ATI 2019 Fundamentals Proctored Exam, ATI
Fundamentals Retake, ATI FUNDAMENTALS
PROCTOR, Proctor
A nurse is teaching a newly licensed nurse about the care of a client who has a
methicillin resistant Staphylococcus aureus (MRSA) infection. Which of the
following statements by newly licensed nurse indicates an understanding of the
teaching?
a. " I will place the client in a Private room."
b. " I will remove my gown before my gloves after providing client care."
c. " I will wear an N95 respirator mask when caring for the client."
d. " I will tell the client's visitors to wear a mask when they are within 3 feet of
the client."
i will place the client in a private room
A nurse is planning care for a client who reports having a latex allergy. Which of
the following interventions should the nurse include in the plan?
a. Cover the blood pressure cuff with a stockinette.
b. Wear powdered gloves when providing care to the client.
c. Apply adhesive tape when securing an IV insertion site.
d. Use plastic syringes for medication administration.
cover the blood pressure cuff with a stockinette
A nurse is caring for a client who is scheduled for surgery. While the nurse is
witnessing the client's signature, the client states, " I trust my doctor, but I don't
understand what is meant by resecting my intestines." Which of the following
actions should the nurse take?
a. Describe the surgery to the client.
b. Notify the Provider.
c. Complete an incident report
d. Provide brochures about the procedure.
,notify the provider
A nurse is documenting client care. Which of the following abbreviations should
the nurse use?
a. " SQ" for subcutaneous
b. "SS" for sliding scale
c. "BRP" for bathroom privileges
d. "OJ" for orange juice
BRP for bathroom privileges
A nurse is preparing to bathe a client who has dementia. Which of the following
actions should the nurse take?
a. Give detailed instructions for the client to follow.
b. Complete the bath even if the client is in distress.
c. Use distractions when bathing the client.
d. Allow the client to select the temperature of the bath water.
use distractions when bathing the client
A hospice nurse is caring for a client who has end stage cancer. Which of the
following interventions should the nurse include to promote the client's dignity?
a. Provide guided imagery exercises to the client.
b. Refrain from discussing the client's prognosis
c. Suggest that the client keep a journal.
d. Encourage the client to share their life story.
refrain from discussing the clients prognosis
A nurse is caring for a client who has a closed wound drainage system. Which of
the following actions should the nurse take?
a. Wear sterile gloves when emptying the container.
b. Reset the container with the drainage port closed
c. Connect the drain to high pressure suction.
d. .Cleanse the drain plug with alcohol after emptying
Cleanse the drain plug with alcohol after emptying
A nurse receives a telephone prescription from a provider for a client who is
experiencing pain. Which of the following responses should the nurse make?
,a. " Will you please spell the name of that medication for me?"
b. "Let me clarify that you want the medication given qid, correct?"
c. " I will sign my name now and leave a space for you to sign your name."
d. "Let me provide you with the client's medical record number for
identification."
Will you please spell the name of that medication for me?
During change of shift report, a nurse discovers she overlooked a prescription
for a type and cross-match of a client who is to have surgery the next day.
Which of the following actions should the nurse take first?
a. Inform the provider of the delay in obtaining the type and cross-match.
b. Obtain the client's type and cross-match.
c. Prepare an incident report for risk management.
d. Document the incident in the client's medical record.
Inform the provider of the delay in obtaining the type and cross-match
A Nurse is caring for client who has pneumonia. The nurse should recognize
which of the following should be discarded in a biohazard bag?
a. An emesis basin filled with blood from severe coughing
b. A bedpan containing diarrhea from a client who was receiving antibiotics
c. A disposable tissue containing expectorated sputum
d. A calibrated toilet insert filled with urine.
An emesis basin filled with blood from severe coughing
A nurse is caring for a client who is receiving enteral feedings via NG tube.
Which following actions should the nurse take prior to administering the
formula?
a. Check for gastric residual volume
b. Encourage the client to breathe deeply and cough.
c. Flush the tube with sterile 0.9% sodium chloride irrigation.
d. Encourage the client to take sips of water.
check for gastric residual volume
A nurse is caring for a client immediately following the insertion of an NG tube.
Which of the following should indicate to the nurse that the tube is placed
, incorrectly?
a. The client has a dry mouth
b. The client is coughing
c. The client has active bowel sounds
d. The client is hiccuping
The client is coughing
A nurse is inserting an NG tube for a client who requires gastric decompression.
Which of the following actions should the nurse take to verify proper placement
of the tube?
a. Assess the client for a gag reflex
b. Measure the pH of the gastric
c. Place the end of the NG tube in the water to observe for bubbling
d. Asculatate 2.5 cm above the umbilicus while injecting 15 ml of water
Measure the pH of the gastric
A nurse is caring for a client who reports a pain level of 5 on a scale from 0-10.
The client informs the nurse that pain meds are not an option for managing
pain. Which of the following is an appropriate response by the nurse?
a. Would you like to get you a back massage?
b. Why do you think pain med is not going to help you?
c. You may take any herbal remedies you bring from home
d. I'm sure it will work if you just give it a chance
Would you like to get you a back massage?
a nurse is caring for a client who has an extracellular fluid volume deficit. Which
of the following findings should the nurse expect?
a. Bradycardia
b. Postural hypotension
c. Distended neck vein
d. Dependent edema
Postural hypotension
A nurse is caring for a client who is immunocompromised which of the following
actions should the nurse take?
Fundamentals Retake, ATI FUNDAMENTALS
PROCTOR, Proctor
A nurse is teaching a newly licensed nurse about the care of a client who has a
methicillin resistant Staphylococcus aureus (MRSA) infection. Which of the
following statements by newly licensed nurse indicates an understanding of the
teaching?
a. " I will place the client in a Private room."
b. " I will remove my gown before my gloves after providing client care."
c. " I will wear an N95 respirator mask when caring for the client."
d. " I will tell the client's visitors to wear a mask when they are within 3 feet of
the client."
i will place the client in a private room
A nurse is planning care for a client who reports having a latex allergy. Which of
the following interventions should the nurse include in the plan?
a. Cover the blood pressure cuff with a stockinette.
b. Wear powdered gloves when providing care to the client.
c. Apply adhesive tape when securing an IV insertion site.
d. Use plastic syringes for medication administration.
cover the blood pressure cuff with a stockinette
A nurse is caring for a client who is scheduled for surgery. While the nurse is
witnessing the client's signature, the client states, " I trust my doctor, but I don't
understand what is meant by resecting my intestines." Which of the following
actions should the nurse take?
a. Describe the surgery to the client.
b. Notify the Provider.
c. Complete an incident report
d. Provide brochures about the procedure.
,notify the provider
A nurse is documenting client care. Which of the following abbreviations should
the nurse use?
a. " SQ" for subcutaneous
b. "SS" for sliding scale
c. "BRP" for bathroom privileges
d. "OJ" for orange juice
BRP for bathroom privileges
A nurse is preparing to bathe a client who has dementia. Which of the following
actions should the nurse take?
a. Give detailed instructions for the client to follow.
b. Complete the bath even if the client is in distress.
c. Use distractions when bathing the client.
d. Allow the client to select the temperature of the bath water.
use distractions when bathing the client
A hospice nurse is caring for a client who has end stage cancer. Which of the
following interventions should the nurse include to promote the client's dignity?
a. Provide guided imagery exercises to the client.
b. Refrain from discussing the client's prognosis
c. Suggest that the client keep a journal.
d. Encourage the client to share their life story.
refrain from discussing the clients prognosis
A nurse is caring for a client who has a closed wound drainage system. Which of
the following actions should the nurse take?
a. Wear sterile gloves when emptying the container.
b. Reset the container with the drainage port closed
c. Connect the drain to high pressure suction.
d. .Cleanse the drain plug with alcohol after emptying
Cleanse the drain plug with alcohol after emptying
A nurse receives a telephone prescription from a provider for a client who is
experiencing pain. Which of the following responses should the nurse make?
,a. " Will you please spell the name of that medication for me?"
b. "Let me clarify that you want the medication given qid, correct?"
c. " I will sign my name now and leave a space for you to sign your name."
d. "Let me provide you with the client's medical record number for
identification."
Will you please spell the name of that medication for me?
During change of shift report, a nurse discovers she overlooked a prescription
for a type and cross-match of a client who is to have surgery the next day.
Which of the following actions should the nurse take first?
a. Inform the provider of the delay in obtaining the type and cross-match.
b. Obtain the client's type and cross-match.
c. Prepare an incident report for risk management.
d. Document the incident in the client's medical record.
Inform the provider of the delay in obtaining the type and cross-match
A Nurse is caring for client who has pneumonia. The nurse should recognize
which of the following should be discarded in a biohazard bag?
a. An emesis basin filled with blood from severe coughing
b. A bedpan containing diarrhea from a client who was receiving antibiotics
c. A disposable tissue containing expectorated sputum
d. A calibrated toilet insert filled with urine.
An emesis basin filled with blood from severe coughing
A nurse is caring for a client who is receiving enteral feedings via NG tube.
Which following actions should the nurse take prior to administering the
formula?
a. Check for gastric residual volume
b. Encourage the client to breathe deeply and cough.
c. Flush the tube with sterile 0.9% sodium chloride irrigation.
d. Encourage the client to take sips of water.
check for gastric residual volume
A nurse is caring for a client immediately following the insertion of an NG tube.
Which of the following should indicate to the nurse that the tube is placed
, incorrectly?
a. The client has a dry mouth
b. The client is coughing
c. The client has active bowel sounds
d. The client is hiccuping
The client is coughing
A nurse is inserting an NG tube for a client who requires gastric decompression.
Which of the following actions should the nurse take to verify proper placement
of the tube?
a. Assess the client for a gag reflex
b. Measure the pH of the gastric
c. Place the end of the NG tube in the water to observe for bubbling
d. Asculatate 2.5 cm above the umbilicus while injecting 15 ml of water
Measure the pH of the gastric
A nurse is caring for a client who reports a pain level of 5 on a scale from 0-10.
The client informs the nurse that pain meds are not an option for managing
pain. Which of the following is an appropriate response by the nurse?
a. Would you like to get you a back massage?
b. Why do you think pain med is not going to help you?
c. You may take any herbal remedies you bring from home
d. I'm sure it will work if you just give it a chance
Would you like to get you a back massage?
a nurse is caring for a client who has an extracellular fluid volume deficit. Which
of the following findings should the nurse expect?
a. Bradycardia
b. Postural hypotension
c. Distended neck vein
d. Dependent edema
Postural hypotension
A nurse is caring for a client who is immunocompromised which of the following
actions should the nurse take?
