ATI FUNDAMENTALS PROCTORED EXAM ACTUAL QUESTIONS
AND ANSWERS
A nurses planning to administer pain medication to a client following abdominal surgery. Which of the
following actions should the nurse take first?
use the pain scale to determine the client's pain level
discuss the adverse effects of pain medication with the client
obtain the client's vital signs
check the client's allergies - ANSWER use the pain scale to determine the client's pain level
a nurse is teaching a client who is using a patient-controlled analgesia (PCA) pump to deliver morphine
for pain management. which of the following statements should the nurse identify as an indication that
the client understands the instructions?
I'll limit pushing the button so I don't get an overdose
if I push the button and still have pain after 2 minutes, I'll push it again
I'll ask my niece to push the button when I am sleeping
I can still use my transcutaneous electrical nerve stimulation unit while I'm pushing the PCA button -
ANSWER I can still use my transcutaneous electrical nerve stimulation unit while I'm pushing the PCA
button
a nurse is preparing to administer a bolus feeding to a client through an NG tube and observes that the
exit mark on the tube has moved since the last feeding. Which of the following actions should the nurse
plan to take?
auscultate over the stomach while injecting air
request an x-ray of the client's abdomen
place the head of the client's bed in a flat position
administer the feeding if the pH of the aspirated contents is >6 - ANSWER request an x-ray of the client's
abdomen
,A nurse in a same-day procedure unit is caring for several clients who are undergoing different types of
procedures. the nurse should anticipate that the client who has which of the following devices can safely
undergo magnetic resonance imaging (MRI)?
coronary artery stents
aneurysm clip
hearing aids
automated internal defibrillator - ANSWER hearing aids
A nurse is explaining Piaget's theory of cognitive development to a group of daycare providers for
employees' children at an acute care facility. which of the following activities should the nurse include as
an example of concrete operational thinking?
playing in the sand
playing dress-up with old clothes
collecting and trading game cards
describing interpersonal relationships - ANSWER collecting and trading game cards
A nurse is talking with a client whose provider recently informed him of terminal pancreatic cancer.
When the client reports that he understands the full impact of this diagnosis, the nurse should identify
that the client is in which of the following stages of dying? - ANSWER Depression
A nurse is planning care for a young adult client who has a terminal illness. Which of the following
concepts of death should the nurse consider for this client? - ANSWER Death is viewed as an
interruption of what might have been
A nurse is changing the dressings for a client who has 2 Penrose drains near an abdominal incision.
Which of the following adhering devices is the best choice for the nurse to use to decrease skin
irritation? - ANSWER Montgomery straps
, A nurse is caring for an older adult client who has an in-the-canal hearing aid. The client states that the
hearing aid is making a whistling sound. The nurse should identify which of the following factors as the
source for this sound? - ANSWER Excessive wax in the ear canal
A nurse is performing eye irrigation for a client who was exposed to smoke and ash. Which of the
following actions should the nurse take?
Hold the irrigator 1.25 cm (0.5 in) above the eye
direct the irrigation solution up toward the upper eyelid
exert pressure on the bony prominences when holding the eyelids open
direct the irrigation from the outer canthus to the inner canthus of the eye - ANSWER exert pressure on
the bony prominences when holding the eyelids open
A nurse is preparing to provide chest physiotherapy for a client who has left lower lobe atelectasis.
Which of the following actions should the nurse plan to take?
Place the client in the trendelenburg position
perform percussion directly over the client's bare skin
use a flattened hand to perform percussions
remind the client that chest percussions can cause mild pain - ANSWER Place the client in the
trendelenburg position
A nurse is changing the dressings for a client who is 3 days postoperative following a cholecystectomy.
The nurse observes yellow, thick drainage on the dressing. The nurse should document this finding as
which of the following types of drainage?
sanguineous exudate
serous exudate
serosanguineous exudate
purulent exudate - ANSWER purulent exudate
AND ANSWERS
A nurses planning to administer pain medication to a client following abdominal surgery. Which of the
following actions should the nurse take first?
use the pain scale to determine the client's pain level
discuss the adverse effects of pain medication with the client
obtain the client's vital signs
check the client's allergies - ANSWER use the pain scale to determine the client's pain level
a nurse is teaching a client who is using a patient-controlled analgesia (PCA) pump to deliver morphine
for pain management. which of the following statements should the nurse identify as an indication that
the client understands the instructions?
I'll limit pushing the button so I don't get an overdose
if I push the button and still have pain after 2 minutes, I'll push it again
I'll ask my niece to push the button when I am sleeping
I can still use my transcutaneous electrical nerve stimulation unit while I'm pushing the PCA button -
ANSWER I can still use my transcutaneous electrical nerve stimulation unit while I'm pushing the PCA
button
a nurse is preparing to administer a bolus feeding to a client through an NG tube and observes that the
exit mark on the tube has moved since the last feeding. Which of the following actions should the nurse
plan to take?
auscultate over the stomach while injecting air
request an x-ray of the client's abdomen
place the head of the client's bed in a flat position
administer the feeding if the pH of the aspirated contents is >6 - ANSWER request an x-ray of the client's
abdomen
,A nurse in a same-day procedure unit is caring for several clients who are undergoing different types of
procedures. the nurse should anticipate that the client who has which of the following devices can safely
undergo magnetic resonance imaging (MRI)?
coronary artery stents
aneurysm clip
hearing aids
automated internal defibrillator - ANSWER hearing aids
A nurse is explaining Piaget's theory of cognitive development to a group of daycare providers for
employees' children at an acute care facility. which of the following activities should the nurse include as
an example of concrete operational thinking?
playing in the sand
playing dress-up with old clothes
collecting and trading game cards
describing interpersonal relationships - ANSWER collecting and trading game cards
A nurse is talking with a client whose provider recently informed him of terminal pancreatic cancer.
When the client reports that he understands the full impact of this diagnosis, the nurse should identify
that the client is in which of the following stages of dying? - ANSWER Depression
A nurse is planning care for a young adult client who has a terminal illness. Which of the following
concepts of death should the nurse consider for this client? - ANSWER Death is viewed as an
interruption of what might have been
A nurse is changing the dressings for a client who has 2 Penrose drains near an abdominal incision.
Which of the following adhering devices is the best choice for the nurse to use to decrease skin
irritation? - ANSWER Montgomery straps
, A nurse is caring for an older adult client who has an in-the-canal hearing aid. The client states that the
hearing aid is making a whistling sound. The nurse should identify which of the following factors as the
source for this sound? - ANSWER Excessive wax in the ear canal
A nurse is performing eye irrigation for a client who was exposed to smoke and ash. Which of the
following actions should the nurse take?
Hold the irrigator 1.25 cm (0.5 in) above the eye
direct the irrigation solution up toward the upper eyelid
exert pressure on the bony prominences when holding the eyelids open
direct the irrigation from the outer canthus to the inner canthus of the eye - ANSWER exert pressure on
the bony prominences when holding the eyelids open
A nurse is preparing to provide chest physiotherapy for a client who has left lower lobe atelectasis.
Which of the following actions should the nurse plan to take?
Place the client in the trendelenburg position
perform percussion directly over the client's bare skin
use a flattened hand to perform percussions
remind the client that chest percussions can cause mild pain - ANSWER Place the client in the
trendelenburg position
A nurse is changing the dressings for a client who is 3 days postoperative following a cholecystectomy.
The nurse observes yellow, thick drainage on the dressing. The nurse should document this finding as
which of the following types of drainage?
sanguineous exudate
serous exudate
serosanguineous exudate
purulent exudate - ANSWER purulent exudate
