ATI 2019 Fundamentals Proctored Exam: Ultimate
Retake Guide EXAM QUESTIONS AND WELL
ELABORATED ANSWERS (VERSIONS)
A nurse is caring for an adult client who has an NG tube in place and a
prescription for continuous enteral feedings. Which of the following
actions should the nurse perform to reduce the client's risk of
aspiration? - CORRECT ANSWER Elevate the head of the bed to 30°
or 45°
A nurse is inserting an NG tube into a client who begins to cough and
gag. Which of the following actions should the nurse take? - CORRECT
ANSWER Pull the NG tube back slightly
A nurse is called away for an emergency while conversing with a
client who is concerned about his medical diagnosis. The nurse
returns to the client promptly, as promised. Which of the following
ethical principles is the nurse demonstrating? - CORRECT ANSWER
Fidelity
A nurse is teaching an assistive personnel (AP) about proper hand
hygiene. Which of the following statements by the AP indicates an
understanding of the teaching? - CORRECT ANSWER "There are
times I should use soap and water rather than an alcohol-based rub to
clean my hands."
A nurse is preparing to administer an afternoon dose of ampicillin to a
client. The client appears upset and refuses to take the medication
before throwing the pill on the floor. Which of the following entries
should the nurse enter into the client's medical record? - CORRECT
ANSWER The client threw the medication on the floor
A nurse is preparing to administer an otic antibiotic to an adult client
who has otitis media. Which of the following actions should the nurse
,plan to take? - CORRECT ANSWER Hold the dropper 1 cm (0.5 in)
above the ear canal during administration
A nurse is assisting a client who has right-sided weakness while
ambulating using a cane. Which of the following client actions should
indicate to the nurse that the client understands the procedure of
cane walking? - CORRECT ANSWER The client keeps 2 points of
support on the ground
A nurse is teaching a client about the use of a straight-legged cane.
Which of the following client actions indicates an understanding of the
teaching? - CORRECT ANSWER The client holds the cane on the
unaffected side.
A nurse is caring for an adult client who is grieving following the death
of a loved one. Which of the following factors increases the client's
risk of developing complicated grief? - CORRECT ANSWER The death
was sudden.
A nurse is applying an ice bag to the ankle of a client following a
sports injury. Which of the following actions should the nurse take? -
CORRECT ANSWER Leave the bag in place for 45 min B. Fill the bag
2/3 full with ice
A nurse is preparing to administer a unit of packed RBCs to a client.
Which of the following pieces of information must the nurse verify with
another nurse prior to the administration? (Select all that apply.) -
CORRECT ANSWER A. The client's ID number
C. The client's name
D. ABO compatibility
E. Rh compatibility Check
A nurse is calculating a client's intake for a 12-hr shift. The client had
dextrose 5% in 0.45% sodium chloride infusing at 125 mL/hr,
gentamicin 150 mg in 100 mL at 1400, famotidine 20 mg in 50 mL at
1000 and 1600, 250 mL of blood over 2 hr, and a nasogastric flush of
30 mL every 2 hr. What is the total intake in milliliters that the nurse
,should document for this client for this 12-hr period? - CORRECT
ANSWER 2130
A nurse is preparing a sterile field for a procedure the provider will
perform at the client's bedside. Which of the following actions should
the nurse take? - CORRECT ANSWER Hold the sterile drape above
the waist and away from the body
A nurse is communicating with a group of clients about what to expect
during the postoperative phase of a total hip arthroplasty. Which of the
following elements of the communication process should the nurse
identify as an evaluation of effective communication? - CORRECT
ANSWER Feedback is provided
A nurse is caring for a client who has breast cancer. The client has
been receiving radiation therapy for several months and now refuses
to undergo further treatment. Which of the following actions should
the nurse take? - CORRECT ANSWER Support the client's decision
A nurse is assessing a client's vascular system. Which of the following
techniques should the nurse use when evaluating the carotid arteries?
- CORRECT ANSWER Auscultation of the arteries with the bell of the
stethoscope
A nurse is teaching an assistive personnel (AP) how to obtain a
capillary finger-stick blood sample. Which of the following actions by
the AP requires the nurse to intervene? - CORRECT ANSWER
Elevating the finger above heart level
A nurse is caring for a client who states that she does not want to get
out of bed due to pain from arthritis. Which of the following actions
should the nurse take? - CORRECT ANSWER Advise the client to
perform range-of-motion exercises while in bed
A nurse is providing discharge teaching to a client who has a
prescription for daily wound care via home health services. Which of
the following statements by the client indicates an understanding of
, the teaching? - CORRECT ANSWER A nurse will show me how to care
for my wound.
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
ANSWER "Call me when you are ready, and I will return with the
medication."
A nurse is teaching a client who is postoperative following a knee
arthroplasty about the muscles he will need to strengthen in physical
therapy. Which of the following muscle groups is responsible for
movement at the knee joint? - CORRECT ANSWER Antagonist
A nurse is caring for a middle-aged adult client. The nurse should
evaluate the client for progress toward which of the following
Retake Guide EXAM QUESTIONS AND WELL
ELABORATED ANSWERS (VERSIONS)
A nurse is caring for an adult client who has an NG tube in place and a
prescription for continuous enteral feedings. Which of the following
actions should the nurse perform to reduce the client's risk of
aspiration? - CORRECT ANSWER Elevate the head of the bed to 30°
or 45°
A nurse is inserting an NG tube into a client who begins to cough and
gag. Which of the following actions should the nurse take? - CORRECT
ANSWER Pull the NG tube back slightly
A nurse is called away for an emergency while conversing with a
client who is concerned about his medical diagnosis. The nurse
returns to the client promptly, as promised. Which of the following
ethical principles is the nurse demonstrating? - CORRECT ANSWER
Fidelity
A nurse is teaching an assistive personnel (AP) about proper hand
hygiene. Which of the following statements by the AP indicates an
understanding of the teaching? - CORRECT ANSWER "There are
times I should use soap and water rather than an alcohol-based rub to
clean my hands."
A nurse is preparing to administer an afternoon dose of ampicillin to a
client. The client appears upset and refuses to take the medication
before throwing the pill on the floor. Which of the following entries
should the nurse enter into the client's medical record? - CORRECT
ANSWER The client threw the medication on the floor
A nurse is preparing to administer an otic antibiotic to an adult client
who has otitis media. Which of the following actions should the nurse
,plan to take? - CORRECT ANSWER Hold the dropper 1 cm (0.5 in)
above the ear canal during administration
A nurse is assisting a client who has right-sided weakness while
ambulating using a cane. Which of the following client actions should
indicate to the nurse that the client understands the procedure of
cane walking? - CORRECT ANSWER The client keeps 2 points of
support on the ground
A nurse is teaching a client about the use of a straight-legged cane.
Which of the following client actions indicates an understanding of the
teaching? - CORRECT ANSWER The client holds the cane on the
unaffected side.
A nurse is caring for an adult client who is grieving following the death
of a loved one. Which of the following factors increases the client's
risk of developing complicated grief? - CORRECT ANSWER The death
was sudden.
A nurse is applying an ice bag to the ankle of a client following a
sports injury. Which of the following actions should the nurse take? -
CORRECT ANSWER Leave the bag in place for 45 min B. Fill the bag
2/3 full with ice
A nurse is preparing to administer a unit of packed RBCs to a client.
Which of the following pieces of information must the nurse verify with
another nurse prior to the administration? (Select all that apply.) -
CORRECT ANSWER A. The client's ID number
C. The client's name
D. ABO compatibility
E. Rh compatibility Check
A nurse is calculating a client's intake for a 12-hr shift. The client had
dextrose 5% in 0.45% sodium chloride infusing at 125 mL/hr,
gentamicin 150 mg in 100 mL at 1400, famotidine 20 mg in 50 mL at
1000 and 1600, 250 mL of blood over 2 hr, and a nasogastric flush of
30 mL every 2 hr. What is the total intake in milliliters that the nurse
,should document for this client for this 12-hr period? - CORRECT
ANSWER 2130
A nurse is preparing a sterile field for a procedure the provider will
perform at the client's bedside. Which of the following actions should
the nurse take? - CORRECT ANSWER Hold the sterile drape above
the waist and away from the body
A nurse is communicating with a group of clients about what to expect
during the postoperative phase of a total hip arthroplasty. Which of the
following elements of the communication process should the nurse
identify as an evaluation of effective communication? - CORRECT
ANSWER Feedback is provided
A nurse is caring for a client who has breast cancer. The client has
been receiving radiation therapy for several months and now refuses
to undergo further treatment. Which of the following actions should
the nurse take? - CORRECT ANSWER Support the client's decision
A nurse is assessing a client's vascular system. Which of the following
techniques should the nurse use when evaluating the carotid arteries?
- CORRECT ANSWER Auscultation of the arteries with the bell of the
stethoscope
A nurse is teaching an assistive personnel (AP) how to obtain a
capillary finger-stick blood sample. Which of the following actions by
the AP requires the nurse to intervene? - CORRECT ANSWER
Elevating the finger above heart level
A nurse is caring for a client who states that she does not want to get
out of bed due to pain from arthritis. Which of the following actions
should the nurse take? - CORRECT ANSWER Advise the client to
perform range-of-motion exercises while in bed
A nurse is providing discharge teaching to a client who has a
prescription for daily wound care via home health services. Which of
the following statements by the client indicates an understanding of
, the teaching? - CORRECT ANSWER A nurse will show me how to care
for my wound.
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
ANSWER "Call me when you are ready, and I will return with the
medication."
A nurse is teaching a client who is postoperative following a knee
arthroplasty about the muscles he will need to strengthen in physical
therapy. Which of the following muscle groups is responsible for
movement at the knee joint? - CORRECT ANSWER Antagonist
A nurse is caring for a middle-aged adult client. The nurse should
evaluate the client for progress toward which of the following
