ATI 2019 Fundamentals Proctored Exam, ATI
Fundamentals Retake, ATI FUNDAMENTALS PROCTOR,
| QUESTIONS AND CORRECT ANSWERS ACTUAL|
ALREADY GRADED A+
A nurse is planning care for a group of clients. Which of the following
tasks should the nurse delegate to an assistive personnel?
a. Changing the dressing for a client who has a stage 3 pressure injury
b. Determining a client's response to a diuretic
c. Comparing radial pulses for a client who is postoperative
d. Providing postmortem care to a client
-Solution
d. Providing postmortem care to a client
A nurse is conducting a health assessment for a client who takes herbal
supplements. Which of the following statements by the client indicates an
understanding of the use of the supplements?
A. I take ginkgo biloba for a headache
B. I take echinacea to control my cholesterol
C. I use ginger when I get car sick
D. I use garlic for my menopausal symptoms
-Solution
I use ginger when I get car sick
A nurse is caring for a client who has influenza and isolation precautions
in place. Which of the following actions should the nurse take to prevent
the spread of infection?
A. Wear a mask when working within 3 feet of the client
B. Administer metronidazole
C. Don protective eyewear before entering the room.
D. Place the client in a negative airflow room.
-Solution
Wear a mask when working within 3 feet of the client
A nurse obtains a prescription for wrist restraints for a client who is
trying to pull out his NG tube. Which of the following actions should the
nurse take?
A. Attach the restraints securely to the side rails of the client's bed.
B. Apply the restraints to allow as little movement as possible
1
,C.Allow room for two fingers to fit between the clients skin and the
restraints
d. remove the restraints every 4 hours
-Solution
Allow room for two fingers to fit between the clients skin and the
restraints
A nurse is admitting a client who has tuberculosis. Which of the
following types of transmission precautions should the nurse plan to
initiate?
A. Droplet
B. Airborne
c. protective environment
d. contact
-Solution
Airborne
A nurse in a well-child clinic receives a telephone call from a parent who
states that their child accidentally swallowed paint thinner. The child is
awake and alert. Which of the following responses should the nurse make?
A. Have your child drink one large glass of water.
B. Hang up and call a poison control center hotline.
C. Bring your child into the clinic later today.
D. Induce vomiting in your child with syrup of ipecac.
-Solution
Have your child drink one large glass of water
A nurse is documenting a client's medical record. Which of the following
entries should the nurse record.
A. Oral temperature slightly elevated at 0800
B. Administered pain medication
C. Incision without redness or drainage
D. Drank adequate amounts of fluid with meals.
-Solution
Administered pain medication
A nurse is providing oral care for a client who is unconscious. Which of
the following actions should the nurse take?
A. Place the client in a side-lying position.
B. Brush the clients teeth daily
C. Apply mineral oil to the client's lips
D. Rinse the client's mouth with an alcohol-based mouthwash
-Solution
2
,Place the client in a side-lying position
A nurse is collaborating with a risk management team about potential
legal issues involving client care. The nurse should identify which of the
following situations is an example of negligence?
A. A nurse administers a medication without first identifying the client.
B. An assistive personnel discusses client care in the facility cafeteria
with visitors present.
C. A nurse begins a blood transfusion without obtaining consent.
D. An assistive personnel prevents a client from leaving the facility.
-Solution
A nurse begins a blood transfusion without obtaining consent
A nurse is collecting a sputum specimen for culture from a client who has
a respiratory infection. Which of the following actions should the nurse
take?
A. Wear sterile gloves when collecting the specimen.
B. Offer the client oral hygiene after the collection
C. Collect the specimen in the evening.
D Collect 1 ml of sputum.
-Solution
Offer the client oral hygiene after the collection
A nurse is assessing an older client. Which of the following findings
should the nurse expect?
a. Decreased sense of balance
b. Increased nighttime sleeping
c. Heightened sense of pain
d. Nighttime urinary incontinence
-Solution
Decreased sense of balance
A nurse is completing discharge teaching about ostomy care with a client
who has a new stoma. Which of the following instructions should the
nurse include in the teaching? (select all that apply)
a. "Cut the opening of the pouch 1⁄8 of an inch larger than the stoma "
b. "Place a piece a gauze over the stoma while changing the pouch"
c. "Use povidone-iodine to clean around the stoma"
d. "Empty the ostomy pouch when it becomes one-third full of contents"
e. expect the stoma to turn a purple-blue color as its heals"
-Solution
Cut the opening of the pouch 1⁄8 of an inch larger than the stoma
3
, Place a piece a gauze over the stoma while changing the pouch
Use povidone-iodine to clean around the stoma
Empty the ostomy pouch when it becomes one-third full of contents
A nurse is preparing to obtain informed consent from a client who speaks
a different language than the nurse. Which of the following actions
should the nurse take?
a. "Request that an assistive personnel interpret the information for the
client"
b. "Use proper medical terms when giving information to the client"
c. "Offer written information in the client's language"
d. "Avoid using gestures when speaking to the client"
-Solution
Offer written information in the client's language
A nurse is teaching a client about home care equipment. Which of the
following information should the nurse include in the teaching? (select all
that apply)
a. "Avoid using wool blankets when receiving oxygen"
b. check the O2 delivery rate at least once a day
c. align the middle of the ball in the flow meter with the line of the
prescribed flow rate
d. "Keep the oxygen delivery system 0.6 m (2 feet) from any heat source"
e. "Lay the oxygen tank flat when storing"
-Solution
Avoid using wool blankets when receiving oxygen
check the O2 delivery rate at least once a day
align the middle of the ball in the flow meter with the line of the
prescribed flow rate
A nurse is planning care for a client who reports insomnia. Which of the
following actions should the nurse perform shortly before bedtime?
a. Provide a late supper.
b. Offer a wet washcloth for the client to wash her face
c. Perform range-of-motion exercises
d. Prepare hot cocoa or tea for the client
-Solution
Provide a late supper
4
Fundamentals Retake, ATI FUNDAMENTALS PROCTOR,
| QUESTIONS AND CORRECT ANSWERS ACTUAL|
ALREADY GRADED A+
A nurse is planning care for a group of clients. Which of the following
tasks should the nurse delegate to an assistive personnel?
a. Changing the dressing for a client who has a stage 3 pressure injury
b. Determining a client's response to a diuretic
c. Comparing radial pulses for a client who is postoperative
d. Providing postmortem care to a client
-Solution
d. Providing postmortem care to a client
A nurse is conducting a health assessment for a client who takes herbal
supplements. Which of the following statements by the client indicates an
understanding of the use of the supplements?
A. I take ginkgo biloba for a headache
B. I take echinacea to control my cholesterol
C. I use ginger when I get car sick
D. I use garlic for my menopausal symptoms
-Solution
I use ginger when I get car sick
A nurse is caring for a client who has influenza and isolation precautions
in place. Which of the following actions should the nurse take to prevent
the spread of infection?
A. Wear a mask when working within 3 feet of the client
B. Administer metronidazole
C. Don protective eyewear before entering the room.
D. Place the client in a negative airflow room.
-Solution
Wear a mask when working within 3 feet of the client
A nurse obtains a prescription for wrist restraints for a client who is
trying to pull out his NG tube. Which of the following actions should the
nurse take?
A. Attach the restraints securely to the side rails of the client's bed.
B. Apply the restraints to allow as little movement as possible
1
,C.Allow room for two fingers to fit between the clients skin and the
restraints
d. remove the restraints every 4 hours
-Solution
Allow room for two fingers to fit between the clients skin and the
restraints
A nurse is admitting a client who has tuberculosis. Which of the
following types of transmission precautions should the nurse plan to
initiate?
A. Droplet
B. Airborne
c. protective environment
d. contact
-Solution
Airborne
A nurse in a well-child clinic receives a telephone call from a parent who
states that their child accidentally swallowed paint thinner. The child is
awake and alert. Which of the following responses should the nurse make?
A. Have your child drink one large glass of water.
B. Hang up and call a poison control center hotline.
C. Bring your child into the clinic later today.
D. Induce vomiting in your child with syrup of ipecac.
-Solution
Have your child drink one large glass of water
A nurse is documenting a client's medical record. Which of the following
entries should the nurse record.
A. Oral temperature slightly elevated at 0800
B. Administered pain medication
C. Incision without redness or drainage
D. Drank adequate amounts of fluid with meals.
-Solution
Administered pain medication
A nurse is providing oral care for a client who is unconscious. Which of
the following actions should the nurse take?
A. Place the client in a side-lying position.
B. Brush the clients teeth daily
C. Apply mineral oil to the client's lips
D. Rinse the client's mouth with an alcohol-based mouthwash
-Solution
2
,Place the client in a side-lying position
A nurse is collaborating with a risk management team about potential
legal issues involving client care. The nurse should identify which of the
following situations is an example of negligence?
A. A nurse administers a medication without first identifying the client.
B. An assistive personnel discusses client care in the facility cafeteria
with visitors present.
C. A nurse begins a blood transfusion without obtaining consent.
D. An assistive personnel prevents a client from leaving the facility.
-Solution
A nurse begins a blood transfusion without obtaining consent
A nurse is collecting a sputum specimen for culture from a client who has
a respiratory infection. Which of the following actions should the nurse
take?
A. Wear sterile gloves when collecting the specimen.
B. Offer the client oral hygiene after the collection
C. Collect the specimen in the evening.
D Collect 1 ml of sputum.
-Solution
Offer the client oral hygiene after the collection
A nurse is assessing an older client. Which of the following findings
should the nurse expect?
a. Decreased sense of balance
b. Increased nighttime sleeping
c. Heightened sense of pain
d. Nighttime urinary incontinence
-Solution
Decreased sense of balance
A nurse is completing discharge teaching about ostomy care with a client
who has a new stoma. Which of the following instructions should the
nurse include in the teaching? (select all that apply)
a. "Cut the opening of the pouch 1⁄8 of an inch larger than the stoma "
b. "Place a piece a gauze over the stoma while changing the pouch"
c. "Use povidone-iodine to clean around the stoma"
d. "Empty the ostomy pouch when it becomes one-third full of contents"
e. expect the stoma to turn a purple-blue color as its heals"
-Solution
Cut the opening of the pouch 1⁄8 of an inch larger than the stoma
3
, Place a piece a gauze over the stoma while changing the pouch
Use povidone-iodine to clean around the stoma
Empty the ostomy pouch when it becomes one-third full of contents
A nurse is preparing to obtain informed consent from a client who speaks
a different language than the nurse. Which of the following actions
should the nurse take?
a. "Request that an assistive personnel interpret the information for the
client"
b. "Use proper medical terms when giving information to the client"
c. "Offer written information in the client's language"
d. "Avoid using gestures when speaking to the client"
-Solution
Offer written information in the client's language
A nurse is teaching a client about home care equipment. Which of the
following information should the nurse include in the teaching? (select all
that apply)
a. "Avoid using wool blankets when receiving oxygen"
b. check the O2 delivery rate at least once a day
c. align the middle of the ball in the flow meter with the line of the
prescribed flow rate
d. "Keep the oxygen delivery system 0.6 m (2 feet) from any heat source"
e. "Lay the oxygen tank flat when storing"
-Solution
Avoid using wool blankets when receiving oxygen
check the O2 delivery rate at least once a day
align the middle of the ball in the flow meter with the line of the
prescribed flow rate
A nurse is planning care for a client who reports insomnia. Which of the
following actions should the nurse perform shortly before bedtime?
a. Provide a late supper.
b. Offer a wet washcloth for the client to wash her face
c. Perform range-of-motion exercises
d. Prepare hot cocoa or tea for the client
-Solution
Provide a late supper
4
