ATI Fundamentals Proctored Exam Questions & Answers with Complete Solution 2023

1. A nurse is obtaining informed consent from a client who is scheduled for surgery. The client states, I don't want to go for the procedure. Which of the following actions should the nurse take? Express approval of the client's decision to not have the procedure. Discuss alternative treatments with client. Document the client decision in the medical record. Explain to the client the risks involved with not having the procedure. - 2. A charge nurse in a long-term facility is preparing an educational program about delirium for newly hired nurses. Which of this should the nurse plan to include? Delirium has an abrupt onset. Delirium does not affect a client's sleep cycle. Delirium has a slow progression. Delirium does not affect a client's perception of her environment. 3. A nurse is obtaining a health history while admitting a client. The client tells the nurse, I am under a lot of stress right now. Which of the following manifestations should the nurse expect? Elevated heart rate Decreased urine output. Increased salivation Constricted pupils 4. 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 procedure. Which of the following resources should the nurse consult to learn more about the intervention? The policy and procedure manual The client's plan of care The medical safety data sheet The nurse practice act. 5. A nurse is preparing to insert a peripheral IV catheter into a client's arm. Which of the following is appropriate actions should the nurse take to help dilate the vein. Apply a cool compress to the vein for 10min. Dangle the client's arm over the edge of the bed. Instruct the client to flex their arm with hand open. Stroke the skin near the vein in an upward direction. 6. A nurse is teaching a client about performing breast-examination. Which of the following statements by the client indicates an understanding of the teaching? I should use the palm of my hand to apply pressure to each breast. I should make circular motions with my fingertips under my arms. I should perform my self-exam the week that my period starts. I should make different patterns on each breast when I do my self- exam. 7. A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take? Change the pouch once every 24hr. Rub the peristomal skin dry after cleaning. Ensure the pouch is 0.32cm (1/2inch) larger than the stoma. Apply the pouch while the skin barrier is still damp. 8. A nurse is teaching a newly licensed nurse about the care of a client who has a methicillin- resistant staphylococcus aureus (MRSA) infection. Which of the following statements by the newly licensed nurse indicated an understanding of the teaching? I will tell the client’s visitors to wear a mask when they are within 3 feet of the client. I will wear an N95 respirator mask when caring for the client. I will place the client in a private room. I will remove my gown before my gloves after providing client care. 9. A nurse enters the room of a client who has a seizure disorder. The client is sitting in a chair and begins to experience a seizure. Which of the following actions should the nurse take first? Loosen the client’s clothing. Moves items in the room away from the client. Help the client lie on the floor. Turn the client onto their side. 10. A nurse is preparing to administer diphenhydramine 20mg orally to a 6-year-old child who has difficulty swallowing pills. Available is diphenhydramine 12.5 mg/5ml oral syrup. Which of the following images indicates the correct number of ML the nurse should administer? (Round the answer to the nearest whole number). 20mg X (5mL/12mg) = 8mL 11. A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following actions should the nurse take to prevent the spread of infection? Administer metronidazole. Wear a mask when working within 3 feet of the client. -Droplet precaution Don protective eyewear before entering the room. Place the client in a negative airflow room. 12. A nurse is caring for a client who was recently diagnosed with a terminal illness. The client tells the nurse, “I am looking forward to seeing my grandchildren grow up” The nurse should identify that the client is experiencing which of the following stages of grief. Denial Acceptance Anger Bargaining 13. A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG tube. Which of the following actions should the nurse take? Apply the restraints to allow as little movements as possible. Allow room for two fingers to fit between the client's skin and the restraints. Remove the restraints every 4 hr. Attach the restraints securely to the side rails of the client's bed. 14. A nurse is inserting an NG tube for a client who requires gastric decompression. Which of the following actions should the nurse take to verify proper placement of the tube? Auscultate 2.5 cm (1 in) above the umbilicus while injecting 15 ML of sterile water. Measure the pH of the gastric aspirate. Place the end of the NG tube in water to observe for bubbling. Assess the client for a gag reflex. 15. A nurse is caring for a client who has brain cancer and is transferring to hospice care. The client's son tells the nurse “I don't know what to tell my dad if he asks how he is going to die” Which of the following is an appropriate response by the nurse? Let's talk more about your dad's condition. I think that you should discuss this with the hospice nurse. The social worker will help you answer those questions. Try to help your dad enjoy this time as much as he can.