ATI 2019 Fundamentals Proctored Exam & Retake:
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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 ANS- -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 ANS- -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 ANS- -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 ANS- -d
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 ANS- -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 ANS- -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 ANS- -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 ANS- -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 ANS- -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 ANS- -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
Tested Exam Strategies with Superior Questions
and Expert Solutions for Guaranteed Success
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 ANS- -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 ANS- -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 ANS- -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 ANS- -d
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 ANS- -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 ANS- -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 ANS- -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 ANS- -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 ANS- -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 ANS- -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