ATI 2019 Fundamentals Proctored Exam: Ultimate
Retake Guide EXAM QUESTIONS AND WELL
ELABORATED ANSWERS (all VERSIONS)
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
developmental tasks? - CORRECT ANSWER Ceasing to compare
personal identity with others
A nurse is preparing to administer a feeding via a gastrostomy tube to
a client who had a stroke. Which of the following actions should the
nurse take prior to initiating the feeding? - CORRECT ANSWER
Elevate the head of the bed
A nurse is caring for a client who reports using several herbal
medicines. Which of the following actions should the nurse take? A.
Discourage the use of unregulated medications and supplements B.
Verify the herbal supplements do not interact with medications the
provider has prescribed C. Tell the client to limit the number of herbal
supplements to no more than 2 D. Describe the dangers of taking
plant-derived medications and supplements Check Answer Question
Feedback Show Explanation Grade Pause Previous - CORRECT
ANSWER Verify the herbal supplements do not interact with
medications the provider has prescribed
A nurse is planning to administer pain medication to a client following
abdominal surgery. Which of the following actions should the nurse
take first? - CORRECT ANSWER Use the pain scale to determine the
client's pain level
A nurse is preparing to insert an indwelling urinary catheter for a
female client. Which of the following actions should the nurse have the
client perform just before inserting the catheter? - CORRECT ANSWER
Bear down gently
A nurse is admitting a client who has decreased circulation in his left
leg. Which of the following actions should the nurse take first? -
CORRECT ANSWER Evaluate pedal pulses
A nurse is conducting a health promotion class for a group of college
students. Which of the following statements by a student should the
,nurse identify as a potential problem with achieving Erikson's
developmental task for this age group? - CORRECT ANSWER "I go
home on the weekends to be with my family because I do not have any
good friends here on campus."
While in the hospital, a client who has a terminal illness tells the
nurse, "I can't believe I'm dying. A lot of bad people in the world are
healthy, and here I am dying!" Which of the following responses should
the nurse provide? - CORRECT ANSWER "Tell me more about how
you feel about dying"
A nurse is preparing to assist an older adult client with ambulation
following bed rest for 3 days. Which of the following actions should the
nurse take to decrease the risk of a fall? - CORRECT ANSWER Use a
gait belt during ambulation
A nurse in a provider's office is reviewing the laboratory findings of a
client who reports chills and aching joints. The nurse should identify
which of the following findings as an indication of an infection? -
CORRECT ANSWER WBC 15,000 mm^3
A nurse is planning to obtain the vital signs of a 2-year-old child who is
experiencing diarrhea and may have a right ear infection. Which of the
following routes should the nurse use to obtain the child's
temperature? A. Rectal B. Tympanic C. Oral D. Temporal Check
Answer Question Feedback Show Explanation Grade Pause Previous -
CORRECT ANSWER Temporal
A nurse in a long-term care facility is in the dining room while
residents are eating lunch. One resident begins to choke and is
coughing strongly. Which of the following actions should the nurse
take? A. Assist the client to the floor B. Perform an abdominal thrust C.
Open the airway with a head-chin tilt D. Observe the client closely
Check Answer Question Feedback Show Explanation Grade Pause
Previous - CORRECT ANSWER Observe the client closely
, A nurse is caring for a client who has a hearing impairment. Which of
the following interventions should the nurse use when speaking with
the client? - CORRECT ANSWER Face the client when speaking
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
Retake Guide EXAM QUESTIONS AND WELL
ELABORATED ANSWERS (all VERSIONS)
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
developmental tasks? - CORRECT ANSWER Ceasing to compare
personal identity with others
A nurse is preparing to administer a feeding via a gastrostomy tube to
a client who had a stroke. Which of the following actions should the
nurse take prior to initiating the feeding? - CORRECT ANSWER
Elevate the head of the bed
A nurse is caring for a client who reports using several herbal
medicines. Which of the following actions should the nurse take? A.
Discourage the use of unregulated medications and supplements B.
Verify the herbal supplements do not interact with medications the
provider has prescribed C. Tell the client to limit the number of herbal
supplements to no more than 2 D. Describe the dangers of taking
plant-derived medications and supplements Check Answer Question
Feedback Show Explanation Grade Pause Previous - CORRECT
ANSWER Verify the herbal supplements do not interact with
medications the provider has prescribed
A nurse is planning to administer pain medication to a client following
abdominal surgery. Which of the following actions should the nurse
take first? - CORRECT ANSWER Use the pain scale to determine the
client's pain level
A nurse is preparing to insert an indwelling urinary catheter for a
female client. Which of the following actions should the nurse have the
client perform just before inserting the catheter? - CORRECT ANSWER
Bear down gently
A nurse is admitting a client who has decreased circulation in his left
leg. Which of the following actions should the nurse take first? -
CORRECT ANSWER Evaluate pedal pulses
A nurse is conducting a health promotion class for a group of college
students. Which of the following statements by a student should the
,nurse identify as a potential problem with achieving Erikson's
developmental task for this age group? - CORRECT ANSWER "I go
home on the weekends to be with my family because I do not have any
good friends here on campus."
While in the hospital, a client who has a terminal illness tells the
nurse, "I can't believe I'm dying. A lot of bad people in the world are
healthy, and here I am dying!" Which of the following responses should
the nurse provide? - CORRECT ANSWER "Tell me more about how
you feel about dying"
A nurse is preparing to assist an older adult client with ambulation
following bed rest for 3 days. Which of the following actions should the
nurse take to decrease the risk of a fall? - CORRECT ANSWER Use a
gait belt during ambulation
A nurse in a provider's office is reviewing the laboratory findings of a
client who reports chills and aching joints. The nurse should identify
which of the following findings as an indication of an infection? -
CORRECT ANSWER WBC 15,000 mm^3
A nurse is planning to obtain the vital signs of a 2-year-old child who is
experiencing diarrhea and may have a right ear infection. Which of the
following routes should the nurse use to obtain the child's
temperature? A. Rectal B. Tympanic C. Oral D. Temporal Check
Answer Question Feedback Show Explanation Grade Pause Previous -
CORRECT ANSWER Temporal
A nurse in a long-term care facility is in the dining room while
residents are eating lunch. One resident begins to choke and is
coughing strongly. Which of the following actions should the nurse
take? A. Assist the client to the floor B. Perform an abdominal thrust C.
Open the airway with a head-chin tilt D. Observe the client closely
Check Answer Question Feedback Show Explanation Grade Pause
Previous - CORRECT ANSWER Observe the client closely
, A nurse is caring for a client who has a hearing impairment. Which of
the following interventions should the nurse use when speaking with
the client? - CORRECT ANSWER Face the client when speaking
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
