Crush Your ATI 2025 Fundamentals Proctored
RETAKE Exam: Ultimate Retake Guide EXAM
QUESTIONS AND WELL ELABORATED ANSWERS (3
VERSIONS)
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
b. Denial
c. Anger
d. Depression - CORRECT ANSWER b
A Nurse on a medical-surgical unit is providing care for four clients.
The nurse should identify which of the following situations as an
ethical dilemma?
a. A surgeon who removed the wrong kidney during a surgical
procedure refuses to take responsibility for her actions
b. A client who has Crohn's disease reports that his prescription drug
plan will not pay for his medications.
c. A client who has a new colostomy refuses to take instructions from
the ostomy therapist because she "doesn't like him."
d. the family of a client who has a terminal illness asks the provider
not to tell the client the diagnosis - CORRECT ANSWER d
A nurse is teaching a client about performing breast self-examinations.
Which of the following statements by the clients indicates an
understanding of the teaching?
a. "I should perform my self-exam the week that my period starts"
b. "I should make different patterns on each breast when I do my self-
exam."
c. "I should use the palm of my hand to apply pressure to each breast."
d. "I should make circular motions with my fingertips under my arms." -
CORRECT ANSWER d
A nurse is preparing to transfer a client who is partially weight bearing
from the bed to the chair. Which of the following actions should the
nurse take?
a. Keep his knees straight when moving the client
b. Position the chair next to the bed as a 90 degree angle
c. Stand with his feet together when lifting the client
d. Have the client bear weight on her stronger leg - CORRECT
ANSWER d
, A nurse is caring for a client following a laparoscopic
cholecystectomy. The client has a prescription for ondansetron 4mg IV
bolus every 6hr PRN for nausea and vomiting. Identify the sequence of
steps the nurse should follow to administer the medication. ( Move the
steps into the box on the right, placing them in the order of
performance. Use all the steps.)
- Select the injection port of the IV tubing closest to the client.
- Cleanse the injection port with an antiseptic swab.
- Aspirate for blood return.
- Inject the medication.
- perform hand hygiene - CORRECT ANSWER 1. perform hand hygiene
2. select the injection port of the IV tubing closest to the client
3. cleanse the injection port with an antiseptic swab
4. aspirate for blood return
5. inject the medication
A nurse is teaching a client who has diabetes mellitus about mixing
regular and NPH insulin.
Which of the following statements but the client indicates an
understanding of the teaching
a. I should wait 3 minutes after mixing the insulin to inject it
b. I should draw up the NPH insulin before regular insulin
c. I should inject air into the vial of regular insulin first
d. I should roll the vial of NPH insulin between my hands before
drawing it up - CORRECT ANSWER d
A nurse is assessing the body temperature of an adult client using a
temporal artery thermometer. Which of the following actions should
the nurse take? (Select all that apply)
a. Slide the probe across the clients forehead
b. Pull the clients pinna up & back
c. Hold the client's hair aside while performing the procedure
d. Document the client's temperature with "AX" next to the value
e. Move the probe in a circular motion - CORRECT ANSWER a, c
RETAKE Exam: Ultimate Retake Guide EXAM
QUESTIONS AND WELL ELABORATED ANSWERS (3
VERSIONS)
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
b. Denial
c. Anger
d. Depression - CORRECT ANSWER b
A Nurse on a medical-surgical unit is providing care for four clients.
The nurse should identify which of the following situations as an
ethical dilemma?
a. A surgeon who removed the wrong kidney during a surgical
procedure refuses to take responsibility for her actions
b. A client who has Crohn's disease reports that his prescription drug
plan will not pay for his medications.
c. A client who has a new colostomy refuses to take instructions from
the ostomy therapist because she "doesn't like him."
d. the family of a client who has a terminal illness asks the provider
not to tell the client the diagnosis - CORRECT ANSWER d
A nurse is teaching a client about performing breast self-examinations.
Which of the following statements by the clients indicates an
understanding of the teaching?
a. "I should perform my self-exam the week that my period starts"
b. "I should make different patterns on each breast when I do my self-
exam."
c. "I should use the palm of my hand to apply pressure to each breast."
d. "I should make circular motions with my fingertips under my arms." -
CORRECT ANSWER d
A nurse is preparing to transfer a client who is partially weight bearing
from the bed to the chair. Which of the following actions should the
nurse take?
a. Keep his knees straight when moving the client
b. Position the chair next to the bed as a 90 degree angle
c. Stand with his feet together when lifting the client
d. Have the client bear weight on her stronger leg - CORRECT
ANSWER d
, A nurse is caring for a client following a laparoscopic
cholecystectomy. The client has a prescription for ondansetron 4mg IV
bolus every 6hr PRN for nausea and vomiting. Identify the sequence of
steps the nurse should follow to administer the medication. ( Move the
steps into the box on the right, placing them in the order of
performance. Use all the steps.)
- Select the injection port of the IV tubing closest to the client.
- Cleanse the injection port with an antiseptic swab.
- Aspirate for blood return.
- Inject the medication.
- perform hand hygiene - CORRECT ANSWER 1. perform hand hygiene
2. select the injection port of the IV tubing closest to the client
3. cleanse the injection port with an antiseptic swab
4. aspirate for blood return
5. inject the medication
A nurse is teaching a client who has diabetes mellitus about mixing
regular and NPH insulin.
Which of the following statements but the client indicates an
understanding of the teaching
a. I should wait 3 minutes after mixing the insulin to inject it
b. I should draw up the NPH insulin before regular insulin
c. I should inject air into the vial of regular insulin first
d. I should roll the vial of NPH insulin between my hands before
drawing it up - CORRECT ANSWER d
A nurse is assessing the body temperature of an adult client using a
temporal artery thermometer. Which of the following actions should
the nurse take? (Select all that apply)
a. Slide the probe across the clients forehead
b. Pull the clients pinna up & back
c. Hold the client's hair aside while performing the procedure
d. Document the client's temperature with "AX" next to the value
e. Move the probe in a circular motion - CORRECT ANSWER a, c
