PN FUNDAMENTALS ATI PROCTORED EXAM VERSION 1,2
AND 3 NEWEST 2025 COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
Practice questions for this set
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D. Give the missed dose at 1300 and change the schedule to administer daily at 1300.
To ensure that a therapeutic level of medication is maintained, the nurse should administer the missed
dose as soon as possible, and revise the administration schedule accordingly to prevent dangerously
increasing the level of the medication in the bloodstream (D). The nurse should document the reason for
the late dose, but (A and C) are not warranted. (B) could result in increased blood levels of the drug.
Select the correct term
1
A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin) 500 mg IV
q24h is scheduled to be administered. The client returns to the unit at 1300. What is the best
intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
C. Notify the charge nurse and complete an incident report to explain the missed dose.
D. Give the missed dose at 1300 and change the schedule to administer daily at 1300.
2
When assessing a client with wrist restraints, the nurse observes that the fingers on the right hand are
blue. What action should the nurse implement first?
A. Loosen the right wrist restraint.
,B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
3
A male client tells the nurse that he does not know where he is or what year it is. What data should the
nurse document that is most accurate?
A. demonstrates loss of remote memory.
B. exhibits expressive dysphasia.
C. has a diminished attention span.
D. is disoriented to place and time.
4
At the time of the first dressing change, the client refuses to look at her mastectomy incision. The nurse
tells the client that the incision is healing well, but the client refuses to talk about it. What would be an
appropriate response to this client's silence?
A. It is normal to feel angry and depressed, but the sooner you deal with this surgery, the better you will
feel.
B. Looking at your incision can be frightening, but facing this fear is a necessary part of your recovery.
C. It is OK if you don't want to talk about your surgery. I will be available when you are ready.
D. I will ask a woman who has had a mastectomy to come by and share her experiences with you.
Don't know?
Terms in this set (110)
Original
An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the
client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.
D. Gently lift the client when moving into a desired position.
To avoid shearing forces when repositioning, the client should be lifted gently across a surface (D).
Reddened areas should not be massaged (A) since this may increase the damage to already traumatized
skin. To control pain and muscle spasms, active range of motion (B) may be limited on the affected leg.
The position described in (C) is contraindicated for a client with a fractured left hip.
We have an expert-written solution to this problem!
,The nurse is administering medications through a nasogastric tube (NGT) which is connected to suction.
After ensuring correct tube placement, what action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.
B. Flush the tube with water.
The NGT should be flushed before, after and in between each medication administered (B). Once all
medications are administered, the NGT should be clamped for 20 minutes (A). (C and D) may be
implemented only after the tubing has been flushed.
A client who is in hospice care complains of increasing amounts of pain. The healthcare provider
prescribes an analgesic every four hours as needed. Which action should the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities.
A. Give an around-the-clock schedule for administration of analgesics.
The most effective management of pain is achieved using an around-the-clock schedule that provides
analgesic medications on a regular basis (A) and in a timely manner. Analgesics are less effective if pain
persists until it is severe, so an analgesic medication should be administered before the client's pain
peaks (B). Providing comfort is a priority for the client who is dying, but sedation that impairs the client's
ability to interact and experience the time before life ends should be minimized (C). Offering a
medication-free period allows the serum drug level to fall, which is not an effective method to manage
chronic pain (D).
When assessing a client with wrist restraints, the nurse observes that the fingers on the right hand are
blue. What action should the nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
A. Loosen the right wrist restraint.
The priority nursing action is to restore circulation by loosening the restraint (A), because blue fingers
(cyanosis) indicates decreased circulation. (C and D) are also important nursing interventions, but do not
have the priority of (A). Pulse oximetry (B) measures the saturation of hemoglobin with oxygen and is not
indicated in situations where the cyanosis is related to mechanical compression (the restraints).
, We have an expert-written solution to this problem!
The nurse is assessing the nutritional status of several clients. Which client has the greatest nutritional
need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer.
B. A lactating woman nursing her 3-day-old infant.
A lactating woman (B) has the greatest need for additional protein intake. (A, C, and D) are all conditions
that require protein, but do not have the increased metabolic protein demands of lactation.
We have an expert-written solution to this problem!
A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin) 500 mg IV
q24h is scheduled to be administered. The client returns to the unit at 1300. What is the best
intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
C. Notify the charge nurse and complete an incident report to explain the missed dose.
D. Give the missed dose at 1300 and change the schedule to administer daily at 1300.
D. Give the missed dose at 1300 and change the schedule to administer daily at 1300.
To ensure that a therapeutic level of medication is maintained, the nurse should administer the missed
dose as soon as possible, and revise the administration schedule accordingly to prevent dangerously
increasing the level of the medication in the bloodstream (D). The nurse should document the reason for
the late dose, but (A and C) are not warranted. (B) could result in increased blood levels of the drug.
We have an expert-written solution to this problem!
While instructing a male client's wife in the performance of passive range-of-motion exercises to his
contracted shoulder, the nurse observes that she is holding his arm above and below the elbow. What
nursing action should the nurse implement?
AND 3 NEWEST 2025 COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
Practice questions for this set
Learn
1/7
Study using Learn
D. Give the missed dose at 1300 and change the schedule to administer daily at 1300.
To ensure that a therapeutic level of medication is maintained, the nurse should administer the missed
dose as soon as possible, and revise the administration schedule accordingly to prevent dangerously
increasing the level of the medication in the bloodstream (D). The nurse should document the reason for
the late dose, but (A and C) are not warranted. (B) could result in increased blood levels of the drug.
Select the correct term
1
A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin) 500 mg IV
q24h is scheduled to be administered. The client returns to the unit at 1300. What is the best
intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
C. Notify the charge nurse and complete an incident report to explain the missed dose.
D. Give the missed dose at 1300 and change the schedule to administer daily at 1300.
2
When assessing a client with wrist restraints, the nurse observes that the fingers on the right hand are
blue. What action should the nurse implement first?
A. Loosen the right wrist restraint.
,B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
3
A male client tells the nurse that he does not know where he is or what year it is. What data should the
nurse document that is most accurate?
A. demonstrates loss of remote memory.
B. exhibits expressive dysphasia.
C. has a diminished attention span.
D. is disoriented to place and time.
4
At the time of the first dressing change, the client refuses to look at her mastectomy incision. The nurse
tells the client that the incision is healing well, but the client refuses to talk about it. What would be an
appropriate response to this client's silence?
A. It is normal to feel angry and depressed, but the sooner you deal with this surgery, the better you will
feel.
B. Looking at your incision can be frightening, but facing this fear is a necessary part of your recovery.
C. It is OK if you don't want to talk about your surgery. I will be available when you are ready.
D. I will ask a woman who has had a mastectomy to come by and share her experiences with you.
Don't know?
Terms in this set (110)
Original
An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the
client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position.
D. Gently lift the client when moving into a desired position.
To avoid shearing forces when repositioning, the client should be lifted gently across a surface (D).
Reddened areas should not be massaged (A) since this may increase the damage to already traumatized
skin. To control pain and muscle spasms, active range of motion (B) may be limited on the affected leg.
The position described in (C) is contraindicated for a client with a fractured left hip.
We have an expert-written solution to this problem!
,The nurse is administering medications through a nasogastric tube (NGT) which is connected to suction.
After ensuring correct tube placement, what action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water.
B. Flush the tube with water.
The NGT should be flushed before, after and in between each medication administered (B). Once all
medications are administered, the NGT should be clamped for 20 minutes (A). (C and D) may be
implemented only after the tubing has been flushed.
A client who is in hospice care complains of increasing amounts of pain. The healthcare provider
prescribes an analgesic every four hours as needed. Which action should the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities.
A. Give an around-the-clock schedule for administration of analgesics.
The most effective management of pain is achieved using an around-the-clock schedule that provides
analgesic medications on a regular basis (A) and in a timely manner. Analgesics are less effective if pain
persists until it is severe, so an analgesic medication should be administered before the client's pain
peaks (B). Providing comfort is a priority for the client who is dying, but sedation that impairs the client's
ability to interact and experience the time before life ends should be minimized (C). Offering a
medication-free period allows the serum drug level to fall, which is not an effective method to manage
chronic pain (D).
When assessing a client with wrist restraints, the nurse observes that the fingers on the right hand are
blue. What action should the nurse implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
C. Compare hand color bilaterally.
D. Palpate the right radial pulse.
A. Loosen the right wrist restraint.
The priority nursing action is to restore circulation by loosening the restraint (A), because blue fingers
(cyanosis) indicates decreased circulation. (C and D) are also important nursing interventions, but do not
have the priority of (A). Pulse oximetry (B) measures the saturation of hemoglobin with oxygen and is not
indicated in situations where the cyanosis is related to mechanical compression (the restraints).
, We have an expert-written solution to this problem!
The nurse is assessing the nutritional status of several clients. Which client has the greatest nutritional
need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer.
B. A lactating woman nursing her 3-day-old infant.
A lactating woman (B) has the greatest need for additional protein intake. (A, C, and D) are all conditions
that require protein, but do not have the increased metabolic protein demands of lactation.
We have an expert-written solution to this problem!
A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin) 500 mg IV
q24h is scheduled to be administered. The client returns to the unit at 1300. What is the best
intervention for the nurse to implement?
A. Contact the healthcare provider and complete a medication variance form.
B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
C. Notify the charge nurse and complete an incident report to explain the missed dose.
D. Give the missed dose at 1300 and change the schedule to administer daily at 1300.
D. Give the missed dose at 1300 and change the schedule to administer daily at 1300.
To ensure that a therapeutic level of medication is maintained, the nurse should administer the missed
dose as soon as possible, and revise the administration schedule accordingly to prevent dangerously
increasing the level of the medication in the bloodstream (D). The nurse should document the reason for
the late dose, but (A and C) are not warranted. (B) could result in increased blood levels of the drug.
We have an expert-written solution to this problem!
While instructing a male client's wife in the performance of passive range-of-motion exercises to his
contracted shoulder, the nurse observes that she is holding his arm above and below the elbow. What
nursing action should the nurse implement?