ATI TN FUNDAMENTALS PROCTORED
RETAKE EXAM GUIDE | NEWEST
ACTUAL EXAM COMPLETE QUESTIONS
AND VERIFIED ANSWERS GRADED A+ |
100% PASS | 2025 UPDATE!
A nurse is preparing to preform endotracheal suctioning for a client.
Which of the following are appropriate guidelines for the nurse to
follow? Select all.
A. Apply suction while withdrawing the catheter
B. Perform suctioning on a routine basis, Q2-3 hours
C. Maintain medical asepsis during suctioning
D. Use a new catheter for each suctioning attempt
E. Limit suctioning to 2-3 attempts - ✔✔✔ Correct Answer > A, D, E
A nurse is caring for a client who is having difficulty breathing. The
client is lying in bed & is already receiving oxygen therapy via nasal
cannula. Which of the following interventions is the nurse's priority?
A. Increase the oxygen flow
B. Assist the client to Fowler's position
,C. Promote removal of pulmonary secretions
D. Obtain a specimen for arterial blood gases - ✔✔✔ Correct Answer >
B
Fowler's facilitates better breathing
A client is about to undergo an elective surgical procedure. Which of
the following actions are appropriate for the nurse who is providing
preop care regarding informed consent? Select all.
A. Make sure the surgeon obtained the client's consent
B. Witness the client's signature on the consent form
C. Explain the risks and benefits of the procedure
D. Describe the consequences of choosing not to have the surgery
E. Tell the client about alternatives to having the surgery - ✔✔✔
Correct Answer > A, B
The rest of the choices are the surgeon's responsibility, not the nurse
A nursing instructor is reviewing documentation w/a group of nursing
students. Which of the following legal guidelines should they follow
when documenting a client's record? Select all.
A. Cover errors w/correction fluid, & write in the correct info
B. Put the date & time on all entries
C. Document objective data, leaving out opinions
,D. Use as many abbreviations as possible
E. Wait until the end of the shift to document - ✔✔✔ Correct Answer >
B, C
A nurse is caring for a client who is having difficulty breathing. The
client is lying in bed & is already receiving oxygen therapy via nasal
cannula. Which of the following interventions is the nurse's priority?
A. Increase the oxygen flow
B. Assist the client to Fowler's position
C. Promote removal of pulmonary secretions
D. Obtain a specimen for arterial blood gases - ✔✔✔ Correct Answer >
B
Fowler's facilitates better breathing
B-Suctioning is not w/out risk so it should be done as needed, not
routinely.
C-endotracheal suctioning requires surgical asepsis
A nurse is preparing to preform endotracheal suctioning for a client.
Which of the following are appropriate guidelines for the nurse to
follow? Select all.
A. Apply suction while withdrawing the catheter
, B. Perform suctioning on a routine basis, Q2-3 hours
C. Maintain medical asepsis during suctioning
D. Use a new catheter for each suctioning attempt
E. Limit suctioning to 2-3 attempts - ✔✔✔ Correct Answer > A, D, E
B-Suctioning is not w/out risk so it should be done as needed, not
routinely.
C-endotracheal suctioning requires surgical asepsis
A nurse is caring for a client who has a tracheostomy. Which of the
following actions should the nurse take each time he provides
tracheostomy care? Select all.
A. Apply the oxygen source loosely if the SPO2 decreases during the
procedure
B. Use surgical asepsis to remove & clean the inner cannula
C. Clean the outer surfaces in a circular motion from the stoma site
onward
D. Replace the tracheostomy ties w/new ties
E. Cut a slit in gauze squares to place beneath the tube holder. - ✔✔✔
Correct Answer > A, B, C
D-only replace ties if soiled or wet
E-use a commercially prepared gauze w/slit not one nurse makes
RETAKE EXAM GUIDE | NEWEST
ACTUAL EXAM COMPLETE QUESTIONS
AND VERIFIED ANSWERS GRADED A+ |
100% PASS | 2025 UPDATE!
A nurse is preparing to preform endotracheal suctioning for a client.
Which of the following are appropriate guidelines for the nurse to
follow? Select all.
A. Apply suction while withdrawing the catheter
B. Perform suctioning on a routine basis, Q2-3 hours
C. Maintain medical asepsis during suctioning
D. Use a new catheter for each suctioning attempt
E. Limit suctioning to 2-3 attempts - ✔✔✔ Correct Answer > A, D, E
A nurse is caring for a client who is having difficulty breathing. The
client is lying in bed & is already receiving oxygen therapy via nasal
cannula. Which of the following interventions is the nurse's priority?
A. Increase the oxygen flow
B. Assist the client to Fowler's position
,C. Promote removal of pulmonary secretions
D. Obtain a specimen for arterial blood gases - ✔✔✔ Correct Answer >
B
Fowler's facilitates better breathing
A client is about to undergo an elective surgical procedure. Which of
the following actions are appropriate for the nurse who is providing
preop care regarding informed consent? Select all.
A. Make sure the surgeon obtained the client's consent
B. Witness the client's signature on the consent form
C. Explain the risks and benefits of the procedure
D. Describe the consequences of choosing not to have the surgery
E. Tell the client about alternatives to having the surgery - ✔✔✔
Correct Answer > A, B
The rest of the choices are the surgeon's responsibility, not the nurse
A nursing instructor is reviewing documentation w/a group of nursing
students. Which of the following legal guidelines should they follow
when documenting a client's record? Select all.
A. Cover errors w/correction fluid, & write in the correct info
B. Put the date & time on all entries
C. Document objective data, leaving out opinions
,D. Use as many abbreviations as possible
E. Wait until the end of the shift to document - ✔✔✔ Correct Answer >
B, C
A nurse is caring for a client who is having difficulty breathing. The
client is lying in bed & is already receiving oxygen therapy via nasal
cannula. Which of the following interventions is the nurse's priority?
A. Increase the oxygen flow
B. Assist the client to Fowler's position
C. Promote removal of pulmonary secretions
D. Obtain a specimen for arterial blood gases - ✔✔✔ Correct Answer >
B
Fowler's facilitates better breathing
B-Suctioning is not w/out risk so it should be done as needed, not
routinely.
C-endotracheal suctioning requires surgical asepsis
A nurse is preparing to preform endotracheal suctioning for a client.
Which of the following are appropriate guidelines for the nurse to
follow? Select all.
A. Apply suction while withdrawing the catheter
, B. Perform suctioning on a routine basis, Q2-3 hours
C. Maintain medical asepsis during suctioning
D. Use a new catheter for each suctioning attempt
E. Limit suctioning to 2-3 attempts - ✔✔✔ Correct Answer > A, D, E
B-Suctioning is not w/out risk so it should be done as needed, not
routinely.
C-endotracheal suctioning requires surgical asepsis
A nurse is caring for a client who has a tracheostomy. Which of the
following actions should the nurse take each time he provides
tracheostomy care? Select all.
A. Apply the oxygen source loosely if the SPO2 decreases during the
procedure
B. Use surgical asepsis to remove & clean the inner cannula
C. Clean the outer surfaces in a circular motion from the stoma site
onward
D. Replace the tracheostomy ties w/new ties
E. Cut a slit in gauze squares to place beneath the tube holder. - ✔✔✔
Correct Answer > A, B, C
D-only replace ties if soiled or wet
E-use a commercially prepared gauze w/slit not one nurse makes
