ATI PN CMS FUNDAMENTALS PROCTORED EXAM 2024/2025 PRACTICE QUESTIONS WITH DETAILED ANNSWERS

ATI PN CMS FUNDAMENTALS PROCTORED EXAM
2024/2025 PRACTICE QUESTIONS WITH DETAILED
ANNSWERS
AznurseziszcaringzforzazclientzwhoziszreceivingzcontinuouszNGztubezfeedings.zTheznursezlistensztozthezclient'
szbowelzsounds.zWhichzofzthezfollowingzactionszshouldztheznurseztake?z(Clickzonzthezaudiozbuttonztozlisten
ztozthezclip.)z-zCORRECTzANSWER-Decreasezthezratezofzthezfeeding




-
zRationality:zTheznursezshouldzexpectztozhearzbowelzsoundszeveryz5ztoz35zseconds.zThiszaudiozclipzindicate

szhypermotilityzbecauseztherezarezgreaterzthanz40zbowelzsounds/min.zHypermotilityzleadsztozdiarrheazan
dziszanzindicationzofzintoleranceztozthezenteralzfeeding.zTherefore,ztheznursezshouldzslowzthezratezofzthezfe
edingztozpromotezthezclient'sztolerancezofzthezfeeding.



TheznursezshouldzmaintainzazclientzwhoziszreceivingzcontinuouszNGztubezfeedingszinzazpositionzwithzthezhe
adzofzthezbedzelevatedz30°ztoz45°ztozpreventzaspirationzofzthezformula.



Aznurseziszpreparingztozadministerzoxygenztozazclientzwhozhaszheartzfailurezandziszhavingzseverezdifficultyz
breathing.zWhichzofzthezfollowingzoxygenzdeliveryzequipmentzshouldztheznursezselectztozprovidezthezhigh
estzconcentrationzofzoxygenztozthezclient?z-zCORRECTzANSWER-Nonrebreatherzmask



Rationality:

Aznonrebreatherzmaskzprovideszthezhighestzpercentagezofzoxygenzconcentrationzwithoutzintubationzandz
mechanicalzventilation.



AzVenturizmaskzcanzbezadjustedztozprovidezazconsistentzlowerzoxygenzconcentration.



Azsimplezfacezmaskzcanzbezadjustedzforzshort-termzdeliveryzofzlowztozmediumzoxygenzconcentration.



Aznasalzcannulazprovideszazlowzoxygenzconcentration.



Azchargeznursezsmellszsmoke,zenterszthezvisitorzrestroom,zandzseeszflameszinztheztrashzcan.zWhatziszthezse
quencezofzactionszthatztheznursezshouldztake?z(Movezthezstepszintozthezboxzonzthezright,zplacingzthemzinzt

,hezselectedzorderzofzperformance.zUsezallzthezsteps.)z-zCORRECTzANSWER-
Evacuatezclientszfromzthezareaziszthezfirstzstep.z



Rationality:zThezfirstzactionztheznursezshouldztakezwhenzusingzthezRACEzprotocolzisztoz"rescue"zorzevacuat
ezthezclientszfromzthezareaztozpreventzharm.



Pullzthezleverzonzthezfirezalarmzboxziszthezsecondzstep.z



Rationality:zForztheznextzstep,z"alarm,"ztheznursezshouldzactivatezthezfacilityzfirezalarmzandzcallztozreportzt
hezfireztozthezfacilityzemergencyzextension.



Closezthezfirezdoorszonzthezunitziszthezthirdzstep.z



Rationality:zClosezthezfirezdoorszonzthezunitziszthezthirdzstep.zForzthezthirdzstep,z"confine,"ztheznursezshoul
dzclosezthezunitzfirezdoorsztozpreventzthezfirezfromzspreading.



Usezazfirezextinguisherztozputzoutzthezfireziszthezfourthzstep.



Rationality:zForzthezfinalzstep,z"extinguish,"ztheznursezshouldzusezazfirezextinguisherztozputzoutzthezfirezbyz
aimingztheznozzlezatzthezbasezofzthezfirezandzusingzazsweepingzmotion.



AznurseziszcaringzforzazclientzwhozhaszmetastaticzcancerzandzpracticeszCatholicism.zThezclientzasksztheznurs
eztozdiscusszthezafterlifezwithzthem.zWhichzofzthezfollowingzstatementszbyztheznursezassistszinzmeetingzthe
zclient'szspiritualzneeds?z-zCORRECTzANSWER-"Tellzmezwhatzthezafterlifezmeansztozyou."




Rationale:zThiszstatementzrespectszthezclient'szspiritualzneedszbyzusingzopen-
endedztherapeuticzcommunicationztozassistzthezclientztoztalkzaboutztheirzconcerns.



Aznurseziszreinforcingzteachingzwithzazclientzaboutzthezpreventionzofzstresszinjuries.zWhichzofzthezfollowin
gzinstructionszshouldztheznursezinclude?z-zCORRECTzANSWER-
"Whenzliftingzazheavyzobject,zkeepzitzcloseztozyourzbody."

, Rationality:zTheznursezshouldzinstructzthezclientztozkeepzthezobjectzaszcloseztoztheirzbodyzaszpossibleztozin
creasezstabilityzandzdecreasezbackzstrainzwhenzliftingzazheavyzobject.



Aznurseziszreinforcingzteachingzwithzazclientzaboutzthezusezofzcrutches.zWhichzofzthezfollowingzactionszbyzt
hezclientzindicateszanzunderstandingzofzthezteaching?z-zCORRECTzANSWER-
Thezclientzadvanceszthezunaffectedzlegzfirstzwhilezclimbingzstairs.



Rationality:zWhenzascendingzstairs,zthezclientzshouldzfirstzadvancezthezunaffectedzleg.



Theznursezshouldzreinforcezwithzthezclientzthatztheirzaxillazshouldznotzbearzanyzweightzwhilezinztheztripodz
positionzbecausezthiszcanzcausezpressurezinjuryzformation.zThezclientzshouldzbearztheirzweightzwithztheirz
armszandzhands.



Azclientzwhozhaszadvancedzcancerztellsztheznursezthatztheyzhavezazdifficultztimeztalkingztozanyonezaboutzth
ezillness.zWhichzofzthezfollowingzactionszshouldztheznurseztakeztozencourageztherapeuticzcommunication?
z-zCORRECTzANSWER-Letzthezclientzknowzthat,zasztheirznurse,ztheyzarezavailablezandzwillingztozlisten.




-
zRationality:zActivezlisteningzconveysztheznurse'szrespectzandzacceptancezforzthezclient'szfeelingszandzgives

zthezclientzanzopportunityztozexpressztheirzthoughtszandzneeds.




Aznurseziszpreparingztozremovezazclient'szperipheralzIVzcatheter.zAfterzperformingzhandzhygienezandzapplyi
ngzcleanzgloves,zwhichzofzthezfollowingzactionszshouldztheznurseztakezfirst?z-zCORRECTzANSWER-
Clampzthezinfusionztubing.



Rationality:zEvidence-
basedzpracticezindicateszthatztheznursezshouldzfirstzclampzthezinfusionztubingzafterzapplyingzcleanzgloves.z
ThiszactionzstopszthezflowzofzthezIVzfluidzandzpreventszitzfromzleakingzoutzduringzthezIVzremoval.



Aznurseziszcontributingztozthezplanzofzcarezforzazclientzwhozhaszazpositivezthroatzculturezforzstreptococci.z
Whichzofzthezfollowingzinterventionszshouldztheznursezrecommendztozbezincludedzinzthezplanzofzcare?z-
zCORRECTzANSWER-

Ensurezthatzthezclientzwearszazsurgicalzmaskzduringztransportationzthroughoutzthezfacility.