ATI NURSING FUNDAMENTALS PROCTORED EXAM
Amnursemismpreparingmtomadministermdiphenhydraminem20mmgmorallymtomam6-year-
oldmchildmwhomhasmdifficultymswallowingmpills.mAvailablemismdiphenhydraminem12.5mg/
5mlmoralmsyrup.mWhichmofmthemfollowingmimagesmindicatesmthemcorrectmnumbermofmmLm
themnursemshouldmadminister?m(roundmanswermtomthemnearestmwholemnumber.)
DOSAGEmCALCULATIONm-m"ACCURATEmANSWER"mm8ml
Amnursemismadmittingmamclientmwhomismmalnourished.mThemclientmstates,m"Mymweddingmr
ingmismloosemandmI'mmworriedmImwillmlosemitmifmitmfallsmoff."Whichmofmthemfollowingmis
manmappropriatemresponsembymthemnurse?
a.m"mImwillmplacemitminmyourmdrawermsomitmwon'tmgetmlost."
b.mImcanmpinmitmtomyourmhospitalmgownmsomyoumwon'tmlosemit."
c.m"Imwillmholdmontomitmuntilmamfamilymmembermcanmtakemitmhome."
d.mImcanmputmitminmamlockedmstoragemunitmformyoum-m"ACCURATEmANSWER"mmd
Amchargemnursemismteachingmamgroupmofmnewlymlicensedmnursesmaboutmthemusemofmrest
raints.mInmwhichmofmthemfollowingmclinicalmsituationsmshouldmthemnursemapplymrestraints?
a.mIfmthemclientmismpacingminmthemhallway
b.mAsmampartmofmamfallmpreventionmprogram
c.mAtmthemrequestmofmthemclient'smfamily
d.mWhenmthemclientmposesmamthreatmtomselfm-m"ACCURATEmANSWER"mmd
Tomensuremclientmsafety,mamnursemmanagermismplanningmtomobservemamnewlymlicensedmn
ursemperformmamstraightmcatheterizationmonmamclient.mInmwhichmofmthemfollowingmrolesmi
smthemnursemmanagermfunctioning?
a.mCasemmanager
b.mClientmeducator
c.mClientmcaremprovider
d.mClientmadvocatem-m"ACCURATEmANSWER"mmd
Amchargemnurseminmamlong-
termmcaremfacilitymismpreparingmanmeducationalmprogrammaboutmdeliriummformnewlymhired
mnurses.mWhichmofmthemfollowingmstatementsmshouldmthemnursemplanmtominclude?
a.m"Deliriummdoesmnotmaffectmamclient'smperceptionmofmhermenvironment."
b.m"Deliriummdoesmnotmaffectmamclient'smsleepmcycle."
c.m"Deliriummhasmanmabruptmonset."
d.m"Deliriummhasmamslowmprogression."m-m"ACCURATEmANSWER"mmc
Amnursemismspeakingmwithmamclientmwhomhasmrecentlymreceivedmamdiagnosismofmamchron
icmillness.mThemclientmstates,m"mThemdoctormmustmbemwrong.mImcan'tmbemthatmsick".mTh
emnursemshouldminformmthemclientmthatmtheirmreactionmismanmexamplemofmwhichmofmthe
mfollowingmexpectedmresponsesmtomgrief?
a.mAcceptance
b.mDenial
c.mAnger
d.mDepressionm-m"ACCURATEmANSWER"mmb
AmNursemonmammedical-
surgicalmunitmismprovidingmcaremformfourmclients.mThemnursemshouldmidentifymwhichmofmt
hemfollowingmsituationsmasmanmethicalmdilemma?
a.mAmsurgeonmwhomremovedmthemwrongmkidneymduringmamsurgicalmproceduremrefusesmto
mtakemresponsibilitymformhermactions
b.mAmclientmwhomhasmCrohn'smdiseasemreportsmthatmhismprescriptionmdrugmplanmwillmnot
mpaymformhismmedications.
,c.mAmclientmwhomhasmamnewmcolostomymrefusesmtomtakeminstructionsmfrommthemostomy
mtherapistmbecausemshem"doesn'tmlikemhim."
d.mthemfamilymofmamclientmwhomhasmamterminalmillnessmasksmthemprovidermnotmtomtellm
themclientmthemdiagnosism-m"ACCURATEmANSWER"mmd
Amnursemismteachingmamclientmaboutmperformingmbreastmself-
examinations.mWhichmofmthemfollowingmstatementsmbymthemclientsmindicatesmanmunderstan
dingmofmthemteaching?
a.m"Imshouldmperformmmymself-exammthemweekmthatmmymperiodmstarts"
b.m"ImshouldmmakemdifferentmpatternsmonmeachmbreastmwhenmImdommymself-exam."m
c.m"Imshouldmusemthempalmmofmmymhandmtomapplympressuremtomeachmbreast."
d.m"Imshouldmmakemcircularmmotionsmwithmmymfingertipsmundermmymarms."m-
m"ACCURATEmANSWER"mmd
Amnursemismpreparingmtomtransfermamclientmwhomismpartiallymweightmbearingmfrommthem
bedmtomthemchair.mWhichmofmthemfollowingmactionsmshouldmthemnursemtake?
a.mKeepmhismkneesmstraightmwhenmmovingmthemclient
b.mPositionmthemchairmnextmtomthembedmasmam90mdegreemangle
c.mStandmwithmhismfeetmtogethermwhenmliftingmthemclient
d.mHavemthemclientmbearmweightmonmhermstrongermlegm-m"ACCURATEmANSWER"mmd
Amnursemismcaringmformamclientmfollowingmamlaparoscopicmcholecystectomy.mThemclientmha
smamprescriptionmformondansetronm4mgmIVmbolusmeverym6hrmPRNmformnauseamandmvomi
ting.mIdentifymthemsequencemofmstepsmthemnursemshouldmfollowmtomadministermthemmedic
ation.m(mMovemthemstepsmintomthemboxmonmthemright,mplacingmthemminmthemordermofm
performance.mUsemallmthemsteps.)
-mSelectmtheminjectionmportmofmthemIVmtubingmclosestmtomthemclient.
-mCleansemtheminjectionmportmwithmanmantisepticmswab.
-mAspiratemformbloodmreturn.m
-mInjectmthemmedication.
-mperformmhandmhygienem-m"ACCURATEmANSWER"mm1.mperformmhandmhygienem
2.mselectmtheminjectionmportmofmthemIVmtubingmclosestmtomthemclientm
3.mcleansemtheminjectionmportmwithmanmantisepticmswabm
4.maspiratemformbloodmreturnm
5.minjectmthemmedication
AmnursemismteachingmamclientmwhomhasmdiabetesmmellitusmaboutmmixingmregularmandmNP
Hminsulin.
Whichmofmthemfollowingmstatementsmbutmthemclientmindicatesmanmunderstandingmofmthem
teaching
a.mImshouldmwaitm3mminutesmaftermmixingmtheminsulinmtominjectmit
b.mImshouldmdrawmupmthemNPHminsulinmbeforemregularminsulin
c.mImshouldminjectmairmintomthemvialmofmregularminsulinmfirst
d.mImshouldmrollmthemvialmofmNPHminsulinmbetweenmmymhandsmbeforemdrawingmitmupm-
m"ACCURATEmANSWER"mmd
Amnursemismassessingmthembodymtemperaturemofmanmadultmclientmusingmamtemporalmarte
rymthermometer.mWhichmofmthemfollowingmactionsmshouldmthemnursemtake?
m(Selectmallmthatmapply)
a.mSlidemthemprobemacrossmthemclientsmforehead
b.mPullmthemclientsmpinnamupm&mback
c.mHoldmthemclient'smhairmasidemwhilemperformingmthemprocedure
d.mDocumentmthemclient'smtemperaturemwithm"AX"mnextmtomthemvalue
e.mMovemthemprobeminmamcircularmmotionm-m"ACCURATEmANSWER"mma,mc
AmnursemismpreparingmtominsertmamperipheralmIVmcathetermintomthemclient'smarm.mWhich
mofmthemfollowingmactionsmshouldmthemnursemtakemtomhelpmdilatemthemvein?
, a.mStrokemthemskinmnearmthemveinminmanmupwardmposition
b.mDanglemthemclient'smarmmovermthemedgemofmthembed
c.mApplymamcoolmcompressmtomthemveinmform10mmin
d.mInstructmthemclientmtomflexmtheirmarmmwithmthemhandmopenm-
m"ACCURATEmANSWER"mmb
Amnursemismpreparingmtomsuctionmamclient'smtracheostomymtube.mWhichmofmthemfollowing
mactionsmshouldmthemnursemplanmtomtake?
a.mApplymintermittentmsuctionmduringmcatheterminsertion
b.mSuctionmthemclient'smairwaymform20msecondsmwithmeachmpass
c.mHyperoxygenatemthemclientmmanuallymform30mtom60msecondsmbeforemsuctioning
d.mdecreasemsuctionmpressuremtom150mmmmHgmifmthemO2msatmlevelsmdropmduringmsucti
oningm-m"ACCURATEmANSWER"mma
Amnursemismassessingmamclientmwhomreceivedmmorphinemformseverempainm30mminsmago.m
Whichmofmthemfollowingmfindingmismthemnurse'smpriority?
a.mLastmbowelmmovementmwasm3mdaysmago
b.mReportsmpainmofm8monmamscalemofm0mtom10
c.mDistendedmbladder
d.mRespiratorymratem7/minm-m"ACCURATEmANSWER"mmd
AmnursemismcaringmformamclientmwhomhasmbeenmtreatedmmultiplemtimesmformSTIs.mWhich
mofmthemfollowingmresponsesmshouldmthemnursemtake?
a.m"Yoummustmhavemtoommanymsexualmpartners"
b.m"Whymdomyoumkeepmlettingmthismhappen?"
c.m"Let'smexploremwhymthismmightmbemre-occuring"
d.m"Don'tmyoumhavemaccessmtomcondoms?"m-m"ACCURATEmANSWER"mmc
Amnursementersmthemroommofmamclientmwhomhasmamseizuremdisorder.mThemclientmismsitti
ngminmamchairmandmbeginsmtomexperiencemamseizure.mWhichmofmthemfollowingmactionsms
houldmthemnursemtakemfirst?
a.mMovemitemsminmthemroommawaymfrommthemclient
b.mTurnmthemclientmontomtheirmside
c.mHelpmthemclientmliemonmthemfloor
d.mLoosenmthemclient'smclothingm-m"ACCURATEmANSWER"mmc
AmnursemismtestingmamclientmformconductionmdeafnessmbymperformingmWeber'smtest.mWhi
chmofmthemfollowingmactionsmshouldmthemnursemtakemwhenmperformingmthismtest?
a.mMovemamvibratingmtuningmformminmfrontmofmthemclient'smearmcanalsmonemaftermthem
other
b.mPlacemthembasemofmamvibratingmtuningmforkmonmthemclient'smmastoidmprocess
c.mPlacemthembasemofmamvibratingmtuningmforkmonmthemtopmofmthemclient'smhead
d.mCountmhowmmanymsecondsmamclientmcanmhearmamtuningmforkmaftermitmhasmbeenmstr
uckm-m"ACCURATEmANSWER"mmc
Amnursemismobtainingmthemmedicationmhistorymofmamclientmwhomasksmaboutmtakingmginkg
ombiloba.mThemnursemshouldmidentifymwhichmofmthemfollowingmmedicationsmcanminteractm
adverselymwithmthismsupplement?
a.mWarfarin
b.mAlbuterol
c.mLevothyroxine
d.mAtorvastatinm-m"ACCURATEmANSWER"mma
Amnursemismobtainingminformedmconsentmfrommamclientmwhomismscheduledmformsurgery.m
Themclientmstates,m"Imdon'tmwantmtomgomthroughmwithmthemprocedure."mWhichmofmthemf
ollowingmactionsmshouldmthemnursemtake?
a.mDiscussmalternativemtreatmentsmwithmthemclient
Amnursemismpreparingmtomadministermdiphenhydraminem20mmgmorallymtomam6-year-
oldmchildmwhomhasmdifficultymswallowingmpills.mAvailablemismdiphenhydraminem12.5mg/
5mlmoralmsyrup.mWhichmofmthemfollowingmimagesmindicatesmthemcorrectmnumbermofmmLm
themnursemshouldmadminister?m(roundmanswermtomthemnearestmwholemnumber.)
DOSAGEmCALCULATIONm-m"ACCURATEmANSWER"mm8ml
Amnursemismadmittingmamclientmwhomismmalnourished.mThemclientmstates,m"Mymweddingmr
ingmismloosemandmI'mmworriedmImwillmlosemitmifmitmfallsmoff."Whichmofmthemfollowingmis
manmappropriatemresponsembymthemnurse?
a.m"mImwillmplacemitminmyourmdrawermsomitmwon'tmgetmlost."
b.mImcanmpinmitmtomyourmhospitalmgownmsomyoumwon'tmlosemit."
c.m"Imwillmholdmontomitmuntilmamfamilymmembermcanmtakemitmhome."
d.mImcanmputmitminmamlockedmstoragemunitmformyoum-m"ACCURATEmANSWER"mmd
Amchargemnursemismteachingmamgroupmofmnewlymlicensedmnursesmaboutmthemusemofmrest
raints.mInmwhichmofmthemfollowingmclinicalmsituationsmshouldmthemnursemapplymrestraints?
a.mIfmthemclientmismpacingminmthemhallway
b.mAsmampartmofmamfallmpreventionmprogram
c.mAtmthemrequestmofmthemclient'smfamily
d.mWhenmthemclientmposesmamthreatmtomselfm-m"ACCURATEmANSWER"mmd
Tomensuremclientmsafety,mamnursemmanagermismplanningmtomobservemamnewlymlicensedmn
ursemperformmamstraightmcatheterizationmonmamclient.mInmwhichmofmthemfollowingmrolesmi
smthemnursemmanagermfunctioning?
a.mCasemmanager
b.mClientmeducator
c.mClientmcaremprovider
d.mClientmadvocatem-m"ACCURATEmANSWER"mmd
Amchargemnurseminmamlong-
termmcaremfacilitymismpreparingmanmeducationalmprogrammaboutmdeliriummformnewlymhired
mnurses.mWhichmofmthemfollowingmstatementsmshouldmthemnursemplanmtominclude?
a.m"Deliriummdoesmnotmaffectmamclient'smperceptionmofmhermenvironment."
b.m"Deliriummdoesmnotmaffectmamclient'smsleepmcycle."
c.m"Deliriummhasmanmabruptmonset."
d.m"Deliriummhasmamslowmprogression."m-m"ACCURATEmANSWER"mmc
Amnursemismspeakingmwithmamclientmwhomhasmrecentlymreceivedmamdiagnosismofmamchron
icmillness.mThemclientmstates,m"mThemdoctormmustmbemwrong.mImcan'tmbemthatmsick".mTh
emnursemshouldminformmthemclientmthatmtheirmreactionmismanmexamplemofmwhichmofmthe
mfollowingmexpectedmresponsesmtomgrief?
a.mAcceptance
b.mDenial
c.mAnger
d.mDepressionm-m"ACCURATEmANSWER"mmb
AmNursemonmammedical-
surgicalmunitmismprovidingmcaremformfourmclients.mThemnursemshouldmidentifymwhichmofmt
hemfollowingmsituationsmasmanmethicalmdilemma?
a.mAmsurgeonmwhomremovedmthemwrongmkidneymduringmamsurgicalmproceduremrefusesmto
mtakemresponsibilitymformhermactions
b.mAmclientmwhomhasmCrohn'smdiseasemreportsmthatmhismprescriptionmdrugmplanmwillmnot
mpaymformhismmedications.
,c.mAmclientmwhomhasmamnewmcolostomymrefusesmtomtakeminstructionsmfrommthemostomy
mtherapistmbecausemshem"doesn'tmlikemhim."
d.mthemfamilymofmamclientmwhomhasmamterminalmillnessmasksmthemprovidermnotmtomtellm
themclientmthemdiagnosism-m"ACCURATEmANSWER"mmd
Amnursemismteachingmamclientmaboutmperformingmbreastmself-
examinations.mWhichmofmthemfollowingmstatementsmbymthemclientsmindicatesmanmunderstan
dingmofmthemteaching?
a.m"Imshouldmperformmmymself-exammthemweekmthatmmymperiodmstarts"
b.m"ImshouldmmakemdifferentmpatternsmonmeachmbreastmwhenmImdommymself-exam."m
c.m"Imshouldmusemthempalmmofmmymhandmtomapplympressuremtomeachmbreast."
d.m"Imshouldmmakemcircularmmotionsmwithmmymfingertipsmundermmymarms."m-
m"ACCURATEmANSWER"mmd
Amnursemismpreparingmtomtransfermamclientmwhomismpartiallymweightmbearingmfrommthem
bedmtomthemchair.mWhichmofmthemfollowingmactionsmshouldmthemnursemtake?
a.mKeepmhismkneesmstraightmwhenmmovingmthemclient
b.mPositionmthemchairmnextmtomthembedmasmam90mdegreemangle
c.mStandmwithmhismfeetmtogethermwhenmliftingmthemclient
d.mHavemthemclientmbearmweightmonmhermstrongermlegm-m"ACCURATEmANSWER"mmd
Amnursemismcaringmformamclientmfollowingmamlaparoscopicmcholecystectomy.mThemclientmha
smamprescriptionmformondansetronm4mgmIVmbolusmeverym6hrmPRNmformnauseamandmvomi
ting.mIdentifymthemsequencemofmstepsmthemnursemshouldmfollowmtomadministermthemmedic
ation.m(mMovemthemstepsmintomthemboxmonmthemright,mplacingmthemminmthemordermofm
performance.mUsemallmthemsteps.)
-mSelectmtheminjectionmportmofmthemIVmtubingmclosestmtomthemclient.
-mCleansemtheminjectionmportmwithmanmantisepticmswab.
-mAspiratemformbloodmreturn.m
-mInjectmthemmedication.
-mperformmhandmhygienem-m"ACCURATEmANSWER"mm1.mperformmhandmhygienem
2.mselectmtheminjectionmportmofmthemIVmtubingmclosestmtomthemclientm
3.mcleansemtheminjectionmportmwithmanmantisepticmswabm
4.maspiratemformbloodmreturnm
5.minjectmthemmedication
AmnursemismteachingmamclientmwhomhasmdiabetesmmellitusmaboutmmixingmregularmandmNP
Hminsulin.
Whichmofmthemfollowingmstatementsmbutmthemclientmindicatesmanmunderstandingmofmthem
teaching
a.mImshouldmwaitm3mminutesmaftermmixingmtheminsulinmtominjectmit
b.mImshouldmdrawmupmthemNPHminsulinmbeforemregularminsulin
c.mImshouldminjectmairmintomthemvialmofmregularminsulinmfirst
d.mImshouldmrollmthemvialmofmNPHminsulinmbetweenmmymhandsmbeforemdrawingmitmupm-
m"ACCURATEmANSWER"mmd
Amnursemismassessingmthembodymtemperaturemofmanmadultmclientmusingmamtemporalmarte
rymthermometer.mWhichmofmthemfollowingmactionsmshouldmthemnursemtake?
m(Selectmallmthatmapply)
a.mSlidemthemprobemacrossmthemclientsmforehead
b.mPullmthemclientsmpinnamupm&mback
c.mHoldmthemclient'smhairmasidemwhilemperformingmthemprocedure
d.mDocumentmthemclient'smtemperaturemwithm"AX"mnextmtomthemvalue
e.mMovemthemprobeminmamcircularmmotionm-m"ACCURATEmANSWER"mma,mc
AmnursemismpreparingmtominsertmamperipheralmIVmcathetermintomthemclient'smarm.mWhich
mofmthemfollowingmactionsmshouldmthemnursemtakemtomhelpmdilatemthemvein?
, a.mStrokemthemskinmnearmthemveinminmanmupwardmposition
b.mDanglemthemclient'smarmmovermthemedgemofmthembed
c.mApplymamcoolmcompressmtomthemveinmform10mmin
d.mInstructmthemclientmtomflexmtheirmarmmwithmthemhandmopenm-
m"ACCURATEmANSWER"mmb
Amnursemismpreparingmtomsuctionmamclient'smtracheostomymtube.mWhichmofmthemfollowing
mactionsmshouldmthemnursemplanmtomtake?
a.mApplymintermittentmsuctionmduringmcatheterminsertion
b.mSuctionmthemclient'smairwaymform20msecondsmwithmeachmpass
c.mHyperoxygenatemthemclientmmanuallymform30mtom60msecondsmbeforemsuctioning
d.mdecreasemsuctionmpressuremtom150mmmmHgmifmthemO2msatmlevelsmdropmduringmsucti
oningm-m"ACCURATEmANSWER"mma
Amnursemismassessingmamclientmwhomreceivedmmorphinemformseverempainm30mminsmago.m
Whichmofmthemfollowingmfindingmismthemnurse'smpriority?
a.mLastmbowelmmovementmwasm3mdaysmago
b.mReportsmpainmofm8monmamscalemofm0mtom10
c.mDistendedmbladder
d.mRespiratorymratem7/minm-m"ACCURATEmANSWER"mmd
AmnursemismcaringmformamclientmwhomhasmbeenmtreatedmmultiplemtimesmformSTIs.mWhich
mofmthemfollowingmresponsesmshouldmthemnursemtake?
a.m"Yoummustmhavemtoommanymsexualmpartners"
b.m"Whymdomyoumkeepmlettingmthismhappen?"
c.m"Let'smexploremwhymthismmightmbemre-occuring"
d.m"Don'tmyoumhavemaccessmtomcondoms?"m-m"ACCURATEmANSWER"mmc
Amnursementersmthemroommofmamclientmwhomhasmamseizuremdisorder.mThemclientmismsitti
ngminmamchairmandmbeginsmtomexperiencemamseizure.mWhichmofmthemfollowingmactionsms
houldmthemnursemtakemfirst?
a.mMovemitemsminmthemroommawaymfrommthemclient
b.mTurnmthemclientmontomtheirmside
c.mHelpmthemclientmliemonmthemfloor
d.mLoosenmthemclient'smclothingm-m"ACCURATEmANSWER"mmc
AmnursemismtestingmamclientmformconductionmdeafnessmbymperformingmWeber'smtest.mWhi
chmofmthemfollowingmactionsmshouldmthemnursemtakemwhenmperformingmthismtest?
a.mMovemamvibratingmtuningmformminmfrontmofmthemclient'smearmcanalsmonemaftermthem
other
b.mPlacemthembasemofmamvibratingmtuningmforkmonmthemclient'smmastoidmprocess
c.mPlacemthembasemofmamvibratingmtuningmforkmonmthemtopmofmthemclient'smhead
d.mCountmhowmmanymsecondsmamclientmcanmhearmamtuningmforkmaftermitmhasmbeenmstr
uckm-m"ACCURATEmANSWER"mmc
Amnursemismobtainingmthemmedicationmhistorymofmamclientmwhomasksmaboutmtakingmginkg
ombiloba.mThemnursemshouldmidentifymwhichmofmthemfollowingmmedicationsmcanminteractm
adverselymwithmthismsupplement?
a.mWarfarin
b.mAlbuterol
c.mLevothyroxine
d.mAtorvastatinm-m"ACCURATEmANSWER"mma
Amnursemismobtainingminformedmconsentmfrommamclientmwhomismscheduledmformsurgery.m
Themclientmstates,m"Imdon'tmwantmtomgomthroughmwithmthemprocedure."mWhichmofmthemf
ollowingmactionsmshouldmthemnursemtake?
a.mDiscussmalternativemtreatmentsmwithmthemclient
