RN ATI Fundamentals of Nursing
Proctored Exam Questions with Verified
Answers A+ Rated
What finding in an immobile client requires further
intervention?
Erythema on pressure points requires prompt relief of pressure
and additional measures to protect the skin from further
breakdown.
What statement indicates a client understands the
instructions for a 24-hour urine collection?
"I flushed what I urinated at 7:00 a.m. and have saved all urine
since."
Which complementary therapy is contraindicated for a client
with herpes zoster?
Acupuncture is contraindicated to prevent an open portal on the
skin's surface, which could increase the risk of further infection.
What is the correct order of actions for transferring a client
with right-sided weakness from bed to chair?
1. Ask the client if he can bear weight. 2. Position the chair on the
left side of the bed. 3. Have the client sit and dangle his feet at the
bedside. 4. Use the stand-pivot technique to move the client to
the chair.
What should a nurse do after drawing 1 mL of opioid
medication from a vial?
Ask another nurse to observe the medication wastage, as a
second nurse must witness the disposal of any portion of a dose
of a controlled substance.
,How should a nurse set the infusion pump for a heparin
infusion of 25,000 units in 250 mL at 800 units/hr?
Set the infusion pump to 8 mL/hr.
What is the first step in mixing regular and NPH insulin?
Inject 5 units of air into the bottle of regular insulin.
What is the second step in mixing regular and NPH insulin?
Withdraw the correct dose of NPH insulin from the bottle.
What is the third step in mixing regular and NPH insulin?
Inject 10 units of air into the bottle of NPH insulin.
What is the fourth step in mixing regular and NPH insulin?
Withdraw the correct dose of regular insulin from the bottle.
What is the recommended fluid intake for a client who has
been immobile?
Fluid intake of 3,000 mL per day is generally adequate unless
contraindicated.
What is a normal finding for lower-extremity pulse strength?
A lower-extremity pulse strength of 2+ is considered normal.
How often should a client have a bowel movement?
A bowel movement every other day can be considered normal for
some clients.
What should a nurse monitor for in a client with a history of
immobility?
Monitor for signs of pressure ulcers, such as erythema on
pressure points.
What is the purpose of a 24-hour urine collection?
To assess kidney function and measure substances in the urine
over a full day.
What is the significance of flushing the first urine in a 24-
hour collection?
Flushing the first urine ensures that only the urine produced after
the collection starts is measured.
,What is a potential risk of acupuncture in clients with skin
infections?
It could create an open portal on the skin's surface, increasing the
risk of further infection.
What is the role of a second nurse in the disposal of
controlled substances?
A second nurse must witness the disposal of any portion of a
dose of a controlled substance.
What is the importance of positioning the chair correctly
when transferring a client?
Positioning the chair on the correct side facilitates a safer and
more efficient transfer.
What is the rationale for having a client dangle their feet at
the bedside before transfer?
It helps the client to adjust and prevent dizziness or falls when
standing.
What are the key components of patient education for insulin
administration?
Correct mixing of insulins, understanding the timing of doses, and
recognizing signs of hypoglycemia.
What should a nurse assess before transferring a client with
weakness?
Assess the client's ability to bear weight and their overall stability.
What is the expected outcome of effective pain management
for herpes zoster?
Reduction in pain and discomfort, allowing for better mobility and
quality of life.
What is the first step a nurse should take when a client
refuses to use an incentive spirometer after surgery?
Determine the reasons why the client is refusing to use the
incentive spirometer.
, What should a nurse question about a medication
prescription that reads 'digoxin 0.25 by mouth every day'?
The dose, as it should include a unit of measurement such as mg.
What action should a nurse take to prevent skin breakdown
in a client with limited mobility in the lower extremities?
Have the client use a trapeze bar when changing positions to
avoid friction and shearing.
How should a nurse transcribe a verbal prescription for
'three tenths of a milligram of levothyroxine IV STAT'?
0.3 mg, as a zero should precede a decimal point.
What signs at the IV site indicate infiltration?
Skin blanching, edema, and coolness.
What should a nurse do before administering medications
through an enteral feeding tube?
Flush the tube with 15 to 30 mL of sterile water.
What is the correct method for withdrawing insulin from a
bottle?
Inject 10 units of air into the bottle of NPH insulin, then withdraw
the correct dose of regular insulin.
What is the priority action for a nurse caring for a
postoperative client who refuses to use an incentive
spirometer?
Assess the client's reasons for refusal.
What is the correct way to administer medications through
an enteral feeding tube?
Flush the tube with 30 to 60 mL of sterile water after administering
the last medication.
What should a nurse document if a client refuses to
participate in health restorative activities?
Document the client's refusal.
Proctored Exam Questions with Verified
Answers A+ Rated
What finding in an immobile client requires further
intervention?
Erythema on pressure points requires prompt relief of pressure
and additional measures to protect the skin from further
breakdown.
What statement indicates a client understands the
instructions for a 24-hour urine collection?
"I flushed what I urinated at 7:00 a.m. and have saved all urine
since."
Which complementary therapy is contraindicated for a client
with herpes zoster?
Acupuncture is contraindicated to prevent an open portal on the
skin's surface, which could increase the risk of further infection.
What is the correct order of actions for transferring a client
with right-sided weakness from bed to chair?
1. Ask the client if he can bear weight. 2. Position the chair on the
left side of the bed. 3. Have the client sit and dangle his feet at the
bedside. 4. Use the stand-pivot technique to move the client to
the chair.
What should a nurse do after drawing 1 mL of opioid
medication from a vial?
Ask another nurse to observe the medication wastage, as a
second nurse must witness the disposal of any portion of a dose
of a controlled substance.
,How should a nurse set the infusion pump for a heparin
infusion of 25,000 units in 250 mL at 800 units/hr?
Set the infusion pump to 8 mL/hr.
What is the first step in mixing regular and NPH insulin?
Inject 5 units of air into the bottle of regular insulin.
What is the second step in mixing regular and NPH insulin?
Withdraw the correct dose of NPH insulin from the bottle.
What is the third step in mixing regular and NPH insulin?
Inject 10 units of air into the bottle of NPH insulin.
What is the fourth step in mixing regular and NPH insulin?
Withdraw the correct dose of regular insulin from the bottle.
What is the recommended fluid intake for a client who has
been immobile?
Fluid intake of 3,000 mL per day is generally adequate unless
contraindicated.
What is a normal finding for lower-extremity pulse strength?
A lower-extremity pulse strength of 2+ is considered normal.
How often should a client have a bowel movement?
A bowel movement every other day can be considered normal for
some clients.
What should a nurse monitor for in a client with a history of
immobility?
Monitor for signs of pressure ulcers, such as erythema on
pressure points.
What is the purpose of a 24-hour urine collection?
To assess kidney function and measure substances in the urine
over a full day.
What is the significance of flushing the first urine in a 24-
hour collection?
Flushing the first urine ensures that only the urine produced after
the collection starts is measured.
,What is a potential risk of acupuncture in clients with skin
infections?
It could create an open portal on the skin's surface, increasing the
risk of further infection.
What is the role of a second nurse in the disposal of
controlled substances?
A second nurse must witness the disposal of any portion of a
dose of a controlled substance.
What is the importance of positioning the chair correctly
when transferring a client?
Positioning the chair on the correct side facilitates a safer and
more efficient transfer.
What is the rationale for having a client dangle their feet at
the bedside before transfer?
It helps the client to adjust and prevent dizziness or falls when
standing.
What are the key components of patient education for insulin
administration?
Correct mixing of insulins, understanding the timing of doses, and
recognizing signs of hypoglycemia.
What should a nurse assess before transferring a client with
weakness?
Assess the client's ability to bear weight and their overall stability.
What is the expected outcome of effective pain management
for herpes zoster?
Reduction in pain and discomfort, allowing for better mobility and
quality of life.
What is the first step a nurse should take when a client
refuses to use an incentive spirometer after surgery?
Determine the reasons why the client is refusing to use the
incentive spirometer.
, What should a nurse question about a medication
prescription that reads 'digoxin 0.25 by mouth every day'?
The dose, as it should include a unit of measurement such as mg.
What action should a nurse take to prevent skin breakdown
in a client with limited mobility in the lower extremities?
Have the client use a trapeze bar when changing positions to
avoid friction and shearing.
How should a nurse transcribe a verbal prescription for
'three tenths of a milligram of levothyroxine IV STAT'?
0.3 mg, as a zero should precede a decimal point.
What signs at the IV site indicate infiltration?
Skin blanching, edema, and coolness.
What should a nurse do before administering medications
through an enteral feeding tube?
Flush the tube with 15 to 30 mL of sterile water.
What is the correct method for withdrawing insulin from a
bottle?
Inject 10 units of air into the bottle of NPH insulin, then withdraw
the correct dose of regular insulin.
What is the priority action for a nurse caring for a
postoperative client who refuses to use an incentive
spirometer?
Assess the client's reasons for refusal.
What is the correct way to administer medications through
an enteral feeding tube?
Flush the tube with 30 to 60 mL of sterile water after administering
the last medication.
What should a nurse document if a client refuses to
participate in health restorative activities?
Document the client's refusal.
