ACTUAL EXAM 2024 | 3 DIFFERENT EXAMS
(QUESTIONS AND CORRECT ANSWERS) |
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ATI Fundamentals Proctored Exam (First Exam)
A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing
the client's signature, the client states, " I trust my doctor, but I don't understand what is
meant by resecting my intestines." Which of the following actions should the nurse
take?
a. Describe the surgery to the client.
b. Notify the Provider.
c. Complete an incident report
d. Provide brochures about the procedure. -----CORRECT ANSWER---------------b
A nurse is documenting client care. Which of the following abbreviations should the
nurse use?
a. " SQ" for subcutaneous
b. "SS" for sliding scale
c. "BRP" for bathroom privileges
d. "OJ" for orange juice -----CORRECT ANSWER---------------c
A nurse is preparing to bathe a client who has dementia. Which of the following actions
should the nurse take?
a. Give detailed instructions for the client to follow.
b. Complete the bath even if the client is in distress.
c. Use distractions when bathing the client.
d. Allow the client to select the temperature of the bath water. -----CORRECT
ANSWER---------------c
A hospice nurse is caring for a client who has end stage cancer. Which of the following
interventions should the nurse include to promote the client's dignity?
,a. Provide guided imagery exercises to the client.
b. Refrain from discussing the client's prognosis
c. Suggest that the client keep a journal.
d. Encourage the client to share their life story. -----CORRECT ANSWER---------------b
A nurse is caring for a client who has a closed wound drainage system. Which of the
following actions should the nurse take?
a. Wear sterile gloves when emptying the container.
b. Reset the container with the drainage port closed
c. Connect the drain to high pressure suction.
d. Press straight down on the container to create vacuum. -----CORRECT ANSWER-----
----------d
A nurse receives a telephone prescription from a provider for a client who is
experiencing pain. Which of the following responses should the nurse make?
a. " Will you please spell the name of that medication for me?"
b. "Let me clarify that you want the medication given qid, correct?"
c. " I will sign my name now and leave a space for you to sign your name."
d. "Let me provide you with the client's medical record number for identification." -----
CORRECT ANSWER---------------a
During change of shift report, a nurse discovers she overlooked a prescription for a type
and cross-match of a client who is to have surgery the next day. Which of the following
actions should the nurse take first?
a. Inform the provider of the delay in obtaining the type and cross-match.
b. Obtain the client's type and cross-match.
c. Prepare an incident report for risk management.
d. Document the incident in the client's medical record. -----CORRECT ANSWER---------
------a
A Nurse is caring for client who has pneumonia. The nurse should recognize which of
the following should be discarded in a biohazard bag?
a. An emesis basin filled with blood from severe coughing
b. A bedpan containing diarrhea from a client who was receiving antibiotics
c. A disposable tissue containing expectorated sputum
d. A calibrated toilet insert filled with urine. -----CORRECT ANSWER---------------a
,A nurse is caring for a client who is receiving enteral feedings via NG tube. Which
following actions should the nurse take prior to administering the formula?
a. Check for gastric residual volume
b. Encourage the client to breathe deeply and cough.
c. Flush the tube with sterile 0.9% sodium chloride irrigation.
d. Encourage the client to take sips of water. -----CORRECT ANSWER---------------a
A nurse is caring for a client immediately following the insertion of an NG tube. Which of
the following should indicate to the nurse that the tube is placed incorrectly?
a. The client has a dry mouth
b. The client is coughing
c. The client has active bowel sounds
d. The client is hiccuping -----CORRECT ANSWER---------------b
A nurse is inserting an NG tube for a client who requires gastric decompression. Which
of the following actions should the nurse take to verify proper placement of the tube?
a. Assess the client for a gag reflex
b. Measure the pH of the gastric
c. Place the end of the NG tube in the water to observe for bubbling
d. Asculatate 2.5 cm above the umbilicus while injecting 15 ml of water -----CORRECT
ANSWER---------------b
A nurse is caring for a client who reports a pain level of 5 on a scale from 0-10. The
client informs the nurse that pain meds are not an option for managing pain. Which of
the following is an appropriate response by the nurse?
a. Would you like to get you a back massage?
b. Why do you think pain med is not going to help you?
c. You may take any herbal remedies you bring from home
d. I'm sure it will work if you just give it a chance -----CORRECT ANSWER---------------a
a nurse is caring for a client who has an extracellular fluid volume deficit. Which of the
following findings should the nurse expect?
a. Bradycardia
b. Postural hypotension
c. Distended neck vein
d. Dependent edema -----CORRECT ANSWER---------------b
, A nurse is caring for a client who is immunocompromised which of the following actions
should the nurse take?
a. Use sterile gloves to provide perineal care
b. Cleanse hands with an alcohol based hand rub before client contact
c. Have the client apply a mask when children are visiting
d. Place the client in a semi-private room -----CORRECT ANSWER---------------b
Which of the following veins should the nurse select when initiating iv therapy?
a. The radial vein on the left arm
b. The cephalic vein in the left distal forearm
c. The cephalic within on the back of the right hand
d. The basilic vein in the right antecubital fossa -----CORRECT ANSWER---------------b
interventions should the nurse take to prevent skin breakdown?
a. Apply powder to the client perineal area
b. Restrict client's fluid intake
c. Request a prescriptions for an indwelling urinary catheter
d. Apply a moisture barrier ointment after perineal hygiene -----CORRECT ANSWER-----
----------d
client tells the nurse" I am looking forward to seeing my grandchildren grow up." the
nurse should identify the client is experiencing which of the following stages of grief?
a. Acceptance
b. Bargaining
c. Anger
d. Denial -----CORRECT ANSWER---------------d
A nurse is teaching a client about the care and use of hearing aids. Which of the
following instructions should the nurse include in the teaching?
a. clean the hearing aid by soaking it in warm water
b. Turn the hearing aid off and the volume down before insertion
c. Replace the battery if the hearing aid emits a whistling sound
d. Leave the battery in place when the hearing aid is not in use -----CORRECT
ANSWER---------------b