ATI Fundamentals Proctored EXAM 2025 QUESTIONS
AND CORRECT ANSWER
A nurse is teaching a client how to self-administer daily low dose heparin injections. Which of the
following factors is most likely to increase the clients motivation to learn?
a. The client's belief that his needs will be met through education
b. The nurse explaining the need for education to the client
c. The client seeking family approval by agreeing to a teaching plan
d. The nurse's empathy about the client having to self-inject - answer>>>aa
A nurse is caring for a client who is receiving continuous enteral feedings through gastrostomy tubes.
Which of the following actions should the nurse take?
a. Heat the formula to 105 degrees Fahrenheit
b. Flush the tubing with 10 ml of water every 2 hours
c. Change the tubing every 72 hours
d. Aspirate residual volume every 4 hours (Every 4-8 hours is correct) - answer>>>d
A nurse is caring for a client who has an incisional wound and a prescription for wound care. Which of
the following answers indicates the proper method of cleaning a wound site?
a. use a different sterile swab for each stroke - answer>>>a
A nurse is teaching a client who requires maximum support about how to use a two wheeled walker.
Which of the following actions by the client indicates an understanding of teaching?
a. The client picks up the walker with each step
b. The client stoops slightly forward when moving the walker
c. The client stands with her elbows slightly flexed while holding the walker
d. The client moves the walker ahead 10 inches with each step (Incorrect b/c 6 inches max) -
answer>>>c
A nurse is caring for a client who refuses to follow the providers prescription for bed rest. The nurse
over hears the assistive personnel tell the client that if she does not remain in bed he will place her in
restraints. The nurse should identify that the AP is committing which of the following torts?
,a. Libel
b. Defamation of character
c. Assault
d. Battery - answer>>>c
A nurse is preparing to insert an IV catheter for an older adult client who has fragile skin. Which of the
following actions should the nurse take?
a. Stabilize the vein by applying traction above the insertion site
b. Engorge the vein by placing the arm in the dependent position
c. Use friction at the insertion site to increase venous distention d.Leave the tourniquet on for 30 to 60
seconds after initial insertion - answer>>>b
A nurse is planning care for a client who has a new prescription for parental nutrition in 20% dextrose
and fat emulsion. Which of the following is the appropriate action to indicate in the plan of care?
a. Prepare the client for a central venous line
b. Change the PN infusion bag every 48 hours
c. Administer the PN and fat emulsion separately
d.Obtain a random blood glucose daily - answer>>>a
A nurse is caring for a client who is schedule for surgery while witnessing the client signature. While the
client is saying I trust my doctor, but I don't understand what he meant when he said he'll reset my
intestines. Which of the following actions should the nurse take?
a. Provide brochures about the procedure
b. Notify the provider
c. Complete an incident report
d. Describe the surgery to the client - answer>>>b
A nurse is caring for a client who is agitated and threatening to harm others. The nurse places the client
in restraints but does not notify the provider or obtain a prescription for the restraints. The situation
respects which of the following torts?
a. False imprisonment
,b. Invasion of privacy
c. Assault
d. Negligence - answer>>>a
A nurse is conducting a Webber test on a client. Which of the following is an appropriate action for the
nurse to take?
a.Place an activated tuning fork in the middle of the client's head - answer>>>a
A nurse on a medical unit is caring for a group of clients. For which of the following tasks should the
nurse wear a face shield.
a. Changing the brief of an older client who has Clostridium difficile - answer>>>a
An adult client tells a nurse about recent lack of sleep due to changing to a night shift job. Which of the
following interventions should the nurse suggest?
a. Use the television to mask external noises
b. Listen to soft music before lying down
c. Exercise just prior to bedtime d.Keep the sleeping environment warm - answer>>>b
A nurse is caring for a client who has a new diagnosis of fibromyalgia. The client tells the nurse that she
wants to use traditional Chinese medicine for treatment instead of the medication prescribed by her
provider. Which of the following is an appropriate response by the nurse?
a. You should ask the provider if she recommend traditional Chinese medicine. - answer>>>a (probs not)
A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is
appropriate for the nurse to recommend?
a. Eat a light carbohydrate snack before bedtime
b. Exercise 1 hour before bedtime
c. Drink a cup of hot cocoa before bedtime
d.Take a 30 min nap daily - answer>>>a
, A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following
responses by a newly licensed nurse indicates understanding in the teaching?a. Each element has a
range 1 to 5 points
b. The higher the score the higher the pressure ulcer risk
c. The clients age is part of the measurement
d. The scale measures six elements - answer>>>d
A nurse is planning care for client who is scheduled for an intravenous pyelogram. Which of the
following actions is appropriate for the nurse to include?
a. Ensure the client is free of metal objects
b. Administer 240 ml (8oz) oral contrast before the procedure
c. Monitor the client for pain in the suprapubic region
d. Assist the client with a bowel cleansing - answer>>>a
A staff nurse is teaching a newly hired nurse about alternatives to the use of restraints on clients who
are confused. Which of the following instructions should the staff nurse include
a. I don't know of if I will be able to meet his physical needs. - answer>>>a
A nurse is planning to obtain a blood sample from a client for capillary blood glucose posttest.
Which of the following should the nurse take to obtain the sample?
a. The pad of the finger tip
b. The lateral aspect of the finger c. The pinna of the ear
d. The side of the wrist - answer>>>b
A nurse is planning to discharge a client who has diabetes and a new prescription for insulin which of the
following actions should the nurse plan to complete first?
a. Provide the client with a contact number for a diabetes education specialist
b. Make a copy of the medication record of the reconciliation for the client
c. Determine whether the client can afford the insulin administration supplies
d. Obtain printed information about self-administration - answer>>>c
AND CORRECT ANSWER
A nurse is teaching a client how to self-administer daily low dose heparin injections. Which of the
following factors is most likely to increase the clients motivation to learn?
a. The client's belief that his needs will be met through education
b. The nurse explaining the need for education to the client
c. The client seeking family approval by agreeing to a teaching plan
d. The nurse's empathy about the client having to self-inject - answer>>>aa
A nurse is caring for a client who is receiving continuous enteral feedings through gastrostomy tubes.
Which of the following actions should the nurse take?
a. Heat the formula to 105 degrees Fahrenheit
b. Flush the tubing with 10 ml of water every 2 hours
c. Change the tubing every 72 hours
d. Aspirate residual volume every 4 hours (Every 4-8 hours is correct) - answer>>>d
A nurse is caring for a client who has an incisional wound and a prescription for wound care. Which of
the following answers indicates the proper method of cleaning a wound site?
a. use a different sterile swab for each stroke - answer>>>a
A nurse is teaching a client who requires maximum support about how to use a two wheeled walker.
Which of the following actions by the client indicates an understanding of teaching?
a. The client picks up the walker with each step
b. The client stoops slightly forward when moving the walker
c. The client stands with her elbows slightly flexed while holding the walker
d. The client moves the walker ahead 10 inches with each step (Incorrect b/c 6 inches max) -
answer>>>c
A nurse is caring for a client who refuses to follow the providers prescription for bed rest. The nurse
over hears the assistive personnel tell the client that if she does not remain in bed he will place her in
restraints. The nurse should identify that the AP is committing which of the following torts?
,a. Libel
b. Defamation of character
c. Assault
d. Battery - answer>>>c
A nurse is preparing to insert an IV catheter for an older adult client who has fragile skin. Which of the
following actions should the nurse take?
a. Stabilize the vein by applying traction above the insertion site
b. Engorge the vein by placing the arm in the dependent position
c. Use friction at the insertion site to increase venous distention d.Leave the tourniquet on for 30 to 60
seconds after initial insertion - answer>>>b
A nurse is planning care for a client who has a new prescription for parental nutrition in 20% dextrose
and fat emulsion. Which of the following is the appropriate action to indicate in the plan of care?
a. Prepare the client for a central venous line
b. Change the PN infusion bag every 48 hours
c. Administer the PN and fat emulsion separately
d.Obtain a random blood glucose daily - answer>>>a
A nurse is caring for a client who is schedule for surgery while witnessing the client signature. While the
client is saying I trust my doctor, but I don't understand what he meant when he said he'll reset my
intestines. Which of the following actions should the nurse take?
a. Provide brochures about the procedure
b. Notify the provider
c. Complete an incident report
d. Describe the surgery to the client - answer>>>b
A nurse is caring for a client who is agitated and threatening to harm others. The nurse places the client
in restraints but does not notify the provider or obtain a prescription for the restraints. The situation
respects which of the following torts?
a. False imprisonment
,b. Invasion of privacy
c. Assault
d. Negligence - answer>>>a
A nurse is conducting a Webber test on a client. Which of the following is an appropriate action for the
nurse to take?
a.Place an activated tuning fork in the middle of the client's head - answer>>>a
A nurse on a medical unit is caring for a group of clients. For which of the following tasks should the
nurse wear a face shield.
a. Changing the brief of an older client who has Clostridium difficile - answer>>>a
An adult client tells a nurse about recent lack of sleep due to changing to a night shift job. Which of the
following interventions should the nurse suggest?
a. Use the television to mask external noises
b. Listen to soft music before lying down
c. Exercise just prior to bedtime d.Keep the sleeping environment warm - answer>>>b
A nurse is caring for a client who has a new diagnosis of fibromyalgia. The client tells the nurse that she
wants to use traditional Chinese medicine for treatment instead of the medication prescribed by her
provider. Which of the following is an appropriate response by the nurse?
a. You should ask the provider if she recommend traditional Chinese medicine. - answer>>>a (probs not)
A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is
appropriate for the nurse to recommend?
a. Eat a light carbohydrate snack before bedtime
b. Exercise 1 hour before bedtime
c. Drink a cup of hot cocoa before bedtime
d.Take a 30 min nap daily - answer>>>a
, A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following
responses by a newly licensed nurse indicates understanding in the teaching?a. Each element has a
range 1 to 5 points
b. The higher the score the higher the pressure ulcer risk
c. The clients age is part of the measurement
d. The scale measures six elements - answer>>>d
A nurse is planning care for client who is scheduled for an intravenous pyelogram. Which of the
following actions is appropriate for the nurse to include?
a. Ensure the client is free of metal objects
b. Administer 240 ml (8oz) oral contrast before the procedure
c. Monitor the client for pain in the suprapubic region
d. Assist the client with a bowel cleansing - answer>>>a
A staff nurse is teaching a newly hired nurse about alternatives to the use of restraints on clients who
are confused. Which of the following instructions should the staff nurse include
a. I don't know of if I will be able to meet his physical needs. - answer>>>a
A nurse is planning to obtain a blood sample from a client for capillary blood glucose posttest.
Which of the following should the nurse take to obtain the sample?
a. The pad of the finger tip
b. The lateral aspect of the finger c. The pinna of the ear
d. The side of the wrist - answer>>>b
A nurse is planning to discharge a client who has diabetes and a new prescription for insulin which of the
following actions should the nurse plan to complete first?
a. Provide the client with a contact number for a diabetes education specialist
b. Make a copy of the medication record of the reconciliation for the client
c. Determine whether the client can afford the insulin administration supplies
d. Obtain printed information about self-administration - answer>>>c
