ATI 2025 Fundamentals Proctored Exam: Ultimate
Retake Guide EXAM QUESTIONS AND WELL
ELABORATED ANSWERS (3 VERSIONS)
The nurse is reviewing a complementary therapies approved by the
provider with a client who has hypertension. Which of the following
supplements should the nurse discuss with the client? - CORRECT
ANSWER Garlic
A nurse identifies a small fire in a client;s room. After moving the
client to safety, which of the following is the next action the nurse
should take? - CORRECT ANSWER Activate the facility's fire alarm.
A nurse is planning to administer insulin to a client who has type 1 DM,
what action should the nurse perform first? - CORRECT ANSWER
Verify the dose of insulin with another nurse once it is prepared.
The nurse is caring for a client who has pneumonia. The nurse is
providing discharge teaching for the client and their caregiver. Which
of the following information should the nurse include? - CORRECT
ANSWER -The steroid dose will decrease each day.
-Adjust the oxygen flow rate as needed to ease breathing.
-Steroid medication should be taken in the morning.
-Ensure the oxygen delivery system is at least 8 feet from any heat
source.
A nurse is caring for a client. The nurse is reviewing the clients
medical record, which of the following finding places the client a high
risk for heart disease? - CORRECT ANSWER -Family history.
-Fasting glucose level.
-History of hyperlipidemia.
-History of hypertension
-Cholesterol level.
,A nurse is preparing to administer medication to a client for the first
time. Which of the following action should the nurse take to help
ensure safe medication administration? - CORRECT ANSWER Read
the medication label twice prior to administration.
What do nurses use when preparing change-of-shift report? - CORRECT
ANSWER Standard handoff communication tools, such as
Introduction, Situation, Background, Assessment, Recommendation
(ISBAR) to facilitate transfers and discharges.
When should discharge planning begin? - CORRECT ANSWER On
admission with every patient.
Discharge documentation should include - CORRECT ANSWER Type
of discharge, date & time of discharge, who went with the client &
transportation, where the client went, summary of clients current
condition at discharge, description of any unresolved difficulties and
disposition of valuables, medications brought from home &
prescriptions.
Documentation & abbreviations and symbols - CORRECT ANSWER
Being accurate & concise is an important element of documentation.
Only abbreviations & symbols approved by The Joint Commission and
the facility are acceptable.
A nurse is discussing the HIPPA privacy rule with nurses during new
employee orientation. Which of the following information should the
nurse include? - CORRECT ANSWER Family members should provide
a code prior to receiving client health information, communication of a
client can occur at the nurse's station, a client can request a hard
copy of their records and a nurses may photocopy a client's medical
record for transfer to another facility.
A nurse is receiving a providers prescription for morphine by telephone
for a client who is reporting moderate to severe pain. What are the
appropriate nursing actions? - CORRECT ANSWER Repeat the details
of the prescription back to the provider, have another nurse listen to
the telephone prescription and obtain the providers signature on the
prescription within 24 hours.
,A problem is an ethical dilemma when - CORRECT ANSWER I. A
review of scientific data is not enough to solve it
II. It involves a conflict between two moral imperatives
III. The answer will have a profound effect on the situation and the
client
Ethical dilemmas are problems that - CORRECT ANSWER involve
more than one choice and stem from differences in the values and
beliefs of decision makers
Autonomy - CORRECT ANSWER the right to makes one's own
personal decisions, even when those decisions might not be in the
that person's best interest.
Beneifience - CORRECT ANSWER positive actions to help others (do
good)
Fidelity - CORRECT ANSWER agreement to keep promises
Justice - CORRECT ANSWER fairness in care delivery and use of
resources
Nonmaleficence - CORRECT ANSWER avoidance of harm or injury (do
no harm)
Admission inventory of personal items include - CORRECT ANSWER
clothing, jewelry, money, credit cards, assistive devices, medications,
cell phones and other technology devices, and religious articles...
Nurses should discourage keeping valuables at the bedside.
The nurse will document what related to personal items? - CORRECT
ANSWER The nurse will document communication with the client
related to items left within the room and valuables locked in the
facility's safe.
Assault (International Tort) - CORRECT ANSWER The conduct of one
person makes another person fearful and apprehensive.
, Example: a nurse threatens to place an NG tube in a client who is
refusing to eat.
Battery (International Tort) - CORRECT ANSWER Intentional &
wrongful physical contract with a person that involves an injury of
offensive contact.
Example: A nurse restrains a client and administers an injection
against her wishes.
False Imprisonment (International Tort) - CORRECT ANSWER A
person is confined or retained against his will. The nurses uses
restraints on a competent client to prevent his leaving the health care
facility.
What should the nurse teach older clients about home safety? -
CORRECT ANSWER To place electrical cords & extension cords
against a wall behind furniture and use a nonskid mat in the tub or
shower & place a shower chair in the shower and a beside commode if
needed.
The client who has heat stroke will have what sign? - CORRECT
ANSWER Hypotension
One of the nurse's responsibility for a client in restraints is to make
sure... - CORRECT ANSWER the restraints are loose enough for range
of motion & that there is enough room to fit two fingers between the
restraints & the client.
What is the priority action for a patient with a history of falls? -
CORRECT ANSWER Complete a fall risk assessment.
What blood glucose level requires immediate action? - CORRECT
ANSWER 70 mg/dL of less
What are manifestations of hypoglycemia? - CORRECT ANSWER Mild
shakiness, mental confusion, sweating, palpitations, headache, lack of
coordination, blurred vision, seizures, and coma.
Retake Guide EXAM QUESTIONS AND WELL
ELABORATED ANSWERS (3 VERSIONS)
The nurse is reviewing a complementary therapies approved by the
provider with a client who has hypertension. Which of the following
supplements should the nurse discuss with the client? - CORRECT
ANSWER Garlic
A nurse identifies a small fire in a client;s room. After moving the
client to safety, which of the following is the next action the nurse
should take? - CORRECT ANSWER Activate the facility's fire alarm.
A nurse is planning to administer insulin to a client who has type 1 DM,
what action should the nurse perform first? - CORRECT ANSWER
Verify the dose of insulin with another nurse once it is prepared.
The nurse is caring for a client who has pneumonia. The nurse is
providing discharge teaching for the client and their caregiver. Which
of the following information should the nurse include? - CORRECT
ANSWER -The steroid dose will decrease each day.
-Adjust the oxygen flow rate as needed to ease breathing.
-Steroid medication should be taken in the morning.
-Ensure the oxygen delivery system is at least 8 feet from any heat
source.
A nurse is caring for a client. The nurse is reviewing the clients
medical record, which of the following finding places the client a high
risk for heart disease? - CORRECT ANSWER -Family history.
-Fasting glucose level.
-History of hyperlipidemia.
-History of hypertension
-Cholesterol level.
,A nurse is preparing to administer medication to a client for the first
time. Which of the following action should the nurse take to help
ensure safe medication administration? - CORRECT ANSWER Read
the medication label twice prior to administration.
What do nurses use when preparing change-of-shift report? - CORRECT
ANSWER Standard handoff communication tools, such as
Introduction, Situation, Background, Assessment, Recommendation
(ISBAR) to facilitate transfers and discharges.
When should discharge planning begin? - CORRECT ANSWER On
admission with every patient.
Discharge documentation should include - CORRECT ANSWER Type
of discharge, date & time of discharge, who went with the client &
transportation, where the client went, summary of clients current
condition at discharge, description of any unresolved difficulties and
disposition of valuables, medications brought from home &
prescriptions.
Documentation & abbreviations and symbols - CORRECT ANSWER
Being accurate & concise is an important element of documentation.
Only abbreviations & symbols approved by The Joint Commission and
the facility are acceptable.
A nurse is discussing the HIPPA privacy rule with nurses during new
employee orientation. Which of the following information should the
nurse include? - CORRECT ANSWER Family members should provide
a code prior to receiving client health information, communication of a
client can occur at the nurse's station, a client can request a hard
copy of their records and a nurses may photocopy a client's medical
record for transfer to another facility.
A nurse is receiving a providers prescription for morphine by telephone
for a client who is reporting moderate to severe pain. What are the
appropriate nursing actions? - CORRECT ANSWER Repeat the details
of the prescription back to the provider, have another nurse listen to
the telephone prescription and obtain the providers signature on the
prescription within 24 hours.
,A problem is an ethical dilemma when - CORRECT ANSWER I. A
review of scientific data is not enough to solve it
II. It involves a conflict between two moral imperatives
III. The answer will have a profound effect on the situation and the
client
Ethical dilemmas are problems that - CORRECT ANSWER involve
more than one choice and stem from differences in the values and
beliefs of decision makers
Autonomy - CORRECT ANSWER the right to makes one's own
personal decisions, even when those decisions might not be in the
that person's best interest.
Beneifience - CORRECT ANSWER positive actions to help others (do
good)
Fidelity - CORRECT ANSWER agreement to keep promises
Justice - CORRECT ANSWER fairness in care delivery and use of
resources
Nonmaleficence - CORRECT ANSWER avoidance of harm or injury (do
no harm)
Admission inventory of personal items include - CORRECT ANSWER
clothing, jewelry, money, credit cards, assistive devices, medications,
cell phones and other technology devices, and religious articles...
Nurses should discourage keeping valuables at the bedside.
The nurse will document what related to personal items? - CORRECT
ANSWER The nurse will document communication with the client
related to items left within the room and valuables locked in the
facility's safe.
Assault (International Tort) - CORRECT ANSWER The conduct of one
person makes another person fearful and apprehensive.
, Example: a nurse threatens to place an NG tube in a client who is
refusing to eat.
Battery (International Tort) - CORRECT ANSWER Intentional &
wrongful physical contract with a person that involves an injury of
offensive contact.
Example: A nurse restrains a client and administers an injection
against her wishes.
False Imprisonment (International Tort) - CORRECT ANSWER A
person is confined or retained against his will. The nurses uses
restraints on a competent client to prevent his leaving the health care
facility.
What should the nurse teach older clients about home safety? -
CORRECT ANSWER To place electrical cords & extension cords
against a wall behind furniture and use a nonskid mat in the tub or
shower & place a shower chair in the shower and a beside commode if
needed.
The client who has heat stroke will have what sign? - CORRECT
ANSWER Hypotension
One of the nurse's responsibility for a client in restraints is to make
sure... - CORRECT ANSWER the restraints are loose enough for range
of motion & that there is enough room to fit two fingers between the
restraints & the client.
What is the priority action for a patient with a history of falls? -
CORRECT ANSWER Complete a fall risk assessment.
What blood glucose level requires immediate action? - CORRECT
ANSWER 70 mg/dL of less
What are manifestations of hypoglycemia? - CORRECT ANSWER Mild
shakiness, mental confusion, sweating, palpitations, headache, lack of
coordination, blurred vision, seizures, and coma.
