ATI Fundamentals Proctored Exam 2025
final exam questions and correct answers
AGraded
A nurse is caring for a client in the MedSurg unit. Click to highlight the findings indicate an improvement
in the clients condition. - -ANSWER--The nurse identifies findings of granulation tissue covering the
wound bed, no odor present, increased comfort level, and the decrease in the size of the wound bed
and tunneling indicate an improvement of the clients condition.
A nurse in the ED is caring for a client reports a abdominal pain. Based on the clients clinical findings
which of the following actions should the nurse take? - -ANSWER---assist the client to a left side lying
position with the right knee flexed
-administer a cleansing enema
-auscultate the clients bowel sounds
-perform a manual digital examination of the clients rectum
A nurse is caring for a client who had a spinal cord injury and has paraplegia. The nurse is reviewing the
clients medical record. Click to highlight the findings that require intervention by the nurse. - -ANSWER--
-passive range of motion exercises to lower extremities performed weights each day
-plantar flexion contractures noted bilaterally
-left heel with 1.3 cm x 1.3 cm area of non-blanchable arrhythmia, skin intact
The nurse is caring for a client who has a peripheral IV inserted or fluid replacement. The nurse is
assessing a client. Which of the following action should the nurse take? - -ANSWER---stop the IV infusion
-elevate the client left arm
-apply heat to the client left hand
,The nurse is caring for a client who has COPD. Select the three findings that require follow up. - -
ANSWER---breath sounds
-temperature
-oxygen saturation
A nurse is caring for a client who is receiving pain medication through a PCA pump. Which of the
following actions should the nurse take? - -ANSWER--Instruct the family to refrain from pushing the
button for the client while the client is asleep.
A nurse is caring for a client who has a NG tube and is receiving intermittent feeding through the open
system. Which of the following actions should the nurse take first? - -ANSWER--Tell the client to keep
the head of the bed elevated at least 30 degrees
A middle adult client tells the nurse, "I feel so useless now that my children do not need me anymore."
Which of the following responses should the nurse make? - -ANSWER--"People in middle adulthood
often find satisfaction in nurturing and guiding young people."
A nurse is planning an educational program for a group of older adults at a senior living center. Which of
the following recommendations should the nurse include? - -ANSWER--"You should receive a
pneumococcal vaccine when you are when you are 65 years old"
A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair. To prevent self-
injury, which of the following actions should the nurse take when lifting this object? - -ANSWER--Stand
close to the cabinet when lifting it
A nurse is caring for a client who is scheduled to be transferred to a long-term care facility. The client's
family questions the nurse about the reasons for the transfer. Which of the following responses made
by the nurse is appropriate. - -ANSWER--"Would you like it if we discussed the transfer with your family
memeber"
, A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. Which of
the following actions should the nurse take? - -ANSWER--Subtract the amount of irrigant used from the
client's urine output.
A nurse is caring for a client who is having difficulty breathing. The client is supine and is receiving
supplemental oxygen via a nasal cannula. Which of the following interventions should the nurse take
first? - -ANSWER--Assist the client to an upright position
A nurse is assessing four adult clients. Which of the following physical assessment techniques should the
nurse use? - -ANSWER--Ensure the bladder of the blood pressure cuff surrounds 80% of the clients arm.
A nurse is planning care for a client who has vision loss. Which of the following interventions should the
nurse include in the plan of care to assist the client with feeding? - -ANSWER--Arrange food in consistent
pattern on the client's plate.
A nurse is talking with the partner of a client who has dementia. The client's partner expresses
frustration about finding time to manage household responsibilities while caring for their partner. The
nurse should identify that the partner is experiencing which of the following types of role-performance
stress. - -ANSWER--Role overload
A nurse is admitting a new client. Which of the following should the nurse take while performing
medication reconciliation? - -ANSWER--Compare the client's home medications with the provider's
prescriptions.
A client who is postoperative is verbalizing pain as a 2 pain scale of 0-10. Which of the following
statements should the nurse identify as an indication that the client understands the preoperative
teaching they received about pain management. - -ANSWER--"It might help me to listen to music while
I'm lying in bed"
A nurse is admitting a client who has rubella.Which of the following types of transmission-based
precautions should the nurse initiate. - -ANSWER--Droplet
A nurse manager is preparing to review medication documentation with a group of newly licensed
nurses. Which of the following statements should the manager plan to include in the teaching. - -
ANSWER--"Use the complete name of the medication magnesium sulfate"
final exam questions and correct answers
AGraded
A nurse is caring for a client in the MedSurg unit. Click to highlight the findings indicate an improvement
in the clients condition. - -ANSWER--The nurse identifies findings of granulation tissue covering the
wound bed, no odor present, increased comfort level, and the decrease in the size of the wound bed
and tunneling indicate an improvement of the clients condition.
A nurse in the ED is caring for a client reports a abdominal pain. Based on the clients clinical findings
which of the following actions should the nurse take? - -ANSWER---assist the client to a left side lying
position with the right knee flexed
-administer a cleansing enema
-auscultate the clients bowel sounds
-perform a manual digital examination of the clients rectum
A nurse is caring for a client who had a spinal cord injury and has paraplegia. The nurse is reviewing the
clients medical record. Click to highlight the findings that require intervention by the nurse. - -ANSWER--
-passive range of motion exercises to lower extremities performed weights each day
-plantar flexion contractures noted bilaterally
-left heel with 1.3 cm x 1.3 cm area of non-blanchable arrhythmia, skin intact
The nurse is caring for a client who has a peripheral IV inserted or fluid replacement. The nurse is
assessing a client. Which of the following action should the nurse take? - -ANSWER---stop the IV infusion
-elevate the client left arm
-apply heat to the client left hand
,The nurse is caring for a client who has COPD. Select the three findings that require follow up. - -
ANSWER---breath sounds
-temperature
-oxygen saturation
A nurse is caring for a client who is receiving pain medication through a PCA pump. Which of the
following actions should the nurse take? - -ANSWER--Instruct the family to refrain from pushing the
button for the client while the client is asleep.
A nurse is caring for a client who has a NG tube and is receiving intermittent feeding through the open
system. Which of the following actions should the nurse take first? - -ANSWER--Tell the client to keep
the head of the bed elevated at least 30 degrees
A middle adult client tells the nurse, "I feel so useless now that my children do not need me anymore."
Which of the following responses should the nurse make? - -ANSWER--"People in middle adulthood
often find satisfaction in nurturing and guiding young people."
A nurse is planning an educational program for a group of older adults at a senior living center. Which of
the following recommendations should the nurse include? - -ANSWER--"You should receive a
pneumococcal vaccine when you are when you are 65 years old"
A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair. To prevent self-
injury, which of the following actions should the nurse take when lifting this object? - -ANSWER--Stand
close to the cabinet when lifting it
A nurse is caring for a client who is scheduled to be transferred to a long-term care facility. The client's
family questions the nurse about the reasons for the transfer. Which of the following responses made
by the nurse is appropriate. - -ANSWER--"Would you like it if we discussed the transfer with your family
memeber"
, A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. Which of
the following actions should the nurse take? - -ANSWER--Subtract the amount of irrigant used from the
client's urine output.
A nurse is caring for a client who is having difficulty breathing. The client is supine and is receiving
supplemental oxygen via a nasal cannula. Which of the following interventions should the nurse take
first? - -ANSWER--Assist the client to an upright position
A nurse is assessing four adult clients. Which of the following physical assessment techniques should the
nurse use? - -ANSWER--Ensure the bladder of the blood pressure cuff surrounds 80% of the clients arm.
A nurse is planning care for a client who has vision loss. Which of the following interventions should the
nurse include in the plan of care to assist the client with feeding? - -ANSWER--Arrange food in consistent
pattern on the client's plate.
A nurse is talking with the partner of a client who has dementia. The client's partner expresses
frustration about finding time to manage household responsibilities while caring for their partner. The
nurse should identify that the partner is experiencing which of the following types of role-performance
stress. - -ANSWER--Role overload
A nurse is admitting a new client. Which of the following should the nurse take while performing
medication reconciliation? - -ANSWER--Compare the client's home medications with the provider's
prescriptions.
A client who is postoperative is verbalizing pain as a 2 pain scale of 0-10. Which of the following
statements should the nurse identify as an indication that the client understands the preoperative
teaching they received about pain management. - -ANSWER--"It might help me to listen to music while
I'm lying in bed"
A nurse is admitting a client who has rubella.Which of the following types of transmission-based
precautions should the nurse initiate. - -ANSWER--Droplet
A nurse manager is preparing to review medication documentation with a group of newly licensed
nurses. Which of the following statements should the manager plan to include in the teaching. - -
ANSWER--"Use the complete name of the medication magnesium sulfate"
