ATI 2019 Fundamentals Proctored Exam: Ultimate
Retake Guide EXAM QUESTIONS AND WELL
ELABORATED ANSWERS (all VERSIONS)
A nurse is obtaining a health history from a client. Which of the
following factors places the client at risk for cardiovascular disease? -
CORRECT ANSWER Metabolic syndrome.
A nurse is caring for a client who has a terminal illness. The client
states, "I am not giving up. I want as much treatment as possible."
Which of the following responses should the nurse make? - CORRECT
ANSWER "I will contact your provider to discuss your options."
A nurse is preparing to administer packed RBCs to a client who has
low hemoglobin level. Which of the following action should the nurse
take prior to the start of the infusion? - CORRECT ANSWER Check
the blood products compatibility with the client's blood type.
A nurse in an emergency department is caring for a client who is
unconscious and require surgery. There is no one available to give
consent for the treatment. Which of the following action should the
nurse take? - CORRECT ANSWER Prepare the client for surgery
A nurse is teaching a client how to self administer help heparin. Which
of the following instruction should the nurse include in the teaching? -
CORRECT ANSWER Expel air bubble before injecting medication.
A nurse is planning to change a clients tracheostomy ties. Which of
the following action should the nurse take? - CORRECT ANSWER All
A nurse is preparing to perform an Anthropometric assessment on a
client. Which of the following client data should the nurse include? -
CORRECT ANSWER Weight.
A nurse is teaching an older adult client about reducing the risk for
osteoporosis. Which of the following statements by the client
,indicates an understanding of the teaching? - CORRECT ANSWER "I
will walk three times per week."
A nurse is reviewing a medication prescription that reads "morphine 5
mg IV bolus for pain." Which of the following components should the
nurse clarify with the provider? - CORRECT ANSWER Time.
A nurse is providing teaching to a client about reducing the adverse
effects of immobility. Which of the following statements by the client
indicates an understanding of the teaching? - CORRECT ANSWER "I
will perform ankle and knee exercises every hour."
A nurse is caring for a client who has dysphagia when assisting the
client during breakfast. Which of the following actions by the client
indicates the nurse should intervene? - CORRECT ANSWER The
client drinks their thickened juice with a straw.
A nurse is caring for a client who reports frequent headaches and
believes balance is achieved through the concept of Yin and yang.
Which of the following food should a nurse expect the client to choose
to treat their headache? - CORRECT ANSWER Honey.
A home health nurse is assessing the home environment of an older
adult who has osteoporosis. For which of the following findings should
the nurse intervene? - CORRECT ANSWER There's an area rug
covering a tile floor.
A nurse is assessing a client who has left sided weakness following a
stroke. Which of the following findings is in the nurses priority? -
CORRECT ANSWER The client coughs frequently while eating.
A nurse is caring for a client who has a colostomy. Which of the
following action should the nurse take? - CORRECT ANSWER Ensure
the pouch is 0.32 cm larger than the stoma.
A nurse is assessing a client who has respecters for developing heart
disease. Which of the following factors does the nurse recognize as
modifiable risk factor? - CORRECT ANSWER Physical inactivity.
,A nurse is caring for a client who has left lower lobe atelectasis. In
which of the following positions should the nurse place the client for
postural drainage? - CORRECT ANSWER Side- lying with the right
side of the chest elevated.
A nurse is teaching a client about reducing the risk for osteoporosis.
Which of the following statements by the client indicates an
understanding of possible anaphylaxis? - CORRECT ANSWER A sharp
decrease in blood pressure.
A nurse is planning care for a client who is immobile. Which of the
following actions should the nurse include in the plan of care? -
CORRECT ANSWER Use trochanter rolls besides the client's legs.
The nurse is reviewing a complementary therapies approved by the
provider with a client who has hypertension. Which of the following
supplements should the nurse discuss with the client? - CORRECT
ANSWER Garlic
A nurse identifies a small fire in a client;s room. After moving the
client to safety, which of the following is the next action the nurse
should take? - CORRECT ANSWER Activate the facility's fire alarm.
A nurse is planning to administer insulin to a client who has type 1 DM,
what action should the nurse perform first? - CORRECT ANSWER
Verify the dose of insulin with another nurse once it is prepared.
The nurse is caring for a client who has pneumonia. The nurse is
providing discharge teaching for the client and their caregiver. Which
of the following information should the nurse include? - CORRECT
ANSWER -The steroid dose will decrease each day.
-Adjust the oxygen flow rate as needed to ease breathing.
-Steroid medication should be taken in the morning.
-Ensure the oxygen delivery system is at least 8 feet from any heat
source.
, A nurse is caring for a client. The nurse is reviewing the clients
medical record, which of the following finding places the client a high
risk for heart disease? - CORRECT ANSWER -Family history.
-Fasting glucose level.
-History of hyperlipidemia.
-History of hypertension
-Cholesterol level.
A nurse is preparing to administer medication to a client for the first
time. Which of the following action should the nurse take to help
ensure safe medication administration? - CORRECT ANSWER Read
the medication label twice prior to administration.
A client who reports shortness of breath requests the nurse's help in
changing positions. After repositioning the client, which of the
following actions should the nurse take next? - CORRECT ANSWER
Observe the rate, depth, and character of the client's respirations
A nurse is beginning her shift and reviewing the medication
administration records (MARs) for her clients. She notes a dosage of a
medication above the safe range and sees that a nurse administered
that dosage during the previous shift. Which of the following actions
should the nurse take? - CORRECT ANSWER Call the provider to
clarify the dosage.
A client has 1 L of dextrose 5% in 0.45% sodium chloride infusing IV at
125 mL/hr. How many hours will it take for the liter to infuse? -
CORRECT ANSWER 8
A nurse is caring for a client who begins having a tonic-clonic seizure
while sitting in a chair at the bedside. Which of the following actions
should the nurse take first? - CORRECT ANSWER Lower the client to
the floor
A nurse is administering medication to a client who asks the nurse to
leave the medication at the bedside to be taken at a later time. Which
of the following responses should the nurse make? - CORRECT
Retake Guide EXAM QUESTIONS AND WELL
ELABORATED ANSWERS (all VERSIONS)
A nurse is obtaining a health history from a client. Which of the
following factors places the client at risk for cardiovascular disease? -
CORRECT ANSWER Metabolic syndrome.
A nurse is caring for a client who has a terminal illness. The client
states, "I am not giving up. I want as much treatment as possible."
Which of the following responses should the nurse make? - CORRECT
ANSWER "I will contact your provider to discuss your options."
A nurse is preparing to administer packed RBCs to a client who has
low hemoglobin level. Which of the following action should the nurse
take prior to the start of the infusion? - CORRECT ANSWER Check
the blood products compatibility with the client's blood type.
A nurse in an emergency department is caring for a client who is
unconscious and require surgery. There is no one available to give
consent for the treatment. Which of the following action should the
nurse take? - CORRECT ANSWER Prepare the client for surgery
A nurse is teaching a client how to self administer help heparin. Which
of the following instruction should the nurse include in the teaching? -
CORRECT ANSWER Expel air bubble before injecting medication.
A nurse is planning to change a clients tracheostomy ties. Which of
the following action should the nurse take? - CORRECT ANSWER All
A nurse is preparing to perform an Anthropometric assessment on a
client. Which of the following client data should the nurse include? -
CORRECT ANSWER Weight.
A nurse is teaching an older adult client about reducing the risk for
osteoporosis. Which of the following statements by the client
,indicates an understanding of the teaching? - CORRECT ANSWER "I
will walk three times per week."
A nurse is reviewing a medication prescription that reads "morphine 5
mg IV bolus for pain." Which of the following components should the
nurse clarify with the provider? - CORRECT ANSWER Time.
A nurse is providing teaching to a client about reducing the adverse
effects of immobility. Which of the following statements by the client
indicates an understanding of the teaching? - CORRECT ANSWER "I
will perform ankle and knee exercises every hour."
A nurse is caring for a client who has dysphagia when assisting the
client during breakfast. Which of the following actions by the client
indicates the nurse should intervene? - CORRECT ANSWER The
client drinks their thickened juice with a straw.
A nurse is caring for a client who reports frequent headaches and
believes balance is achieved through the concept of Yin and yang.
Which of the following food should a nurse expect the client to choose
to treat their headache? - CORRECT ANSWER Honey.
A home health nurse is assessing the home environment of an older
adult who has osteoporosis. For which of the following findings should
the nurse intervene? - CORRECT ANSWER There's an area rug
covering a tile floor.
A nurse is assessing a client who has left sided weakness following a
stroke. Which of the following findings is in the nurses priority? -
CORRECT ANSWER The client coughs frequently while eating.
A nurse is caring for a client who has a colostomy. Which of the
following action should the nurse take? - CORRECT ANSWER Ensure
the pouch is 0.32 cm larger than the stoma.
A nurse is assessing a client who has respecters for developing heart
disease. Which of the following factors does the nurse recognize as
modifiable risk factor? - CORRECT ANSWER Physical inactivity.
,A nurse is caring for a client who has left lower lobe atelectasis. In
which of the following positions should the nurse place the client for
postural drainage? - CORRECT ANSWER Side- lying with the right
side of the chest elevated.
A nurse is teaching a client about reducing the risk for osteoporosis.
Which of the following statements by the client indicates an
understanding of possible anaphylaxis? - CORRECT ANSWER A sharp
decrease in blood pressure.
A nurse is planning care for a client who is immobile. Which of the
following actions should the nurse include in the plan of care? -
CORRECT ANSWER Use trochanter rolls besides the client's legs.
The nurse is reviewing a complementary therapies approved by the
provider with a client who has hypertension. Which of the following
supplements should the nurse discuss with the client? - CORRECT
ANSWER Garlic
A nurse identifies a small fire in a client;s room. After moving the
client to safety, which of the following is the next action the nurse
should take? - CORRECT ANSWER Activate the facility's fire alarm.
A nurse is planning to administer insulin to a client who has type 1 DM,
what action should the nurse perform first? - CORRECT ANSWER
Verify the dose of insulin with another nurse once it is prepared.
The nurse is caring for a client who has pneumonia. The nurse is
providing discharge teaching for the client and their caregiver. Which
of the following information should the nurse include? - CORRECT
ANSWER -The steroid dose will decrease each day.
-Adjust the oxygen flow rate as needed to ease breathing.
-Steroid medication should be taken in the morning.
-Ensure the oxygen delivery system is at least 8 feet from any heat
source.
, A nurse is caring for a client. The nurse is reviewing the clients
medical record, which of the following finding places the client a high
risk for heart disease? - CORRECT ANSWER -Family history.
-Fasting glucose level.
-History of hyperlipidemia.
-History of hypertension
-Cholesterol level.
A nurse is preparing to administer medication to a client for the first
time. Which of the following action should the nurse take to help
ensure safe medication administration? - CORRECT ANSWER Read
the medication label twice prior to administration.
A client who reports shortness of breath requests the nurse's help in
changing positions. After repositioning the client, which of the
following actions should the nurse take next? - CORRECT ANSWER
Observe the rate, depth, and character of the client's respirations
A nurse is beginning her shift and reviewing the medication
administration records (MARs) for her clients. She notes a dosage of a
medication above the safe range and sees that a nurse administered
that dosage during the previous shift. Which of the following actions
should the nurse take? - CORRECT ANSWER Call the provider to
clarify the dosage.
A client has 1 L of dextrose 5% in 0.45% sodium chloride infusing IV at
125 mL/hr. How many hours will it take for the liter to infuse? -
CORRECT ANSWER 8
A nurse is caring for a client who begins having a tonic-clonic seizure
while sitting in a chair at the bedside. Which of the following actions
should the nurse take first? - CORRECT ANSWER Lower the client to
the floor
A nurse is administering medication to a client who asks the nurse to
leave the medication at the bedside to be taken at a later time. Which
of the following responses should the nurse make? - CORRECT
