ATI RN Fundamentals Proctored Exam
Questions And Answers
The skin barrier covering a client's intestinal fistula keeps falling off when she stands up
to ambulate. The nurse has reapplied it twice during the shift, but it remains intact only
when the client is supine in bed. The nurse telephoned the physical therapist about the
difficulties containing the drainage from the fistula, so the therapist didn't ambulate the
client today. The client sat in a chair during lunch w/an absorbent pad over the fistula.
The client ate all the food on her tray. The wound care nurse confirmed that she will see
the client later today. The client states she feels frustrated at not having physical
therapy, but the nurse thinks the client welcomed having a day to rest. Which of the
following information should the nurse include in the change-of-shift report? Select all.
A. The physical therapist didn't ambulate the client today
B. The skin barrier's seal stays on in bed but loosens when the - CORRECT
ANSWER- A, B, D
To promote the safe use of a cane for a client who is recovering from a minor
musculoskeletal injury of the left lower extremity, which of the following instructions
should the nurse provide? Select all.
A. Hold the cane on the right side
B. Keep 2 points of support on the floor
C. Place the cane 15in in front of the feet before advancing
D. After advancing the cane, move the weaker leg forward
E. Advance the stronger leg so that it aligns evenly w/the cane - CORRECT
ANSWER- A, B, D
C-the client should place the cane 6-10 inches in front before advancing not 15
E-the client should advance the stronger leg past the cane not aligned w/it
While a nurse is administering a cleansing enema, the client reports abdominal
cramping. Which of the following is the appropriate intervention?
A. Have the client hold his breath briefly
B. Discontinue the fluid instillation
C. Remind the client that cramping is common at this time
D. Lower the enema fluid container - CORRECT ANSWER- D.
This will slow the rate of instillation & relieve some discomfort
102 - CORRECT ANSWER-
A client is about to undergo an elective surgical procedure. Which of the following
actions are appropriate for the nurse who is providing preop care regarding informed
consent? Select all.
,A. Make sure the surgeon obtained the client's consent
B. Witness the client's signature on the consent form
C. Explain the risks and benefits of the procedure
D. Describe the consequences of choosing not to have the surgery
E. Tell the client about alternatives to having the surgery - CORRECT ANSWER- A,
B
The rest of the choices are the surgeon's responsibility, not the nurse
A client who had abd. surgery 24 hr ago reports a pulling sensation & pain in his
surgical incision. The nurse checks the client's surgical wound & finds the wound
separated w/viscera protruding. Which of the following interventions is appropriate?
Select all.
A. Cover the area w/saline-soaked sterile dressings
B. Apply an abdominal binder snugly around the abd.
C. Use sterile gloves to apply gentle pressure to the exposed tissues
D. Position the client supine w/his hips & knees bent
E. Offer the client a warm beverage, such as herbal tea - CORRECT ANSWER- A,
D
A client who has had a cerebrovascular accident has persistent problems w/dysphagia.
The nurse caring for the client should initiate a referral w/which of the following
members of the interprofessional care team?
A. Social worker
B. CNA
C. Occupational therapist
D. Speech-language pathologist - CORRECT ANSWER- D
A speech-language pathologist can initiate specific therapy for clients who have
difficulty feeding due to swallowing difficulties
A client who is postop following a knee arthroplasty is concerned about the adverse
effects of the medication he is receiving for pain management. Which of the following
members of the interprofessional care team may assist the client in understanding the
medication's effects? Select all.
A. Provider
B. CNA
C. Pharmacist
D. RN
E. Respiratory therapist - CORRECT ANSWER- A, C, D
A client who will undergo neurosurgery the following week tells the nurse in the
surgeon's office that he will prepare his advance directives before he goes to the
hospital. Which of the following statements by the client indicates to the nurse that he
understands advance directives?
A. "I'd rather have my brother make decisions for me, but I know it has to be my wife."
B. "I know they won't go ahead w/the surgery unless I prepare these forms."
, C. "I plan to write that I don't want them to keep me on a breathing machine."
D. "I will get my regular doctor to approve my plan before I hand it in at the hospital." -
CORRECT ANSWER- C.
The client has the right to decide and specify which medical procedures he wants when
a life-threatening situation arrives
A goal for a client who has difficulty w/self-feeding due to rheumatoid arthritis is to use
adaptive devices. The nurse caring for the client should initiate a referral w/which of the
following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Registered dietitian
D. Occupational therapist - CORRECT ANSWER- D.
An occupational therapist can assist clients who have physical challenges to use
adaptive devices & strategies to help w/self-care activities
A home health nurse is discussing the dangers of carbon monoxide poisoning w/a
client. Which of the following information should the nurse include in her counseling?
A. Carbon monoxide has a distinct odor
B. Water heaters should be inspected every 5 years
C. The lungs are damaged from carbon monoxide inhalation
D. Carbon monoxide binds w/hemoglobin in the body - CORRECT ANSWER- D.
Carbon monoxide is a very dangerous gas because it binds w/hemoglobin & ultimately
reduces the oxygen supplied to the tissues in the body.
Carbon monoxide is tasteless, has no scent, and cannot be seen.
The water heaters, gas-burning furnances, and appliances should be inspected
annually
The lungs are not damaged in the process of inhalation
A home health nurse is discussing the dangers of food poisoning w/a client. Which of
the following info should the nurse include in her counseling? Select all.
A. Most food poisoning is caused by a virus
B. Immunocompromised individuals are at risk for complications from food poisoning
C. Clients who are especially at risk are instructed to eat or drink only pasteurized milk,
yogurt, cheese, or other dairy products
D. Healthy individuals usually recover from the illness in a few weeks
E. Handling raw & fresh food separately to avoid cross contamination may prevent food
poisoning - CORRECT ANSWER- B, C, E
Most food poisoning is caused by a bacteria such as E. coli.
Healthy individuals usually recover in a few days.
A nurse educator is conducting a parenting class for new parents. Which of the
following statements made by a participant indicates a need for further clarification &
instruction?
Questions And Answers
The skin barrier covering a client's intestinal fistula keeps falling off when she stands up
to ambulate. The nurse has reapplied it twice during the shift, but it remains intact only
when the client is supine in bed. The nurse telephoned the physical therapist about the
difficulties containing the drainage from the fistula, so the therapist didn't ambulate the
client today. The client sat in a chair during lunch w/an absorbent pad over the fistula.
The client ate all the food on her tray. The wound care nurse confirmed that she will see
the client later today. The client states she feels frustrated at not having physical
therapy, but the nurse thinks the client welcomed having a day to rest. Which of the
following information should the nurse include in the change-of-shift report? Select all.
A. The physical therapist didn't ambulate the client today
B. The skin barrier's seal stays on in bed but loosens when the - CORRECT
ANSWER- A, B, D
To promote the safe use of a cane for a client who is recovering from a minor
musculoskeletal injury of the left lower extremity, which of the following instructions
should the nurse provide? Select all.
A. Hold the cane on the right side
B. Keep 2 points of support on the floor
C. Place the cane 15in in front of the feet before advancing
D. After advancing the cane, move the weaker leg forward
E. Advance the stronger leg so that it aligns evenly w/the cane - CORRECT
ANSWER- A, B, D
C-the client should place the cane 6-10 inches in front before advancing not 15
E-the client should advance the stronger leg past the cane not aligned w/it
While a nurse is administering a cleansing enema, the client reports abdominal
cramping. Which of the following is the appropriate intervention?
A. Have the client hold his breath briefly
B. Discontinue the fluid instillation
C. Remind the client that cramping is common at this time
D. Lower the enema fluid container - CORRECT ANSWER- D.
This will slow the rate of instillation & relieve some discomfort
102 - CORRECT ANSWER-
A client is about to undergo an elective surgical procedure. Which of the following
actions are appropriate for the nurse who is providing preop care regarding informed
consent? Select all.
,A. Make sure the surgeon obtained the client's consent
B. Witness the client's signature on the consent form
C. Explain the risks and benefits of the procedure
D. Describe the consequences of choosing not to have the surgery
E. Tell the client about alternatives to having the surgery - CORRECT ANSWER- A,
B
The rest of the choices are the surgeon's responsibility, not the nurse
A client who had abd. surgery 24 hr ago reports a pulling sensation & pain in his
surgical incision. The nurse checks the client's surgical wound & finds the wound
separated w/viscera protruding. Which of the following interventions is appropriate?
Select all.
A. Cover the area w/saline-soaked sterile dressings
B. Apply an abdominal binder snugly around the abd.
C. Use sterile gloves to apply gentle pressure to the exposed tissues
D. Position the client supine w/his hips & knees bent
E. Offer the client a warm beverage, such as herbal tea - CORRECT ANSWER- A,
D
A client who has had a cerebrovascular accident has persistent problems w/dysphagia.
The nurse caring for the client should initiate a referral w/which of the following
members of the interprofessional care team?
A. Social worker
B. CNA
C. Occupational therapist
D. Speech-language pathologist - CORRECT ANSWER- D
A speech-language pathologist can initiate specific therapy for clients who have
difficulty feeding due to swallowing difficulties
A client who is postop following a knee arthroplasty is concerned about the adverse
effects of the medication he is receiving for pain management. Which of the following
members of the interprofessional care team may assist the client in understanding the
medication's effects? Select all.
A. Provider
B. CNA
C. Pharmacist
D. RN
E. Respiratory therapist - CORRECT ANSWER- A, C, D
A client who will undergo neurosurgery the following week tells the nurse in the
surgeon's office that he will prepare his advance directives before he goes to the
hospital. Which of the following statements by the client indicates to the nurse that he
understands advance directives?
A. "I'd rather have my brother make decisions for me, but I know it has to be my wife."
B. "I know they won't go ahead w/the surgery unless I prepare these forms."
, C. "I plan to write that I don't want them to keep me on a breathing machine."
D. "I will get my regular doctor to approve my plan before I hand it in at the hospital." -
CORRECT ANSWER- C.
The client has the right to decide and specify which medical procedures he wants when
a life-threatening situation arrives
A goal for a client who has difficulty w/self-feeding due to rheumatoid arthritis is to use
adaptive devices. The nurse caring for the client should initiate a referral w/which of the
following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Registered dietitian
D. Occupational therapist - CORRECT ANSWER- D.
An occupational therapist can assist clients who have physical challenges to use
adaptive devices & strategies to help w/self-care activities
A home health nurse is discussing the dangers of carbon monoxide poisoning w/a
client. Which of the following information should the nurse include in her counseling?
A. Carbon monoxide has a distinct odor
B. Water heaters should be inspected every 5 years
C. The lungs are damaged from carbon monoxide inhalation
D. Carbon monoxide binds w/hemoglobin in the body - CORRECT ANSWER- D.
Carbon monoxide is a very dangerous gas because it binds w/hemoglobin & ultimately
reduces the oxygen supplied to the tissues in the body.
Carbon monoxide is tasteless, has no scent, and cannot be seen.
The water heaters, gas-burning furnances, and appliances should be inspected
annually
The lungs are not damaged in the process of inhalation
A home health nurse is discussing the dangers of food poisoning w/a client. Which of
the following info should the nurse include in her counseling? Select all.
A. Most food poisoning is caused by a virus
B. Immunocompromised individuals are at risk for complications from food poisoning
C. Clients who are especially at risk are instructed to eat or drink only pasteurized milk,
yogurt, cheese, or other dairy products
D. Healthy individuals usually recover from the illness in a few weeks
E. Handling raw & fresh food separately to avoid cross contamination may prevent food
poisoning - CORRECT ANSWER- B, C, E
Most food poisoning is caused by a bacteria such as E. coli.
Healthy individuals usually recover in a few days.
A nurse educator is conducting a parenting class for new parents. Which of the
following statements made by a participant indicates a need for further clarification &
instruction?
