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ATI PN FUNDAMENTAL PROCTORED
LATEST 2024 WITH UPDATED QUESTIONS
AND DETAILED ANSWERS (VERIFIED)
GRADED A+
A nurse is receiving the prescription for a client who is experiencing
dysphagia following a stroke. Which of the following prescriptions
should the nurse clarify?
Dietitian consult
Speech therapy referral
Oral suction at the bedside
Clear liquids-liquids must be THICK. Clear liquids can cause
aspiration - ANSWER-d. Clearliquids-
liquidsmustbeTHICK.Clearliquidscancauseaspiration
ATI MS. Pg. 83 food levels for dysphagia include pureed,
mechanically altered, advanced/mechanically soft, and regular.
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16.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?
Place the end of the NG tube in water to observe for bubbling.
Auscultate 2.5 cm (1 in) above the umbilicus while injecting 15 mL
of sterile water. AIR
NOT WATER OR BY ASPIRATING GASTRIC FOR PH.
Assess the client's gag reflex.
Measure the pH of the gastric aspirate. - ANSWER-d. Measure the
pH of the gastric aspirate.
A nurse is teaching a group of newly licensed nurses about the
Braden Scale. Which of the following responses by the newly
licensed nurse indicates an understanding of the teaching?
"The client‟s age is part of the measurement." - rationale is same
as b.
"The scale measures six elements."
"The higher the score, the higher the pressure ulcer risk."- the
higher the score the better chance the patient has of NOT getting
an ulcer . score of 12 or less is high risk. Anything above 18 is
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healthy.
"Each element has a range from 1 to 5 points."- each elements is
scored from 1-4 actually - ANSWER-b. "The scale measures six
elements."
Rationale: The six elements are 1. Sensory Perception, 2.
Moisture, 4. activity, 5. mobility ,6. nutrition , 7. friction and shear.
A nurse is caring from a client who has a tracheostomy. Which of
the following actions should the nurse take?
Clean the skin around the stoma with normal saline.
Secure the tracheostomy ties with one finger to fit snugly
underneath. → 2 snug fingers
widths under neck strap
Soak the outer cannula in warm tap water. STERILE NS
Use a cotton tip applicator to clean the inside in the inner cannula.
<to clean OUTER cannula surfaces, cllity-approved solution>ean
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the inside with the faci - ANSWER-a. Clean the skin around the
stoma with normal saline.
Rationale: according to POTTER, funda pg. 866 using NS-
saturated cotton-tipped sterile swabs and 4x4 gauze, clean
exposed outer cannula surfaces and soma under faceplate,
extending 5-10cm (2-4in) in all directions from stoma
A staff nurse is teaching a newly hired nurse about alternatives to
the use of restraints on clients who are confused. Which of the
following instructions should the nurse include?
"Use full-length side rails on the client‟s bed."
"Check on the client frequently while he is in the restroom."
"Encourage physical activity throughout the day to expand energy."
"Remove clocks from the client‟s room." - ANSWER-c. "Encourage
physical activity throughout the day to expand energy."
A nurse in an emergency department is assessing a client who
reports RIGHT lower quadrant pain, nausea and vomiting for the
past 48 hr. Which of the following actions should the nurse take
ATI PN FUNDAMENTAL PROCTORED
LATEST 2024 WITH UPDATED QUESTIONS
AND DETAILED ANSWERS (VERIFIED)
GRADED A+
A nurse is receiving the prescription for a client who is experiencing
dysphagia following a stroke. Which of the following prescriptions
should the nurse clarify?
Dietitian consult
Speech therapy referral
Oral suction at the bedside
Clear liquids-liquids must be THICK. Clear liquids can cause
aspiration - ANSWER-d. Clearliquids-
liquidsmustbeTHICK.Clearliquidscancauseaspiration
ATI MS. Pg. 83 food levels for dysphagia include pureed,
mechanically altered, advanced/mechanically soft, and regular.
,2|Page
16.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?
Place the end of the NG tube in water to observe for bubbling.
Auscultate 2.5 cm (1 in) above the umbilicus while injecting 15 mL
of sterile water. AIR
NOT WATER OR BY ASPIRATING GASTRIC FOR PH.
Assess the client's gag reflex.
Measure the pH of the gastric aspirate. - ANSWER-d. Measure the
pH of the gastric aspirate.
A nurse is teaching a group of newly licensed nurses about the
Braden Scale. Which of the following responses by the newly
licensed nurse indicates an understanding of the teaching?
"The client‟s age is part of the measurement." - rationale is same
as b.
"The scale measures six elements."
"The higher the score, the higher the pressure ulcer risk."- the
higher the score the better chance the patient has of NOT getting
an ulcer . score of 12 or less is high risk. Anything above 18 is
,3|Page
healthy.
"Each element has a range from 1 to 5 points."- each elements is
scored from 1-4 actually - ANSWER-b. "The scale measures six
elements."
Rationale: The six elements are 1. Sensory Perception, 2.
Moisture, 4. activity, 5. mobility ,6. nutrition , 7. friction and shear.
A nurse is caring from a client who has a tracheostomy. Which of
the following actions should the nurse take?
Clean the skin around the stoma with normal saline.
Secure the tracheostomy ties with one finger to fit snugly
underneath. → 2 snug fingers
widths under neck strap
Soak the outer cannula in warm tap water. STERILE NS
Use a cotton tip applicator to clean the inside in the inner cannula.
<to clean OUTER cannula surfaces, cllity-approved solution>ean
, 4|Page
the inside with the faci - ANSWER-a. Clean the skin around the
stoma with normal saline.
Rationale: according to POTTER, funda pg. 866 using NS-
saturated cotton-tipped sterile swabs and 4x4 gauze, clean
exposed outer cannula surfaces and soma under faceplate,
extending 5-10cm (2-4in) in all directions from stoma
A staff nurse is teaching a newly hired nurse about alternatives to
the use of restraints on clients who are confused. Which of the
following instructions should the nurse include?
"Use full-length side rails on the client‟s bed."
"Check on the client frequently while he is in the restroom."
"Encourage physical activity throughout the day to expand energy."
"Remove clocks from the client‟s room." - ANSWER-c. "Encourage
physical activity throughout the day to expand energy."
A nurse in an emergency department is assessing a client who
reports RIGHT lower quadrant pain, nausea and vomiting for the
past 48 hr. Which of the following actions should the nurse take
