ATI 2025 Fundamentals Proctored Exam: Ultimate
Retake Guide EXAM QUESTIONS AND WELL
ELABORATED ANSWERS (VERSIONS)
A nurse in a mental health clinic is caring for an older adult client who
has depression and has stopped taking their medication. The client
tells the nurse, "I want to die now that my partner is gone." Which of
the following responses should the nurse make? - CORRECT ANSWER
"Have you thought about harming yourself?"
A nurse is preparing to provide tracheostomy care for a client. Which
of the following action should the nurse plan to take? - CORRECT
ANSWER Wear clean gloves while cleaning the inner cannula.
Nurse is caring for a client who has severe rheumatoid arthritis in her
hands and is unable to feed herself. For which of the following
healthcare team members should the nurse request a referral from the
provider? - CORRECT ANSWER Occupational therapist
A nurse is caring for a postoperative client who has an IV PCA
delivering opioids. The client rates the pain as 2 on a scale of 0 to 10
and has not pressed the button to deliver a bolus dose in over 2 hours.
Which of the following action should the nurse take? - CORRECT
ANSWER Instruct the client to push the button more frequently.
The nurse is prioritizing care for a client. Which of the following
procedures should the nurse perform first? - CORRECT ANSWER
Endotracheal suctioning.
The nurse manager overhears a nurse telling a client, "I will administer
your medication by injection if you don't swallow your pills." The nurse
manager should identify that the nurse is committing which of the
following torts? - CORRECT ANSWER Assault
,The nurse is preparing to administer several medications via an NG
tube to a client who is receiving continuous to feeding. Which of the
following action should the nurse take? - CORRECT ANSWER Dilute
each crushed medication with warm water.
A nurse he's preparing to provide postmortem care for a client. Which
of the following action should the nurse plan to take? - CORRECT
ANSWER Turn the overhead lights to a bright setting.
A nurse is obtaining a health history from a client. The nurse should
recognize which of the following data as placing the client a higher
risk for osteoporosis? - CORRECT ANSWER The client has a
sedentary lifestyle.
A nurse is caring for a client who is postoperative and is in bedrest.
Which of the following action should the nurse take to decrease the
clients risk of developing a pressure injury? - CORRECT ANSWER
Ensure the client's heels are not touching the mattress.
A nurse is preparing to teach a female client about osteoporosis
prevention. Which of the following recommendations should the nurse
make for this client? - CORRECT ANSWER "Walk for 30 minutes 3 to
5 times each week."
The nurse is planning care for a client who has a prescription for
extremity restraints for both wrists. Which of the following action
should the nurse include in the plan of care? - CORRECT ANSWER -
Pad bony prominence before applying to restrains.
-Ensure the client's bed is in the lowest position.
-Assess skin temperature and color before applying the restraints.
Nurses assessing a client who is receiving a blood transfusion. The
nurse notes, lung crackles, hypoxia, and distended neck veins. Which
of the following action should the nurse take? - CORRECT ANSWER -
Obtain a prescription for diuretic.
-Administer oxygen to the client.
-Stop the transfusion.
-Place the client in high-Fowler's position.
,A nurse is preparing to reposition a client who has lower back injury.
Which of the following action should the nurse take? - CORRECT
ANSWER Flex the clients knees.
A nurse is providing discharge, teaching about safety considerations
to an older client who lives at home. The client has heart failure and
has a new prescription for hydrochlorothiazide. Which of the following
statements by the client indicates an understanding of the teaching? -
CORRECT ANSWER "I will leave a light on in my bathroom my name."
A nurse is admitting a client who is at risk for falls to a medical
surgical unit. Which of the following action should the nurse take? -
CORRECT ANSWER Provide the client with a night light.
A nurse is obtaining a health history from a client. Which of the
following factors places the client at risk for cardiovascular disease? -
CORRECT ANSWER Metabolic syndrome.
A nurse is caring for a client who has a terminal illness. The client
states, "I am not giving up. I want as much treatment as possible."
Which of the following responses should the nurse make? - CORRECT
ANSWER "I will contact your provider to discuss your options."
A nurse is preparing to administer packed RBCs to a client who has
low hemoglobin level. Which of the following action should the nurse
take prior to the start of the infusion? - CORRECT ANSWER Check
the blood products compatibility with the client's blood type.
A nurse in an emergency department is caring for a client who is
unconscious and require surgery. There is no one available to give
consent for the treatment. Which of the following action should the
nurse take? - CORRECT ANSWER Prepare the client for surgery
A nurse is teaching a client how to self administer help heparin. Which
of the following instruction should the nurse include in the teaching? -
CORRECT ANSWER Expel air bubble before injecting medication.
, A nurse is planning to change a clients tracheostomy ties. Which of
the following action should the nurse take? - CORRECT ANSWER All
A nurse is preparing to perform an Anthropometric assessment on a
client. Which of the following client data should the nurse include? -
CORRECT ANSWER Weight.
A nurse is teaching an older adult client about reducing the risk for
osteoporosis. Which of the following statements by the client
indicates an understanding of the teaching? - CORRECT ANSWER "I
will walk three times per week."
A nurse is reviewing a medication prescription that reads "morphine 5
mg IV bolus for pain." Which of the following components should the
nurse clarify with the provider? - CORRECT ANSWER Time.
A nurse is providing teaching to a client about reducing the adverse
effects of immobility. Which of the following statements by the client
indicates an understanding of the teaching? - CORRECT ANSWER "I
will perform ankle and knee exercises every hour."
A nurse is caring for a client who has dysphagia when assisting the
client during breakfast. Which of the following actions by the client
indicates the nurse should intervene? - CORRECT ANSWER The
client drinks their thickened juice with a straw.
A nurse is caring for a client who reports frequent headaches and
believes balance is achieved through the concept of Yin and yang.
Which of the following food should a nurse expect the client to choose
to treat their headache? - CORRECT ANSWER Honey.
A home health nurse is assessing the home environment of an older
adult who has osteoporosis. For which of the following findings should
the nurse intervene? - CORRECT ANSWER There's an area rug
covering a tile floor.
Retake Guide EXAM QUESTIONS AND WELL
ELABORATED ANSWERS (VERSIONS)
A nurse in a mental health clinic is caring for an older adult client who
has depression and has stopped taking their medication. The client
tells the nurse, "I want to die now that my partner is gone." Which of
the following responses should the nurse make? - CORRECT ANSWER
"Have you thought about harming yourself?"
A nurse is preparing to provide tracheostomy care for a client. Which
of the following action should the nurse plan to take? - CORRECT
ANSWER Wear clean gloves while cleaning the inner cannula.
Nurse is caring for a client who has severe rheumatoid arthritis in her
hands and is unable to feed herself. For which of the following
healthcare team members should the nurse request a referral from the
provider? - CORRECT ANSWER Occupational therapist
A nurse is caring for a postoperative client who has an IV PCA
delivering opioids. The client rates the pain as 2 on a scale of 0 to 10
and has not pressed the button to deliver a bolus dose in over 2 hours.
Which of the following action should the nurse take? - CORRECT
ANSWER Instruct the client to push the button more frequently.
The nurse is prioritizing care for a client. Which of the following
procedures should the nurse perform first? - CORRECT ANSWER
Endotracheal suctioning.
The nurse manager overhears a nurse telling a client, "I will administer
your medication by injection if you don't swallow your pills." The nurse
manager should identify that the nurse is committing which of the
following torts? - CORRECT ANSWER Assault
,The nurse is preparing to administer several medications via an NG
tube to a client who is receiving continuous to feeding. Which of the
following action should the nurse take? - CORRECT ANSWER Dilute
each crushed medication with warm water.
A nurse he's preparing to provide postmortem care for a client. Which
of the following action should the nurse plan to take? - CORRECT
ANSWER Turn the overhead lights to a bright setting.
A nurse is obtaining a health history from a client. The nurse should
recognize which of the following data as placing the client a higher
risk for osteoporosis? - CORRECT ANSWER The client has a
sedentary lifestyle.
A nurse is caring for a client who is postoperative and is in bedrest.
Which of the following action should the nurse take to decrease the
clients risk of developing a pressure injury? - CORRECT ANSWER
Ensure the client's heels are not touching the mattress.
A nurse is preparing to teach a female client about osteoporosis
prevention. Which of the following recommendations should the nurse
make for this client? - CORRECT ANSWER "Walk for 30 minutes 3 to
5 times each week."
The nurse is planning care for a client who has a prescription for
extremity restraints for both wrists. Which of the following action
should the nurse include in the plan of care? - CORRECT ANSWER -
Pad bony prominence before applying to restrains.
-Ensure the client's bed is in the lowest position.
-Assess skin temperature and color before applying the restraints.
Nurses assessing a client who is receiving a blood transfusion. The
nurse notes, lung crackles, hypoxia, and distended neck veins. Which
of the following action should the nurse take? - CORRECT ANSWER -
Obtain a prescription for diuretic.
-Administer oxygen to the client.
-Stop the transfusion.
-Place the client in high-Fowler's position.
,A nurse is preparing to reposition a client who has lower back injury.
Which of the following action should the nurse take? - CORRECT
ANSWER Flex the clients knees.
A nurse is providing discharge, teaching about safety considerations
to an older client who lives at home. The client has heart failure and
has a new prescription for hydrochlorothiazide. Which of the following
statements by the client indicates an understanding of the teaching? -
CORRECT ANSWER "I will leave a light on in my bathroom my name."
A nurse is admitting a client who is at risk for falls to a medical
surgical unit. Which of the following action should the nurse take? -
CORRECT ANSWER Provide the client with a night light.
A nurse is obtaining a health history from a client. Which of the
following factors places the client at risk for cardiovascular disease? -
CORRECT ANSWER Metabolic syndrome.
A nurse is caring for a client who has a terminal illness. The client
states, "I am not giving up. I want as much treatment as possible."
Which of the following responses should the nurse make? - CORRECT
ANSWER "I will contact your provider to discuss your options."
A nurse is preparing to administer packed RBCs to a client who has
low hemoglobin level. Which of the following action should the nurse
take prior to the start of the infusion? - CORRECT ANSWER Check
the blood products compatibility with the client's blood type.
A nurse in an emergency department is caring for a client who is
unconscious and require surgery. There is no one available to give
consent for the treatment. Which of the following action should the
nurse take? - CORRECT ANSWER Prepare the client for surgery
A nurse is teaching a client how to self administer help heparin. Which
of the following instruction should the nurse include in the teaching? -
CORRECT ANSWER Expel air bubble before injecting medication.
, A nurse is planning to change a clients tracheostomy ties. Which of
the following action should the nurse take? - CORRECT ANSWER All
A nurse is preparing to perform an Anthropometric assessment on a
client. Which of the following client data should the nurse include? -
CORRECT ANSWER Weight.
A nurse is teaching an older adult client about reducing the risk for
osteoporosis. Which of the following statements by the client
indicates an understanding of the teaching? - CORRECT ANSWER "I
will walk three times per week."
A nurse is reviewing a medication prescription that reads "morphine 5
mg IV bolus for pain." Which of the following components should the
nurse clarify with the provider? - CORRECT ANSWER Time.
A nurse is providing teaching to a client about reducing the adverse
effects of immobility. Which of the following statements by the client
indicates an understanding of the teaching? - CORRECT ANSWER "I
will perform ankle and knee exercises every hour."
A nurse is caring for a client who has dysphagia when assisting the
client during breakfast. Which of the following actions by the client
indicates the nurse should intervene? - CORRECT ANSWER The
client drinks their thickened juice with a straw.
A nurse is caring for a client who reports frequent headaches and
believes balance is achieved through the concept of Yin and yang.
Which of the following food should a nurse expect the client to choose
to treat their headache? - CORRECT ANSWER Honey.
A home health nurse is assessing the home environment of an older
adult who has osteoporosis. For which of the following findings should
the nurse intervene? - CORRECT ANSWER There's an area rug
covering a tile floor.
