ATI FUNDAMENTALS CMS PROCTORED EXAM 2023/ 2024
LATEST!!! 210 QUESTIONS AND VERIFIED ANSWERS| 100% !@#$@#$
CORRECT %
1. A nurse is assessing the heart sounds of a client who has developed chest pain that
becomes worse with inspiration. The nurse auscultates a high-pitched scratching
•
sound during both systole and diastole with the diaphragm of the stethoscope
positioned at the left sternal border. Which heart sounds should the nurse
document?ANSWERS pericardial friction rub
2. A nurse is obtaining the blood pressure in a clients lower extremity. Which action
should the nurse take?ANSWERS place the bladder of the cuff over the posterior
aspect of the thigh
3. A charge nurse is teaching adult CPR to a group of new nurses. Which actions
should the charge nurse teach as the first response in CPR?ANSWERS confirm
unresponsiveness
4. A nurse is caring for a client who requires a chest xray. Prior to the client being
transported for the procedure, which actions should the nurse take
first?ANSWERS identify the client using two identifiers
5. A nurse is caring for a child who is postop following a tonsillectomy. Which actions
should the nurse take?ANSWERS administer analgesics to the child on a routine
schedule throughout the day and night
6. A nurse is providing teaching to a client who has heart failure about how to
reduce his daily intake of sodium. Which factors is the most important in
determining the clients ability to learn new dietary habits?ANSWERS the
involvement of the client in planning the change
7. A charge nurse is observing a new nurse perform tracheostomy care for a client.
Which actions by the new nurse requires intervention?ANSWERS obtaining cotton
balls for the trach care
8. A nurse is preparing to perform mouth care for an unresponsive client. Which actions
should the nurse plan to take?ANSWERS raise the level of the bed
9. A nurse is witnessing a client sign an informed consent form for surgery. Which
describes what the nurse is affirming by this action?ANSWERS the signature on the
preop consent form is the clients
10. A nurse is preparing to provide tracheostomy care for a client. Which
actions should the nurse take first?ANSWERS perform hand hygiene
11. A nurse is caring for an older adult client who becomes agitated when the nurse
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,requests that the clients dentures be removed prior to surgery. Which responses
should the nurse make?ANSWERS what worries you about being without your teeth?
12. A nurse in an oncology clinic is assessing a client who is undergoing treat- ment for
ovarian cancer. Which assessment statements by the client indicates she is
experiencing psychological distress?ANSWERS i keep having nightmares about my
upcoming surgery
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, 13. A nurse on a med surg unit is caring for a client. Which actions should the nurse
take first when using the nursing process?ANSWERS obtain client information
14. A nurse is caring for an older adult client who is violent and attempting to
disconnect her IV lines. The provider prescribes soft wrist restraints. Which actions
should the nurse take while the client is in restraints?ANSWERS remove the restraints
one at a time
15. A nurse is planning care for a client who reports abdominal pain. An
assessment by the nurse reveals the client has a temp of 102.6, HR of 105, a soft
nontender abdomen, and menses overdue by 2 days. Which findings should be the
nurses priority?ANSWERS temperature
16. A nurse is inserting an IV catheter for a client that results in a blood spill on her
gloved hand. The client has no documented bloodstream infection. Which action
should the nurse take?ANSWERS carefully remove the gloves and follow with hand
hygiene
17. A nurse is caring for a client who is post op and has paralytic ileum. Which
abdominal assessments should the nurse expect?ANSWERS absent bowel sounds with
distention
18. A nurse is caring for a client who has type 1 diabetes and is resistant to learning
self-injection of insulin. Which statements should the nurse make?ANSWERS - tell me
what i can do to help you overcome your fear of giving yourself injections
19. A nurse is recieving a client from the PACU who is post op following abdominal
surgery. Which actions should the nurse make to transfer the client from the stretcher
to the bed?ANSWERS lock the wheels on the bed and stretcher
20. A nurse is caring for a client who is in the terminal stage of cancer. Which actions
should the nurse take when she observes the client crying?ANSWERS sit and hold the
clients hand
21. A nurse in the ED is assessing a client who reports diarrhea and decreased
urination for 4 days. Which actions should the nurse take to assess the clients skin
turgor?ANSWERS grasp a skinfold on chest under clavicle, release, and note whether it
springs back
22. A nurse is caring for a client who has terminal illness. The client asks several
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LATEST!!! 210 QUESTIONS AND VERIFIED ANSWERS| 100% !@#$@#$
CORRECT %
1. A nurse is assessing the heart sounds of a client who has developed chest pain that
becomes worse with inspiration. The nurse auscultates a high-pitched scratching
•
sound during both systole and diastole with the diaphragm of the stethoscope
positioned at the left sternal border. Which heart sounds should the nurse
document?ANSWERS pericardial friction rub
2. A nurse is obtaining the blood pressure in a clients lower extremity. Which action
should the nurse take?ANSWERS place the bladder of the cuff over the posterior
aspect of the thigh
3. A charge nurse is teaching adult CPR to a group of new nurses. Which actions
should the charge nurse teach as the first response in CPR?ANSWERS confirm
unresponsiveness
4. A nurse is caring for a client who requires a chest xray. Prior to the client being
transported for the procedure, which actions should the nurse take
first?ANSWERS identify the client using two identifiers
5. A nurse is caring for a child who is postop following a tonsillectomy. Which actions
should the nurse take?ANSWERS administer analgesics to the child on a routine
schedule throughout the day and night
6. A nurse is providing teaching to a client who has heart failure about how to
reduce his daily intake of sodium. Which factors is the most important in
determining the clients ability to learn new dietary habits?ANSWERS the
involvement of the client in planning the change
7. A charge nurse is observing a new nurse perform tracheostomy care for a client.
Which actions by the new nurse requires intervention?ANSWERS obtaining cotton
balls for the trach care
8. A nurse is preparing to perform mouth care for an unresponsive client. Which actions
should the nurse plan to take?ANSWERS raise the level of the bed
9. A nurse is witnessing a client sign an informed consent form for surgery. Which
describes what the nurse is affirming by this action?ANSWERS the signature on the
preop consent form is the clients
10. A nurse is preparing to provide tracheostomy care for a client. Which
actions should the nurse take first?ANSWERS perform hand hygiene
11. A nurse is caring for an older adult client who becomes agitated when the nurse
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18
,requests that the clients dentures be removed prior to surgery. Which responses
should the nurse make?ANSWERS what worries you about being without your teeth?
12. A nurse in an oncology clinic is assessing a client who is undergoing treat- ment for
ovarian cancer. Which assessment statements by the client indicates she is
experiencing psychological distress?ANSWERS i keep having nightmares about my
upcoming surgery
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18
, 13. A nurse on a med surg unit is caring for a client. Which actions should the nurse
take first when using the nursing process?ANSWERS obtain client information
14. A nurse is caring for an older adult client who is violent and attempting to
disconnect her IV lines. The provider prescribes soft wrist restraints. Which actions
should the nurse take while the client is in restraints?ANSWERS remove the restraints
one at a time
15. A nurse is planning care for a client who reports abdominal pain. An
assessment by the nurse reveals the client has a temp of 102.6, HR of 105, a soft
nontender abdomen, and menses overdue by 2 days. Which findings should be the
nurses priority?ANSWERS temperature
16. A nurse is inserting an IV catheter for a client that results in a blood spill on her
gloved hand. The client has no documented bloodstream infection. Which action
should the nurse take?ANSWERS carefully remove the gloves and follow with hand
hygiene
17. A nurse is caring for a client who is post op and has paralytic ileum. Which
abdominal assessments should the nurse expect?ANSWERS absent bowel sounds with
distention
18. A nurse is caring for a client who has type 1 diabetes and is resistant to learning
self-injection of insulin. Which statements should the nurse make?ANSWERS - tell me
what i can do to help you overcome your fear of giving yourself injections
19. A nurse is recieving a client from the PACU who is post op following abdominal
surgery. Which actions should the nurse make to transfer the client from the stretcher
to the bed?ANSWERS lock the wheels on the bed and stretcher
20. A nurse is caring for a client who is in the terminal stage of cancer. Which actions
should the nurse take when she observes the client crying?ANSWERS sit and hold the
clients hand
21. A nurse in the ED is assessing a client who reports diarrhea and decreased
urination for 4 days. Which actions should the nurse take to assess the clients skin
turgor?ANSWERS grasp a skinfold on chest under clavicle, release, and note whether it
springs back
22. A nurse is caring for a client who has terminal illness. The client asks several
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