ATI Fundamentals Proctored Exam 2025
UPDATED Study Guide QUESTIONS
AND CORRECT ANSWERS
A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-
old child who has difficulty swallowing pills. Available is diphenhydramine
12.5mg/5ml oral syrup. Which of the following images indicates the correct
number of mL the nurse should administer? (round answer to the nearest whole
number.)
DOSAGE CALCULATION - CORRECT ANSWERS 8ml
A nurse is admitting a client who is malnourished. The client states, "My
wedding ring is loose and I'm worried I will lose it if it falls off."Which of the
following is an appropriate response by the nurse?
a. " I will place it in your drawer so it won't get lost."
b. I can pin it to your hospital gown so you won't lose it."
c. "I will hold onto it until a family member can take it home."
d. I can put it in a locked storage unit for you - CORRECT ANSWERS d
A charge nurse is teaching a group of newly licensed nurses about the use of
restraints. In which of the following clinical situations should the nurse apply
restraints?
a. If the client is pacing in the hallway
b. As a part of a fall prevention program
c. At the request of the client's family
d. When the client poses a threat to self - CORRECT ANSWERS d
To ensure client safety, a nurse manager is planning to observe a newly licensed
nurse perform a straight catheterization on a client. In which of the following
roles is the nurse manager functioning?
,a. Case manager
b. Client educator
c. Client care provider
d. Client advocate - CORRECT ANSWERS d
A charge nurse in a long-term care facility is preparing an educational program
about delirium for newly hired nurses. Which of the following statements
should the nurse plan to include?
a. "Delirium does not affect a client's perception of her environment."
b. "Delirium does not affect a client's sleep cycle."
c. "Delirium has an abrupt onset."
d. "Delirium has a slow progression." - CORRECT ANSWERS c
A nurse is speaking with a client who has recently received a diagnosis of a
chronic illness. The client states, " The doctor must be wrong. I can't be that
sick". The nurse should inform the client that their reaction is an example of
which of the following expected responses to grief?
a. Acceptance
b. Denial
c. Anger
d. Depression - CORRECT ANSWERS b
A Nurse on a medical-surgical unit is providing care for four clients. The nurse
should identify which of the following situations as an ethical dilemma?
a. A surgeon who removed the wrong kidney during a surgical procedure refuses
to take responsibility for her actions
b. A client who has Crohn's disease reports that his prescription drug plan will
not pay for his medications.
c. A client who has a new colostomy refuses to take instructions from the
ostomy therapist because she "doesn't like him."
,d. the family of a client who has a terminal illness asks the provider not to tell
the client the diagnosis - CORRECT ANSWERS d
A nurse is teaching a client about performing breast self-examinations. Which
of the following statements by the clients indicates an understanding of the
teaching?
a. "I should perform my self-exam the week that my period starts"
b. "I should make different patterns on each breast when I do my self-exam."
c. "I should use the palm of my hand to apply pressure to each breast."
d. "I should make circular motions with my fingertips under my arms." -
CORRECT ANSWERS d
A nurse is preparing to transfer a client who is partially weight bearing from the
bed to the chair. Which of the following actions should the nurse take?
a. Keep his knees straight when moving the client
b. Position the chair next to the bed as a 90 degree angle
c. Stand with his feet together when lifting the client
d. Have the client bear weight on her stronger leg - CORRECT ANSWERS
d
A nurse is caring for a client following a laparoscopic cholecystectomy. The
client has a prescription for ondansetron 4mg IV bolus every 6hr PRN for
nausea and vomiting. Identify the sequence of steps the nurse should follow to
administer the medication. ( Move the steps into the box on the right, placing
them in the order of performance. Use all the steps.)
- Select the injection port of the IV tubing closest to the client.
- Cleanse the injection port with an antiseptic swab.
- Aspirate for blood return.
- Inject the medication.
, - perform hand hygiene - CORRECT ANSWERS 1. perform hand
hygiene
2. select the injection port of the IV tubing closest to the client
3. cleanse the injection port with an antiseptic swab
4. aspirate for blood return
5. inject the medication
A nurse is teaching a client who has diabetes mellitus about mixing regular and
NPH insulin.
Which of the following statements but the client indicates an understanding of
the teaching
a. I should wait 3 minutes after mixing the insulin to inject it
b. I should draw up the NPH insulin before regular insulin
c. I should inject air into the vial of regular insulin first
d. I should roll the vial of NPH insulin between my hands before drawing it up -
CORRECT ANSWERS d
A nurse is assessing the body temperature of an adult client using a temporal
artery thermometer. Which of the following actions should the nurse take?
(Select all that apply)
a. Slide the probe across the clients forehead
b. Pull the clients pinna up & back
c. Hold the client's hair aside while performing the procedure
d. Document the client's temperature with "AX" next to the value
e. Move the probe in a circular motion - CORRECT ANSWERS a, c
A nurse is preparing to insert a peripheral IV catheter into the client's arm.
Which of the following actions should the nurse take to help dilate the vein?
a. Stroke the skin near the vein in an upward position
UPDATED Study Guide QUESTIONS
AND CORRECT ANSWERS
A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-
old child who has difficulty swallowing pills. Available is diphenhydramine
12.5mg/5ml oral syrup. Which of the following images indicates the correct
number of mL the nurse should administer? (round answer to the nearest whole
number.)
DOSAGE CALCULATION - CORRECT ANSWERS 8ml
A nurse is admitting a client who is malnourished. The client states, "My
wedding ring is loose and I'm worried I will lose it if it falls off."Which of the
following is an appropriate response by the nurse?
a. " I will place it in your drawer so it won't get lost."
b. I can pin it to your hospital gown so you won't lose it."
c. "I will hold onto it until a family member can take it home."
d. I can put it in a locked storage unit for you - CORRECT ANSWERS d
A charge nurse is teaching a group of newly licensed nurses about the use of
restraints. In which of the following clinical situations should the nurse apply
restraints?
a. If the client is pacing in the hallway
b. As a part of a fall prevention program
c. At the request of the client's family
d. When the client poses a threat to self - CORRECT ANSWERS d
To ensure client safety, a nurse manager is planning to observe a newly licensed
nurse perform a straight catheterization on a client. In which of the following
roles is the nurse manager functioning?
,a. Case manager
b. Client educator
c. Client care provider
d. Client advocate - CORRECT ANSWERS d
A charge nurse in a long-term care facility is preparing an educational program
about delirium for newly hired nurses. Which of the following statements
should the nurse plan to include?
a. "Delirium does not affect a client's perception of her environment."
b. "Delirium does not affect a client's sleep cycle."
c. "Delirium has an abrupt onset."
d. "Delirium has a slow progression." - CORRECT ANSWERS c
A nurse is speaking with a client who has recently received a diagnosis of a
chronic illness. The client states, " The doctor must be wrong. I can't be that
sick". The nurse should inform the client that their reaction is an example of
which of the following expected responses to grief?
a. Acceptance
b. Denial
c. Anger
d. Depression - CORRECT ANSWERS b
A Nurse on a medical-surgical unit is providing care for four clients. The nurse
should identify which of the following situations as an ethical dilemma?
a. A surgeon who removed the wrong kidney during a surgical procedure refuses
to take responsibility for her actions
b. A client who has Crohn's disease reports that his prescription drug plan will
not pay for his medications.
c. A client who has a new colostomy refuses to take instructions from the
ostomy therapist because she "doesn't like him."
,d. the family of a client who has a terminal illness asks the provider not to tell
the client the diagnosis - CORRECT ANSWERS d
A nurse is teaching a client about performing breast self-examinations. Which
of the following statements by the clients indicates an understanding of the
teaching?
a. "I should perform my self-exam the week that my period starts"
b. "I should make different patterns on each breast when I do my self-exam."
c. "I should use the palm of my hand to apply pressure to each breast."
d. "I should make circular motions with my fingertips under my arms." -
CORRECT ANSWERS d
A nurse is preparing to transfer a client who is partially weight bearing from the
bed to the chair. Which of the following actions should the nurse take?
a. Keep his knees straight when moving the client
b. Position the chair next to the bed as a 90 degree angle
c. Stand with his feet together when lifting the client
d. Have the client bear weight on her stronger leg - CORRECT ANSWERS
d
A nurse is caring for a client following a laparoscopic cholecystectomy. The
client has a prescription for ondansetron 4mg IV bolus every 6hr PRN for
nausea and vomiting. Identify the sequence of steps the nurse should follow to
administer the medication. ( Move the steps into the box on the right, placing
them in the order of performance. Use all the steps.)
- Select the injection port of the IV tubing closest to the client.
- Cleanse the injection port with an antiseptic swab.
- Aspirate for blood return.
- Inject the medication.
, - perform hand hygiene - CORRECT ANSWERS 1. perform hand
hygiene
2. select the injection port of the IV tubing closest to the client
3. cleanse the injection port with an antiseptic swab
4. aspirate for blood return
5. inject the medication
A nurse is teaching a client who has diabetes mellitus about mixing regular and
NPH insulin.
Which of the following statements but the client indicates an understanding of
the teaching
a. I should wait 3 minutes after mixing the insulin to inject it
b. I should draw up the NPH insulin before regular insulin
c. I should inject air into the vial of regular insulin first
d. I should roll the vial of NPH insulin between my hands before drawing it up -
CORRECT ANSWERS d
A nurse is assessing the body temperature of an adult client using a temporal
artery thermometer. Which of the following actions should the nurse take?
(Select all that apply)
a. Slide the probe across the clients forehead
b. Pull the clients pinna up & back
c. Hold the client's hair aside while performing the procedure
d. Document the client's temperature with "AX" next to the value
e. Move the probe in a circular motion - CORRECT ANSWERS a, c
A nurse is preparing to insert a peripheral IV catheter into the client's arm.
Which of the following actions should the nurse take to help dilate the vein?
a. Stroke the skin near the vein in an upward position
