ATI RN FUNDAMENTALS PROCTORED EXAM 2023| 70 Questions Complete with Expert verified Answers and Explanations

ATI RN FUNDAMENTALS PROCTORED EXAM
2023| 70 Questions Complete with Expert verified
Answers and Explanations

Question: A nurse is reinforcing teaching with a client who has a new prescription for warfarin.
Which of the following instructions should the nurse include?
 "Increase your intake of green leafy vegetables."
 "Avoid taking over-the-counter ibuprofen."
 "Take the medication in the morning with breakfast."
 "Report any weight gain to your provider."
Answer: "Avoid taking over-the-counter ibuprofen."
Explanation: Ibuprofen can increase the risk of bleeding when taken with warfarin, an
anticoagulant, making this a critical instruction to prevent complications.


Question: A nurse is collecting data from a client who is 2 days postoperative following a
colostomy. Which of the following findings should the nurse report to the provider?
 A purple-colored stoma
 Protrusion of the stoma
 A small amount of bleeding from the stoma
 Intestinal gas in the pouch
Answer: A purple-colored stoma
Explanation: A purple-colored stoma indicates potential ischemia or necrosis, a serious
complication requiring immediate reporting to the provider, unlike the other expected
findings.


Question: A nurse is assisting with the care of a client who has a prescription for IV therapy.
The client tells the nurse that he has numerous allergies. Which of the following allergies should
the nurse bring to the attention of the charge nurse prior to the initiation of the therapy?
 Eggs
 Latex
 Seafood

,  Bee stings
Answer: Latex
Explanation: Latex allergies are critical to report because IV therapy equipment, such as
catheters or tubing, may contain latex, which could cause a severe allergic reaction in
sensitive individuals.


Question: A nurse is caring for a client who has a prescription for a high-protein diet to promote
wound healing following surgery. The client's religion prohibits eating meat on particular days.
Which of the following actions should the nurse take?
 Encourage the client to eat meat during this time to promote healing
 Advise the client to eat everything on the tray except the meat
 Suggest the client receive high-protein enteral feedings
 Ask the dietitian to recommend alternative food choices for the client
Answer: Ask the dietitian to recommend alternative food choices for the client
Explanation: Consulting a dietitian ensures the client’s religious dietary restrictions are
respected while meeting the high-protein needs for wound healing through alternative
sources like plant-based proteins.


Question: A nurse is reinforcing teaching with a client about self-administration of ophthalmic
drops. Which of the following instructions should the nurse include?
 "You will need to look to the side when you put the drops in your eye."
 "You should put the drops directly in the center of your eyeball."
 "You should cleanse your eye from the inner to the outer edge prior to putting in the
drops."
 "You should avoid pressing on your tear duct after putting the drops in your eye."
Answer: "You should cleanse your eye from the inner to the outer edge prior to putting
in the drops."
Explanation: Cleansing from the inner to outer edge prevents contamination and ensures
a clean surface for administering ophthalmic drops, reducing the risk of infection.


Question: A nurse is reinforcing teaching about carbohydrate counting with a client who has a
new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first?
 Use pictures of different food groups to help the client plan a daily menu
 Ask the client what he already knows about meal planning

,  Give the client a brochure with sample menus for all meals
 Involve the family in the discussion of the client's meal plan
Answer: Ask the client what he already knows about meal planning
Explanation: Assessing the client’s prior knowledge helps tailor the teaching to their
needs, ensuring effective education and addressing any misconceptions.


Question: A nurse is assisting with the admission of an adult client to a medical-surgical unit.
Which of the following findings should the nurse identify as an indication that the client is
malnourished?
 Heart rate 89/min
 Pink mucous membranes
 Pale, scaly skin
 Body mass index 23
Answer: Pale, scaly skin
Explanation: Pale, scaly skin is a clinical sign of malnutrition, often due to deficiencies
in vitamins or essential fatty acids, unlike the other normal findings.


Question: A nurse is reinforcing teaching about advance directives with a client who has end-
stage renal disease. Which of the following client statements indicates an understanding of the
teaching?
 "I know that I can change my advance directives if I need to in the future."
 "My health care proxy will make my health care decisions as soon as I have signed the
power of attorney."
 "My family can overrule the decisions made by my health care proxy."
 "Advance directives from one state are valid in any other state."
Answer: "I know that I can change my advance directives if I need to in the future."
Explanation: Advance directives can be modified as the client’s preferences change,
reflecting an accurate understanding of their flexibility and purpose.


Question: A nurse is preparing a client for a Romberg test. Which of the following statements
should the nurse make?
 "Stand with your feet together and your arms at your sides."
 "After I place the tuning fork, tell me when you no longer hear the sound."