3. A nurse manager is overseeing the care on a unit. Which of the following
situations should the nurse manager identify as a violation of HIPAA guide-
lines?: A nurse asks a nurse from another unit to assist with her documentation.
4. A nurse is caring for a client who requires bed rest and has a prescription
for antiembolic stockings. Which of the following actions should the nurse
take?: Remove the stockings at least once per shift.
5. A nurse is administering IV fluid to an older adult client. The nurse should
perform which priority assessment to monitor for adverse effects? : Auscul-
tate lung sounds
6. A nurse is assessing a client's readiness to learn about insulin admin-
istration. Which of the following statements should the nurse identify as
an indication that the client is ready to learn? : "I can concentrate best in the
morning."
7. A nurse is performing a Romberg's test during the physical assessment
of a client. Which of the following techniques should the nurse use? : Have
the client stand with her arms at her side and her feet together.
8. A nurse is planning an deduction session for an older adult client who
has just learned that she has type 2 diabetes mellitus. Which of the following
strategies should the nurse plan to use with this client? : Allow extra time for
the client to respond to questions
9. A nurse is teaching an older client who is at risk for osteoporosis about
beginning a program of regular physical activity. Which of the following types
of activity should the nurse recommend? : Walking briskly
10. A nurse is assessing an adult client who has been immobile for the
past 3 weeks. The nurse should identify that which of the following findings
requires further intervention? : Erythema on pressure points
11. A nurse is preparing to administer 0.5 mL of oral single-dose liquid
medication to a client. Which of the following actions should the nurse
take?: Gently shake the container of medication prior to administration.
1 / 13ATI Fundamentals Proctored Exam Study Guide
2022/2023
1. A nurse is caring for a client who requires a 24-hr urine collection. Which
of the following statements by the client indicates an understanding of the
teaching?: "I flushed what I urinated at 7:00 a.m. and have saved all urine since."
2. A nurse is assessing a client who has been on bed rest for the past month.
Which of the following findings should the nurse identify as an indication
that the client has developed thrombophlebitis?: Calf swelling
1 / 2
12. A nurse is responding to a call light and finds a client lying on the bath-
room floor. Which of the following actions should the nurse take first? : Check
the client for injuries
13. A nurse is caring for a client who is expressing anger over his diagnosis
of colorectal cancer. Which of the following actions should the nurse take?-
: Reassure the client that this is an expected response to grief.
14. A nurse in a clinic is caring for a middle adult client who states, "The
doctor says that, since I am at an average risk for colon cancer, I should
have routine screening. What does that involve?" Which of the following
responses should the nurse make? : "You should have a fecal occult blood test
every year."
15. A nurse manager is preparing to review medication documentation with
a group of newly licensed nurses. Which of the following statements should
the nurse manager plan to include in the teaching? : "Use the complete name
of the medication magnesium sulfate."
16. A nurse is caring for a client who has tuberculosis. Which of the following
actions should the nurse take? : Place the client in a room with negative-pres-
sure airflow.
Wear gloves when assisting the client with oral care.
Use antimicrobial sanitizer for hand hygiene.
17. A charge nurse is discussing the responsibility of nurses caring for
clients who have Clostridium difficile infection. Which of the following infor-
mation should the nurse include in the teaching? : Have family members wear
a gown and gloves when visiting.
18. A nurse in a surgical suite notes documentation on a client's medical
record he has a latex allergy. In preparation for the client's procedure, which
of the following precautions should the nurse take? : Wrap monitoring cords
with stockinette and tape them in place.
19. A nurse is caring for a client who is reporting difficulty falling asleep.
Which of the following measures would the nurse recommend? : Use progres-
sive relaxation techniques at bedtime.
20. A nurse is caring for a client who has a prescription for 5 units of
regular insulin and 10 units of NPH insulin to mix together and administer
subcutaneously. Determine the correct order of steps for this procedure. : Air
into NPH
Air into Regular
2 / 13Powered by TCPDF (www.tcpdf.org)
2 / 2
situations should the nurse manager identify as a violation of HIPAA guide-
lines?: A nurse asks a nurse from another unit to assist with her documentation.
4. A nurse is caring for a client who requires bed rest and has a prescription
for antiembolic stockings. Which of the following actions should the nurse
take?: Remove the stockings at least once per shift.
5. A nurse is administering IV fluid to an older adult client. The nurse should
perform which priority assessment to monitor for adverse effects? : Auscul-
tate lung sounds
6. A nurse is assessing a client's readiness to learn about insulin admin-
istration. Which of the following statements should the nurse identify as
an indication that the client is ready to learn? : "I can concentrate best in the
morning."
7. A nurse is performing a Romberg's test during the physical assessment
of a client. Which of the following techniques should the nurse use? : Have
the client stand with her arms at her side and her feet together.
8. A nurse is planning an deduction session for an older adult client who
has just learned that she has type 2 diabetes mellitus. Which of the following
strategies should the nurse plan to use with this client? : Allow extra time for
the client to respond to questions
9. A nurse is teaching an older client who is at risk for osteoporosis about
beginning a program of regular physical activity. Which of the following types
of activity should the nurse recommend? : Walking briskly
10. A nurse is assessing an adult client who has been immobile for the
past 3 weeks. The nurse should identify that which of the following findings
requires further intervention? : Erythema on pressure points
11. A nurse is preparing to administer 0.5 mL of oral single-dose liquid
medication to a client. Which of the following actions should the nurse
take?: Gently shake the container of medication prior to administration.
1 / 13ATI Fundamentals Proctored Exam Study Guide
2022/2023
1. A nurse is caring for a client who requires a 24-hr urine collection. Which
of the following statements by the client indicates an understanding of the
teaching?: "I flushed what I urinated at 7:00 a.m. and have saved all urine since."
2. A nurse is assessing a client who has been on bed rest for the past month.
Which of the following findings should the nurse identify as an indication
that the client has developed thrombophlebitis?: Calf swelling
1 / 2
12. A nurse is responding to a call light and finds a client lying on the bath-
room floor. Which of the following actions should the nurse take first? : Check
the client for injuries
13. A nurse is caring for a client who is expressing anger over his diagnosis
of colorectal cancer. Which of the following actions should the nurse take?-
: Reassure the client that this is an expected response to grief.
14. A nurse in a clinic is caring for a middle adult client who states, "The
doctor says that, since I am at an average risk for colon cancer, I should
have routine screening. What does that involve?" Which of the following
responses should the nurse make? : "You should have a fecal occult blood test
every year."
15. A nurse manager is preparing to review medication documentation with
a group of newly licensed nurses. Which of the following statements should
the nurse manager plan to include in the teaching? : "Use the complete name
of the medication magnesium sulfate."
16. A nurse is caring for a client who has tuberculosis. Which of the following
actions should the nurse take? : Place the client in a room with negative-pres-
sure airflow.
Wear gloves when assisting the client with oral care.
Use antimicrobial sanitizer for hand hygiene.
17. A charge nurse is discussing the responsibility of nurses caring for
clients who have Clostridium difficile infection. Which of the following infor-
mation should the nurse include in the teaching? : Have family members wear
a gown and gloves when visiting.
18. A nurse in a surgical suite notes documentation on a client's medical
record he has a latex allergy. In preparation for the client's procedure, which
of the following precautions should the nurse take? : Wrap monitoring cords
with stockinette and tape them in place.
19. A nurse is caring for a client who is reporting difficulty falling asleep.
Which of the following measures would the nurse recommend? : Use progres-
sive relaxation techniques at bedtime.
20. A nurse is caring for a client who has a prescription for 5 units of
regular insulin and 10 units of NPH insulin to mix together and administer
subcutaneously. Determine the correct order of steps for this procedure. : Air
into NPH
Air into Regular
2 / 13Powered by TCPDF (www.tcpdf.org)
2 / 2
