ATI 2019 Fundamentals Proctored Exam,
ATI Fundamentals Retake EXAM
QUESTIONS AND WELL ELABORATED
ANSWERS (10 VERSIONS)
A nurse is planning care for a client who is confused and requires a
prescription for wrist restraints. Which of the following interventions
should the nurse include in the plan of care? - CORRECT ANSWER
Renew the prescription for the use of restrains within 24 hr
A nurse is obtaining a capillary blood sample to determine a client's
blood glucose level. The nurse prepares and punctures the client's
finger for the procedure but does not obtain an adequate amount of
blood. Which of the following actions should the nurse take next? -
CORRECT ANSWER Wrap the client's finger in a warm washcloth
A nurse is changing the dressings for a client recovering from an
appendectomy following a ruptured appendix. The client's surgical
wound is healing by secondary intention. Which of the following
observations should the nurse report to the provider? - CORRECT
ANSWER Halo of erythema on the surrounding skin
A nurse is administering an IM injection to a 5-month-old infant. Which
of the following injection sites should the nurse use? - CORRECT
ANSWER Vastus lateralis
A nurse is caring for a client who requires a peripheral IV insertion.
When choosing the site, which of the following sites should the nurse
select? A. Select a vein in the client's dominant arm B. Choose the
most proximal vein in the extremity C. Choose a vein that is soft on
palpation D. Select a site distal to previous venipuncture attempts
Check Answer Question Feedback Show Explanation Grade Pause
Previous - CORRECT ANSWER Choose a vein that is soft on palpation
,A nurse is caring for a client who reports not sleeping at night, which
interferes with her ability to function during the day. Which of the
following interventions should the nurse suggest to this client? -
CORRECT ANSWER Avoid beverages that contain caffeine
A nurse is providing discharge teaching to an older adult client about
personal safety. Which of the following statements by the client
indicates an understanding of the teaching? - CORRECT ANSWER "I
will put a night-light in the hallway."
A nurse is planning an in-service training session about nutrition.
Which of the following statements should the nurse include in the
teaching? - CORRECT ANSWER "Fats provide energy."
A nurse on a medical-surgical unit is admitting a client. Which of the
following pieces of information should the nurse document in the
client's record first? - CORRECT ANSWER Assessment
A hospice nurse is reviewing religious practices of a group of clients
with a newly licensed nurse. Which of the following statements by the
newly licensed nurse indicates an understanding of the teaching? -
CORRECT ANSWER People who practice Judaism stay with the body
of the deceased until burial.
A nurse is providing discharge teaching to a client who does not speak
the same language as the nurse. The client's neighbor, who speaks
both the client's native language and the nurse's, arrives to drive the
client home. Which of the following actions should the nurse take? -
CORRECT ANSWER Obtain services of an interpreter
A nurse is admitting a client who has measles. Which of the following
types of transmission precautions should the nurse initiate? -
CORRECT ANSWER Airborne
A nurse is caring for a client who is receiving intermittent enteral
feedings through an NG tube. The specific gravity of the client's urine
is 1.035. Which of the following actions should the nurse take? -
CORRECT ANSWER Provide more water with feedings
,A nurse is teaching a group of young adults. Which of the following
should the nurse identify as an expected developmental task for this
age group? - CORRECT ANSWER Independent moral development
A nurse is preparing a client for discharge and providing instructions
about performing dressing changes at home. Which of the following
statements should the nurse identify as an indication that the client
understands medical asepsis? - CORRECT ANSWER "I'll wash my
hands before I remove the old dressing and again before putting on the
new one."
A nurse is monitoring a client's fluid intake. For breakfast, the client
consumed 8 oz of milk, 10 oz of water, 4 oz of flavored gelatin, 1
scrambled egg, 1 crisp piece of bacon, and 2 biscuits with jelly. How
many mL should the nurse record as the client's fluid intake? -
CORRECT ANSWER 660
A nurse on a telemetry unit is caring for a client who had a myocardial
infarction. The client states, "All this equipment is making me
nervous." Which of the following responses should the nurse offer? -
CORRECT ANSWER "All of this equipment can be frightening"
A nurse is preparing to change the bed linens of a client who has AIDS
and is incontinent of stool. Which of the following personal protective
equipment (PPE) items should the nurse don prior to providing client
care? - CORRECT ANSWER Gown and gloves
A nurse is caring for a toddler at a well-child visit when the mother
calls, "Help! My baby is choking on his food." Which of the following
findings indicates the toddler has an airway obstruction? - CORRECT
ANSWER Inability to cry or speak
A nurse is planning weight-loss strategies for a group of clients who
are obese. Which of the following actions by the nurse will improve the
clients' commitment to a long-term goal of weight loss? - CORRECT
ANSWER Attempt to increase the clients' self-motivation
, A nurse is caring for a group of clients in a long-term care facility. The
nurse should understand that which of the following clients is eligible
for hospice services at this time? - CORRECT ANSWER A client who
has end-stage cirrhosis
A nurse documents the presence of clubbing of the fingernails for a
client who has emphysema. Which of the following is the underlying
cause of this finding? - CORRECT ANSWER Chronic hypoxemia
A nurse is admitting a client who has tuberculosis. In addition to
standard precautions, which of the following transmission-based
precautions should the nurse add to the client's plan of care? -
CORRECT ANSWER Airborne
A nurse is caring for a client who has a stage III pressure ulcer on the
heel. When preparing to irrigate the wound, which of the following
actions should the nurse take first? - CORRECT ANSWER Check the
client's pain level
A nurse is planning care for a client who reports abdominal pain. An
assessment by the nurse reveals the client has a temperature of
39.2°C (102.6°F), a heart rate of 105/min, a soft nontender abdomen,
and menses overdue by 2 days. Which of the following findings should
be the nurse's priority? - CORRECT ANSWER Temperature
A nurse is caring for a client who has a temperature of 38.7°C(101.7°F).
Which of the following actions should the nurse take? - CORRECT
ANSWER Keep the client's bed linens dry
A home health nurse enters a client's home and finds a used insulin
syringe without a cap on the table. Which of the following actions
should the nurse take? - CORRECT ANSWER Place the syringe in a
puncture-proof disposal container.
A nurse is caring for a client who has cancer and is experiencing pain.
The nurse should implement which of the following interventions to
assist the client with pain relief? - CORRECT ANSWER Encourage the
client to listen to soft music
ATI Fundamentals Retake EXAM
QUESTIONS AND WELL ELABORATED
ANSWERS (10 VERSIONS)
A nurse is planning care for a client who is confused and requires a
prescription for wrist restraints. Which of the following interventions
should the nurse include in the plan of care? - CORRECT ANSWER
Renew the prescription for the use of restrains within 24 hr
A nurse is obtaining a capillary blood sample to determine a client's
blood glucose level. The nurse prepares and punctures the client's
finger for the procedure but does not obtain an adequate amount of
blood. Which of the following actions should the nurse take next? -
CORRECT ANSWER Wrap the client's finger in a warm washcloth
A nurse is changing the dressings for a client recovering from an
appendectomy following a ruptured appendix. The client's surgical
wound is healing by secondary intention. Which of the following
observations should the nurse report to the provider? - CORRECT
ANSWER Halo of erythema on the surrounding skin
A nurse is administering an IM injection to a 5-month-old infant. Which
of the following injection sites should the nurse use? - CORRECT
ANSWER Vastus lateralis
A nurse is caring for a client who requires a peripheral IV insertion.
When choosing the site, which of the following sites should the nurse
select? A. Select a vein in the client's dominant arm B. Choose the
most proximal vein in the extremity C. Choose a vein that is soft on
palpation D. Select a site distal to previous venipuncture attempts
Check Answer Question Feedback Show Explanation Grade Pause
Previous - CORRECT ANSWER Choose a vein that is soft on palpation
,A nurse is caring for a client who reports not sleeping at night, which
interferes with her ability to function during the day. Which of the
following interventions should the nurse suggest to this client? -
CORRECT ANSWER Avoid beverages that contain caffeine
A nurse is providing discharge teaching to an older adult client about
personal safety. Which of the following statements by the client
indicates an understanding of the teaching? - CORRECT ANSWER "I
will put a night-light in the hallway."
A nurse is planning an in-service training session about nutrition.
Which of the following statements should the nurse include in the
teaching? - CORRECT ANSWER "Fats provide energy."
A nurse on a medical-surgical unit is admitting a client. Which of the
following pieces of information should the nurse document in the
client's record first? - CORRECT ANSWER Assessment
A hospice nurse is reviewing religious practices of a group of clients
with a newly licensed nurse. Which of the following statements by the
newly licensed nurse indicates an understanding of the teaching? -
CORRECT ANSWER People who practice Judaism stay with the body
of the deceased until burial.
A nurse is providing discharge teaching to a client who does not speak
the same language as the nurse. The client's neighbor, who speaks
both the client's native language and the nurse's, arrives to drive the
client home. Which of the following actions should the nurse take? -
CORRECT ANSWER Obtain services of an interpreter
A nurse is admitting a client who has measles. Which of the following
types of transmission precautions should the nurse initiate? -
CORRECT ANSWER Airborne
A nurse is caring for a client who is receiving intermittent enteral
feedings through an NG tube. The specific gravity of the client's urine
is 1.035. Which of the following actions should the nurse take? -
CORRECT ANSWER Provide more water with feedings
,A nurse is teaching a group of young adults. Which of the following
should the nurse identify as an expected developmental task for this
age group? - CORRECT ANSWER Independent moral development
A nurse is preparing a client for discharge and providing instructions
about performing dressing changes at home. Which of the following
statements should the nurse identify as an indication that the client
understands medical asepsis? - CORRECT ANSWER "I'll wash my
hands before I remove the old dressing and again before putting on the
new one."
A nurse is monitoring a client's fluid intake. For breakfast, the client
consumed 8 oz of milk, 10 oz of water, 4 oz of flavored gelatin, 1
scrambled egg, 1 crisp piece of bacon, and 2 biscuits with jelly. How
many mL should the nurse record as the client's fluid intake? -
CORRECT ANSWER 660
A nurse on a telemetry unit is caring for a client who had a myocardial
infarction. The client states, "All this equipment is making me
nervous." Which of the following responses should the nurse offer? -
CORRECT ANSWER "All of this equipment can be frightening"
A nurse is preparing to change the bed linens of a client who has AIDS
and is incontinent of stool. Which of the following personal protective
equipment (PPE) items should the nurse don prior to providing client
care? - CORRECT ANSWER Gown and gloves
A nurse is caring for a toddler at a well-child visit when the mother
calls, "Help! My baby is choking on his food." Which of the following
findings indicates the toddler has an airway obstruction? - CORRECT
ANSWER Inability to cry or speak
A nurse is planning weight-loss strategies for a group of clients who
are obese. Which of the following actions by the nurse will improve the
clients' commitment to a long-term goal of weight loss? - CORRECT
ANSWER Attempt to increase the clients' self-motivation
, A nurse is caring for a group of clients in a long-term care facility. The
nurse should understand that which of the following clients is eligible
for hospice services at this time? - CORRECT ANSWER A client who
has end-stage cirrhosis
A nurse documents the presence of clubbing of the fingernails for a
client who has emphysema. Which of the following is the underlying
cause of this finding? - CORRECT ANSWER Chronic hypoxemia
A nurse is admitting a client who has tuberculosis. In addition to
standard precautions, which of the following transmission-based
precautions should the nurse add to the client's plan of care? -
CORRECT ANSWER Airborne
A nurse is caring for a client who has a stage III pressure ulcer on the
heel. When preparing to irrigate the wound, which of the following
actions should the nurse take first? - CORRECT ANSWER Check the
client's pain level
A nurse is planning care for a client who reports abdominal pain. An
assessment by the nurse reveals the client has a temperature of
39.2°C (102.6°F), a heart rate of 105/min, a soft nontender abdomen,
and menses overdue by 2 days. Which of the following findings should
be the nurse's priority? - CORRECT ANSWER Temperature
A nurse is caring for a client who has a temperature of 38.7°C(101.7°F).
Which of the following actions should the nurse take? - CORRECT
ANSWER Keep the client's bed linens dry
A home health nurse enters a client's home and finds a used insulin
syringe without a cap on the table. Which of the following actions
should the nurse take? - CORRECT ANSWER Place the syringe in a
puncture-proof disposal container.
A nurse is caring for a client who has cancer and is experiencing pain.
The nurse should implement which of the following interventions to
assist the client with pain relief? - CORRECT ANSWER Encourage the
client to listen to soft music
