ATI RN fundamentals proctor EXAM TEST BANK WITH ALL VERSIONS OF THE EXAM WITH ALLMODULES COVERED | ACCURATE AND VERIFIED QUESTIONS AND ANSWERS FOR GUARANTEED PASS| LATEST UPDATE

A nurse in a provider's clinic is caring for a client who has heart failure. Which of the following statements by the client indicates an understanding of the teaching? A. "I drink at least 3 liters of water every day to stay hydrated." B. "I am limiting my sodium intake to 2 grams daily." C. "I skip meals when I feel full." D. "I ignore small weight changes, as they are normal." Correct answer: B. "I am limiting my sodium intake to 2 grams daily." Rationale: Limiting sodium intake helps control fluid retention, which is critical for managing heart failure. Which of the following additional statements also demonstrate understanding of heart failure management teaching? A. "I am eating fewer potato chips and more fruit for snacks." B. "I have been eating more processed foods to gain energy." C. "I avoid weighing myself to reduce anxiety." D. "I don't need to track my daily weight." Correct answer: A. "I am eating fewer potato chips and more fruit for snacks." Rationale: Reducing high-sodium snacks like chips and increasing fruit intake supports heart health. Which statement by the client indicates appropriate monitoring for worsening heart failure? A. "I only call my doctor if I gain 10 pounds in a week." B. "I weigh myself monthly." C. "I know to call my doctor if I gain 3 pounds or more in 2 days." D. "I weigh myself at night." Correct answer: C. "I know to call my doctor if I gain 3 pounds or more in 2 days." Rationale: Sudden weight gain can indicate fluid retention and worsening heart failure. A nurse in an emergency department is caring for a confused client. What should the nurse do first? A. Administer sedative medication. B. Review medications that might cause confusion. C. Encourage the client to walk independently. D. Leave the client alone to rest. Correct answer: B. Review medications that might cause confusion. Rationale: Identifying medication-related causes of confusion is a priority to ensure patient safety and direct further care. A nurse is caring for a client with a pressure injury. Which finding should the nurse report to the provider? A. Skin blanching around the wound B. Elevated temperature and white blood cell count C. Intact peri-wound skin D. Serous drainage only Correct answer: B. Elevated temperature and white blood cell count Rationale: These are signs of possible infection, requiring provider notification and possible intervention. A nurse is caring for a client newly diagnosed with a seizure disorder. What is the nurse’s priority action? A. Notify the pharmacy. B. Reposition the client to a comfortable chair. C. Check for environmental safety and then reposition the client. D. Call the family immediately. Correct answer: C. Check for environmental safety and then reposition the client. Rationale: Ensuring safety is the priority to prevent injury during a seizure. A nurse is admitting a client and reviewing the medical record. Which of the following actions should the nurse take? A. Place the client in airborne isolation. B. Apply oxygen at 6 LPM via mask. C. Remain 1 meter (3 feet) from the client. D. Encourage the client to walk around. Correct answer: C. Remain 1 meter (3 feet) from the client. Rationale: This is an appropriate droplet precaution measure to prevent transmission of infectious agents. Which of the following findings indicate the client in the emergency department is malnourished? A. Flaccid muscle tone, dry scaly skin with bruises, BMI 17 B. Firm muscle tone, clear skin, BMI 23 C. Moist skin, energetic demeanor, BMI 22 D. Edematous hands and feet, strong appetite, BMI 25 Correct answer: A. Flaccid muscle tone, dry scaly skin with bruises, BMI 17 Rationale: These are classic signs of malnutrition and protein-energy deficiency. A nurse is reviewing the lab results of a female client with hypovolemia. Which finding is the priority to report? A. Hemoglobin of 13 g/dL B. Sodium level of 139 mEq/L C. Potassium level of 5.8 mEq/L D. BUN of 19 mg/dL Correct answer: C. Potassium level of 5.8 mEq/L Rationale: Hyperkalemia can cause cardiac arrhythmias and must be reported immediately. A nurse has just inserted a nasogastric (NG) tube for a patient. Which finding confirms correct placement? A. The patient reports no nausea. B. Gastric pH is 6.0 C. X-ray shows the end of the tube above the pylorus D. The patient can speak clearly Correct answer: C. X-ray shows the end of the tube above the pylorus Rationale: An X-ray is the most reliable method to confirm correct NG tube placement. A nurse is caring for a client receiving pain medication through a PCA pump. What instruction should the nurse give? A. "Use the pump every 15 minutes." B. "Family members may press the button for you if needed." C. "Only you should press the button when you feel pain." D. "Press the button even if you’re asleep." Correct answer: C. "Only you should press the button when you feel pain." Rationale: Only the patient should control PCA to prevent overmedication and ensure safe use. A nurse is caring for a client who has diarrhea due to Shigella. Which of the following precautions should be implemented? A. Use only gloves for contact B. No isolation precautions needed C. Wear a gown when caring for the client D. Limit fluids Correct answer: C. Wear a gown when caring for the client Rationale: Contact precautions, including gowns and gloves, are necessary to prevent the spread of Shigella A nurse is caring for a client with Clostridioides difficile (C. diff) infection. What infection control measure is most appropriate? A. Use alcohol-based hand sanitizer after contact. B. Wear an N95 respirator. C. Wash hands with soap and water before and after contact. D. Place the client in airborne isolation. Correct answer: C. Wash hands with soap and water before and after contact. Rationale: C. diff spores are not killed by alcohol-based hand sanitizer; handwashing with soap and water is required. A nurse is preparing to administer ear drops to an adult client. What is the correct technique? A. Pull the auricle down and back. B. Pull the auricle up and back. C. Tilt the head forward. D. Instill drops into the center of the ear canal quickly. Correct answer: B. Pull the auricle up and back. Rationale: For adults, the auricle should be pulled up and back to straighten the ear canal for proper instillation. A nurse is teaching a client about crutch walking with a three-point gait. Which instruction is correct? A. "Advance both legs at the same time with the crutches." B. "Move the weaker leg with the crutches, then the stronger leg." C. "Move the stronger leg first, then the crutches and weaker leg." D. "Drag the weaker leg after moving the crutches." Correct answer: B. "Move the weaker leg with the crutches, then the stronger leg." Rationale: In a three-point gait, both crutches and the affected (weaker) leg move together, followed by the unaffected leg. A nurse is caring for a postoperative client who has not voided for 8 hours. What action should the nurse take first? A. Encourage oral fluids. B. Notify the provider. C. Perform a bladder scan. D. Insert a catheter. Correct answer: C. Perform a bladder scan. Rationale: A bladder scan helps assess urinary retention and guides the next step, avoiding unnecessary catheterization. A nurse is caring for a client who is on contact precautions. Which of the following actions should the nurse take? A. Wear a mask when entering the room. B. Place the client in a room with a positive pressure airflow. C. Wear gloves and gown when entering the room. D. Keep the door open at all times. Correct answer: C. Wear gloves and gown when entering the room. Rationale: Contact precautions require gloves and gown to prevent transmission of infectious agents. A nurse is preparing to transfer a client from the bed to a chair. The client is weak on the left side. What is the proper technique? A. Position the chair on the client’s left side. B. Have the client stand without assistance. C. Position the chair on the client’s right side. D. Use one nurse to assist the client. Correct answer: C. Position the chair on the client’s right side. Rationale: The chair should be on the stronger (right) side to make the transfer easier and safer for the client. A nurse is caring for a client with dysphagia. What is the most appropriate nursing intervention? A. Encourage fluids during meals. B. Offer large bites of food. C. Instruct the client to tuck the chin when swallowing. D. Place the client in a supine position while eating. Correct answer: C. Instruct the client to tuck the chin when swallowing. Rationale: The chin-tuck technique reduces aspiration risk by protecting the airway during swallowing.