ATI Fundamentals Proctored Exam V3 Questions
and Answers |Verified Answers
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 - answer-d
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 - answer-c
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. - answer-a
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 - 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 - 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 -
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 - answer-a, c
A nurse is preparing to insert a peripheral IV catheter into the client's arm.
Which of the following actions should the nurse take to help dilate the vein?
a. Stroke the skin near the vein in an upward position
b. Dangle the client's arm over the edge of the bed
c. Apply a cool compress to the vein for 10 min
d. Instruct the client to flex their arm with the hand open - answer-b
, A nurse is preparing to suction a client's tracheostomy tube. Which of the
following actions should the nurse plan to take?
a. Apply intermittent suction during catheter insertion
b. Suction the client's airway for 20 seconds with each pass
c. Hyperoxygenate the client manually for 30 to 60 seconds before suctioning
d. decrease suction pressure to 150 mm Hg if the O2 sat levels drop during
suctioning - answer-a
A nurse is assessing a client who received morphine for severe pain 30 mins
ago. Which of the following finding is the nurse's priority?
a. Last bowel movement was 3 days ago
b. Reports pain of 8 on a scale of 0 to 10
c. Distended bladder
d. Respiratory rate 7/min - answer-d
A nurse is caring for a client who is prescribed a special diet. The client is
concerned that he does not have the resources to purchase the food he needs
to adhere to the diet at home. The nurse should notify which of the following
members of the health care team.
a. Social worker
b. Occupational therapist
c. Registered Dietician
d. Primary care provider - answer-a
and Answers |Verified Answers
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 - answer-d
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 - answer-c
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. - answer-a
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 - 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 - 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 -
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 - answer-a, c
A nurse is preparing to insert a peripheral IV catheter into the client's arm.
Which of the following actions should the nurse take to help dilate the vein?
a. Stroke the skin near the vein in an upward position
b. Dangle the client's arm over the edge of the bed
c. Apply a cool compress to the vein for 10 min
d. Instruct the client to flex their arm with the hand open - answer-b
, A nurse is preparing to suction a client's tracheostomy tube. Which of the
following actions should the nurse plan to take?
a. Apply intermittent suction during catheter insertion
b. Suction the client's airway for 20 seconds with each pass
c. Hyperoxygenate the client manually for 30 to 60 seconds before suctioning
d. decrease suction pressure to 150 mm Hg if the O2 sat levels drop during
suctioning - answer-a
A nurse is assessing a client who received morphine for severe pain 30 mins
ago. Which of the following finding is the nurse's priority?
a. Last bowel movement was 3 days ago
b. Reports pain of 8 on a scale of 0 to 10
c. Distended bladder
d. Respiratory rate 7/min - answer-d
A nurse is caring for a client who is prescribed a special diet. The client is
concerned that he does not have the resources to purchase the food he needs
to adhere to the diet at home. The nurse should notify which of the following
members of the health care team.
a. Social worker
b. Occupational therapist
c. Registered Dietician
d. Primary care provider - answer-a
