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ATI FUNDAMENTALS PROCTORED EXAM |
350+ QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES guaranteed
Pass | LATEST 2024-2025
1 A nurse is caring for a client who reports not sleeping at night, which interferes with her ability to
function during the day. Which of the following interventions should the nurse suggest
to this client?
A. Avoid beverages that contain caffeine
-Caffeine is a stimulant. The nurse should suggest that the client avoid caffeinated beverages.
B. Take a sleep medication regularly at bedtime
-incorrect: Sleep-promoting medication is a last resort. The nurse should not suggest this type of
medication for the client before recommending other nonpharmacological interventions.
C. Watch television for 30 minutes in bed to relax prior to falling asleep
-incorrect: Clients should associate going to bed with sleep. Therefore, the client should not getinto bed
until she is sleepy.
D. Advise the client to take several naps during the day
-incorrect: Napping in the daytime can prevent sound sleep at night
2 A nurse is conducting an admission interview with a client. Which of the following pieces of
assessment information should the nurse collect during the introductory phase of the interview?
A. Clients level of comfort and ability to participate in the interview
-The nurse should assess the client’s level of comfort and establish a rapport during the introductory or
orientation phase. The nurse should engage in active listening and present a relaxed attitude to place
the client at ease and encourage client participation. This will assist thenurse in gaining the necessary
data to formulate appropriate nursing diagnoses and outcomes.
B. Previous illnesses and surgeries
-incorrect: The nurse should assess the client’s health history, including previous illnesses and
surgeries, during the working phase of the interview.
C. Events surrounding the client’s recent illness
-incorrect: The nurse should assess the client’s health history, including events surrounding therecent or
current illness, during the working phase of the interview.
D. Sociocultural history
-incorrect: The nurse should assess the client’s sociocultural history during the working phase ofthe
interview.
3 A nurse is performing an abdominal assessment of a client. Which of the following positionsshould
the nurse tell the client to assume for this examination?
a. Lithotomy
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-incorrect: The lithotomy position is useful for gynecological examinations.
b. Lateral
-incorrect: The lateral recumbent, or side-lying position, limits access to the abdomen. Thisposition
is useful when auscultating the heart to detect murmurs.
c. Supine
-The nurse should tell the client to assume the supine position to promote relaxation of the
abdominal muscles. Having the client bend the knees enhances relaxation of the stomach muscles.
d. Sims
-incorrect: The Sims’ position limits access to the abdomen. This position is useful for rectal andvaginal
examinations.
14. 14.
4 A nurse is preparing to insert an NG tube for a client who has a bowel obstruction. Which ofthe
following actions should the nurse take first?
a. Give the client a glass of water
-incorrect: The nurse should provide a glass of water to facilitate swallowing during tube
insertion of the NG tube. However, there is another action the nurse should take first.
b. Assist the client into a sitting position
-incorrect: The nurse should assist the client into a sitting position to insert the NG tube moreeasily
and allow gravity to help facilitate the passage of the tube. However, there is another action the
nurse should take first.
c. Explain the procedure to the client
-The nurse should apply the least invasive priority-setting framework when caring for this client,which
assigns priority to nursing interventions that are least invasive to the client, as long as those interventions
do not jeopardize client safety. The nurse should take interventions that are not invasive to the client
before interventions that are invasive. This reduces the number of
organisms introduced into the body, decreasing the number of facility-acquired infections. Informing the
client about the procedure reduces fear and assists in gaining the client’s cooperation, which is
important for NG tube insertion and is the priority nursing intervention.
d. Measure the length of tubing to be inserted
-incorrect: The nurse should measure the length of the tubing to be inserted to ensure proper
tube placement. However, there is another action the nurse should take first.
5 A nurse is providing discharge teaching to a client who is recovering from lung cancer. The provider
instructed the client that he could resume lower-intensity activities of daily living. Which of the
following activities should the nurse recommend to the client?
a. Sweeping the floor
-incorrect: sweeping the floor is moderate-intensity activity
b. Shoveling snow
-incorrect: Shoveling snow is a high-intensity activity
c. Cleaning windows
-incorrect: Cleaning windows is a moderate-intensity activity
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d. Washing dishes
-Washing dishes requires a low level of activity and is appropriate for this client.
6 A nurse is caring for a client who is receiving dextrose 5% in water IV at 150 mL/hr and has ingested 4
oz of water and ½ pint of milk. What is the total 8-hr fluid intake in milliliters that the nurse should
document for this client? (round to nearest whole number)
-1560
7 A nurse is performing a physical examination of a client. The nurse should use percussion toevaluate
which of the following parts of the client’s body?
a. Heart
-incorrect: The nurse uses inspection, palpation, and auscultation to evaluate the heart.
b. Lungs
-Percussion creates a vibration that helps the examiner determine the density of the underlying tissue.
The lungs are hollow organs that can produce sounds such as resonance (a hollow soundover alveoli) or
dullness (a dull sound over consolidated areas of the lungs or diaphragm). The nurse also uses
auscultation and palpation when evaluating the lungs.
c. Thyroid gland
-incorrect: The nurse uses inspection and palpation to evaluate the thyroid gland.
d. Skin
-incorrect: The nurse uses inspection and palpation to evaluate the skin.
8 A nurse is supervising a newly licensed nurse who is administering a controlled substance.Which
of the following actions by the newly licensed nurse indicates an understanding of the procedure?
a. Placing an unused portion of the medication in a sharps box
-incorrect: The nurse should not dispose of an unused portion of a controlled substance in thesharps
container because this action does not maintain safe control of the narcotic.
b. Asking another nurse to observe the disposal of an unused portion of the medication
-The nurse should ask another nurse to witness the disposal of a controlled substance to maintainsafe
control of the narcotic.
c. Counting the inventory of the available narcotic after administering the medication
-incorrect: The nurse should count the inventory of the controlled substance before removing
adosage to maintain safe control of the narcotic.
d. Ensuring that another nurse signs the control inventory form after disposal of an
unusedportion of medication
-incorrect: Two nurses should sign the control inventory form after the disposal of a portion of anarcotic
to maintain safe control.
9 A nurse is caring for a client who has acute renal failure. Which of the following assessments
provides the most accurate measure of the client’s fluid status?
a. Daily weight
-According to the evidence-based priority-setting framework, daily weight provides important
, 4|Page
information about the client’s fluid status. A gain or loss of 1 kg (2.2 lb) indicates a gain or lossof 1 L of
fluid; therefore, weighing the client daily will provide the most accurate fluid status measurement.
b. Blood Pressure
-incorrect: While blood pressure can indicate a client’s fluid gain or losses, it is not the mostaccurate
method of measuring fluid changes.
c. Specific gravity
-incorrect: Specific gravity reflects the kidney’s ability to concentrate urine. While specific gravity
reflects client’s fluid gains or losses, it is not the most accurate method used to measurefluid changes.
d. Intake and Output
-incorrect: Intake and output reflect a client’s fluid status. However, this is not the most accuratemethod
to measure fluid changes.
21. A hospice nurse is reviewing religious practices of a group of clients with a newly licensed nurse. Which of
the following statements by the newly licensed nurse indicates an understandingof the teaching?
A. People who practice the Islamic faith pray over the deceased for a period of 5 days beforeburial.
-incorrect: For those who practice the Islamic faith, the body of the deceased is washed and
wrapped during a ritual and then buried as soon as possible following death.
B. People who practice the Hindu faith bury the deceased with their head facing north.
-incorrect: People who practice the Hindu faith may place the body with the head facing north
following death. However, cremation rather than burial is practiced by those of the Hindu faith.C.
People who practice Judaism stay with the body of the deceased until burial.
-In the Jewish faith, a family member often stays with the body until burial occurs.
D. People who are practicing the Buddhist faith have the female family members prepare thebody
following death.
-incorrect: Male family members prepare the body following death for individuals practicing the
Buddhist faith.
22. A nurse in a long-term care facility is admitting a client who is incontinent and smells
strongly of urine. His partner, who has been caring for him at home, is embarrassed and
apologizes for the smell. Which of the following responses should the nurse make?
A. “A lot of clients who are cared for at home have the same problem”
-incorrect: This automatic response implies that caregivers in the home are not able to
keepclient’s odor-free. It is a judgmental statement that is not therapeutic.
B. “Don’t worry about it. He will get a bath, and that will take care of the odor.”
-incorrect: Telling the partner not to worry blocks communication by devaluing her feelings andher
concern about the odor.
C. “It must be difficult to care for someone who is confined to bed.”
-This response addresses the feelings of the partner by reflecting her feelings, which facilitates
therapeutic communication because it is nonjudgmental and encourages the partner to express her
feelings.
D. “When was the last time that he had a bath?”
-incorrect: This response implies that the odor of urine has developed because she has not bathed her
husband for some time, which is judgmental and nontherapeutic.
23. A nurse in an emergency department is assessing a client who reports diarrhea and decreased
ATI FUNDAMENTALS PROCTORED EXAM |
350+ QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES guaranteed
Pass | LATEST 2024-2025
1 A nurse is caring for a client who reports not sleeping at night, which interferes with her ability to
function during the day. Which of the following interventions should the nurse suggest
to this client?
A. Avoid beverages that contain caffeine
-Caffeine is a stimulant. The nurse should suggest that the client avoid caffeinated beverages.
B. Take a sleep medication regularly at bedtime
-incorrect: Sleep-promoting medication is a last resort. The nurse should not suggest this type of
medication for the client before recommending other nonpharmacological interventions.
C. Watch television for 30 minutes in bed to relax prior to falling asleep
-incorrect: Clients should associate going to bed with sleep. Therefore, the client should not getinto bed
until she is sleepy.
D. Advise the client to take several naps during the day
-incorrect: Napping in the daytime can prevent sound sleep at night
2 A nurse is conducting an admission interview with a client. Which of the following pieces of
assessment information should the nurse collect during the introductory phase of the interview?
A. Clients level of comfort and ability to participate in the interview
-The nurse should assess the client’s level of comfort and establish a rapport during the introductory or
orientation phase. The nurse should engage in active listening and present a relaxed attitude to place
the client at ease and encourage client participation. This will assist thenurse in gaining the necessary
data to formulate appropriate nursing diagnoses and outcomes.
B. Previous illnesses and surgeries
-incorrect: The nurse should assess the client’s health history, including previous illnesses and
surgeries, during the working phase of the interview.
C. Events surrounding the client’s recent illness
-incorrect: The nurse should assess the client’s health history, including events surrounding therecent or
current illness, during the working phase of the interview.
D. Sociocultural history
-incorrect: The nurse should assess the client’s sociocultural history during the working phase ofthe
interview.
3 A nurse is performing an abdominal assessment of a client. Which of the following positionsshould
the nurse tell the client to assume for this examination?
a. Lithotomy
,2|Page
-incorrect: The lithotomy position is useful for gynecological examinations.
b. Lateral
-incorrect: The lateral recumbent, or side-lying position, limits access to the abdomen. Thisposition
is useful when auscultating the heart to detect murmurs.
c. Supine
-The nurse should tell the client to assume the supine position to promote relaxation of the
abdominal muscles. Having the client bend the knees enhances relaxation of the stomach muscles.
d. Sims
-incorrect: The Sims’ position limits access to the abdomen. This position is useful for rectal andvaginal
examinations.
14. 14.
4 A nurse is preparing to insert an NG tube for a client who has a bowel obstruction. Which ofthe
following actions should the nurse take first?
a. Give the client a glass of water
-incorrect: The nurse should provide a glass of water to facilitate swallowing during tube
insertion of the NG tube. However, there is another action the nurse should take first.
b. Assist the client into a sitting position
-incorrect: The nurse should assist the client into a sitting position to insert the NG tube moreeasily
and allow gravity to help facilitate the passage of the tube. However, there is another action the
nurse should take first.
c. Explain the procedure to the client
-The nurse should apply the least invasive priority-setting framework when caring for this client,which
assigns priority to nursing interventions that are least invasive to the client, as long as those interventions
do not jeopardize client safety. The nurse should take interventions that are not invasive to the client
before interventions that are invasive. This reduces the number of
organisms introduced into the body, decreasing the number of facility-acquired infections. Informing the
client about the procedure reduces fear and assists in gaining the client’s cooperation, which is
important for NG tube insertion and is the priority nursing intervention.
d. Measure the length of tubing to be inserted
-incorrect: The nurse should measure the length of the tubing to be inserted to ensure proper
tube placement. However, there is another action the nurse should take first.
5 A nurse is providing discharge teaching to a client who is recovering from lung cancer. The provider
instructed the client that he could resume lower-intensity activities of daily living. Which of the
following activities should the nurse recommend to the client?
a. Sweeping the floor
-incorrect: sweeping the floor is moderate-intensity activity
b. Shoveling snow
-incorrect: Shoveling snow is a high-intensity activity
c. Cleaning windows
-incorrect: Cleaning windows is a moderate-intensity activity
,3|Page
d. Washing dishes
-Washing dishes requires a low level of activity and is appropriate for this client.
6 A nurse is caring for a client who is receiving dextrose 5% in water IV at 150 mL/hr and has ingested 4
oz of water and ½ pint of milk. What is the total 8-hr fluid intake in milliliters that the nurse should
document for this client? (round to nearest whole number)
-1560
7 A nurse is performing a physical examination of a client. The nurse should use percussion toevaluate
which of the following parts of the client’s body?
a. Heart
-incorrect: The nurse uses inspection, palpation, and auscultation to evaluate the heart.
b. Lungs
-Percussion creates a vibration that helps the examiner determine the density of the underlying tissue.
The lungs are hollow organs that can produce sounds such as resonance (a hollow soundover alveoli) or
dullness (a dull sound over consolidated areas of the lungs or diaphragm). The nurse also uses
auscultation and palpation when evaluating the lungs.
c. Thyroid gland
-incorrect: The nurse uses inspection and palpation to evaluate the thyroid gland.
d. Skin
-incorrect: The nurse uses inspection and palpation to evaluate the skin.
8 A nurse is supervising a newly licensed nurse who is administering a controlled substance.Which
of the following actions by the newly licensed nurse indicates an understanding of the procedure?
a. Placing an unused portion of the medication in a sharps box
-incorrect: The nurse should not dispose of an unused portion of a controlled substance in thesharps
container because this action does not maintain safe control of the narcotic.
b. Asking another nurse to observe the disposal of an unused portion of the medication
-The nurse should ask another nurse to witness the disposal of a controlled substance to maintainsafe
control of the narcotic.
c. Counting the inventory of the available narcotic after administering the medication
-incorrect: The nurse should count the inventory of the controlled substance before removing
adosage to maintain safe control of the narcotic.
d. Ensuring that another nurse signs the control inventory form after disposal of an
unusedportion of medication
-incorrect: Two nurses should sign the control inventory form after the disposal of a portion of anarcotic
to maintain safe control.
9 A nurse is caring for a client who has acute renal failure. Which of the following assessments
provides the most accurate measure of the client’s fluid status?
a. Daily weight
-According to the evidence-based priority-setting framework, daily weight provides important
, 4|Page
information about the client’s fluid status. A gain or loss of 1 kg (2.2 lb) indicates a gain or lossof 1 L of
fluid; therefore, weighing the client daily will provide the most accurate fluid status measurement.
b. Blood Pressure
-incorrect: While blood pressure can indicate a client’s fluid gain or losses, it is not the mostaccurate
method of measuring fluid changes.
c. Specific gravity
-incorrect: Specific gravity reflects the kidney’s ability to concentrate urine. While specific gravity
reflects client’s fluid gains or losses, it is not the most accurate method used to measurefluid changes.
d. Intake and Output
-incorrect: Intake and output reflect a client’s fluid status. However, this is not the most accuratemethod
to measure fluid changes.
21. A hospice nurse is reviewing religious practices of a group of clients with a newly licensed nurse. Which of
the following statements by the newly licensed nurse indicates an understandingof the teaching?
A. People who practice the Islamic faith pray over the deceased for a period of 5 days beforeburial.
-incorrect: For those who practice the Islamic faith, the body of the deceased is washed and
wrapped during a ritual and then buried as soon as possible following death.
B. People who practice the Hindu faith bury the deceased with their head facing north.
-incorrect: People who practice the Hindu faith may place the body with the head facing north
following death. However, cremation rather than burial is practiced by those of the Hindu faith.C.
People who practice Judaism stay with the body of the deceased until burial.
-In the Jewish faith, a family member often stays with the body until burial occurs.
D. People who are practicing the Buddhist faith have the female family members prepare thebody
following death.
-incorrect: Male family members prepare the body following death for individuals practicing the
Buddhist faith.
22. A nurse in a long-term care facility is admitting a client who is incontinent and smells
strongly of urine. His partner, who has been caring for him at home, is embarrassed and
apologizes for the smell. Which of the following responses should the nurse make?
A. “A lot of clients who are cared for at home have the same problem”
-incorrect: This automatic response implies that caregivers in the home are not able to
keepclient’s odor-free. It is a judgmental statement that is not therapeutic.
B. “Don’t worry about it. He will get a bath, and that will take care of the odor.”
-incorrect: Telling the partner not to worry blocks communication by devaluing her feelings andher
concern about the odor.
C. “It must be difficult to care for someone who is confined to bed.”
-This response addresses the feelings of the partner by reflecting her feelings, which facilitates
therapeutic communication because it is nonjudgmental and encourages the partner to express her
feelings.
D. “When was the last time that he had a bath?”
-incorrect: This response implies that the odor of urine has developed because she has not bathed her
husband for some time, which is judgmental and nontherapeutic.
23. A nurse in an emergency department is assessing a client who reports diarrhea and decreased
