the client demonstrate the procedure
d. Ask the client if he understands the purpose of insulin - answer-c. Have the client demonstrate the
procedure
,A nurse is administering a cleansing enema to a client who is scheduled for a diagnostic procedure.
Which of the following actions should the nurse take? Lubricate up to 3.2 cm (1.5 in) of the tip of
the rectal tube
b. Position the client on the right side
c. Insert the tip of the tubing 8 cm (3.1 in)
d. Hold the enema container 61 cm (24 in) above the rectum - answer-c. Insert the tip of the tubing 8 cm
(3.1 in)
foods high in fiber? Select all that apply...
a. Canned peaches
b. White rice
c. Black beans
d. Whole-grain bread
E. Tomato juice - answer-c. Black beans
d. Whole-grain bread
A nurse is caring for an older adult client who has dysphagia following a CVA. Which of the following
actions should the nurse take when assisting the client at mealtime?
a. Encourage the client to drink fluids before swallowing food
b. Offer the client tart or sour foods first
c. Tilt the client's head backward when swallowing
d. Turn on the TV - answer-b. Offer the client tart or sour foods first
A nurse is caring for a client who is receiving mechanical ventilation via a trach tube and has a
gastrostomy tube for enteral feedings. Which pieces of info are critical to communicate to the next
nurse who will be caring for this client?
select all that apply
a. Room temperature
b. New prescriptions
, c. Number of visitors
d. ABG results
e. Trach secretion characteristics - answer-b. New prescriptions
d. ABG results
e. Trach secretion characteristics
A nurse is caring for a client who has a terminal illness. The family wants to care for the client at home.
Which of the following statements indicates that the nurse understands family-centered care?
a. "Social services can contact various community resources that will be helpful"
b. "I will review the care plan to make the necessary changes
c. "Let's set up a meeting time with the doctor to discuss your options for home care."
d. I will make a list of things we need to do before d/c - answer-c. "Let's set up a meeting time with the
doctor to discuss your options for home care."
A nurse is preparing to insert an NG tube for a client. Which of the following actions will help facilitate
the insertion of the tube? (select all that apply)
a. Coat the tip of the tube with a water-based lubricant
b. As the client to swallow water while the tube enters her throat
c. Place the coiled tube in ice chips prior to insertion
d. Tell the client to tilt her head backward as insertion begins
e. Instruct the client to bear down during insertion - answer-a. Coat the tip of the tube with a
waterbased lubricant
b. As the client to swallow water while the tube enters her throat
d. Tell the client to tilt her head backward as insertion begins
