2024 ATI Proctored Exam Practice Questions And Correct Answers, With Complete Verified Solution.
A nurse in an urgent care center is caring for a 15 year old client whose symptoms suggest a sexually transmitted infection (STI). The client's parent is unavailable, but the client's grandmother accompanied the client to the clinic. Which of the following actions should the nurse take?
Have the adolescent sign the consent form
A nurse is assisting with the administration of a client who will undergo a craniotomy. During the physical planning phase of the nursing process, to which of the following areas should the nurse contribute?
Establish client outcomes
A nurse is reviewing adult cardiopulmonary resuscitation (CPR) with a newly licensed nurse. Which of the following steps should the nurse identify as the first response when performing CPR?
Confirm unresponsiveness
A nurse is preparing a client who is scheduled for a hysterectomy for transport to
the operating room. The client states she no longer wants the surgery. Which of the following actions should the nurse take?
Notify the provider about the client's decision
A nurse is reinforcing teaching with a client about a surgical procedure that she will undergo later in the day. The client states that no one has spoken to her about this procedure before. Which of the following should the nurse take?
Stop reinforcing the teaching and check with the surgeon about informed consent
A nurse is contributing to the plan of care for a client who had a stroke and is scheduled to receive feeding via a gastrostomy tube. Which of the following should the nurse recommend prior to initiating each feeding?
Elevate the head of the bed
A nurse is assisting with preparing a client for discharge and providing instructions about performing dressing changes at home. Which of the following statements indicates that the client understands medical asepsis?
"I'll wash my hands before I remove the old dressing and again before putting on the new one."
A nurse on a medical surgical unit is washing her hands prior to assisting with a surgical procedure. Which of the following actions by the nurse demonstrates proper surgical hand washing technique?
The nurse washes her hands held higher than her elbows
A nurse is caring for a client who requires a chest x-ray. Prior to the client being transported for the procedure,which of the following actions should the nurse take first?
Identify the client using 2 identifiers A nurse is instructing an assistive personnel (AP) about proper hand hygiene. Which of the following statements by the AP indicates an understanding of the teaching?
"Sometimes, I should use soap and water rather than hand-rub to clean my hands."
A nurse is preparing to change the bed linens of a client who has AIDS and is incontinent of stool. Which of the following personnel protective equipment (PPE)
items should the nurse don prior to providing client care?
Gown, gloves
A nurse is discussing fire safety with newly hired nurses. Which of the following actions is the priority if a fire occurs in the healthcare facility?
Evacuate clients from the unit
A nurse is beginning her shift and reviewing the medication administration records (MAR's) for her clients. She notes a medication dosage above the safe range and sees that another nurse administered that dosage during the previous shift. Which of the following actions should the nurse take?
Call the provider to clarify the dosage
A nurse is reviewing the use of side rails with an assistive personnel (AP). Which of the following statements by the AP indicates that further instruction is required?
"If the client seems confused, I'll raise all 4 side rails to prevent injury."
A nurse enters a client's room and finds smoke coming from under the bed. What sequence of actions should the nurse take in this situation?
1) Move the client out of the room
2) Pull the fire alarm
3) Shut all surrounding windows and doors
4) Attempt to put out the smoke with a fire extinguisher
A nurse is supervising a newly licensed nurse who is caring for a client with streptococcal pharyngitis on transmission based precautions. Which of the following actions by the newly licensed nurse indicates an understanding of droplet precautions?
Assigning another client with the same infection to share the room with the client.
A nurse is removing personal protective equipment (PPE) after performing a procedure for a client who requires isolation precautions. Which of the following items of PPE should the nurse remove first?
Gloves
A nurse is measuring vital signs for a client and notices an irregularity in the pulse. Which of the following actions should the nurse take?
Count the apical pulse rate for 1 full minute and describe the rhythm in the chart
A nurse is collecting data for a client who has had diarrhea and decreased urination for several days. Which of the following actions should the nurse take to determine if the client is dehydrated?
Grasp a skinfold on the chest under the clavicle, release it, and note whether it springs back
A nurse on a medical-surgical unit is caring for a client. Which of the following actions should the nurse perform first when using the nursing process?
Obtain client information
A nurse in an urgent care center is caring for a 15 year old client whose symptoms suggest a sexually transmitted infection (STI). The client's parent is unavailable, but the client's grandmother accompanied the client to the clinic. Which of the following actions should the nurse take?
Have the adolescent sign the consent form
A nurse is assisting with the administration of a client who will undergo a craniotomy. During the physical planning phase of the nursing process, to which of the following areas should the nurse contribute?
Establish client outcomes
A nurse is reviewing adult cardiopulmonary resuscitation (CPR) with a newly licensed nurse. Which of the following steps should the nurse identify as the first response when performing CPR?
Confirm unresponsiveness
A nurse is preparing a client who is scheduled for a hysterectomy for transport to
the operating room. The client states she no longer wants the surgery. Which of the following actions should the nurse take?
Notify the provider about the client's decision
A nurse is reinforcing teaching with a client about a surgical procedure that she will undergo later in the day. The client states that no one has spoken to her about this procedure before. Which of the following should the nurse take?
Stop reinforcing the teaching and check with the surgeon about informed consent
A nurse is contributing to the plan of care for a client who had a stroke and is scheduled to receive feeding via a gastrostomy tube. Which of the following should the nurse recommend prior to initiating each feeding?
Elevate the head of the bed
A nurse is assisting with preparing a client for discharge and providing instructions about performing dressing changes at home. Which of the following statements indicates that the client understands medical asepsis?
"I'll wash my hands before I remove the old dressing and again before putting on the new one."
A nurse on a medical surgical unit is washing her hands prior to assisting with a surgical procedure. Which of the following actions by the nurse demonstrates proper surgical hand washing technique?
The nurse washes her hands held higher than her elbows
A nurse is caring for a client who requires a chest x-ray. Prior to the client being transported for the procedure,which of the following actions should the nurse take first?
Identify the client using 2 identifiers A nurse is instructing an assistive personnel (AP) about proper hand hygiene. Which of the following statements by the AP indicates an understanding of the teaching?
"Sometimes, I should use soap and water rather than hand-rub to clean my hands."
A nurse is preparing to change the bed linens of a client who has AIDS and is incontinent of stool. Which of the following personnel protective equipment (PPE)
items should the nurse don prior to providing client care?
Gown, gloves
A nurse is discussing fire safety with newly hired nurses. Which of the following actions is the priority if a fire occurs in the healthcare facility?
Evacuate clients from the unit
A nurse is beginning her shift and reviewing the medication administration records (MAR's) for her clients. She notes a medication dosage above the safe range and sees that another nurse administered that dosage during the previous shift. Which of the following actions should the nurse take?
Call the provider to clarify the dosage
A nurse is reviewing the use of side rails with an assistive personnel (AP). Which of the following statements by the AP indicates that further instruction is required?
"If the client seems confused, I'll raise all 4 side rails to prevent injury."
A nurse enters a client's room and finds smoke coming from under the bed. What sequence of actions should the nurse take in this situation?
1) Move the client out of the room
2) Pull the fire alarm
3) Shut all surrounding windows and doors
4) Attempt to put out the smoke with a fire extinguisher
A nurse is supervising a newly licensed nurse who is caring for a client with streptococcal pharyngitis on transmission based precautions. Which of the following actions by the newly licensed nurse indicates an understanding of droplet precautions?
Assigning another client with the same infection to share the room with the client.
A nurse is removing personal protective equipment (PPE) after performing a procedure for a client who requires isolation precautions. Which of the following items of PPE should the nurse remove first?
Gloves
A nurse is measuring vital signs for a client and notices an irregularity in the pulse. Which of the following actions should the nurse take?
Count the apical pulse rate for 1 full minute and describe the rhythm in the chart
A nurse is collecting data for a client who has had diarrhea and decreased urination for several days. Which of the following actions should the nurse take to determine if the client is dehydrated?
Grasp a skinfold on the chest under the clavicle, release it, and note whether it springs back
A nurse on a medical-surgical unit is caring for a client. Which of the following actions should the nurse perform first when using the nursing process?
Obtain client information
