ATI RN Fundamentals Proctored Final Exam
1. A nurse is caring for a client who has a new RX for antihypertensive med-ication. Prior
to administering the medication, the nurse uses an electronic database to gather
information about the medication and the effects it mighthave on this client. Which of the
following components of critical thinking isthe nurse using when he reviews the medication
information?
A) Knowledge
B) Experience
C) Intuition
D) Competence ANS A) Knowledge
2. A client who has an indwelling catheter reports a need to urinate. Which ofthe following
actions should the nurse take?
A) Check to see whether the catheter is patent.
B) Reassure the client that it is not possible for her to urinate.
C) Recatheterize the bladder with a larger-gauge catheter.
D) Collect a urine specimen for analysis
ANS - A) Check to see whether the catheteris patent.
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3. A nurse is caring for a client who has a RX for a 24-hr urine collection. Whichof the
following actions should the nurse take?
A) Discard the first voiding
B) Keep the urine in a singe container at room temp
C) Ask the client to urinate and pour the urine into a specimen container
D) Ask the client to urinate into the toilet, stop midstream, and finish urinatinginto the
specimen container.
ANS - A) Discard the first voiding
4. A newly licensed nurse is reporting to the charge nurse about the care shegave to a client.
She states, "The client said his leg pain was back, so I checkedhis medical record, and he last
received his pain med 6 hr ago.The prescriptionreads every 4 hours PRN for pain, so I
decided he needs it. I asked the unit nurse to observe me preparing and administering it. I
checked with the client40 minutes later, and he said his pain is going away." The charge nurse
shouldinform the newly licensed nurse that she left out which of the following stepsof the
nursing process?
A. Assessment
B. Planning
C. Intervention
D. Evaluation ANS A. Assessment
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5. A nurse is contributing to the plan of care for a client who is being admittedto the facility
with a
suspected diagnosis of pertussis. Which of the following should the nurseinclude in the plan of
care? (SATA)
A. Place the client in a room that has negative air pressure of at least sixexchanges
per hour.
B. Wear a mask when providing care within 3 ft of the client.
C. Place a surgical mask on the client if transportation to another departmentis
unavoidable.
D. Use sterile gloves when handling soiled linens.
E. Wear a gown when performing care that may result in contamination fromsecretions.
ANS - B. Wear a mask when providing care within 3 ft of the client.
C. Place a surgical mask on the client if transportation to another department isunavoidable
E. Wear a gown when performing care that may result in contamination fromsecretions.
6. A nurse is caring for a client who had an amphetamine overdose and
has sensory overload. Which of the following interventions should the nurseimplement?
A. Immediately complete a thorough assessment
B. Put the client in a room with a client who has hearing loss
C. Provide a quiet room and limit stimulation
D. Speak at a higher volume to the client and encourage ambulation.
ANS - C. Providea quiet room and limit stimulation
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