ATI 2019 Fundamentals Proctored Exam,
ATI Fundamentals Retake
A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to an
J J J J J J J J J J J J J J J J J J J J
assistive personnel?
J J
a. Changing the dressing for a client who has a stage 3 pressure injury
J J J J J J J J J J J J J J
b. Determining a client's response to a diuretic
J J J J J J J
c. Comparing radial pulses for a client who is postoperative
J J J J J J J J J
d. Providing postmortem care to a client - correct answerd. Providing postmortem care to a client
J J J J J J J J J J J J J J J
A nurse is conducting a health assessment for a client who takes herbal supplements. Which of the
J J J J J J J J J J J J J J J J
following statements by the client indicates an understanding of the use of the supplements?
J J J J J J J J J J J J J J
A. I take ginkgo biloba for a headache
J J J J J J J
B. I take echinacea to control my cholesterol
J J J J J J J
C. I use ginger when I get car sick
J J J J J J J J
D. I use garlic for my menopausal symptoms
J J J J J J J
J - correct answerI use ginger when I get car sick
J J J J J J J J J
A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following
J J J J J J J J J J J J J J J J J J
actions should the nurse take to prevent the spread of infection?
J J J J J J J J J J J
A. Wear a mask when working within 3 feet of the client
J J J J J J J J J J J
B. Administer metronidazole
J J
C. Don protective eyewear before entering the room.
J J J J J J J J
D. Place the client in a negative airflow room. - correct answerWear a mask when working within 3 feet of
J J J J J J J J J J J J J J J J J J J
the client
J J
A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG tube. Which of
J J J J J J J J J J J J J J J J J J J J J
the following actions should the nurse take?
J J J J J J J
A. Attach the restraints securely to the side rails of the client's bed.
J J J J J J J J J J J J J
,B. Apply the restraints to allow as little movement as possible
J J J J J J J J J J
C.Allow room for two fingers to fit between the clients skin and the restraints
J J J J J J J J J J J J J J
d. remove the restraints every 4 hours - correct answerAllow room for two fingers to fit between the clients
J J J J J J J J J J J J J J J J J J
skin and the restraints
J J J J
A nurse is admitting a client who has tuberculosis. Which of the following types of transmission precautions
J J J J J J J J J J J J J J J J
should the nurse plan to initiate?
J J J J J J
A. Droplet J J
B. Airborne J
c. protective environment
J J J
d. contact - correct answerAirborne
J J J J
A nurse in a well-child clinic receives a telephone call from a parent who states that their child accidentally
J J J J J J J J J J J J J J J J J J
swallowed paint thinner. The child is awake and alert. Which of the following responses should the nurse
J J J J J J J J J J J J J J J J J
make?
J
A. Have your child drink one large glass of water.
J J J J J J J J J
B. Hang up and call a poison control center hotline.
J J J J J J J J J
C. Bring your child into the clinic later today.
J J J J J J J J
D. Induce vomiting in your child with syrup of ipecac. - correct answerHave your child drink one large glass
J J J J J J J J J J J J J J J J J J
of water
J J
A nurse is documenting a client's medical record. Which of the following entries should the nurse record.
J J J J J J J J J J J J J J J J
A. Oral temperature slightly elevated at 0800
J J J J J J J
B. Administered pain medication
J J J
C. Incision without redness or drainage
J J J J J
D. Drank adequate amounts of fluid with meals. - correct answerAdministered pain medication
J J J J J J J J J J J J
A nurse is providing oral care for a client who is unconscious. Which of the following actions should the
J J J J J J J J J J J J J J J J J J
nurse take?
J J
A. Place the client in a side-lying position.
J J J J J J J
B. Brush the clients teeth daily
J J J J J
,C. Apply mineral oil to the client's lips
J J J J J J J
D. Rinse the client's mouth with an alcohol-based mouthwash - correct answerPlace the client in a side-lying
J J J J J J J J J J J J J J J J
position
J
A nurse is collaborating with a risk management team about potential legal issues involving client care. The
J J J J J J J J J J J J J J J J
nurse should identify which of the following situations is an example of negligence?
J J J J J J J J J J J J J
A. A nurse administers a medication without first identifying the client.
J J J J J J J J J J
B. An assistive personnel discusses client care in the facility cafeteria with visitors present.
J J J J J J J J J J J J J
C. A nurse begins a blood transfusion without obtaining consent.
J J J J J J J J J J
D. An assistive personnel prevents a client from leaving the facility. - correct answerA nurse begins a blood
J J J J J J J J J J J J J J J J J
transfusion without obtaining consent
J J J J
A nurse is collecting a sputum specimen for culture from a client who has a respiratory infection. Which of
J J J J J J J J J J J J J J J J J J
the following actions should the nurse take?
J J J J J J J J
A. Wear sterile gloves when collecting the specimen.
J J J J J J J J
B. Offer the client oral hygiene after the collection
J J J J J J J J
C. Collect the specimen in the evening.
J J J J J J J
D Collect 1 ml of sputum. - correct answerOffer the client oral hygiene after the collection
J J J J J J J J J J J J J J J
A nurse is assessing an older client. Which of the following findings should the nurse expect?
J J J J J J J J J J J J J J J
a. Decreased sense of balance
J J J J
b. Increased nighttime sleeping
J J J
c. Heightened sense of pain
J J J J
d. Nighttime urinary incontinence - correct answerDecreased sense of balance
J J J J J J J J J
A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which of
J J J J J J J J J J J J J J J J J J
the following instructions should the nurse include in the teaching? (select all that apply)
J J J J J J J J J J J J J J
a. "Cut the opening of the pouch 1⁄8 of an inch larger than the stoma "
J J J J J J J J J J J J J J J
b. "Place a piece a gauze over the stoma while changing the pouch"
J J J J J J J J J J J J
c. "Use povidone-iodine to clean around the stoma"
J J J J J J J
, d. "Empty the ostomy pouch when it becomes one-third full of contents"
J J J J J J J J J J J
e. expect the stoma to turn a purple-blue color as its heals" - correct answerCut the opening of the pouch 1⁄8
J J J J J J J J J J J J J J J J J J J J
of an inch larger than the stoma
J J J J J J J J
Place a piece a gauze over the stoma while changing the pouch
J J J J J J J J J J J
Use povidone-iodine to clean around the stoma
J J J J J J
Empty the ostomy pouch when it becomes one-third full of contents
J J J J J J J J J J
A nurse is preparing to obtain informed consent from a client who speaks a different language than the
J J J J J J J J J J J J J J J J J
nurse. Which of the following actions should the nurse take?
J J J J J J J J J J
a. "Request that an assistive personnel interpret the information for the client"
J J J J J J J J J J J
b. "Use proper medical terms when giving information to the client"
J J J J J J J J J J J
c. "Offer written information in the client's language"
J J J J J J J
d. "Avoid using gestures when speaking to the client" - correct answerOffer written information in the
J J J J J J J J J J J J J J J
client's language
J J
A nurse is teaching a client about home care equipment. Which of the following information should the
J J J J J J J J J J J J J J J J
nurse include in the teaching? (select all that apply)
J J J J J J J J J
a. "Avoid using wool blankets when receiving oxygen"
J J J J J J J
b. check the O2 delivery rate at least once a day
J J J J J J J J J J
c. align the middle of the ball in the flow meter with the line of the prescribed flow rate
J J J J J J J J J J J J J J J J J J
d. "Keep the oxygen delivery system 0.6 m (2 feet) from any heat source"
J J J J J J J J J J J J J
e. "Lay the oxygen tank flat when storing" - correct answerAvoid using wool blankets when receiving
J J J J J J J J J J J J J J J
oxygen
J
check the O2 delivery rate at least once a day
J J J J J J J J J
align the middle of the ball in the flow meter with the line of the prescribed flow rate
J J J J J J J J J J J J J J J J J
ATI Fundamentals Retake
A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to an
J J J J J J J J J J J J J J J J J J J J
assistive personnel?
J J
a. Changing the dressing for a client who has a stage 3 pressure injury
J J J J J J J J J J J J J J
b. Determining a client's response to a diuretic
J J J J J J J
c. Comparing radial pulses for a client who is postoperative
J J J J J J J J J
d. Providing postmortem care to a client - correct answerd. Providing postmortem care to a client
J J J J J J J J J J J J J J J
A nurse is conducting a health assessment for a client who takes herbal supplements. Which of the
J J J J J J J J J J J J J J J J
following statements by the client indicates an understanding of the use of the supplements?
J J J J J J J J J J J J J J
A. I take ginkgo biloba for a headache
J J J J J J J
B. I take echinacea to control my cholesterol
J J J J J J J
C. I use ginger when I get car sick
J J J J J J J J
D. I use garlic for my menopausal symptoms
J J J J J J J
J - correct answerI use ginger when I get car sick
J J J J J J J J J
A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following
J J J J J J J J J J J J J J J J J J
actions should the nurse take to prevent the spread of infection?
J J J J J J J J J J J
A. Wear a mask when working within 3 feet of the client
J J J J J J J J J J J
B. Administer metronidazole
J J
C. Don protective eyewear before entering the room.
J J J J J J J J
D. Place the client in a negative airflow room. - correct answerWear a mask when working within 3 feet of
J J J J J J J J J J J J J J J J J J J
the client
J J
A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG tube. Which of
J J J J J J J J J J J J J J J J J J J J J
the following actions should the nurse take?
J J J J J J J
A. Attach the restraints securely to the side rails of the client's bed.
J J J J J J J J J J J J J
,B. Apply the restraints to allow as little movement as possible
J J J J J J J J J J
C.Allow room for two fingers to fit between the clients skin and the restraints
J J J J J J J J J J J J J J
d. remove the restraints every 4 hours - correct answerAllow room for two fingers to fit between the clients
J J J J J J J J J J J J J J J J J J
skin and the restraints
J J J J
A nurse is admitting a client who has tuberculosis. Which of the following types of transmission precautions
J J J J J J J J J J J J J J J J
should the nurse plan to initiate?
J J J J J J
A. Droplet J J
B. Airborne J
c. protective environment
J J J
d. contact - correct answerAirborne
J J J J
A nurse in a well-child clinic receives a telephone call from a parent who states that their child accidentally
J J J J J J J J J J J J J J J J J J
swallowed paint thinner. The child is awake and alert. Which of the following responses should the nurse
J J J J J J J J J J J J J J J J J
make?
J
A. Have your child drink one large glass of water.
J J J J J J J J J
B. Hang up and call a poison control center hotline.
J J J J J J J J J
C. Bring your child into the clinic later today.
J J J J J J J J
D. Induce vomiting in your child with syrup of ipecac. - correct answerHave your child drink one large glass
J J J J J J J J J J J J J J J J J J
of water
J J
A nurse is documenting a client's medical record. Which of the following entries should the nurse record.
J J J J J J J J J J J J J J J J
A. Oral temperature slightly elevated at 0800
J J J J J J J
B. Administered pain medication
J J J
C. Incision without redness or drainage
J J J J J
D. Drank adequate amounts of fluid with meals. - correct answerAdministered pain medication
J J J J J J J J J J J J
A nurse is providing oral care for a client who is unconscious. Which of the following actions should the
J J J J J J J J J J J J J J J J J J
nurse take?
J J
A. Place the client in a side-lying position.
J J J J J J J
B. Brush the clients teeth daily
J J J J J
,C. Apply mineral oil to the client's lips
J J J J J J J
D. Rinse the client's mouth with an alcohol-based mouthwash - correct answerPlace the client in a side-lying
J J J J J J J J J J J J J J J J
position
J
A nurse is collaborating with a risk management team about potential legal issues involving client care. The
J J J J J J J J J J J J J J J J
nurse should identify which of the following situations is an example of negligence?
J J J J J J J J J J J J J
A. A nurse administers a medication without first identifying the client.
J J J J J J J J J J
B. An assistive personnel discusses client care in the facility cafeteria with visitors present.
J J J J J J J J J J J J J
C. A nurse begins a blood transfusion without obtaining consent.
J J J J J J J J J J
D. An assistive personnel prevents a client from leaving the facility. - correct answerA nurse begins a blood
J J J J J J J J J J J J J J J J J
transfusion without obtaining consent
J J J J
A nurse is collecting a sputum specimen for culture from a client who has a respiratory infection. Which of
J J J J J J J J J J J J J J J J J J
the following actions should the nurse take?
J J J J J J J J
A. Wear sterile gloves when collecting the specimen.
J J J J J J J J
B. Offer the client oral hygiene after the collection
J J J J J J J J
C. Collect the specimen in the evening.
J J J J J J J
D Collect 1 ml of sputum. - correct answerOffer the client oral hygiene after the collection
J J J J J J J J J J J J J J J
A nurse is assessing an older client. Which of the following findings should the nurse expect?
J J J J J J J J J J J J J J J
a. Decreased sense of balance
J J J J
b. Increased nighttime sleeping
J J J
c. Heightened sense of pain
J J J J
d. Nighttime urinary incontinence - correct answerDecreased sense of balance
J J J J J J J J J
A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which of
J J J J J J J J J J J J J J J J J J
the following instructions should the nurse include in the teaching? (select all that apply)
J J J J J J J J J J J J J J
a. "Cut the opening of the pouch 1⁄8 of an inch larger than the stoma "
J J J J J J J J J J J J J J J
b. "Place a piece a gauze over the stoma while changing the pouch"
J J J J J J J J J J J J
c. "Use povidone-iodine to clean around the stoma"
J J J J J J J
, d. "Empty the ostomy pouch when it becomes one-third full of contents"
J J J J J J J J J J J
e. expect the stoma to turn a purple-blue color as its heals" - correct answerCut the opening of the pouch 1⁄8
J J J J J J J J J J J J J J J J J J J J
of an inch larger than the stoma
J J J J J J J J
Place a piece a gauze over the stoma while changing the pouch
J J J J J J J J J J J
Use povidone-iodine to clean around the stoma
J J J J J J
Empty the ostomy pouch when it becomes one-third full of contents
J J J J J J J J J J
A nurse is preparing to obtain informed consent from a client who speaks a different language than the
J J J J J J J J J J J J J J J J J
nurse. Which of the following actions should the nurse take?
J J J J J J J J J J
a. "Request that an assistive personnel interpret the information for the client"
J J J J J J J J J J J
b. "Use proper medical terms when giving information to the client"
J J J J J J J J J J J
c. "Offer written information in the client's language"
J J J J J J J
d. "Avoid using gestures when speaking to the client" - correct answerOffer written information in the
J J J J J J J J J J J J J J J
client's language
J J
A nurse is teaching a client about home care equipment. Which of the following information should the
J J J J J J J J J J J J J J J J
nurse include in the teaching? (select all that apply)
J J J J J J J J J
a. "Avoid using wool blankets when receiving oxygen"
J J J J J J J
b. check the O2 delivery rate at least once a day
J J J J J J J J J J
c. align the middle of the ball in the flow meter with the line of the prescribed flow rate
J J J J J J J J J J J J J J J J J J
d. "Keep the oxygen delivery system 0.6 m (2 feet) from any heat source"
J J J J J J J J J J J J J
e. "Lay the oxygen tank flat when storing" - correct answerAvoid using wool blankets when receiving
J J J J J J J J J J J J J J J
oxygen
J
check the O2 delivery rate at least once a day
J J J J J J J J J
align the middle of the ball in the flow meter with the line of the prescribed flow rate
J J J J J J J J J J J J J J J J J