ATI PN FUNDAMENTALS PROCTORED EXAM-
V1 2023. // GUARANTEED PASS EXAM
STUDY GUIDE WITH VERIFIED ANSWERS
AND RATIONALE. // LATEST 2024/2025
UPDATE.
A nurse is reinforcing teaching with a client about the prevention of stress
injuries. Which of the following instructions should the nurse include? - Ans✔✔-
"When lifting a heavy object, keep it close to your body."
Rationality: The nurse should instruct the client to keep the object as close to
their body as possible to increase stability and decrease back strain when lifting
a heavy object.
A nurse is reinforcing teaching with a client about the use of crutches. Which of
the following actions by the client indicates an understanding of the teaching? -
Ans✔✔-The client advances the unaffected leg first while climbing stairs.
Rationality: When ascending stairs, the client should first advance the unaffected
leg.
The nurse should reinforce with the client that their axilla should not bear any
weight while in the tripod position because this can cause pressure injury
formation. The client should bear their weight with their arms and hands.
A nurse is preparing to palpate a client's pulse. The nurse should recognize that
which of the following pulses is located on the top of the client's foot? - Ans✔✔-
Dorsalis pedis
Rationality: The nurse should document palpating the dorsalis pedis pulse on the
top of the foot
The popliteal pulses are located behind the knees.
,The brachial pulses are located at the inner aspect of the biceps muscles.
The posterior tibial pulses are located on the inner side of the ankle below the
medial malleolus.
A nurse is reinforcing teaching with a client about smoking cessation. Which of
the following should the nurse identify as the first stage of health behavior
change? - Ans✔✔-Precontemplation
Rationality: According to evidence-based practice, the nurse should identify that
precontemplation is the first stage the client will experience when using the
stages of health behavior change. In this stage, the client avoids discussing the
behavior and does not intend to make a change in behavior. The stages of health
behavior change are precontemplation, contemplation, preparation, action and
the maintenance stage.
The nurse should identify that preparation is the third stage the client will
experience when using the stages of health behavior change. In this stage, the
client plans to make minor changes to behavior. However, according to evidence-
based practice, another stage occurs prior to the preparation stage.
The nurse should identify that maintenance is the last stage the client will
experience when using the stages of health behavior change. In this stage, the
client sustains changes to behavior. However, according to evidence-based
practice, another stage occurs prior to the maintenance stage.
The nurse should identify that action is the fourth stage the client will experience
when using the stages of health behavior change. In this stage, the client
actively changes behavior. However, according to evidence-based practice,
another stage occurs prior to the action stage.
A nurse is contributing to a plan of care for a client who has a new prescription
for a wrist restraint. Which of the following actions should the nurse include in
the plan? - Ans✔✔-Pad bony prominences on the wrist
Rationality: The nurse should pad bony prominences on the wrist to prevent skin
breakdown caused by the restraint rubbing against the client's skin.
The nurse should remove the restraint every 2 hr.
, A knot that tightens when pulled could injure the client. The nurse should use a
quick-release knot or buckle to secure the restraint.
The nurse should tie the restraint to the part of the bedframe that moves when
raising or lowering the head of the bed. The restraint should not be tied to the
siderails or the immovable part of the bedframe.
A client who has advanced cancer tells the nurse that they have a difficult time
talking to anyone about the illness. Which of the following actions should the
nurse take to encourage therapeutic communication? - Ans✔✔-Let the client
know that, as their nurse, they are available and willing to listen.
- Rationality: Active listening conveys the nurse's respect and acceptance for the
client's feelings and gives the client an opportunity to express their thoughts and
needs.
A nurse is preparing to remove a client's peripheral IV catheter. After performing
hand hygiene and applying clean gloves, which of the following actions should
the nurse take first? - Ans✔✔-Clamp the infusion tubing.
Rationality: Evidence-based practice indicates that the nurse should first clamp
the infusion tubing after applying clean gloves. This action stops the flow of the
IV fluid and prevents it from leaking out during the IV removal.
A nurse is contributing to the plan of care for a client who has a positive throat
culture for streptococci. Which of the following interventions should the nurse
recommend to be included in the plan of care? - Ans✔✔-Ensure that the client
wears a surgical mask during transportation throughout the facility.
rationality:
Streptococcal pharyngitis requires droplet precautions. The nurse should instruct
the client to wear a surgical mask when outside of the room to prevent the
spread of infection. Staff should make every attempt to limit the client's
movement outside of the room.
The nurse should provide a room with negative-pressure airflow for clients who
require airborne precautions.
V1 2023. // GUARANTEED PASS EXAM
STUDY GUIDE WITH VERIFIED ANSWERS
AND RATIONALE. // LATEST 2024/2025
UPDATE.
A nurse is reinforcing teaching with a client about the prevention of stress
injuries. Which of the following instructions should the nurse include? - Ans✔✔-
"When lifting a heavy object, keep it close to your body."
Rationality: The nurse should instruct the client to keep the object as close to
their body as possible to increase stability and decrease back strain when lifting
a heavy object.
A nurse is reinforcing teaching with a client about the use of crutches. Which of
the following actions by the client indicates an understanding of the teaching? -
Ans✔✔-The client advances the unaffected leg first while climbing stairs.
Rationality: When ascending stairs, the client should first advance the unaffected
leg.
The nurse should reinforce with the client that their axilla should not bear any
weight while in the tripod position because this can cause pressure injury
formation. The client should bear their weight with their arms and hands.
A nurse is preparing to palpate a client's pulse. The nurse should recognize that
which of the following pulses is located on the top of the client's foot? - Ans✔✔-
Dorsalis pedis
Rationality: The nurse should document palpating the dorsalis pedis pulse on the
top of the foot
The popliteal pulses are located behind the knees.
,The brachial pulses are located at the inner aspect of the biceps muscles.
The posterior tibial pulses are located on the inner side of the ankle below the
medial malleolus.
A nurse is reinforcing teaching with a client about smoking cessation. Which of
the following should the nurse identify as the first stage of health behavior
change? - Ans✔✔-Precontemplation
Rationality: According to evidence-based practice, the nurse should identify that
precontemplation is the first stage the client will experience when using the
stages of health behavior change. In this stage, the client avoids discussing the
behavior and does not intend to make a change in behavior. The stages of health
behavior change are precontemplation, contemplation, preparation, action and
the maintenance stage.
The nurse should identify that preparation is the third stage the client will
experience when using the stages of health behavior change. In this stage, the
client plans to make minor changes to behavior. However, according to evidence-
based practice, another stage occurs prior to the preparation stage.
The nurse should identify that maintenance is the last stage the client will
experience when using the stages of health behavior change. In this stage, the
client sustains changes to behavior. However, according to evidence-based
practice, another stage occurs prior to the maintenance stage.
The nurse should identify that action is the fourth stage the client will experience
when using the stages of health behavior change. In this stage, the client
actively changes behavior. However, according to evidence-based practice,
another stage occurs prior to the action stage.
A nurse is contributing to a plan of care for a client who has a new prescription
for a wrist restraint. Which of the following actions should the nurse include in
the plan? - Ans✔✔-Pad bony prominences on the wrist
Rationality: The nurse should pad bony prominences on the wrist to prevent skin
breakdown caused by the restraint rubbing against the client's skin.
The nurse should remove the restraint every 2 hr.
, A knot that tightens when pulled could injure the client. The nurse should use a
quick-release knot or buckle to secure the restraint.
The nurse should tie the restraint to the part of the bedframe that moves when
raising or lowering the head of the bed. The restraint should not be tied to the
siderails or the immovable part of the bedframe.
A client who has advanced cancer tells the nurse that they have a difficult time
talking to anyone about the illness. Which of the following actions should the
nurse take to encourage therapeutic communication? - Ans✔✔-Let the client
know that, as their nurse, they are available and willing to listen.
- Rationality: Active listening conveys the nurse's respect and acceptance for the
client's feelings and gives the client an opportunity to express their thoughts and
needs.
A nurse is preparing to remove a client's peripheral IV catheter. After performing
hand hygiene and applying clean gloves, which of the following actions should
the nurse take first? - Ans✔✔-Clamp the infusion tubing.
Rationality: Evidence-based practice indicates that the nurse should first clamp
the infusion tubing after applying clean gloves. This action stops the flow of the
IV fluid and prevents it from leaking out during the IV removal.
A nurse is contributing to the plan of care for a client who has a positive throat
culture for streptococci. Which of the following interventions should the nurse
recommend to be included in the plan of care? - Ans✔✔-Ensure that the client
wears a surgical mask during transportation throughout the facility.
rationality:
Streptococcal pharyngitis requires droplet precautions. The nurse should instruct
the client to wear a surgical mask when outside of the room to prevent the
spread of infection. Staff should make every attempt to limit the client's
movement outside of the room.
The nurse should provide a room with negative-pressure airflow for clients who
require airborne precautions.
