ATI PROCTORED FUNDAMENTAL ACTUAL
EXAM QUESTIONS AND SOLUTIONS
◉ A nurse is completing discharge teaching about ostomy care with
a client who has a new stoma. Which of the following instructions
should the nurse include in the teaching? (select all that apply)
a. "Cut the opening of the pouch 1⁄8 of an inch larger than the stoma
"
b. "Place a piece a gauze over the stoma while changing the pouch"
c. "Use povidone-iodine to clean around the stoma"
d. "Empty the ostomy pouch when it becomes one-third full of
contents"
e. expect the stoma to turn a purple-blue color as its heals".
Answer: a, b, d
◉ A nurse is preparing to obtain informed consent from a client who
speaks a different language than the nurse. Which of the following
actions should the nurse take?
a. "Request that an assistive personnel interpret the information for
the client"
b. "Use proper medical terms when giving information to the client"
c. "Offer written information in the client's language"
d. "Avoid using gestures when speaking to the client".
,Answer: c
◉ A nurse is teaching a client about home care equipment. Which of
the following information should the nurse include in the teaching?
(select all that apply)
a. "Avoid using wool blankets when receiving oxygen"
b. check the O2 delivery rate at least once a day
c. align the middle of the ball in the flow meter with the line of the
prescribed flow rate
d. "Keep the oxygen delivery system 0.6 m (2 feet) from any heat
source"
e. "Lay the oxygen tank flat when storing".
Answer: a, b, c,d
◉ A nurse is planning care for a client who reports insomnia. Which
of the following actions should the nurse perform shortly before
bedtime?
a. Provide a late supper.
b. Offer a wet washcloth for the client to wash her face
c. Perform range-of-motion exercises
d. Prepare hot cocoa or tea for the client.
Answer: a
,◉ A nurse on a medical-surgical unit is receiving a change-of-shift
report for four clients. Which of the following clients should the
nurse see first?
a. A client who has acute abdominal pain of 4 on a scale from 0 to 10
b. A client who has pneumonia and an oxygen saturation of 96%
c. A client who has new onset of dyspnea 24hr after a total hip
arthroplasty •
d. A client who
has a urinary tract infection and low-grade fever.
Answer: c
◉ A nurse is reviewing a client's intake and output and notes the
following: 0.9% sodium chloride 600mL IV infusion, cefazolin 250
mg in dextrose 5% in water 100mL intermittent IV bolus, 200mL
emesis, 40mL voided urine, and 20mL urine from straight
catheterization. The nurse should record the client's net fluid intake
as how many mL? (Round the answer to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.)
DOSAGE CALCULATION.
Answer: 700 mL
◉ A nurse is discussing incident reports with a group of newly
licensed nurses. The nurse should include that which if the following
requires the completion of an incident report?
a. A client's prescribed laboratory testing was not obtained
, b. A client withdrew consent for a procedure
c. An oncoming nurse arrived to work late
d. A nurse transfused a unit of packed RBCs in 2 hr..
Answer: a
◉ A nurse is caring for a client who has a new prescription for
negative-pressure therapy for a chronic wound. The nurse is
unfamiliar with the procedure. Which of the following resources
should the nurse consult to learn more about the intervention.
a. The client's plan of care
b. The nurse practice act
c. The material safety data sheet
d. The policy and procedure manual.
Answer: d
◉ A nurse is performing postural drainage with percussion and
vibration for a client who has cystic fibrosis. Which of the following
actions should the nurse take?
a. Cover the area of percussion with a towel.
b. Instruct the client to exhale quickly during vibration
c. Schedule postural drainage after meals
d. Perform percussion over the lower back.
Answer: d
EXAM QUESTIONS AND SOLUTIONS
◉ A nurse is completing discharge teaching about ostomy care with
a client who has a new stoma. Which of the following instructions
should the nurse include in the teaching? (select all that apply)
a. "Cut the opening of the pouch 1⁄8 of an inch larger than the stoma
"
b. "Place a piece a gauze over the stoma while changing the pouch"
c. "Use povidone-iodine to clean around the stoma"
d. "Empty the ostomy pouch when it becomes one-third full of
contents"
e. expect the stoma to turn a purple-blue color as its heals".
Answer: a, b, d
◉ A nurse is preparing to obtain informed consent from a client who
speaks a different language than the nurse. Which of the following
actions should the nurse take?
a. "Request that an assistive personnel interpret the information for
the client"
b. "Use proper medical terms when giving information to the client"
c. "Offer written information in the client's language"
d. "Avoid using gestures when speaking to the client".
,Answer: c
◉ A nurse is teaching a client about home care equipment. Which of
the following information should the nurse include in the teaching?
(select all that apply)
a. "Avoid using wool blankets when receiving oxygen"
b. check the O2 delivery rate at least once a day
c. align the middle of the ball in the flow meter with the line of the
prescribed flow rate
d. "Keep the oxygen delivery system 0.6 m (2 feet) from any heat
source"
e. "Lay the oxygen tank flat when storing".
Answer: a, b, c,d
◉ A nurse is planning care for a client who reports insomnia. Which
of the following actions should the nurse perform shortly before
bedtime?
a. Provide a late supper.
b. Offer a wet washcloth for the client to wash her face
c. Perform range-of-motion exercises
d. Prepare hot cocoa or tea for the client.
Answer: a
,◉ A nurse on a medical-surgical unit is receiving a change-of-shift
report for four clients. Which of the following clients should the
nurse see first?
a. A client who has acute abdominal pain of 4 on a scale from 0 to 10
b. A client who has pneumonia and an oxygen saturation of 96%
c. A client who has new onset of dyspnea 24hr after a total hip
arthroplasty •
d. A client who
has a urinary tract infection and low-grade fever.
Answer: c
◉ A nurse is reviewing a client's intake and output and notes the
following: 0.9% sodium chloride 600mL IV infusion, cefazolin 250
mg in dextrose 5% in water 100mL intermittent IV bolus, 200mL
emesis, 40mL voided urine, and 20mL urine from straight
catheterization. The nurse should record the client's net fluid intake
as how many mL? (Round the answer to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.)
DOSAGE CALCULATION.
Answer: 700 mL
◉ A nurse is discussing incident reports with a group of newly
licensed nurses. The nurse should include that which if the following
requires the completion of an incident report?
a. A client's prescribed laboratory testing was not obtained
, b. A client withdrew consent for a procedure
c. An oncoming nurse arrived to work late
d. A nurse transfused a unit of packed RBCs in 2 hr..
Answer: a
◉ A nurse is caring for a client who has a new prescription for
negative-pressure therapy for a chronic wound. The nurse is
unfamiliar with the procedure. Which of the following resources
should the nurse consult to learn more about the intervention.
a. The client's plan of care
b. The nurse practice act
c. The material safety data sheet
d. The policy and procedure manual.
Answer: d
◉ A nurse is performing postural drainage with percussion and
vibration for a client who has cystic fibrosis. Which of the following
actions should the nurse take?
a. Cover the area of percussion with a towel.
b. Instruct the client to exhale quickly during vibration
c. Schedule postural drainage after meals
d. Perform percussion over the lower back.
Answer: d
