ATI 2019 Fundamentals Proctored Exam: Ultimate
Retake Guide EXAM QUESTIONS AND WELL
ELABORATED ANSWERS (VERSIONS)
a nurse is preparing an education program for staff about advocacy
-which of the following information should the nurse include? -
CORRECT ANSWER -advocacy ensures clients' safety, health and
rights
a nurse is caring for a client who has an aggressive form of prostate
cancer. the provider briefly discusses treatment options and leaves
the client's room. when the nurse asks if the client would like to
discuss any concerns, the client declines
-which of the following statements should the nurse make? - CORRECT
ANSWER -"I am available to talk if you should change your mind"
a nurse is assessing a client's readiness to learn about insulin self
administration
-which of the following statements should the nurse identify as an
indication that the client is ready to learn? - CORRECT ANSWER -"I
can concentrate best in the morning"
a nurse is caring for a client who asks about the purpose of advance
directive
-which of the following statements should the nurse make? - CORRECT
ANSWER -"they indicate the form of treatment a client is willing to
accept in the event of a serious illness"
a nurse is assessing four adult clients
-which of the following physical assessment techniques should the
nurse use? - CORRECT ANSWER -ensure the bladder of the blood
pressure cuff surrounds 80% of the client's arm
A client who is postoperative is verbalizing pain as a 2 on a pain scale
of 0-10
,-which of the following statements should the nurse identify as an
indication that the client understands the preoperative teaching she
received about pain management? - CORRECT ANSWER -"it might
help me to listen to music while I'm lying in bed"
What do nurses use when preparing change-of-shift report? - CORRECT
ANSWER Standard handoff communication tools, such as
Introduction, Situation, Background, Assessment, Recommendation
(ISBAR) to facilitate transfers and discharges.
When should discharge planning begin? - CORRECT ANSWER On
admission with every patient.
Discharge documentation should include - CORRECT ANSWER Type
of discharge, date & time of discharge, who went with the client &
transportation, where the client went, summary of clients current
condition at discharge, description of any unresolved difficulties and
disposition of valuables, medications brought from home &
prescriptions.
Documentation & abbreviations and symbols - CORRECT ANSWER
Being accurate & concise is an important element of documentation.
Only abbreviations & symbols approved by The Joint Commission and
the facility are acceptable.
A nurse is discussing the HIPPA privacy rule with nurses during new
employee orientation. Which of the following information should the
nurse include? - CORRECT ANSWER Family members should provide
a code prior to receiving client health information, communication of a
client can occur at the nurse's station, a client can request a hard
copy of their records and a nurses may photocopy a client's medical
record for transfer to another facility.
A nurse is receiving a providers prescription for morphine by telephone
for a client who is reporting moderate to severe pain. What are the
appropriate nursing actions? - CORRECT ANSWER Repeat the details
of the prescription back to the provider, have another nurse listen to
,the telephone prescription and obtain the providers signature on the
prescription within 24 hours.
A problem is an ethical dilemma when - CORRECT ANSWER I. A
review of scientific data is not enough to solve it
II. It involves a conflict between two moral imperatives
III. The answer will have a profound effect on the situation and the
client
Ethical dilemmas are problems that - CORRECT ANSWER involve
more than one choice and stem from differences in the values and
beliefs of decision makers
Autonomy - CORRECT ANSWER the right to makes one's own
personal decisions, even when those decisions might not be in the
that person's best interest.
Beneifience - CORRECT ANSWER positive actions to help others (do
good)
Fidelity - CORRECT ANSWER agreement to keep promises
Justice - CORRECT ANSWER fairness in care delivery and use of
resources
Nonmaleficence - CORRECT ANSWER avoidance of harm or injury (do
no harm)
Admission inventory of personal items include - CORRECT ANSWER
clothing, jewelry, money, credit cards, assistive devices, medications,
cell phones and other technology devices, and religious articles...
Nurses should discourage keeping valuables at the bedside.
The nurse will document what related to personal items? - CORRECT
ANSWER The nurse will document communication with the client
related to items left within the room and valuables locked in the
facility's safe.
, Assault (International Tort) - CORRECT ANSWER The conduct of one
person makes another person fearful and apprehensive.
Example: a nurse threatens to place an NG tube in a client who is
refusing to eat.
Battery (International Tort) - CORRECT ANSWER Intentional &
wrongful physical contract with a person that involves an injury of
offensive contact.
Example: A nurse restrains a client and administers an injection
against her wishes.
False Imprisonment (International Tort) - CORRECT ANSWER A
person is confined or retained against his will. The nurses uses
restraints on a competent client to prevent his leaving the health care
facility.
What should the nurse teach older clients about home safety? -
CORRECT ANSWER To place electrical cords & extension cords
against a wall behind furniture and use a nonskid mat in the tub or
shower & place a shower chair in the shower and a beside commode if
needed.
The client who has heat stroke will have what sign? - CORRECT
ANSWER Hypotension
One of the nurse's responsibility for a client in restraints is to make
sure... - CORRECT ANSWER the restraints are loose enough for range
of motion & that there is enough room to fit two fingers between the
restraints & the client.
What is the priority action for a patient with a history of falls? -
CORRECT ANSWER Complete a fall risk assessment.
What blood glucose level requires immediate action? - CORRECT
ANSWER 70 mg/dL of less
Retake Guide EXAM QUESTIONS AND WELL
ELABORATED ANSWERS (VERSIONS)
a nurse is preparing an education program for staff about advocacy
-which of the following information should the nurse include? -
CORRECT ANSWER -advocacy ensures clients' safety, health and
rights
a nurse is caring for a client who has an aggressive form of prostate
cancer. the provider briefly discusses treatment options and leaves
the client's room. when the nurse asks if the client would like to
discuss any concerns, the client declines
-which of the following statements should the nurse make? - CORRECT
ANSWER -"I am available to talk if you should change your mind"
a nurse is assessing a client's readiness to learn about insulin self
administration
-which of the following statements should the nurse identify as an
indication that the client is ready to learn? - CORRECT ANSWER -"I
can concentrate best in the morning"
a nurse is caring for a client who asks about the purpose of advance
directive
-which of the following statements should the nurse make? - CORRECT
ANSWER -"they indicate the form of treatment a client is willing to
accept in the event of a serious illness"
a nurse is assessing four adult clients
-which of the following physical assessment techniques should the
nurse use? - CORRECT ANSWER -ensure the bladder of the blood
pressure cuff surrounds 80% of the client's arm
A client who is postoperative is verbalizing pain as a 2 on a pain scale
of 0-10
,-which of the following statements should the nurse identify as an
indication that the client understands the preoperative teaching she
received about pain management? - CORRECT ANSWER -"it might
help me to listen to music while I'm lying in bed"
What do nurses use when preparing change-of-shift report? - CORRECT
ANSWER Standard handoff communication tools, such as
Introduction, Situation, Background, Assessment, Recommendation
(ISBAR) to facilitate transfers and discharges.
When should discharge planning begin? - CORRECT ANSWER On
admission with every patient.
Discharge documentation should include - CORRECT ANSWER Type
of discharge, date & time of discharge, who went with the client &
transportation, where the client went, summary of clients current
condition at discharge, description of any unresolved difficulties and
disposition of valuables, medications brought from home &
prescriptions.
Documentation & abbreviations and symbols - CORRECT ANSWER
Being accurate & concise is an important element of documentation.
Only abbreviations & symbols approved by The Joint Commission and
the facility are acceptable.
A nurse is discussing the HIPPA privacy rule with nurses during new
employee orientation. Which of the following information should the
nurse include? - CORRECT ANSWER Family members should provide
a code prior to receiving client health information, communication of a
client can occur at the nurse's station, a client can request a hard
copy of their records and a nurses may photocopy a client's medical
record for transfer to another facility.
A nurse is receiving a providers prescription for morphine by telephone
for a client who is reporting moderate to severe pain. What are the
appropriate nursing actions? - CORRECT ANSWER Repeat the details
of the prescription back to the provider, have another nurse listen to
,the telephone prescription and obtain the providers signature on the
prescription within 24 hours.
A problem is an ethical dilemma when - CORRECT ANSWER I. A
review of scientific data is not enough to solve it
II. It involves a conflict between two moral imperatives
III. The answer will have a profound effect on the situation and the
client
Ethical dilemmas are problems that - CORRECT ANSWER involve
more than one choice and stem from differences in the values and
beliefs of decision makers
Autonomy - CORRECT ANSWER the right to makes one's own
personal decisions, even when those decisions might not be in the
that person's best interest.
Beneifience - CORRECT ANSWER positive actions to help others (do
good)
Fidelity - CORRECT ANSWER agreement to keep promises
Justice - CORRECT ANSWER fairness in care delivery and use of
resources
Nonmaleficence - CORRECT ANSWER avoidance of harm or injury (do
no harm)
Admission inventory of personal items include - CORRECT ANSWER
clothing, jewelry, money, credit cards, assistive devices, medications,
cell phones and other technology devices, and religious articles...
Nurses should discourage keeping valuables at the bedside.
The nurse will document what related to personal items? - CORRECT
ANSWER The nurse will document communication with the client
related to items left within the room and valuables locked in the
facility's safe.
, Assault (International Tort) - CORRECT ANSWER The conduct of one
person makes another person fearful and apprehensive.
Example: a nurse threatens to place an NG tube in a client who is
refusing to eat.
Battery (International Tort) - CORRECT ANSWER Intentional &
wrongful physical contract with a person that involves an injury of
offensive contact.
Example: A nurse restrains a client and administers an injection
against her wishes.
False Imprisonment (International Tort) - CORRECT ANSWER A
person is confined or retained against his will. The nurses uses
restraints on a competent client to prevent his leaving the health care
facility.
What should the nurse teach older clients about home safety? -
CORRECT ANSWER To place electrical cords & extension cords
against a wall behind furniture and use a nonskid mat in the tub or
shower & place a shower chair in the shower and a beside commode if
needed.
The client who has heat stroke will have what sign? - CORRECT
ANSWER Hypotension
One of the nurse's responsibility for a client in restraints is to make
sure... - CORRECT ANSWER the restraints are loose enough for range
of motion & that there is enough room to fit two fingers between the
restraints & the client.
What is the priority action for a patient with a history of falls? -
CORRECT ANSWER Complete a fall risk assessment.
What blood glucose level requires immediate action? - CORRECT
ANSWER 70 mg/dL of less
