ATI FUNDAMENTAL EXAM (RLE & LEC) P1-P3 COUR RATED A 2025 P1 - FUNDA (LEC) WEEK 2- POST TEST

1. The nurse is applying for a position with a home care organization that specializes in spinal cord injury. In doing so, the nurse is applying for a position in care. -Restorative 2. A patient who needs nursing and rehabilitation following a stroke would most benefit from receiving care at a: -Restorative care setting 3. Health promotion programs focuses on -Reducing the cost of health care 4. You are caring for an adolescent patient who underwent a gastric banding procedure 6 months previously. This adolescent tells you, “There is still a fat person inside of me.” This type of statement illustrates a flaw in the self-concept of: -Body image 5. The setting of health care services that includes blood pressure and cancer screening is care. -Preventive 6. The nurse spends time with the patient and family reviewing the dressing change procedure for the patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which professional role? -Educator 7. The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their patients. A nurse consultant decides to compare two types of treatment. The first is the procedure currently used to assess for pressure ulcer risk. The second uses a new assessment instrument to identify at-risk patients. Given this information, the nurse consultant exemplifies which career? -Nurse researcher 8. An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her vital signs, listens to her lung and heart sounds, determines her level of comfort, and collects blood and sputum samples for analysis. Which standard of practice is performed? -Assessment 9. A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient's wishes with them. The nurse is acting as the patient's: -Advocate 10. Who established the Red Cross in the United States in 1882? -Clara Barton 11. A female patient has just found a large lump in her breast. The physician needs to perform a breast biopsy. The nurse helps the patient into the proper position and offers support during the biopsy. The nurse is demonstrating: -A sense of presence 12. Presence involves a person-to-person encounter that: -Conveys a closeness and a sense of caring 13. When a nurse enters a patient’s room and says “Good morning” before starting care, the nurse combines nursing tasks and conversation. An important aspect of care for the nurse to remember is the need to: -Assess the patient’s emotional needs 14. A nurse hears a colleague tell a nursing student that she never touches a patient unless she is performing a procedure or doing an assessment. The nurse tells the student that from a caring perspective: -Touch forms a connection between nurse and patient. 15. A Muslim woman enters the clinic to have a woman's health examination for the first time. Which nursing behavior applies Swanson's caring process of “knowing the patient? -Gaining an understanding of what a woman's health examination means to the patient 16. When a nurse helps a patient find the meaning of cancer by supporting beliefs about life, this is an example of: -Instilling hope and faith. 17. Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples? (Select all that apply.) -Caregiver -Autonomy -Patient advocate -Manager 18. A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is performed? -Implementation 19. Which of the following is used by the nurse to identify the patient’s healthcare needs and strengths and to establish and carry out a plan of care to meet those needs? -Nursing process 20. A hospice nurse sits at the bedside of a male patient in the final stages of cancer. He and his parents made the decision that he would move home and they would help him in the final stages of his disease. The family participates in his care, but lately the nurse has increased the amount of time she spends with the family. Whenever she enters the room or approaches the patient to give care, she touches his shoulder and tells him that she is present. This is an example of what type of touch? -Caring touch 21. A patient is fearful of upcoming surgery and a possible cancer diagnosis. He discusses his love for the Bible with his nurse, who recommends a favorite Bible verse. Another nurse tells the patient's nurse that there is no place in nursing for spiritual caring. The patient's nurse replies: -“Spiritual, mind, and body connections can affect health.” 22. Nurses in an acute care hospital are attending a unit-based education program to learn how to use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of education? -Continuing education 23. You are preparing a presentation for your classmates regarding the clinical care coordination conference for a patient with terminal cancer. As part of the preparation you have your classmates read the Nursing Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is important. Which of the following statements best describes this code? -Defines the principles of right and wrong to provide patient care 24. A nurse is caring for an older adult who needs to enter an assisted-living facility following discharge from the hospital. Which of the following is an example of listening that displays caring? -The nurse listens to the patient's story while sitting on the side of the bed and then summarizes the story. 25. Which of the following nursing activities is provided in a secondary health care delivery system? -Doing endotracheal suctioning for a patient on a ventilator in the medical intensive care unit 26. Which of the following are examples is NOT part of the primary care activities? -Working with patients in a cardiac rehabilitation program 27. Care designed to prevent further progression of a disease is termed -Tertiary prevention. 28. A nurse enters a patient's room, arranges the supplies for a Foley catheter insertion, and explains the procedure to the patient. She tells the patient what to expect; just before inserting the catheter, she tells the patient to relax and that, once the catheter is in place, she will not feel the bladder pressure. The nurse then proceeds to skillfully insert the Foley catheter. This is an example of what type of touch? -Task-oriented touch 29. You are assigned to care for a patient who has just undergone a mastectomy for a malignant tumor. You would most appropriately classify this self-concept component as: -Body image stressor. 30. You are assigned to care for a patient who retired 6 months ago. While providing care, you identify that this patient is struggling emotionally with change. This situation is most likely associated with the self-concept component of: -Role-performance stressor FUNDA (LEC) WEEK 3- POST TEST 1. A nurse is conducting a home visit with an older-adult couple. While in the home the nurse weighs each individual and reviews the 3-day food diary with them. She also checks their blood pressure and encourages them to increase their fluids and activity levels to help with their voiced concern about constipation. The nurse is addressing which level of need according to Maslow? -Physiological 2. When taking care of patients, a nurse routinely asks if they take any vitamins or herbal medications, encourages family members to bring in music that the patient likes to help the patient relax, and frequently prays with her patients if that is important to them. The nurse is practicing which model? -Holistic 3. The Joint Commission's (TJC's) Speak Up Initiatives help patients understand their rights when receiving care. Which of the following is correct? -Speak up if you have questions or concerns. -Ask a trusted family member or friend to be your advocate. -Use a health care organization that has been carefully evaluated. ANSWER: All of the above 4. Which of these is not an element of non- verbal communication? -Name of the speaker 5. A nurse is talking with a young-adult patient about the purpose of a new medication. The nurse says, “I want to be clear. Can you tell me in your words the purpose of this medicine?” This exchange is an example of which element of the transactional communication process? -Obtaining feedback 6. Which of the following is the primary nursing diagnostic label used to describe a patient with limited or no ability to communicate verbally? -Impaired verbal communication 7. You are invited to attend the weekly unit patient care conference. The staff discusses patient care issues. This type of communication is: -Small group 8. Interpersonal communication is the most frequently used in nursing situations and lies at the heart of nursing practice. Which of these is NOT a result of this kind of communication? -self-talk 9. Which of the following statements about the communication process is accurate? -Communicating people receive and send messages through verbal and nonverbal means, which occur simultaneously. 10. Which of the following statement about the internal factors affecting communication is accurate? -Emotional status like hopelessness and euphoria. 11. A 36-year-old patient who underwent a hysterectomy 4 days ago says to the nurse, “I wonder if I’ll still feel like a woman.” Which of the following responses would most likely encourage the patient to expand on this and express her concerns in more specific terms? -“Feel like a woman . . .” 12. Which of the following developmental considerations is a nurse assessing when he/she determines that an 8-year-old boy is not equipped to understand the scientific explanation of his disease? -Cognitive domain 13. A new nurse complains to her preceptor that she has no time for therapeutic communication with her patients. Which of the following is the best strategy to help the nurse find more time for this communication? -Include communication while performing tasks such as changing dressings and checking vital signs. 14. In developing communication skills, when you consider a patient’s problems, it is important to apply critical thinking and critical reasoning skills to improve communication in assessment and care of the patient. This develops: -Critical thinking 15. A nurse is planning the care for her patient. She always main an open line of communication and ensure that the patient is comfortable and that all physical needs have been met. This is a concept of: -Setting of priorities 16. Which of these statements explains the concept of teaching? (Select all that apply.) -The concept of imparting knowledge through a series of directed activities. -Consists of a conscious, deliberate set of actions that help individuals gain new knowledge, change attitudes, adopt new behaviors, or perform new skills. 17. Helping relationships serve as the foundation of clinical nursing practice. Contracts for a therapeutic helping relationship are formed during the: -orientation stage 18. A student nurse is reviewing a process recording with the instructor. The student engaged the patient in a discussion about availability of family members to provide support at home once the patient is discharged. The student reviews with the instructor whether the comments used encouraged openness and allowed the patient to “tell his story.” This is an example of which step of the nursing process? -Evaluation 19. 19. -DABC 20. Teaching as a communication closely parallels the communication process. The learning objective is describes as: -What the learner will be able to accomplish after instruction is given 21. A new nurse complains to her preceptor that she has no time for therapeutic communication with her patients. Which of the following is the best strategy to help the nurse find more time for this communication? -Include communication while performing tasks such as changing dressings and checking vital signs. 22. The nurse assesses the following risk factors for coronary artery disease (CAD) in a female patient. Which factors are classified as genetic and physiological? (Select all that apply.) -Mother died from CAD at age 48 -History of hypertension -Elevated cholesterol level 23. Which activity shows a nurse engaged in primary prevention? -A school health nurse provides a program to the first-year students on healthy eating. 24. Helping relationships serve as the foundation of clinical nursing practice. Contracts for a therapeutic helping relationship are formed during the: -orientation stage 25. In diagnosing patients with communication problem, which of the following could be a nursing diagnosis? (Select all that apply.) -Anxiety -Social isolation -Ineffective coping -Compromised family coping -Powerlessness -Impaired social interaction 26. A patient registered at the local fitness center and purchased a pair of exercise shoes. The patient is in what stage of behavioral change? -Preparation 27. A patient who is Spanish-speaking does not appear to understand the nurse's information of wound care. Which action should the nurse take? -Use a professional interpreter to provide wound care education in Spanish 28. After a class on Pender's health promotion model, students make the following statements. Which statement does the faculty member need to clarify? -“Perceived self-efficacy is not related to the model.” 29. In which of the following phases of the helping relationship is an agreement or contract about the relationship established? -Orientation phase 30. A patient is evaluated in the emergency department after causing an automobile accident while being under the influence of alcohol. While assessing the patient, which statement would be the most therapeutic? -“Tell me what happened before, during, and after the automobile accident tonight.” FUNDA (LEC) WEEK 4- POST TEST 1. Information regarding a patient’s health status may not be released to non-health care team members because: -Legal and ethical obligations require health care provides to keep information strictly confidential. 2. A nurse has just admitted a patient with a medical diagnosis of congestive heart failure. When completing the admission paper work, the nurse needs to record: -objective data that are observed 3. A nurse records that the patient stated his abdominal pain is worse now than last night. This is an example of: -narrative charting 4. A patient you are assisting has fallen in the shower. You must complete an incident report. The purpose of an incident report is to: -aid in the hospital’s quality improvement program 5. In which of the following phases of the helping relationship is an agreement or contract about the relationship established? -orientation phase 6. Which of the following statement about the internal factors affecting communication is accurate? -emotional status like hopelessness and euphoria 7. A nurse is planning the care for her patient. She always maintains an open line of communication and ensures that the patient is comfortable and that all physical needs have been met. This is a concept of: -Setting of priorities 8. When working with an older adult who has hearing-impairment, the use of which techniques would improve communication? (Select all that apply.) -Check for needed adaptive equipment -Give the patient time to respond to questions. -Keep communication short and to the point 9. A new nurse complains to her preceptor that she has no time for therapeutic communication with her patients. Which of the following is the best strategy to help the nurse find more time for this communication? -Include communication while performing tasks such as changing dressings and checking vital signs. 10. A patient who is Spanish-speaking does not appear to understand the nurse's information of wound care. Which action should the nurse take? -Use a professional interpreter to provide wound care education in Spanish 11. Health disparities are unequal burdens of disease morbidity and mortality rates experienced by racial and ethnic groups. These disparities are often exacerbated by: -bias -stereotyping -prejudice ANSWER: all of the above 12. You are in the process of admitting an ethnically diverse patient. To plan culturally competent care, you will conduct a cultural assessment that includes: -Ethnohistory 13. Professional nursing specialty organizations seek to: -improve standards of practice. -expand nursing roles. -improve the welfare of nurses in specialty areas. ANSWER: all of the above. 14. The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their patients. A nurse consultant decides to compare two types of treatment. The first is the procedure currently used to assess for pressure ulcer risk. The second uses a new assessment instrument to identify at-risk patients. Given this information, the nurse consultant exemplifies which career? -Nurse researcher FUNDA (LEC) WEEK 5- POST TEST 1. When a smiling and cooperative patient complains of discomfort, nurses caring for this patient often harbor misconceptions about the patient's pain. Which of the following is true? -Patients are the best judges of their pain 2. A postoperative patient is using PCA. You will evaluate the effectiveness of the medication when: -you compare assessed pain w/baseline pain 3. A patient has just undergone recommendation would be: an appendectomy. When discussing with the patient several pain-relief interventions, the most appropriate -PCA pain management 4. You receive an order to begin enteral tube feedings. The first step is to: -introduce a small amount of fluid into the tube before feeding 5. Which sleep-hygiene actions at bedtime can the nurse delegate to the nursing assistant? (Select all that apply.) -Giving the patient a backrub -Turning on quiet music -Dimming the lights in the patient's room 6. The nurse is developing a plan of care for a patient experiencing obstructive sleep apnea (OSA). Which intervention is appropriate to include on the plan? -Elevate head of bed and assume a side or prone position 7. The effects of immobility on the cardiac system include which of the following? (Select all that apply.) -Thrombus formation -Increased cardiac workload -Orthostatic hypotension 8. A 22-year-old new mother is breastfeeding. You ask her if she is taking the correct quantities of nutrients. Which statement reflects that she understands the dietary guidelines? -“I am making eating choices according to the recommended dietary allowances.” 9. Which statement made by the parent of a school-age child requires follow-up by the nurse? -“I encourage evening exercise about an hour before bedtime.” P1 - FUNDA (RLE) WEEK 2- POST TEST 1. Which of the following is incorrect about bed making? -Changing lines is usually done in the morning after the patient’s bath and changing linens are done as needed (e.g soiled, wet) 2. This is a method of dusting is employed in the care of hospital furnishings which are not upholstered, and for the removal of dust from all surfaces above the floor -Damp dusting 3. You are removing the soiled linens of a patient which principle should be observed: -Medical asepsis 4. To avoid bending and stretching over the mattress, what should a nurse do? -Raise the bed to the appropriate height 5. This type of dusting is done to all places easily reached by standing on the floor; done daily. -Low dusting 6. A nursing attendant is removing the used linens from a room that has just been vacated, all of the following are correct should be done except: -Shake the linen 7. This refers to dusting those areas over windows, pipes, wall and ceiling -High dusting 8. A nurse is knowledgeable that a patient under her care in the isolation room will be discharged during her shift. What type of cleaning will be performed? -Terminal cleaning 9. As you clean a patient’s bed side table, what rationale would you keep in mind as you perform the cleaner-to-dirtier method? -Minimize spread of microorganisms. 10. This type of cleaning includes mopping of floors and damp dusting of surfaces with detergent -Routine cleaning 11. A patient’s room should be maintained at which temperature range? -20° and 23° C (68° and 73.4° F) 12. After making the bed of a patient, which of the following should you do? Select all that apply. -Return it to the lowest horizontal position -Verify that the wheels are not unlocked 13. How can a ventilation system be classified as effective? -Stale air and foul odors are not lingering in a room 14. Why is it necessary for someone to wear appropriate PPEs even when cleaning? -To protect if there are any spills of blood/body fluids and to prevent from being infected if the patient is on transmission-based precautions 15. After a patient uses a urinal, the nurse-in-charge discards the urine and places it inside the toilet. What would you perform differently that is in accordance with the protocols? Select all that apply. -Measure the urine output even if in not strict I&O monitoring. -Rinse the urinal after each use. 16. To prevent microorganisms from dripping and contaminating clean areas, what strategy should you observe? -High to low strategy 17. You observe a colleague cleaning a patient’s room where she jumps from one area to another. What errors could unfortunately happen? -She may miss some areas of the room. 18. A patient has an ongoing Nicardipine drip who is placed on an IV infusion pump. The device used emits a beeping sound as there is no mute function. What should you do as a nurse? -Inform the patient that the sound emitted by the device is normal. 19. What can a clean patient environment contribute? -Reduction in environmental contamination including removal of pathogens and prevention of healthcare-associated infection 20. As you went to check on your patient, you saw her significant other remove the used bedpan from the overbed table to facilitate serving meals. What should you do? Select all that apply. -Instruct the significant other not to place the bedpan or urinal in the overbed table -Clean the over-bed table with antiseptic cleaner FUNDA (RLE) WEEK 3-POST TEST 1. When should you NOT perform hand hygiene? -Before draining a urine bag. 2. To reduce reservoirs of infection, which of the following one must observe: -Never raise a drainage system (e.g., urinary drainage bag) above the level of the site being drained unless it is clamped off. 3. When should you observe hand hygiene? -Before taking the vital signs. 4. Which among the following statements regarding inflammation is true? -Acute inflammation is an immediate response to cellular injury. 5. To cut the link between Mode of Transmission and Portal of Entry, which of the following should be observed? -Hand hygiene 6. Ensuring efficacy whenever disinfecting and sterilizing all of the following are observed except: -Concentration of solution and duration of contact -Type and number of pathogens -Temperature of the environment