ATI 2025 Fundamentals Proctored Exam: Ultimate
Retake Guide EXAM QUESTIONS AND WELL
ELABORATED ANSWERS (3 VERSIONS)
A nurse at an assisted living facility is preparing an in-service for
residents about electrical safety. Which of the following instructions
should the nurse include? - CORRECT ANSWER Disconnect electrical
equipment by grasping the plug
A nurse is caring for a client who has a tracheostomy collar. As the
nurse is performing tracheal suctioning, the client's heart rate and
oxygen saturation decrease. which of the following actions should the
nurse take? - CORRECT ANSWER Discontinued suctioning.
A nurse is caring for a client who has a new diagnosis of terminal
cancer. Which of the following interventions is a priority? - CORRECT
ANSWER Discuss the client's prior coping mechanism.
A staff nurse is teaching a newly hired nurse how to complete an
informed consent document for a client. the stop should include that
the nurse signature on the form confirms which of the following
requirements? - CORRECT ANSWER a. The client was not coerced.
b. The client does not have a mental health condition.
c. The client Signed in the nurse's presence.
e. The client has legal authority to do so.
A nurse is caring for a client who has a chest tube following thoracic
surgery. Which of the following tasks should the nurse delegate to an
assistive personnel? - CORRECT ANSWER Assist the client to select
food choices from the menu.
,. A community health nurse is caring for a group of families. The nurse
should identify that which of the following families is experiencing a
maturational loss? - CORRECT ANSWER A family whose oldest child
is moving away for college
A nurse on a medical-surgical unit is dividing care for four clients. The
nurse should identify which of the following situations as an ethical
dilemma? - CORRECT ANSWER The family of a client who has a
terminal illness has the provider not to tell the client the diagnosis.
A nurse is caring for a client who has chronic back pain and asked
about receiving acupuncture for relief. Which of the following findings
should the nurse identify as a contraindication to receiving this
shipment? - CORRECT ANSWER . Cellulitis
Contraindicated in people who have bleeding disorders and skin
infections
A nurse is auscultating a client's abdomen. The nurse hears a blowing
sound over the aorta. The nurse should identify this sound as which of
the following? - CORRECT ANSWER Bruit
. A nurse is providing teaching to a client who has diabetes mellitus
about performing a capillary blood glucose test. Which of the following
instructions should the nurse include in the teaching? - CORRECT
ANSWER Gently squeeze the puncture site until a large droplet of
blood forms
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- ROM is needed to
prevent contractures .
A nurse is monitoring a client who is receiving continuous IV fluid
therapy via a peripheral vein in the left forearm. Which of the following
findings indicates that the client has developed phelbitis at the IV
site? - CORRECT ANSWER Erythema along the path of the vein
,A nurse is planning care for a client who reports insomnia. Which of
the following actions should the nurse perform shortly before bedtime?
- CORRECT ANSWER Offer a wet washcloth for the client to wash her
face
. A nurse is providing teaching to a newly licensed nurse about the
care of a client who has MRSA. Which of the following statements by
the newly licensed nurse indicates an understanding of teaching? -
CORRECT ANSWER I will place the client in a private room
A nurse is teaching a client who requires maximal support about how
to use a two wheeled walker. Which of the following actions by the
client indicates an understanding of teaching - CORRECT ANSWER
The client moves the walker ahead 25.4cm with each step
A nurse in a provider's office is caring for a client who states "I always
have trouble sleeping". Which of the following actions should the nurse
take first? - CORRECT ANSWER Identify the client typical bedtime
routine
A nurse is teaching about home safety with a client. Which of the
following instructions should the nurse include? - CORRECT ANSWER
Use electrical tape to secure extension cords next to baseboards on
the floor
A nurse is caring for a client who is 6 hr postoperative following
abdominal surgery and is having difficulty voiding. Which of the
following actions should the nurse take? - CORRECT ANSWER Allow
the client to hear running water while attempting to void
A nurse on a medical surgical unit is receiving a change-of-shift report
for four clients. Which of the following clients should the nurse see
first? - CORRECT ANSWER A client who has new onset of dyspnea 24
hr after a total hip arthroplasty
always look for new onset of anything
, A nurse is caring for an adolescent client who has full-thickness burns
on his leg. The client expresses concern about his future. Which of the
following is therapeutic response by the nurse? - CORRECT ANSWER
"You're concerned about what will happen when you leave the
hospital?"
A nurse is assessing the breath sounds of an adult client who has
pneumonia. Which of the following actions should the nurse take? -
CORRECT ANSWER Ask the client to breathe in deeply through his
nose
A nurse is caring for a client who has a prescription for morphine 5mg
IM accidentally administers the whole 10 mg from the single-dose vial.
Which of the following actions should the nurse take first? - CORRECT
ANSWER -Measure the client's respiratory rate.
-Rationale: Morphine can cause respiratory depression. You should
ALWAYS ASSESS the patient first when a med error is performed to
make sure med error doesn't put the client's health in risk.
The nurse is reviewing a complementary therapies approved by the
provider with a client who has hypertension. Which of the following
supplements should the nurse discuss with the client? - CORRECT
ANSWER Garlic
A nurse identifies a small fire in a client;s room. After moving the
client to safety, which of the following is the next action the nurse
should take? - CORRECT ANSWER Activate the facility's fire alarm.
A nurse is planning to administer insulin to a client who has type 1 DM,
what action should the nurse perform first? - CORRECT ANSWER
Verify the dose of insulin with another nurse once it is prepared.
The nurse is caring for a client who has pneumonia. The nurse is
providing discharge teaching for the client and their caregiver. Which
of the following information should the nurse include? - CORRECT
ANSWER -The steroid dose will decrease each day.
-Adjust the oxygen flow rate as needed to ease breathing.
Retake Guide EXAM QUESTIONS AND WELL
ELABORATED ANSWERS (3 VERSIONS)
A nurse at an assisted living facility is preparing an in-service for
residents about electrical safety. Which of the following instructions
should the nurse include? - CORRECT ANSWER Disconnect electrical
equipment by grasping the plug
A nurse is caring for a client who has a tracheostomy collar. As the
nurse is performing tracheal suctioning, the client's heart rate and
oxygen saturation decrease. which of the following actions should the
nurse take? - CORRECT ANSWER Discontinued suctioning.
A nurse is caring for a client who has a new diagnosis of terminal
cancer. Which of the following interventions is a priority? - CORRECT
ANSWER Discuss the client's prior coping mechanism.
A staff nurse is teaching a newly hired nurse how to complete an
informed consent document for a client. the stop should include that
the nurse signature on the form confirms which of the following
requirements? - CORRECT ANSWER a. The client was not coerced.
b. The client does not have a mental health condition.
c. The client Signed in the nurse's presence.
e. The client has legal authority to do so.
A nurse is caring for a client who has a chest tube following thoracic
surgery. Which of the following tasks should the nurse delegate to an
assistive personnel? - CORRECT ANSWER Assist the client to select
food choices from the menu.
,. A community health nurse is caring for a group of families. The nurse
should identify that which of the following families is experiencing a
maturational loss? - CORRECT ANSWER A family whose oldest child
is moving away for college
A nurse on a medical-surgical unit is dividing care for four clients. The
nurse should identify which of the following situations as an ethical
dilemma? - CORRECT ANSWER The family of a client who has a
terminal illness has the provider not to tell the client the diagnosis.
A nurse is caring for a client who has chronic back pain and asked
about receiving acupuncture for relief. Which of the following findings
should the nurse identify as a contraindication to receiving this
shipment? - CORRECT ANSWER . Cellulitis
Contraindicated in people who have bleeding disorders and skin
infections
A nurse is auscultating a client's abdomen. The nurse hears a blowing
sound over the aorta. The nurse should identify this sound as which of
the following? - CORRECT ANSWER Bruit
. A nurse is providing teaching to a client who has diabetes mellitus
about performing a capillary blood glucose test. Which of the following
instructions should the nurse include in the teaching? - CORRECT
ANSWER Gently squeeze the puncture site until a large droplet of
blood forms
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- ROM is needed to
prevent contractures .
A nurse is monitoring a client who is receiving continuous IV fluid
therapy via a peripheral vein in the left forearm. Which of the following
findings indicates that the client has developed phelbitis at the IV
site? - CORRECT ANSWER Erythema along the path of the vein
,A nurse is planning care for a client who reports insomnia. Which of
the following actions should the nurse perform shortly before bedtime?
- CORRECT ANSWER Offer a wet washcloth for the client to wash her
face
. A nurse is providing teaching to a newly licensed nurse about the
care of a client who has MRSA. Which of the following statements by
the newly licensed nurse indicates an understanding of teaching? -
CORRECT ANSWER I will place the client in a private room
A nurse is teaching a client who requires maximal support about how
to use a two wheeled walker. Which of the following actions by the
client indicates an understanding of teaching - CORRECT ANSWER
The client moves the walker ahead 25.4cm with each step
A nurse in a provider's office is caring for a client who states "I always
have trouble sleeping". Which of the following actions should the nurse
take first? - CORRECT ANSWER Identify the client typical bedtime
routine
A nurse is teaching about home safety with a client. Which of the
following instructions should the nurse include? - CORRECT ANSWER
Use electrical tape to secure extension cords next to baseboards on
the floor
A nurse is caring for a client who is 6 hr postoperative following
abdominal surgery and is having difficulty voiding. Which of the
following actions should the nurse take? - CORRECT ANSWER Allow
the client to hear running water while attempting to void
A nurse on a medical surgical unit is receiving a change-of-shift report
for four clients. Which of the following clients should the nurse see
first? - CORRECT ANSWER A client who has new onset of dyspnea 24
hr after a total hip arthroplasty
always look for new onset of anything
, A nurse is caring for an adolescent client who has full-thickness burns
on his leg. The client expresses concern about his future. Which of the
following is therapeutic response by the nurse? - CORRECT ANSWER
"You're concerned about what will happen when you leave the
hospital?"
A nurse is assessing the breath sounds of an adult client who has
pneumonia. Which of the following actions should the nurse take? -
CORRECT ANSWER Ask the client to breathe in deeply through his
nose
A nurse is caring for a client who has a prescription for morphine 5mg
IM accidentally administers the whole 10 mg from the single-dose vial.
Which of the following actions should the nurse take first? - CORRECT
ANSWER -Measure the client's respiratory rate.
-Rationale: Morphine can cause respiratory depression. You should
ALWAYS ASSESS the patient first when a med error is performed to
make sure med error doesn't put the client's health in risk.
The nurse is reviewing a complementary therapies approved by the
provider with a client who has hypertension. Which of the following
supplements should the nurse discuss with the client? - CORRECT
ANSWER Garlic
A nurse identifies a small fire in a client;s room. After moving the
client to safety, which of the following is the next action the nurse
should take? - CORRECT ANSWER Activate the facility's fire alarm.
A nurse is planning to administer insulin to a client who has type 1 DM,
what action should the nurse perform first? - CORRECT ANSWER
Verify the dose of insulin with another nurse once it is prepared.
The nurse is caring for a client who has pneumonia. The nurse is
providing discharge teaching for the client and their caregiver. Which
of the following information should the nurse include? - CORRECT
ANSWER -The steroid dose will decrease each day.
-Adjust the oxygen flow rate as needed to ease breathing.
