2025 ATI FUNDAMENTALS
PROCTORED RETAKE
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,Questions
Question 1
A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis. Which of the following
actions should the nurse take?
a. Cover the area of percussion with a towel.
b. Instruct the client to exhale quickly during vibration
c. Schedule postural drainage after meals
d. Perform percussion over the lower back
Correct Answer
Perform percussion over the lower back
Question 2
a nurse is reviewing client confidentiality with a newly licensed nurse. The nurse should identify which of the following examples
as a violation of HIPPA?
Correct Answer
Discussing the clients transfer to a long-term care facility with a nurse from another unit
Question 3
A nurse is caring for a client who is grieving the loss of her partner. The client states I don't see the point of living anymore. which
of the following actions should the nurse take?
Correct Answer
Ask the client if she plans to harm herself.- safety first
,Question 4
A nurse is assessing a client's extraocular eye movements. Which of the following should the nurse take?
Correct Answer
-Instruct the clients to follow a finger through the six cardinal fields of gaze.
Rationale: Cardinal fields of gaze test for cranial nerves 3, 4, and 6 which are for eye movement
Question 5
. A nurse is providing teaching to a client who has diabetes mellitus about performing a capillary blood glucose test. Which of the
following instructions should the nurse include in the teaching?
Correct Answer
Gently squeeze the puncture site until a large droplet of blood forms
Question 6
A nurse who is documenting information in a clients electronic medical record is asked to assist with an emergency. Which of the
following actions should the nurse take?
A. Ask another nurse to monitor the computer
B. Turn the computer off
C. Move the computer to a secure place
D. Print out the current notes to finish later
Correct Answer
Move the computer to a secure place
Question 7
a nurse is preparing to apply a condom catheter for a client who is uncircumcised which of the following actions should the nurse
plan to take?
Correct Answer
Place adhesive tape directly on the penis
, Question 8
a nurse is caring for a client who has restraints to each extremity. Which of the following assessment should the nurse perform
first?
Correct Answer
Skin integrity
Question 9
a nurse is conducting a Webber test on a client. Which of the following is an appropriate action for the nurse to take?
Correct Answer
Place an activated tuning fork in the middle of the clients forehead
Question 10
a nurse is planning care for a client who has a new prescription for parental nutrition in 20% dextrose and fat emulsion. Which of
the following is the appropriate action to indicate in the plan of care?
Correct Answer
Prepare the client for a central venous line
Question 11
A nurse is caring for a client who has a prescription for morphine 5mg IM accidentally administers the whole 10 mg from the
single-dose vial. Which of the following actions should the nurse take first?
Correct Answer
-Measure the client's respiratory rate.
-Rationale: Morphine can cause respiratory depression. You should ALWAYS ASSESS the patient first when a med error is
performed to make sure med error doesn't put the client's health in risk.