ATI FUNDAMENTALS PROCTORED EXAM 2022-2023/FUNDAMENTALS
ATI PROCTORED EXAM(NEW VERSION)
A nurse is caring for a patient with chronic heart failure who is very ill. The patient has a "no code"
order. The patient goes into ventricular fibrillation and the nurse defibrillates the patient. The nurse
states she was unaware of the "no code" order. What part of the nursing process did the nurse fail to
perform?
A. Planning
B. Evaluation
C. Assessment
On the morning laboratory report, the patient's potassium is noted to be 2.5 mEq/L. The nurse does not
want to "bother the physician this early." During the change-of-shift report, the patient develops
ventricular tachycardia and has to be resuscitated. What part of the nursing process did the nurse fail to
perform?
A. Evaluation
B. Implementation
C. Assessment
D. Planning
A patient in the critical care unit has an order to be transported off the unit for a diagnostic procedure.
The nurse fails to ensure that the patient is properly monitored during transport, and the patient
experiences a cardiac arrest. Which of the following actions did the nurse fail to adequately perform?
A. Make the proper nursing diagnosis.
B. Assess and analyze the level of care needed by the patient.
C. Act as a patient advocate to postpone the examination.
D. Communicate findings in a timely manner.
The nurse fails to record a set of vital signs on a blood transfusion report, which is against hospital
policy. The patient does not sustain any damage as a result. Can the nurse be charged with malpractice
in this case?
A. No. Documentation is not part of the duty of nurse.
,B. Yes. Even though there were no damages, the nurse failed to follow hospital protocol.
C. No. There were no damages associated with failure to document
D. Yes. Failure to document always results in negligence.
A patient with metastatic cancer tells the nurse, “I am tired and do not want to be put on a breathing
machine.” The patient’s out-of-town son wants “everything done for my mother” when his mother later
develops respiratory distress. Which ethical principles are involved in this dilemma? (Select all that
apply.)
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
E. Paternalism
The nurse is concerned that the physician is ignoring the wishes of the patient and family in the care of a
patient. The nurse should take these concerns to: (Select all that apply.)
A. The hospital ethics committee
B. The ANA (American Nurses Association)
C. The nursing supervisor
D. The nursing ethics committee
E. he policy and procedure committee
The nurse observes a coworker diverting narcotics by administering normal saline to a patient in pain. By
not reporting this observation, the nurse is in violation of what ethical principle concerning the patients
under the care of the impaired nurse?
A. Autonomy
B. Justice
C. Nonmaleficence
D. Veracity
The family of a patient who is receiving mechanical ventilation for respiratory distress associated with an
inoperable brain tumor asks that the patient be extubated to "allow natural death" to occur. This is an
example of what situation?
A. Withdrawing treatment
B. Rationing care
C. A criminal act
D. Withholding treatment
, A nurse has been having difficulty sleeping since the death of a patient who had a stressful family
situation involving a DNR (do not resuscitate) order. She is arguing with her husband and coworker and
is complaining about working conditions. The nurse's symptoms could be signs of what problem?
A. Moral distress
B. Moral confusion
C. Immoral distress
D. Change fatigue
Where should a nurse place the stethoscope when auscultating heart sounds?
Select all that apply
A. First intercostal space left of the sternum to hear sounds from the pulmonic valve area.
B. Fourth intercostal space to the left of the sternum to hear sounds from the tricuspid area.
C. Second intercostal space to the right of the sternum to hear sounds from the aortic valve area.
D. Fifth intercostal space left side of sternum to hear sounds from the mitral area.
E. Apex of the heart to hear the loudest 2nd heart sound (S2).
A client receiving 50 mL/hr of enteral feedings has a gastric residual volume of 200 mL and is reporting
nausea. What is the appropriate nursing intervention?
1. Stop the feeding and assess gastric residual volume in 1 hour.
2. Reduce the infusion rate to 25 mL/ hour and reevaluate residual volume in 4 hours.
3. Change the feeding schedule from continuous to intermittent delivery.
4. Discard the 200 mL and continue the feedings at the same rate.
A client states, "I really do not want to go through open heart surgery. I have told my children this, but
they still want me to go through with the surgery. I don’t know what to do." What is the best response
for the nurse as client advocate?
1. Your children are correct. The open heart surgery is the best thing for your health.
2. You feel as if your children are not addressing your concerns. You and your family will need to resolve
this before you go to surgery.
3. I can contact your primary healthcare provider so that you can discuss your concerns regarding open
heart surgery.
4. You have some genuine concerns about the open heart surgery, and you feel as if your children are
not addressing your concerns.
.
ATI PROCTORED EXAM(NEW VERSION)
A nurse is caring for a patient with chronic heart failure who is very ill. The patient has a "no code"
order. The patient goes into ventricular fibrillation and the nurse defibrillates the patient. The nurse
states she was unaware of the "no code" order. What part of the nursing process did the nurse fail to
perform?
A. Planning
B. Evaluation
C. Assessment
On the morning laboratory report, the patient's potassium is noted to be 2.5 mEq/L. The nurse does not
want to "bother the physician this early." During the change-of-shift report, the patient develops
ventricular tachycardia and has to be resuscitated. What part of the nursing process did the nurse fail to
perform?
A. Evaluation
B. Implementation
C. Assessment
D. Planning
A patient in the critical care unit has an order to be transported off the unit for a diagnostic procedure.
The nurse fails to ensure that the patient is properly monitored during transport, and the patient
experiences a cardiac arrest. Which of the following actions did the nurse fail to adequately perform?
A. Make the proper nursing diagnosis.
B. Assess and analyze the level of care needed by the patient.
C. Act as a patient advocate to postpone the examination.
D. Communicate findings in a timely manner.
The nurse fails to record a set of vital signs on a blood transfusion report, which is against hospital
policy. The patient does not sustain any damage as a result. Can the nurse be charged with malpractice
in this case?
A. No. Documentation is not part of the duty of nurse.
,B. Yes. Even though there were no damages, the nurse failed to follow hospital protocol.
C. No. There were no damages associated with failure to document
D. Yes. Failure to document always results in negligence.
A patient with metastatic cancer tells the nurse, “I am tired and do not want to be put on a breathing
machine.” The patient’s out-of-town son wants “everything done for my mother” when his mother later
develops respiratory distress. Which ethical principles are involved in this dilemma? (Select all that
apply.)
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
E. Paternalism
The nurse is concerned that the physician is ignoring the wishes of the patient and family in the care of a
patient. The nurse should take these concerns to: (Select all that apply.)
A. The hospital ethics committee
B. The ANA (American Nurses Association)
C. The nursing supervisor
D. The nursing ethics committee
E. he policy and procedure committee
The nurse observes a coworker diverting narcotics by administering normal saline to a patient in pain. By
not reporting this observation, the nurse is in violation of what ethical principle concerning the patients
under the care of the impaired nurse?
A. Autonomy
B. Justice
C. Nonmaleficence
D. Veracity
The family of a patient who is receiving mechanical ventilation for respiratory distress associated with an
inoperable brain tumor asks that the patient be extubated to "allow natural death" to occur. This is an
example of what situation?
A. Withdrawing treatment
B. Rationing care
C. A criminal act
D. Withholding treatment
, A nurse has been having difficulty sleeping since the death of a patient who had a stressful family
situation involving a DNR (do not resuscitate) order. She is arguing with her husband and coworker and
is complaining about working conditions. The nurse's symptoms could be signs of what problem?
A. Moral distress
B. Moral confusion
C. Immoral distress
D. Change fatigue
Where should a nurse place the stethoscope when auscultating heart sounds?
Select all that apply
A. First intercostal space left of the sternum to hear sounds from the pulmonic valve area.
B. Fourth intercostal space to the left of the sternum to hear sounds from the tricuspid area.
C. Second intercostal space to the right of the sternum to hear sounds from the aortic valve area.
D. Fifth intercostal space left side of sternum to hear sounds from the mitral area.
E. Apex of the heart to hear the loudest 2nd heart sound (S2).
A client receiving 50 mL/hr of enteral feedings has a gastric residual volume of 200 mL and is reporting
nausea. What is the appropriate nursing intervention?
1. Stop the feeding and assess gastric residual volume in 1 hour.
2. Reduce the infusion rate to 25 mL/ hour and reevaluate residual volume in 4 hours.
3. Change the feeding schedule from continuous to intermittent delivery.
4. Discard the 200 mL and continue the feedings at the same rate.
A client states, "I really do not want to go through open heart surgery. I have told my children this, but
they still want me to go through with the surgery. I don’t know what to do." What is the best response
for the nurse as client advocate?
1. Your children are correct. The open heart surgery is the best thing for your health.
2. You feel as if your children are not addressing your concerns. You and your family will need to resolve
this before you go to surgery.
3. I can contact your primary healthcare provider so that you can discuss your concerns regarding open
heart surgery.
4. You have some genuine concerns about the open heart surgery, and you feel as if your children are
not addressing your concerns.
.
