ATI CMS FUNDAMENTALS PROCTORED EXAM
QUESTIONS WITH DETAILED ANSWERS
Aznursezadministerszsubcutaneouszlisprozinsulinzatz0700ztozazclientzwhozhaszdiabetes.zAtzwhichzofzthezfoll
owingztimeszshouldztheznursezobservezforzhypoglycemiazcausedzbyzthezonsetzofzthezmedication?z-
zCORRECTzANSWER-0715
Whatziszrequiredzbyzmedicalzasepsiszthatzisznotzrequiredzbyzsurgicalzasepsis?z-zCORRECTzANSWER-
goodzhandzwashingztechnique
Aznurseziszpreparingztozadministerzdexamethasonez1.5zmg/kg/dayzPOztozdividezequallyzeveryz6zhoursztozaz
preschool-
agezchildzwhozweighsz22zlb.zAvailableziszdexamethasonezoralzsolutionz1zmg/mL.zHowzmanyzmLzshouldzthez
nursezadministerzperzdose?z(Roundzthezanswerztoztheznearestztenth.)z-zCORRECTzANSWER-3.8
Azpostoperativezclientzwhozhasznozpreviouszmedicalzconditionsziszdifficultztozarousezwhenztransferredztozt
hezsurgicalzunitzfromzthezpost-
anesthesiazcarezunit.zAznursezmonitorszthezpulsezoximeterzandzgetszazreadingzofz85%.zTheznursezarouseszt
hezclientzandzhaszhimzcoughzandzperformzdeepzbreathing;zthezpulsezoximeterzisznowzreadingz83%zwhatzsh
ouldzbeztheznurse'sznextzaction?z-zCORRECTzANSWER-Startzoxygenzatz2zliterszperznasalzcannula.
Aznursezinzthezemergencyzdepartmentzknowszthatztissuezdamagezhaszprobablyzoccurredzinzazpersonzwithz
hypothermiazwhenzazrectalztemperaturezofz_____ziszassessed.z(doznotzusezdegreezsign,)z-
zCORRECTzANSWER-95
Atz0330,zaznurseziszcaringzforzazclientzwhoziszpostoperative.zThezclient'szIVzfluidszarezinfusingzatz120zmL/hr.z
HowzmanyzmLzofzIVzfluidzshouldzinfusezbyz0600?z(Roundzthezanswerztoztheznearestzwholeznumber.zUsezazl
eadingzzerozifzitzapplies.zDoznotzusezaztrailingzzero.)z-zCORRECTzANSWER-300
Aznurseziszreinforcingzteachingzwithzazclientzwhozhaszazfamilyzhistoryzofzhypertension.zTheznursezshouldzin
formzthezclientzthatzhiszbloodzpressurezreadingzofz112/64zmmzHgzplaceszhimzinzwhichzofzthezfollowingzcat
egories?z-zCORRECTzANSWER-Withinzthezexpectedzreferencezrange
, Aznurseziszreinforcingzteachingzwithzazclientzwhozhasztypez2zdiabeteszmellitus.zTheznursezdetermineszthatz
teachingzhaszbeenzeffectivezwhenzthezclientzidentifieszwhichzofzthezfollowingzmanifestationszofzhypoglyce
mia?z(Selectzallzthatzapply.)z-zCORRECTzANSWER--Blurryzvision
-tachycardia
-sweating
Aznurseziszreinforcingzteachingzwithzazclientzwhozhaszdiabeteszmellituszandzself-
administerszinsulin.zThezclientzreportszdrinkingzanzoccasionalzglasszofzwine.zWhichzofzthezfollowingziszanza
ppropriatezresponsezbyztheznurse?z-zCORRECTzANSWER-
"Itziszbestzforzyouztozdrinkzanzoccasionalzglasszofzwinezwithzazmeal".
Aznurseziszcaringzforzazclientzwhozhasztypez1zdiabeteszmellitus.zTheznursezmisreadzthezclient'szmorningzfast
ingzbloodzglucosezlevelzasz210zmg/dLzinsteadzofz120zmg/dLzandzadministeredzthezinsulinzdosezappropriat
ezforzazreadingzoverz200zmg/dL.zWhichzofzthezfollowingzactionszshouldztheznursezidentifyzaszthezpriority?z-
zCORRECTzANSWER-Checkzthezclient'szbloodzglucosezlevel.
Aznurseziszassistingzwithzthezplanzofzcarezforzazclientzwhozhaszaznewzdeep-
veinzthrombosisz(DVT)zinzhiszleg.zWhichzofzthezfollowingzinterventionszshouldztheznursezincludezinzthezpla
n?z-zCORRECTzANSWER-Keepzthezclientszaffectedzlegzelevated
Aznurseziszcollectingzdatazfromzazclientzwhoziszpostoperativezfollowingzabdominalzsurgery.zWhichzofzthezfo
llowingzfindingszshouldzcauseztheznurseztozsuspectzdeep-veinzthrombosisz(DVT)?z-zCORRECTzANSWER-
unilateralzlegzedema
Aznurseziszcollectingzdatazfromzazclientzwhozhaszhypertensionzandzazprescriptionzforzpropranolol.zAzhistory
zofzwhichzofzthezfollowingzconditionszshouldzbezreportedztozthezprovider?z-zCORRECTzANSWER-
Heartzfailure
Aznurseziszcaringzforzanzolderzadultzclientzwhozhaszcolonzcancer.zThezclientzasksztheznursezseveralzquestion
szaboutzhisztreatmentzplan.zWhichzofzthezfollowingzactionszshouldztheznurseztake?z-zCORRECTzANSWER-
Helpzthezclientzwritezdownzquestionsztozaskzhiszprovider.
Aznurseziszcollectingzdatazfromzclientzwhozhaszreceivedzchemotherapyztoztreatzlungzcancer.zWhichzofzthezf
ollowingzadversezeffectszshouldztheznursezreportztozthezprovider?z-zCORRECTzANSWER-
Manifestationszofzinfection.
QUESTIONS WITH DETAILED ANSWERS
Aznursezadministerszsubcutaneouszlisprozinsulinzatz0700ztozazclientzwhozhaszdiabetes.zAtzwhichzofzthezfoll
owingztimeszshouldztheznursezobservezforzhypoglycemiazcausedzbyzthezonsetzofzthezmedication?z-
zCORRECTzANSWER-0715
Whatziszrequiredzbyzmedicalzasepsiszthatzisznotzrequiredzbyzsurgicalzasepsis?z-zCORRECTzANSWER-
goodzhandzwashingztechnique
Aznurseziszpreparingztozadministerzdexamethasonez1.5zmg/kg/dayzPOztozdividezequallyzeveryz6zhoursztozaz
preschool-
agezchildzwhozweighsz22zlb.zAvailableziszdexamethasonezoralzsolutionz1zmg/mL.zHowzmanyzmLzshouldzthez
nursezadministerzperzdose?z(Roundzthezanswerztoztheznearestztenth.)z-zCORRECTzANSWER-3.8
Azpostoperativezclientzwhozhasznozpreviouszmedicalzconditionsziszdifficultztozarousezwhenztransferredztozt
hezsurgicalzunitzfromzthezpost-
anesthesiazcarezunit.zAznursezmonitorszthezpulsezoximeterzandzgetszazreadingzofz85%.zTheznursezarouseszt
hezclientzandzhaszhimzcoughzandzperformzdeepzbreathing;zthezpulsezoximeterzisznowzreadingz83%zwhatzsh
ouldzbeztheznurse'sznextzaction?z-zCORRECTzANSWER-Startzoxygenzatz2zliterszperznasalzcannula.
Aznursezinzthezemergencyzdepartmentzknowszthatztissuezdamagezhaszprobablyzoccurredzinzazpersonzwithz
hypothermiazwhenzazrectalztemperaturezofz_____ziszassessed.z(doznotzusezdegreezsign,)z-
zCORRECTzANSWER-95
Atz0330,zaznurseziszcaringzforzazclientzwhoziszpostoperative.zThezclient'szIVzfluidszarezinfusingzatz120zmL/hr.z
HowzmanyzmLzofzIVzfluidzshouldzinfusezbyz0600?z(Roundzthezanswerztoztheznearestzwholeznumber.zUsezazl
eadingzzerozifzitzapplies.zDoznotzusezaztrailingzzero.)z-zCORRECTzANSWER-300
Aznurseziszreinforcingzteachingzwithzazclientzwhozhaszazfamilyzhistoryzofzhypertension.zTheznursezshouldzin
formzthezclientzthatzhiszbloodzpressurezreadingzofz112/64zmmzHgzplaceszhimzinzwhichzofzthezfollowingzcat
egories?z-zCORRECTzANSWER-Withinzthezexpectedzreferencezrange
, Aznurseziszreinforcingzteachingzwithzazclientzwhozhasztypez2zdiabeteszmellitus.zTheznursezdetermineszthatz
teachingzhaszbeenzeffectivezwhenzthezclientzidentifieszwhichzofzthezfollowingzmanifestationszofzhypoglyce
mia?z(Selectzallzthatzapply.)z-zCORRECTzANSWER--Blurryzvision
-tachycardia
-sweating
Aznurseziszreinforcingzteachingzwithzazclientzwhozhaszdiabeteszmellituszandzself-
administerszinsulin.zThezclientzreportszdrinkingzanzoccasionalzglasszofzwine.zWhichzofzthezfollowingziszanza
ppropriatezresponsezbyztheznurse?z-zCORRECTzANSWER-
"Itziszbestzforzyouztozdrinkzanzoccasionalzglasszofzwinezwithzazmeal".
Aznurseziszcaringzforzazclientzwhozhasztypez1zdiabeteszmellitus.zTheznursezmisreadzthezclient'szmorningzfast
ingzbloodzglucosezlevelzasz210zmg/dLzinsteadzofz120zmg/dLzandzadministeredzthezinsulinzdosezappropriat
ezforzazreadingzoverz200zmg/dL.zWhichzofzthezfollowingzactionszshouldztheznursezidentifyzaszthezpriority?z-
zCORRECTzANSWER-Checkzthezclient'szbloodzglucosezlevel.
Aznurseziszassistingzwithzthezplanzofzcarezforzazclientzwhozhaszaznewzdeep-
veinzthrombosisz(DVT)zinzhiszleg.zWhichzofzthezfollowingzinterventionszshouldztheznursezincludezinzthezpla
n?z-zCORRECTzANSWER-Keepzthezclientszaffectedzlegzelevated
Aznurseziszcollectingzdatazfromzazclientzwhoziszpostoperativezfollowingzabdominalzsurgery.zWhichzofzthezfo
llowingzfindingszshouldzcauseztheznurseztozsuspectzdeep-veinzthrombosisz(DVT)?z-zCORRECTzANSWER-
unilateralzlegzedema
Aznurseziszcollectingzdatazfromzazclientzwhozhaszhypertensionzandzazprescriptionzforzpropranolol.zAzhistory
zofzwhichzofzthezfollowingzconditionszshouldzbezreportedztozthezprovider?z-zCORRECTzANSWER-
Heartzfailure
Aznurseziszcaringzforzanzolderzadultzclientzwhozhaszcolonzcancer.zThezclientzasksztheznursezseveralzquestion
szaboutzhisztreatmentzplan.zWhichzofzthezfollowingzactionszshouldztheznurseztake?z-zCORRECTzANSWER-
Helpzthezclientzwritezdownzquestionsztozaskzhiszprovider.
Aznurseziszcollectingzdatazfromzclientzwhozhaszreceivedzchemotherapyztoztreatzlungzcancer.zWhichzofzthezf
ollowingzadversezeffectszshouldztheznursezreportztozthezprovider?z-zCORRECTzANSWER-
Manifestationszofzinfection.
