ATI 2019 Fundamentals Proctored Exam,
ATI Fundamentals Retake EXAM
QUESTIONS AND WELL ELABORATED
ANSWERS (10 VERSIONS)
A nurse is planning care for a group of clients. Which of the following
tasks should the nurse delegate to an assistive personnel?
a. Changing the dressing for a client who has a stage 3 pressure injury
b. Determining a client's response to a diuretic
c. Comparing radial pulses for a client who is postoperative
d. Providing postmortem care to a client - CORRECT ANSWER d.
Providing postmortem care to a client
A nurse is conducting a health assessment for a client who takes
herbal supplements. Which of the following statements by the client
indicates an understanding of the use of the supplements?
A. I take ginkgo biloba for a headache
B. I take echinacea to control my cholesterol
C. I use ginger when I get car sick
D. I use garlic for my menopausal symptoms
- CORRECT ANSWER I use ginger when I get car sick
A nurse is caring for a client who has influenza and isolation
precautions in place. Which of the following actions should the nurse
take to prevent the spread of infection?
A. Wear a mask when working within 3 feet of the client
B. Administer metronidazole
C. Don protective eyewear before entering the room.
D. Place the client in a negative airflow room. - CORRECT ANSWER
Wear a mask when working within 3 feet of the client
A nurse obtains a prescription for wrist restraints for a client who is
trying to pull out his NG tube. Which of the following actions should
the nurse take?
,A. Attach the restraints securely to the side rails of the client's bed.
B. Apply the restraints to allow as little movement as possible
C.Allow room for two fingers to fit between the clients skin and the
restraints
d. remove the restraints every 4 hours - CORRECT ANSWER Allow
room for two fingers to fit between the clients skin and the restraints
A nurse is admitting a client who has tuberculosis. Which of the
following types of transmission precautions should the nurse plan to
initiate?
A. Droplet
B. Airborne
c. protective environment
d. contact - CORRECT ANSWER Airborne
A nurse in a well-child clinic receives a telephone call from a parent
who states that their child accidentally swallowed paint thinner. The
child is awake and alert. Which of the following responses should the
nurse make?
A. Have your child drink one large glass of water.
B. Hang up and call a poison control center hotline.
C. Bring your child into the clinic later today.
D. Induce vomiting in your child with syrup of ipecac. - CORRECT
ANSWER Have your child drink one large glass of water
A nurse is documenting a client's medical record. Which of the
following entries should the nurse record.
A. Oral temperature slightly elevated at 0800
B. Administered pain medication
C. Incision without redness or drainage
D. Drank adequate amounts of fluid with meals. - CORRECT ANSWER
Administered pain medication
A nurse is providing oral care for a client who is unconscious. Which of
the following actions should the nurse take?
A. Place the client in a side-lying position.
B. Brush the clients teeth daily
C. Apply mineral oil to the client's lips
,D. Rinse the client's mouth with an alcohol-based mouthwash -
CORRECT ANSWER Place the client in a side-lying position
A nurse is collaborating with a risk management team about potential
legal issues involving client care. The nurse should identify which of
the following situations is an example of negligence?
A. A nurse administers a medication without first identifying the client.
B. An assistive personnel discusses client care in the facility cafeteria
with visitors present.
C. A nurse begins a blood transfusion without obtaining consent.
D. An assistive personnel prevents a client from leaving the facility. -
CORRECT ANSWER A nurse begins a blood transfusion without
obtaining consent
A nurse is collecting a sputum specimen for culture from a client who
has a respiratory infection. Which of the following actions should the
nurse take?
A. Wear sterile gloves when collecting the specimen.
B. Offer the client oral hygiene after the collection
C. Collect the specimen in the evening.
D Collect 1 ml of sputum. - CORRECT ANSWER Offer the client oral
hygiene after the collection
A nurse is assessing an older client. Which of the following findings
should the nurse expect?
a. Decreased sense of balance
b. Increased nighttime sleeping
c. Heightened sense of pain
d. Nighttime urinary incontinence - CORRECT ANSWER Decreased
sense of balance
A nurse is completing discharge teaching about ostomy care with a
client who has a new stoma. Which of the following instructions
should the nurse include in the teaching? (select all that apply)
a. "Cut the opening of the pouch 1⁄8 of an inch larger than the stoma "
b. "Place a piece a gauze over the stoma while changing the pouch"
c. "Use povidone-iodine to clean around the stoma"
, d. "Empty the ostomy pouch when it becomes one-third full of
contents"
e. expect the stoma to turn a purple-blue color as its heals" -
CORRECT ANSWER Cut the opening of the pouch 1⁄8 of an inch larger
than the stoma
Place a piece a gauze over the stoma while changing the pouch
Use povidone-iodine to clean around the stoma
Empty the ostomy pouch when it becomes one-third full of contents
A nurse is preparing to obtain informed consent from a client who
speaks a different language than the nurse. Which of the following
actions should the nurse take?
a. "Request that an assistive personnel interpret the information for
the client"
b. "Use proper medical terms when giving information to the client"
c. "Offer written information in the client's language"
d. "Avoid using gestures when speaking to the client" - CORRECT
ANSWER Offer written information in the client's language
A nurse is teaching a client about home care equipment. Which of the
following information should the nurse include in the teaching? (select
all that apply)
a. "Avoid using wool blankets when receiving oxygen"
b. check the O2 delivery rate at least once a day
c. align the middle of the ball in the flow meter with the line of the
prescribed flow rate
d. "Keep the oxygen delivery system 0.6 m (2 feet) from any heat
source"
e. "Lay the oxygen tank flat when storing" - CORRECT ANSWER
Avoid using wool blankets when receiving oxygen
check the O2 delivery rate at least once a day
align the middle of the ball in the flow meter with the line of the
prescribed flow rate
ATI Fundamentals Retake EXAM
QUESTIONS AND WELL ELABORATED
ANSWERS (10 VERSIONS)
A nurse is planning care for a group of clients. Which of the following
tasks should the nurse delegate to an assistive personnel?
a. Changing the dressing for a client who has a stage 3 pressure injury
b. Determining a client's response to a diuretic
c. Comparing radial pulses for a client who is postoperative
d. Providing postmortem care to a client - CORRECT ANSWER d.
Providing postmortem care to a client
A nurse is conducting a health assessment for a client who takes
herbal supplements. Which of the following statements by the client
indicates an understanding of the use of the supplements?
A. I take ginkgo biloba for a headache
B. I take echinacea to control my cholesterol
C. I use ginger when I get car sick
D. I use garlic for my menopausal symptoms
- CORRECT ANSWER I use ginger when I get car sick
A nurse is caring for a client who has influenza and isolation
precautions in place. Which of the following actions should the nurse
take to prevent the spread of infection?
A. Wear a mask when working within 3 feet of the client
B. Administer metronidazole
C. Don protective eyewear before entering the room.
D. Place the client in a negative airflow room. - CORRECT ANSWER
Wear a mask when working within 3 feet of the client
A nurse obtains a prescription for wrist restraints for a client who is
trying to pull out his NG tube. Which of the following actions should
the nurse take?
,A. Attach the restraints securely to the side rails of the client's bed.
B. Apply the restraints to allow as little movement as possible
C.Allow room for two fingers to fit between the clients skin and the
restraints
d. remove the restraints every 4 hours - CORRECT ANSWER Allow
room for two fingers to fit between the clients skin and the restraints
A nurse is admitting a client who has tuberculosis. Which of the
following types of transmission precautions should the nurse plan to
initiate?
A. Droplet
B. Airborne
c. protective environment
d. contact - CORRECT ANSWER Airborne
A nurse in a well-child clinic receives a telephone call from a parent
who states that their child accidentally swallowed paint thinner. The
child is awake and alert. Which of the following responses should the
nurse make?
A. Have your child drink one large glass of water.
B. Hang up and call a poison control center hotline.
C. Bring your child into the clinic later today.
D. Induce vomiting in your child with syrup of ipecac. - CORRECT
ANSWER Have your child drink one large glass of water
A nurse is documenting a client's medical record. Which of the
following entries should the nurse record.
A. Oral temperature slightly elevated at 0800
B. Administered pain medication
C. Incision without redness or drainage
D. Drank adequate amounts of fluid with meals. - CORRECT ANSWER
Administered pain medication
A nurse is providing oral care for a client who is unconscious. Which of
the following actions should the nurse take?
A. Place the client in a side-lying position.
B. Brush the clients teeth daily
C. Apply mineral oil to the client's lips
,D. Rinse the client's mouth with an alcohol-based mouthwash -
CORRECT ANSWER Place the client in a side-lying position
A nurse is collaborating with a risk management team about potential
legal issues involving client care. The nurse should identify which of
the following situations is an example of negligence?
A. A nurse administers a medication without first identifying the client.
B. An assistive personnel discusses client care in the facility cafeteria
with visitors present.
C. A nurse begins a blood transfusion without obtaining consent.
D. An assistive personnel prevents a client from leaving the facility. -
CORRECT ANSWER A nurse begins a blood transfusion without
obtaining consent
A nurse is collecting a sputum specimen for culture from a client who
has a respiratory infection. Which of the following actions should the
nurse take?
A. Wear sterile gloves when collecting the specimen.
B. Offer the client oral hygiene after the collection
C. Collect the specimen in the evening.
D Collect 1 ml of sputum. - CORRECT ANSWER Offer the client oral
hygiene after the collection
A nurse is assessing an older client. Which of the following findings
should the nurse expect?
a. Decreased sense of balance
b. Increased nighttime sleeping
c. Heightened sense of pain
d. Nighttime urinary incontinence - CORRECT ANSWER Decreased
sense of balance
A nurse is completing discharge teaching about ostomy care with a
client who has a new stoma. Which of the following instructions
should the nurse include in the teaching? (select all that apply)
a. "Cut the opening of the pouch 1⁄8 of an inch larger than the stoma "
b. "Place a piece a gauze over the stoma while changing the pouch"
c. "Use povidone-iodine to clean around the stoma"
, d. "Empty the ostomy pouch when it becomes one-third full of
contents"
e. expect the stoma to turn a purple-blue color as its heals" -
CORRECT ANSWER Cut the opening of the pouch 1⁄8 of an inch larger
than the stoma
Place a piece a gauze over the stoma while changing the pouch
Use povidone-iodine to clean around the stoma
Empty the ostomy pouch when it becomes one-third full of contents
A nurse is preparing to obtain informed consent from a client who
speaks a different language than the nurse. Which of the following
actions should the nurse take?
a. "Request that an assistive personnel interpret the information for
the client"
b. "Use proper medical terms when giving information to the client"
c. "Offer written information in the client's language"
d. "Avoid using gestures when speaking to the client" - CORRECT
ANSWER Offer written information in the client's language
A nurse is teaching a client about home care equipment. Which of the
following information should the nurse include in the teaching? (select
all that apply)
a. "Avoid using wool blankets when receiving oxygen"
b. check the O2 delivery rate at least once a day
c. align the middle of the ball in the flow meter with the line of the
prescribed flow rate
d. "Keep the oxygen delivery system 0.6 m (2 feet) from any heat
source"
e. "Lay the oxygen tank flat when storing" - CORRECT ANSWER
Avoid using wool blankets when receiving oxygen
check the O2 delivery rate at least once a day
align the middle of the ball in the flow meter with the line of the
prescribed flow rate
