ATI 2019 Fundamentals Proctored
Exam, ATI Fundamentals Retake
A nurse is leading an education session about disposing of
biohazardous materials. Which of the following instructions should the
nurse include in the teaching? A. Use isopropyl alcohol to clean blood
spills. B. Discard empty blood bags in a bedside trash can. C. Break
used needles before discarding. D. Place soiled linen in a single linen
bag. Check Answer Question Feedback Show Explanation Grade Pause
Previous - CORRECT ANSWER Place soiled linen in a single linen bag
A nurse is teaching a client who is postoperative how to use a flow-
oriented incentive spirometer. Which of the following instructions
should the nurse include? - CORRECT ANSWER Cough deeply after
each use
A nurse is collecting a urine specimen for culture and sensitivity for a
client who has a urinary tract infection. The client has an indwelling
urinary catheter in place. Which of the following actions should the
nurse take? - CORRECT ANSWER Clamp the tubing below the
collection port
A nurse is demonstrating postoperative deep breathing and coughing
exercises to a client who is scheduled for emergency surgery for
appendicitis. Which of the following statements indicates a lack of
readiness to learn by the client? - CORRECT ANSWER The client
reports severe pain.
A nurse is caring for a client who is unconscious. Which of the
following actions should the nurse take when providing oral care for
the client? - CORRECT ANSWER Test for the presence of the client's
gag reflex
A nurse is caring for a client with dehydration who has developed
hypovolemic shock. Which of the following laboratory values should
the nurse expect for this client? A. BUN 18 mg/dL B. Capillary refill 1.5
,sec C. Hct 55% D. Urine specific gravity 1.001 Check Answer Question
Feedback Show Explanation Grade Pause Previous - CORRECT
ANSWER Hct 55%
A nurse in an emergency department is caring for a client who reports
developing severe right eye pain with a gritty sensation while sawing
wood. Which of the following actions should the nurse take first? -
CORRECT ANSWER Ask the client about first aid performed at the
scene
A nurse is caring for a client who is in the terminal stage of cancer.
Which of the following actions should the nurse take when she
observes the client crying? - CORRECT ANSWER Sit and hold the
client's hand
A nurse is caring for an older adult client who becomes agitated when
the nurse requests that the client's dentures be removed prior to
surgery. Which of the following responses should the nurse provide? A.
"It's for your safety. Dentures can slip and block your airway during
surgery." B. "You wouldn't want your teeth to be lost or broken during
surgery, would you?" C. "The anesthesiologist requires all clients to
remove their dentures." D. "What worries you about being without your
teeth?" Check Answer Question Feedback Show Explanation Grade
Pause Previous - CORRECT ANSWER "What worries you about being
without your teeth?"
A nurse is reviewing a client's laboratory results and notes a WBC
count of 3,600/mm^3. The nurse should identify this result as which of
the following conditions? - CORRECT ANSWER Leukopenia
A nurse is performing a physical examination of a client. The nurse
should use percussion to evaluate which of the following parts of the
client's body? - CORRECT ANSWER Lungs
A nurse is administering a cleansing enema to a client who is
scheduled for a diagnostic procedure. Which of the following actions
should the nurse take? - CORRECT ANSWER Insert the tip of the
tubing 8 cm (3.1 in)
,A nurse is caring for a client who has a fecal impaction. Before the
digital removal of the mass, which of the following types of enemas
should the nurse plan to administer to soften the feces? - CORRECT
ANSWER Oil retention
A nurse is assessing a client who is undergoing a physical
examination. Following the inspection, which of the following
techniques should the nurse use next when assessing the client's
abdomen? - CORRECT ANSWER Auscultation
A nurse is teaching a middle-aged adult client about health promotion
and disease prevention. The nurse should inform the client that which
of the following changes could occur? - CORRECT ANSWER
Decreased estrogen and testosterone production
A client who has glaucoma of the right eye self-administers timolol eye
drops by looking at the ceiling, instilling a drop onto the center of the
conjunctival sac, and applying gentle pressure to the lower lid with a
facial tissue. After observing this process, which of the following
actions should the nurse take? - CORRECT ANSWER Instruct the
client to apply pressure to the inside corner of the eye after
instillation.
A nurse is helping a client change his hospital gown. The client has an
IV infusion via an infusion pump. Which of the following actions should
the nurse take first? - CORRECT ANSWER Remove the sleeve of the
gown from the arm without the IV line
A nurse is explaining the use of written consent forms to a newly
licensed nurse. The nurse should ensure that a written consent form
has been signed by which of the following clients? - CORRECT
ANSWER A client who has a prescription for a transfusion of packed
red blood cells
During a client care staff meeting, a nurse manager discusses
potential problems with data security that affect confidential client
information. Which of the following environments should the nurse
, manager identify as an acceptable place for discussing clients'
information? - CORRECT ANSWER Areas with no public access
A nurse is reviewing a client's intake and output and notes the
following: 0.9% sodium chloride 600mL IV infusion, cefazolin 250 mg in
dextrose 5% in water 100mL intermittent IV bolus, 200mL emesis,
40mL voided urine, and 20mL urine from straight catheterization. The
nurse should record the client's net fluid intake as how many mL?
(Round the answer to the nearest whole number. Use a leading zero if
it applies. Do not use a trailing zero.)
DOSAGE CALCULATION - CORRECT ANSWER 700 mL
A nurse is discussing incident reports with a group of newly licensed
nurses. The nurse should include that which if the following requires
the completion of an incident report?
a. A client's prescribed laboratory testing was not obtained
b. A client withdrew consent for a procedure
c. An oncoming nurse arrived to work late
d. A nurse transfused a unit of packed RBCs in 2 hr. - CORRECT
ANSWER A client's prescribed laboratory testing was not obtained
A nurse is caring for a client who has a new prescription for negative-
pressure therapy for a chronic wound. The nurse is unfamiliar with the
procedure. Which of the following resources should the nurse consult
to learn more about the intervention.
a. The client's plan of care
b. The nurse practice act
c. The material safety data sheet
d. The policy and procedure manual - CORRECT ANSWER The policy
and procedure manual
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
Exam, ATI Fundamentals Retake
A nurse is leading an education session about disposing of
biohazardous materials. Which of the following instructions should the
nurse include in the teaching? A. Use isopropyl alcohol to clean blood
spills. B. Discard empty blood bags in a bedside trash can. C. Break
used needles before discarding. D. Place soiled linen in a single linen
bag. Check Answer Question Feedback Show Explanation Grade Pause
Previous - CORRECT ANSWER Place soiled linen in a single linen bag
A nurse is teaching a client who is postoperative how to use a flow-
oriented incentive spirometer. Which of the following instructions
should the nurse include? - CORRECT ANSWER Cough deeply after
each use
A nurse is collecting a urine specimen for culture and sensitivity for a
client who has a urinary tract infection. The client has an indwelling
urinary catheter in place. Which of the following actions should the
nurse take? - CORRECT ANSWER Clamp the tubing below the
collection port
A nurse is demonstrating postoperative deep breathing and coughing
exercises to a client who is scheduled for emergency surgery for
appendicitis. Which of the following statements indicates a lack of
readiness to learn by the client? - CORRECT ANSWER The client
reports severe pain.
A nurse is caring for a client who is unconscious. Which of the
following actions should the nurse take when providing oral care for
the client? - CORRECT ANSWER Test for the presence of the client's
gag reflex
A nurse is caring for a client with dehydration who has developed
hypovolemic shock. Which of the following laboratory values should
the nurse expect for this client? A. BUN 18 mg/dL B. Capillary refill 1.5
,sec C. Hct 55% D. Urine specific gravity 1.001 Check Answer Question
Feedback Show Explanation Grade Pause Previous - CORRECT
ANSWER Hct 55%
A nurse in an emergency department is caring for a client who reports
developing severe right eye pain with a gritty sensation while sawing
wood. Which of the following actions should the nurse take first? -
CORRECT ANSWER Ask the client about first aid performed at the
scene
A nurse is caring for a client who is in the terminal stage of cancer.
Which of the following actions should the nurse take when she
observes the client crying? - CORRECT ANSWER Sit and hold the
client's hand
A nurse is caring for an older adult client who becomes agitated when
the nurse requests that the client's dentures be removed prior to
surgery. Which of the following responses should the nurse provide? A.
"It's for your safety. Dentures can slip and block your airway during
surgery." B. "You wouldn't want your teeth to be lost or broken during
surgery, would you?" C. "The anesthesiologist requires all clients to
remove their dentures." D. "What worries you about being without your
teeth?" Check Answer Question Feedback Show Explanation Grade
Pause Previous - CORRECT ANSWER "What worries you about being
without your teeth?"
A nurse is reviewing a client's laboratory results and notes a WBC
count of 3,600/mm^3. The nurse should identify this result as which of
the following conditions? - CORRECT ANSWER Leukopenia
A nurse is performing a physical examination of a client. The nurse
should use percussion to evaluate which of the following parts of the
client's body? - CORRECT ANSWER Lungs
A nurse is administering a cleansing enema to a client who is
scheduled for a diagnostic procedure. Which of the following actions
should the nurse take? - CORRECT ANSWER Insert the tip of the
tubing 8 cm (3.1 in)
,A nurse is caring for a client who has a fecal impaction. Before the
digital removal of the mass, which of the following types of enemas
should the nurse plan to administer to soften the feces? - CORRECT
ANSWER Oil retention
A nurse is assessing a client who is undergoing a physical
examination. Following the inspection, which of the following
techniques should the nurse use next when assessing the client's
abdomen? - CORRECT ANSWER Auscultation
A nurse is teaching a middle-aged adult client about health promotion
and disease prevention. The nurse should inform the client that which
of the following changes could occur? - CORRECT ANSWER
Decreased estrogen and testosterone production
A client who has glaucoma of the right eye self-administers timolol eye
drops by looking at the ceiling, instilling a drop onto the center of the
conjunctival sac, and applying gentle pressure to the lower lid with a
facial tissue. After observing this process, which of the following
actions should the nurse take? - CORRECT ANSWER Instruct the
client to apply pressure to the inside corner of the eye after
instillation.
A nurse is helping a client change his hospital gown. The client has an
IV infusion via an infusion pump. Which of the following actions should
the nurse take first? - CORRECT ANSWER Remove the sleeve of the
gown from the arm without the IV line
A nurse is explaining the use of written consent forms to a newly
licensed nurse. The nurse should ensure that a written consent form
has been signed by which of the following clients? - CORRECT
ANSWER A client who has a prescription for a transfusion of packed
red blood cells
During a client care staff meeting, a nurse manager discusses
potential problems with data security that affect confidential client
information. Which of the following environments should the nurse
, manager identify as an acceptable place for discussing clients'
information? - CORRECT ANSWER Areas with no public access
A nurse is reviewing a client's intake and output and notes the
following: 0.9% sodium chloride 600mL IV infusion, cefazolin 250 mg in
dextrose 5% in water 100mL intermittent IV bolus, 200mL emesis,
40mL voided urine, and 20mL urine from straight catheterization. The
nurse should record the client's net fluid intake as how many mL?
(Round the answer to the nearest whole number. Use a leading zero if
it applies. Do not use a trailing zero.)
DOSAGE CALCULATION - CORRECT ANSWER 700 mL
A nurse is discussing incident reports with a group of newly licensed
nurses. The nurse should include that which if the following requires
the completion of an incident report?
a. A client's prescribed laboratory testing was not obtained
b. A client withdrew consent for a procedure
c. An oncoming nurse arrived to work late
d. A nurse transfused a unit of packed RBCs in 2 hr. - CORRECT
ANSWER A client's prescribed laboratory testing was not obtained
A nurse is caring for a client who has a new prescription for negative-
pressure therapy for a chronic wound. The nurse is unfamiliar with the
procedure. Which of the following resources should the nurse consult
to learn more about the intervention.
a. The client's plan of care
b. The nurse practice act
c. The material safety data sheet
d. The policy and procedure manual - CORRECT ANSWER The policy
and procedure manual
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
