ATI 2019 FUNDAMENTALS PROCTORED EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A nurse is preparing to obtain informed consent from a client who
speaks a different language than the nurse. Which of the following
actions should the nurse take?
a. "Request that an assistive personnel interpret the information
for the client"
b. "Use proper medical terms when giving information to the
client"
c. "Offer written information in the client's language"
d. "Avoid using gestures when speaking to the client" - correct
answer✔✔c
A nurse is teaching a client about home care equipment. Which of
the following information should the nurse include in the teaching?
(select all that apply)
a. "Avoid using wool blankets when receiving oxygen"
b. check the O2 delivery rate at least once a day
c. align the middle of the ball in the flow meter with the line of the
prescribed flow rate
d. "Keep the oxygen delivery system 0.6 m (2 feet) from any heat
source"
e. "Lay the oxygen tank flat when storing" - correct answer✔✔a,
b, c
A nurse is planning care for a client who reports insomnia. Which
of the following actions should the nurse perform shortly before
bedtime?
,a. Provide a late supper.
b. Offer a wet washcloth for the client to wash her face
c. Perform range-of-motion exercises
d. Prepare hot cocoa or tea for the client - correct answer✔✔a
A nurse on a medical-surgical unit is receiving a change-of-shift
report for four clients. Which of the following clients should the
nurse see first?
a. A client who has acute abdominal pain of 4 on a scale from 0 to
10
b. A client who has pneumonia and an oxygen saturation of 96%
c. A client who has new onset of dyspnea 24hr after a total hip
arthroplasty •
d. A client who
has a urinary tract infection and low-grade fever - correct
answer✔✔c
A nurse is reviewing a client's intake and output and notes the
following: 0.9% sodium chloride 600mL IV infusion, cefazolin 250
mg in dextrose 5% in water 100mL intermittent IV bolus, 200mL
emesis, 40mL voided urine, and 20mL urine from straight
catheterization. The nurse should record the client's net fluid
intake as how many mL? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing
zero.)
DOSAGE CALCULATION - correct answer✔✔700 mL
A nurse is discussing incident reports with a group of newly
licensed nurses. The nurse should include that which if the
following requires the completion of an incident report?
a. A client's prescribed laboratory testing was not obtained
b. A client withdrew consent for a procedure
c. An oncoming nurse arrived to work late
,d. A nurse transfused a unit of packed RBCs in 2 hr. - correct
answer✔✔a
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 the procedure. Which of the following resources
should the nurse consult to learn more about the intervention.
a. The client's plan of care
b. The nurse practice act
c. The material safety data sheet
d. The policy and procedure manual - correct answer✔✔d
A nurse is performing postural drainage with percussion and
vibration for a client who has cystic fibrosis. Which of the following
actions should the nurse take?
a. Cover the area of percussion with a towel.
b. Instruct the client to exhale quickly during vibration
c. Schedule postural drainage after meals
d. Perform percussion over the lower back - correct answer✔✔d
A nurse is preparing to administer diphenhydramine 20 mg orally
to a 6-year-old child who has difficulty swallowing pills. Available
is diphenhydramine 12.5mg/5ml oral syrup. Which of the following
images indicates the correct number of mL the nurse should
administer? (round answer to the nearest whole number.)
DOSAGE CALCULATION - correct answer✔✔8ml
A nurse is admitting a client who is malnourished. The client
states, "My wedding ring is loose and I'm worried I will lose it if it
falls off."Which of the following is an appropriate response by the
nurse?
a. " I will place it in your drawer so it won't get lost."
b. I can pin it to your hospital gown so you won't lose it."
c. "I will hold onto it until a family member can take it home."
, d. I can put it in a locked storage unit for you - correct answer✔✔d
A charge nurse is teaching a group of newly licensed nurses
about the use of restraints. In which of the following clinical
situations should the nurse apply restraints?
a. If the client is pacing in the hallway
b. As a part of a fall prevention program
c. At the request of the client's family
d. When the client poses a threat to self - correct answer✔✔d
To ensure client safety, a nurse manager is planning to observe a
newly licensed nurse perform a straight catheterization on a
client. In which of the following roles is the nurse manager
functioning?
a. Case manager
b. Client educator
c. Client care provider
d. Client advocate - correct answer✔✔d
A charge nurse in a long-term care facility is preparing an
educational program about delirium for newly hired nurses. Which
of the following statements should the nurse plan to include?
a. "Delirium does not affect a client's perception of her
environment."
b. "Delirium does not affect a client's sleep cycle."
c. "Delirium has an abrupt onset."
d. "Delirium has a slow progression." - correct answer✔✔c
A nurse is speaking with a client who has recently received a
diagnosis of a chronic illness. The client states, " The doctor must
be wrong. I can't be that sick". The nurse should inform the client
that their reaction is an example of which of the following
expected responses to grief?
a. Acceptance
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A nurse is preparing to obtain informed consent from a client who
speaks a different language than the nurse. Which of the following
actions should the nurse take?
a. "Request that an assistive personnel interpret the information
for the client"
b. "Use proper medical terms when giving information to the
client"
c. "Offer written information in the client's language"
d. "Avoid using gestures when speaking to the client" - correct
answer✔✔c
A nurse is teaching a client about home care equipment. Which of
the following information should the nurse include in the teaching?
(select all that apply)
a. "Avoid using wool blankets when receiving oxygen"
b. check the O2 delivery rate at least once a day
c. align the middle of the ball in the flow meter with the line of the
prescribed flow rate
d. "Keep the oxygen delivery system 0.6 m (2 feet) from any heat
source"
e. "Lay the oxygen tank flat when storing" - correct answer✔✔a,
b, c
A nurse is planning care for a client who reports insomnia. Which
of the following actions should the nurse perform shortly before
bedtime?
,a. Provide a late supper.
b. Offer a wet washcloth for the client to wash her face
c. Perform range-of-motion exercises
d. Prepare hot cocoa or tea for the client - correct answer✔✔a
A nurse on a medical-surgical unit is receiving a change-of-shift
report for four clients. Which of the following clients should the
nurse see first?
a. A client who has acute abdominal pain of 4 on a scale from 0 to
10
b. A client who has pneumonia and an oxygen saturation of 96%
c. A client who has new onset of dyspnea 24hr after a total hip
arthroplasty •
d. A client who
has a urinary tract infection and low-grade fever - correct
answer✔✔c
A nurse is reviewing a client's intake and output and notes the
following: 0.9% sodium chloride 600mL IV infusion, cefazolin 250
mg in dextrose 5% in water 100mL intermittent IV bolus, 200mL
emesis, 40mL voided urine, and 20mL urine from straight
catheterization. The nurse should record the client's net fluid
intake as how many mL? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing
zero.)
DOSAGE CALCULATION - correct answer✔✔700 mL
A nurse is discussing incident reports with a group of newly
licensed nurses. The nurse should include that which if the
following requires the completion of an incident report?
a. A client's prescribed laboratory testing was not obtained
b. A client withdrew consent for a procedure
c. An oncoming nurse arrived to work late
,d. A nurse transfused a unit of packed RBCs in 2 hr. - correct
answer✔✔a
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 the procedure. Which of the following resources
should the nurse consult to learn more about the intervention.
a. The client's plan of care
b. The nurse practice act
c. The material safety data sheet
d. The policy and procedure manual - correct answer✔✔d
A nurse is performing postural drainage with percussion and
vibration for a client who has cystic fibrosis. Which of the following
actions should the nurse take?
a. Cover the area of percussion with a towel.
b. Instruct the client to exhale quickly during vibration
c. Schedule postural drainage after meals
d. Perform percussion over the lower back - correct answer✔✔d
A nurse is preparing to administer diphenhydramine 20 mg orally
to a 6-year-old child who has difficulty swallowing pills. Available
is diphenhydramine 12.5mg/5ml oral syrup. Which of the following
images indicates the correct number of mL the nurse should
administer? (round answer to the nearest whole number.)
DOSAGE CALCULATION - correct answer✔✔8ml
A nurse is admitting a client who is malnourished. The client
states, "My wedding ring is loose and I'm worried I will lose it if it
falls off."Which of the following is an appropriate response by the
nurse?
a. " I will place it in your drawer so it won't get lost."
b. I can pin it to your hospital gown so you won't lose it."
c. "I will hold onto it until a family member can take it home."
, d. I can put it in a locked storage unit for you - correct answer✔✔d
A charge nurse is teaching a group of newly licensed nurses
about the use of restraints. In which of the following clinical
situations should the nurse apply restraints?
a. If the client is pacing in the hallway
b. As a part of a fall prevention program
c. At the request of the client's family
d. When the client poses a threat to self - correct answer✔✔d
To ensure client safety, a nurse manager is planning to observe a
newly licensed nurse perform a straight catheterization on a
client. In which of the following roles is the nurse manager
functioning?
a. Case manager
b. Client educator
c. Client care provider
d. Client advocate - correct answer✔✔d
A charge nurse in a long-term care facility is preparing an
educational program about delirium for newly hired nurses. Which
of the following statements should the nurse plan to include?
a. "Delirium does not affect a client's perception of her
environment."
b. "Delirium does not affect a client's sleep cycle."
c. "Delirium has an abrupt onset."
d. "Delirium has a slow progression." - correct answer✔✔c
A nurse is speaking with a client who has recently received a
diagnosis of a chronic illness. The client states, " The doctor must
be wrong. I can't be that sick". The nurse should inform the client
that their reaction is an example of which of the following
expected responses to grief?
a. Acceptance
