ATI PN CMS FUNDAMENTALS PROCTORED EXAM
( VERSION 1 )175 QUESTIONS AND VERIFIED
ANSWERS QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A
A nurse is teaching a newly licensed nurse about the care of a
client who has
methicillin resistant staphylococcus aureus (MRSA) infection.
Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching?
a. I will wear an N95 respirator mask when caring for the client
b. I will tell the clients visitors to wear a mask when they are within
3 feet of the client.
c. I will place the client in a private room
d. I will remove my gown before my gloves after providing client
care. - ✔✔answers✔✔c
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 has an abrupt onset - ✔✔answers✔✔a
,A nurse is preparing to insert an IV catheter for an adult client.
Which of the following actions should the nurse take?
A.choose the most proximal site on the extremity selected
B. apply a cool compress for several minutes before insertion of
the IV catheter
C. place the tourniquet below the proposed insertion site
D. place the extremity in a dependent position -
✔✔answers✔✔d
A nurse is teaching a client who is about to undergo a bowel
resection about advance directives. Which of the following
instructions should the nurse include in the teaching?
A.Your partner must be present when you sign the advance
directives
B. You will receive written information about advance directives
prior to signing
C. You are required to sign advance directives prior to surgery
D. Your provider must sign the advance directives before surgery -
✔✔answers✔✔b
A nurse is caring for a client who has wrist restraints after an
episode of violent behavior. Which of the following actions should
the nurse take?
,a. Remove one restraint at a time - ✔✔answers✔✔a
A nurse is preparing to administer several medications via NG tube
to a client who is receiving a continuous tube feeding. Which of the
following actions should the nurse take?
A. Dilute each crushed medication with sterile water
B. Mix the medication together in a single syringe
C. Flush the NG tube with 5mL of sterile water prior to
administration D. Combine the medication with the formula in the
feeding bag - ✔✔answers✔✔c
A nurse is planning care for a client who has urinary incontinence.
Which of the following interventions should the nurse include in the
client's plan of care?
a. Toilet the client every 4hr while the client is awake
b. Apply a moisture barrier in a thick layer to vulnerable skin areas
c. Cleanse the skin with antibacterial soap and hot water after each
incontinence episode
d. Reduce the clients daily fluid intake - ✔✔answers✔✔b
A nurse is caring for a client who has a prescription for a 250 mL
IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of
the following actions should the nurse take first?
A. Complete an incident report
, B. Obtain the client's vital signs
C. Document the fluid infusion in the client's chart
D. Report the incident in to the unit manager - ✔✔answers✔✔b
A home health nurse is teaching a client about home safety. Which
of the following statements by the client indicates an
understanding of the teaching? (SATA)
- I need to check my medications for expiration dates
- I will use the grab bars when getting in and out of the bathtub
- I need to have a fire escape plan with my family -
✔✔answers✔✔a, b, c
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 intestine. Which of the following actions should the nurse take?
a. notify the provider - ✔✔answers✔✔a
A nurse is discussing the stages of general adaptation syndrome
with a newly
licensed nurse. The nurse should identify that which of the
following manifestations occurs during the alarm reaction stage?
A. Dilated pupils
B. Physical exhaustion
( VERSION 1 )175 QUESTIONS AND VERIFIED
ANSWERS QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A
A nurse is teaching a newly licensed nurse about the care of a
client who has
methicillin resistant staphylococcus aureus (MRSA) infection.
Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching?
a. I will wear an N95 respirator mask when caring for the client
b. I will tell the clients visitors to wear a mask when they are within
3 feet of the client.
c. I will place the client in a private room
d. I will remove my gown before my gloves after providing client
care. - ✔✔answers✔✔c
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 has an abrupt onset - ✔✔answers✔✔a
,A nurse is preparing to insert an IV catheter for an adult client.
Which of the following actions should the nurse take?
A.choose the most proximal site on the extremity selected
B. apply a cool compress for several minutes before insertion of
the IV catheter
C. place the tourniquet below the proposed insertion site
D. place the extremity in a dependent position -
✔✔answers✔✔d
A nurse is teaching a client who is about to undergo a bowel
resection about advance directives. Which of the following
instructions should the nurse include in the teaching?
A.Your partner must be present when you sign the advance
directives
B. You will receive written information about advance directives
prior to signing
C. You are required to sign advance directives prior to surgery
D. Your provider must sign the advance directives before surgery -
✔✔answers✔✔b
A nurse is caring for a client who has wrist restraints after an
episode of violent behavior. Which of the following actions should
the nurse take?
,a. Remove one restraint at a time - ✔✔answers✔✔a
A nurse is preparing to administer several medications via NG tube
to a client who is receiving a continuous tube feeding. Which of the
following actions should the nurse take?
A. Dilute each crushed medication with sterile water
B. Mix the medication together in a single syringe
C. Flush the NG tube with 5mL of sterile water prior to
administration D. Combine the medication with the formula in the
feeding bag - ✔✔answers✔✔c
A nurse is planning care for a client who has urinary incontinence.
Which of the following interventions should the nurse include in the
client's plan of care?
a. Toilet the client every 4hr while the client is awake
b. Apply a moisture barrier in a thick layer to vulnerable skin areas
c. Cleanse the skin with antibacterial soap and hot water after each
incontinence episode
d. Reduce the clients daily fluid intake - ✔✔answers✔✔b
A nurse is caring for a client who has a prescription for a 250 mL
IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of
the following actions should the nurse take first?
A. Complete an incident report
, B. Obtain the client's vital signs
C. Document the fluid infusion in the client's chart
D. Report the incident in to the unit manager - ✔✔answers✔✔b
A home health nurse is teaching a client about home safety. Which
of the following statements by the client indicates an
understanding of the teaching? (SATA)
- I need to check my medications for expiration dates
- I will use the grab bars when getting in and out of the bathtub
- I need to have a fire escape plan with my family -
✔✔answers✔✔a, b, c
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 intestine. Which of the following actions should the nurse take?
a. notify the provider - ✔✔answers✔✔a
A nurse is discussing the stages of general adaptation syndrome
with a newly
licensed nurse. The nurse should identify that which of the
following manifestations occurs during the alarm reaction stage?
A. Dilated pupils
B. Physical exhaustion
