ATI Fundamentals Proctored Exam
Questions and Answers.
A nurse is preparing to administer diphenhydramine 20 mg orally
to a 6-year-old child who has difficulty swallowing pills. Available
is diphenhydramine 12.5mg/5ml oral syrup. Which of the following
images indicates the correct number of mL the nurse should
administer? (round answer to the nearest whole number.)
DOSAGE CALCULATION - Correct answer 8ml
A nurse is admitting a client who is malnourished. The client
states, "My wedding ring is loose and I'm worried I will lose it if it
falls off."Which of the following is an appropriate response by the
nurse?
a. " I will place it in your drawer so it won't get lost."
b. I can pin it to your hospital gown so you won't lose it."
c. "I will hold onto it until a family member can take it home."
d. I can put it in a locked storage unit for you - Correct answer d
A charge nurse is teaching a group of newly licensed nurses
about the use of restraints. In which of the following clinical
situations should the nurse apply restraints?
a. If the client is pacing in the hallway
b. As a part of a fall prevention program
c. At the request of the client's family
d. When the client poses a threat to self - Correct answer d
To ensure client safety, a nurse manager is planning to observe a
newly licensed nurse perform a straight catheterization on a
client. In which of the following roles is the nurse manager
functioning?
a. Case manager
b. Client educator
c. Client care provider
,d. Client advocate - Correct answer d
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 does not affect a client's perception of her
environment."
b. "Delirium does not affect a client's sleep cycle."
c. "Delirium has an abrupt onset."
d. "Delirium has a slow progression." - Correct answer c
A nurse is speaking with a client who has recently received a
diagnosis of a chronic illness. The client states, " The doctor must
be wrong. I can't be that sick". The nurse should inform the client
that their reaction is an example of which of the following
expected responses to grief?
a. Acceptance
b. Denial
c. Anger
d. Depression - Correct answer b
A Nurse on a medical-surgical unit is providing care for four
clients. The nurse should identify which of the following situations
as an ethical dilemma?
a. A surgeon who removed the wrong kidney during a surgical
procedure refuses to take responsibility for her actions
b. A client who has Crohn's disease reports that his prescription
drug plan will not pay for his medications.
c. A client who has a new colostomy refuses to take instructions
from the ostomy therapist because she "doesn't like him."
d. the family of a client who has a terminal illness asks the
provider not to tell the client the diagnosis - Correct answer d
,A nurse is teaching a client about performing breast self-
examinations. Which of the following statements by the clients
indicates an understanding of the teaching?
a. "I should perform my self-exam the week that my period starts"
b. "I should make different patterns on each breast when I do my
self-exam."
c. "I should use the palm of my hand to apply pressure to each
breast."
d. "I should make circular motions with my fingertips under my
arms." - Correct answer d
A nurse is preparing to transfer a client who is partially weight
bearing from the bed to the chair. Which of the following actions
should the nurse take?
a. Keep his knees straight when moving the client
b. Position the chair next to the bed as a 90 degree angle
c. Stand with his feet together when lifting the client
d. Have the client bear weight on her stronger leg - Correct answer
d
A nurse is caring for a client following a laparoscopic
cholecystectomy. The client has a prescription for ondansetron
4mg IV bolus every 6hr PRN for nausea and vomiting. Identify the
sequence of steps the nurse should follow to administer the
medication. ( Move the steps into the box on the right, placing
them in the order of performance. Use all the steps.)
- Select the injection port of the IV tubing closest to the client.
- Cleanse the injection port with an antiseptic swab.
- Aspirate for blood return.
- Inject the medication.
- perform hand hygiene - Correct answer 1. perform hand hygiene
2. select the injection port of the IV tubing closest to the client
3. cleanse the injection port with an antiseptic swab
4. aspirate for blood return
5. inject the medication
, A nurse is teaching a client who has diabetes mellitus about
mixing regular and NPH insulin.
Which of the following statements but the client indicates an
understanding of the teaching
a. I should wait 3 minutes after mixing the insulin to inject it
b. I should draw up the NPH insulin before regular insulin
c. I should inject air into the vial of regular insulin first
d. I should roll the vial of NPH insulin between my hands before
drawing it up - Correct answer d
A nurse is assessing the body temperature of an adult client using
a temporal artery thermometer. Which of the following actions
should the nurse take? (Select all that apply)
a. Slide the probe across the clients forehead
b. Pull the clients pinna up & back
c. Hold the client's hair aside while performing the procedure
d. Document the client's temperature with "AX" next to the value
e. Move the probe in a circular motion - Correct answer a, c
A nurse is preparing to insert a peripheral IV catheter into the
client's arm. Which of the following actions should the nurse take
to help dilate the vein?
a. Stroke the skin near the vein in an upward position
b. Dangle the client's arm over the edge of the bed
c. Apply a cool compress to the vein for 10 min
d. Instruct the client to flex their arm with the hand open - Correct
answer b
A nurse is preparing to suction a client's tracheostomy tube.
Which of the following actions should the nurse plan to take?
a. Apply intermittent suction during catheter insertion
b. Suction the client's airway for 20 seconds with each pass
c. Hyperoxygenate the client manually for 30 to 60 seconds
before suctioning
Questions and Answers.
A nurse is preparing to administer diphenhydramine 20 mg orally
to a 6-year-old child who has difficulty swallowing pills. Available
is diphenhydramine 12.5mg/5ml oral syrup. Which of the following
images indicates the correct number of mL the nurse should
administer? (round answer to the nearest whole number.)
DOSAGE CALCULATION - Correct answer 8ml
A nurse is admitting a client who is malnourished. The client
states, "My wedding ring is loose and I'm worried I will lose it if it
falls off."Which of the following is an appropriate response by the
nurse?
a. " I will place it in your drawer so it won't get lost."
b. I can pin it to your hospital gown so you won't lose it."
c. "I will hold onto it until a family member can take it home."
d. I can put it in a locked storage unit for you - Correct answer d
A charge nurse is teaching a group of newly licensed nurses
about the use of restraints. In which of the following clinical
situations should the nurse apply restraints?
a. If the client is pacing in the hallway
b. As a part of a fall prevention program
c. At the request of the client's family
d. When the client poses a threat to self - Correct answer d
To ensure client safety, a nurse manager is planning to observe a
newly licensed nurse perform a straight catheterization on a
client. In which of the following roles is the nurse manager
functioning?
a. Case manager
b. Client educator
c. Client care provider
,d. Client advocate - Correct answer d
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 does not affect a client's perception of her
environment."
b. "Delirium does not affect a client's sleep cycle."
c. "Delirium has an abrupt onset."
d. "Delirium has a slow progression." - Correct answer c
A nurse is speaking with a client who has recently received a
diagnosis of a chronic illness. The client states, " The doctor must
be wrong. I can't be that sick". The nurse should inform the client
that their reaction is an example of which of the following
expected responses to grief?
a. Acceptance
b. Denial
c. Anger
d. Depression - Correct answer b
A Nurse on a medical-surgical unit is providing care for four
clients. The nurse should identify which of the following situations
as an ethical dilemma?
a. A surgeon who removed the wrong kidney during a surgical
procedure refuses to take responsibility for her actions
b. A client who has Crohn's disease reports that his prescription
drug plan will not pay for his medications.
c. A client who has a new colostomy refuses to take instructions
from the ostomy therapist because she "doesn't like him."
d. the family of a client who has a terminal illness asks the
provider not to tell the client the diagnosis - Correct answer d
,A nurse is teaching a client about performing breast self-
examinations. Which of the following statements by the clients
indicates an understanding of the teaching?
a. "I should perform my self-exam the week that my period starts"
b. "I should make different patterns on each breast when I do my
self-exam."
c. "I should use the palm of my hand to apply pressure to each
breast."
d. "I should make circular motions with my fingertips under my
arms." - Correct answer d
A nurse is preparing to transfer a client who is partially weight
bearing from the bed to the chair. Which of the following actions
should the nurse take?
a. Keep his knees straight when moving the client
b. Position the chair next to the bed as a 90 degree angle
c. Stand with his feet together when lifting the client
d. Have the client bear weight on her stronger leg - Correct answer
d
A nurse is caring for a client following a laparoscopic
cholecystectomy. The client has a prescription for ondansetron
4mg IV bolus every 6hr PRN for nausea and vomiting. Identify the
sequence of steps the nurse should follow to administer the
medication. ( Move the steps into the box on the right, placing
them in the order of performance. Use all the steps.)
- Select the injection port of the IV tubing closest to the client.
- Cleanse the injection port with an antiseptic swab.
- Aspirate for blood return.
- Inject the medication.
- perform hand hygiene - Correct answer 1. perform hand hygiene
2. select the injection port of the IV tubing closest to the client
3. cleanse the injection port with an antiseptic swab
4. aspirate for blood return
5. inject the medication
, A nurse is teaching a client who has diabetes mellitus about
mixing regular and NPH insulin.
Which of the following statements but the client indicates an
understanding of the teaching
a. I should wait 3 minutes after mixing the insulin to inject it
b. I should draw up the NPH insulin before regular insulin
c. I should inject air into the vial of regular insulin first
d. I should roll the vial of NPH insulin between my hands before
drawing it up - Correct answer d
A nurse is assessing the body temperature of an adult client using
a temporal artery thermometer. Which of the following actions
should the nurse take? (Select all that apply)
a. Slide the probe across the clients forehead
b. Pull the clients pinna up & back
c. Hold the client's hair aside while performing the procedure
d. Document the client's temperature with "AX" next to the value
e. Move the probe in a circular motion - Correct answer a, c
A nurse is preparing to insert a peripheral IV catheter into the
client's arm. Which of the following actions should the nurse take
to help dilate the vein?
a. Stroke the skin near the vein in an upward position
b. Dangle the client's arm over the edge of the bed
c. Apply a cool compress to the vein for 10 min
d. Instruct the client to flex their arm with the hand open - Correct
answer b
A nurse is preparing to suction a client's tracheostomy tube.
Which of the following actions should the nurse plan to take?
a. Apply intermittent suction during catheter insertion
b. Suction the client's airway for 20 seconds with each pass
c. Hyperoxygenate the client manually for 30 to 60 seconds
before suctioning
