ATI PN FUNDAMENTAL PROCTORED ACTUAL EXAM
LATEST 2024/2025 QUESTIONS AND VERIFIED CORRECT
ANSWERS/ ALREADY GRADED A++
a nurse is contributing to a plan of care for a client with a prescription for a
wrist restraint. which actions should be included in the plan? - ANSWER
pad the bony prominences
a nurse is caring for a client who is postoperative and experiencing N/V.
which of the following findings indicates the client has fluid volume deficit?
SATA - ANSWER -decreased skin turgor
-orthostatic hypotension
-flat neck veins
a nurse is collecting data from an older client. which of the following
finding should the nurse report to the provider? - ANSWER the client
reports urinary incontinence
After cleansing enema - ANSWER When prescribed amount is instilled,
clamp tubing and remove from rectum.
■Inspect rectum for bleeding
■Place gown/linens back over patient
■Instruct patient to retain solution 5 to 10 minutes or as long as tolerated
■Lower bed and place call light within patient's reach.
Document
○Date, time and type of enema administered
○Volume and type of solution administered
○Results obtained (amount, consistency, color)
how patient tolerated procedure
○Any adverse reactions
○Abdominal assessment (bowel sounds before and after enema
Administration)
Fecal occult blood (FOB) test - ANSWER Test for blood
☆Collect three samples from three different bowel movements
☆Do not allow contamination with water or urine
,☆For point-of-care testing, place a couple of drops of developer on the
opposite side of the card.
☆Blue color indicates positive results (i.e. blood is present).
☆Remove gloves and perform hand hygiene
Urinary Catheter - ANSWER Female
After preparation and perineal care
■Using your dominant hand, hold catheter 2 to 3inches from the tip and
insert slowly into the urethra.
■ Advance the catheter until there is a return of urine.
■Do not force catheter through urethra.
■Hold the catheter securely at the meatus with your non-dominant hand.
■Use your dominant hand to inflate the catheter balloon. ■Iinject entire
volume of sterile water supplied in prefilled syringe.
■Pull gently on catheter after the balloon is inflated to feel resistance.
■Dispose of syringe and sharp container.
Remove gloves and PPE is indicated secure catheter tubing to patients
inner thigh with velcro leg strap or tape. ■Assist patient to a comfortable,
position cover bed linens, and put bed in lowest position
■ Secure drainage bag below the level of the bladder. c Check that there
are no Kinks.
■Take off PPE if indicated. Performing hand hygiene.
Tracheostomy suctioning - ANSWER Pre oxygenate the pt with 100%
oxygen for 30 seconds to 3 minutes to prevent hypoxemia
■Give oral care every 2 hours, tracheostomy care every 8 hours
■Apply oxygen loosely if patient's' s SPO2 decreases during procedure
■ Use surgical asepsis to remove and clean inner cannula ■Use split gauze
dressing under tracheostomy plate do not cut gauze!) dressing under
tracheostomy plate ■Replace tracheostomy ties as needed. Secure new
tires before removing soiled ones.
■Home care: cleanse w/NS using medical asepsis, cover tracheostomy
went outside.
Insulin - ANSWER *Remember Clear before Cloudy
■Inject jet air into longer-acting insulin (ex:NPH insulin)
■Inject air into shorter-acting insulin (ex: regular insulin) Do not remove
needle.
,■Draw up shorter-acting (clear) insulin.
■Draw up longer-acting (cloudy) insulin.
Verbalization - ANSWER CHILDREN
●Usesimple straightforward language
●Be aware of nonverbal messages because children are especially
sensitive to nonverbal communication
●Enhance communication by being at the child's eye level ●Incorporate
play and interactions
OLDER ADULT CLIENTS
■ Make sure assistive devices such as glasses/hearing aids are available
minimize discretion and face clients when speaking speaking short and
simple sentences allow plenty of time for clients to respond as for input
from caregivers or family to determine the extent of any communication
deficits and how best to communicate identify any cultural considerations
that affect communication provide an interpreter address to client directly
when their interpreter is present provide educational materials and
instructions in the client's language
Autonomy - ANSWER client's right to make own personal decisions, even
when those decisions might not be in the client's own best interest
Beneficence - ANSWER positive actions to help others
Fidelity - ANSWER agreement to keep promises
Justice - ANSWER fairness in care delivery and use of resources
Nonmaleficence - ANSWER avoidance of harm or injury
Paternalism - ANSWER assumption that one person can assume
responsibility for making the decisions of another person
Advocacy - ANSWER support of clients' health, safety, and personal rights
Responsibility - ANSWER willingness to respect obligations and follow
through on promises
Accountability - ANSWER ability to answer for one's own actions
, Confidentiality - ANSWER protection of privacy without diminishing access
to high-quality care
When is a problem an ethical dilemma? - ANSWER When:
- A review of scientific data is not enough to solve it.
- It involves a conflict between two moral imperatives.
- The answer will have a profound effect on the situation and the client.
Ethical decision making - ANSWER Process that requires striking a
balance between science and morality
A nurse is caring for a client who decides not to have surgery despite
significant blockages in his
coronary arteries. The nurse understands that this client's choice is an
example of which of the following
ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - ANSWER B. Autonomy
In this situation, the client is exercising his right to make his own personal
decision about
surgery, regardless of others' opinions of what is "best" for him. This is an
example of autonomy.
A nurse offers pain medication to a client who is postoperative prior to
ambulation. The nurse
understands that this aspect of care delivery is an example of which of the
following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficence - ANSWER D. Beneficence
Beneficence is taking positive actions to help others. By administering pain
medication
before the client attempts a potentially painful exercise like ambulation, the
nurse is taking a
specific and positive action to help the client.
LATEST 2024/2025 QUESTIONS AND VERIFIED CORRECT
ANSWERS/ ALREADY GRADED A++
a nurse is contributing to a plan of care for a client with a prescription for a
wrist restraint. which actions should be included in the plan? - ANSWER
pad the bony prominences
a nurse is caring for a client who is postoperative and experiencing N/V.
which of the following findings indicates the client has fluid volume deficit?
SATA - ANSWER -decreased skin turgor
-orthostatic hypotension
-flat neck veins
a nurse is collecting data from an older client. which of the following
finding should the nurse report to the provider? - ANSWER the client
reports urinary incontinence
After cleansing enema - ANSWER When prescribed amount is instilled,
clamp tubing and remove from rectum.
■Inspect rectum for bleeding
■Place gown/linens back over patient
■Instruct patient to retain solution 5 to 10 minutes or as long as tolerated
■Lower bed and place call light within patient's reach.
Document
○Date, time and type of enema administered
○Volume and type of solution administered
○Results obtained (amount, consistency, color)
how patient tolerated procedure
○Any adverse reactions
○Abdominal assessment (bowel sounds before and after enema
Administration)
Fecal occult blood (FOB) test - ANSWER Test for blood
☆Collect three samples from three different bowel movements
☆Do not allow contamination with water or urine
,☆For point-of-care testing, place a couple of drops of developer on the
opposite side of the card.
☆Blue color indicates positive results (i.e. blood is present).
☆Remove gloves and perform hand hygiene
Urinary Catheter - ANSWER Female
After preparation and perineal care
■Using your dominant hand, hold catheter 2 to 3inches from the tip and
insert slowly into the urethra.
■ Advance the catheter until there is a return of urine.
■Do not force catheter through urethra.
■Hold the catheter securely at the meatus with your non-dominant hand.
■Use your dominant hand to inflate the catheter balloon. ■Iinject entire
volume of sterile water supplied in prefilled syringe.
■Pull gently on catheter after the balloon is inflated to feel resistance.
■Dispose of syringe and sharp container.
Remove gloves and PPE is indicated secure catheter tubing to patients
inner thigh with velcro leg strap or tape. ■Assist patient to a comfortable,
position cover bed linens, and put bed in lowest position
■ Secure drainage bag below the level of the bladder. c Check that there
are no Kinks.
■Take off PPE if indicated. Performing hand hygiene.
Tracheostomy suctioning - ANSWER Pre oxygenate the pt with 100%
oxygen for 30 seconds to 3 minutes to prevent hypoxemia
■Give oral care every 2 hours, tracheostomy care every 8 hours
■Apply oxygen loosely if patient's' s SPO2 decreases during procedure
■ Use surgical asepsis to remove and clean inner cannula ■Use split gauze
dressing under tracheostomy plate do not cut gauze!) dressing under
tracheostomy plate ■Replace tracheostomy ties as needed. Secure new
tires before removing soiled ones.
■Home care: cleanse w/NS using medical asepsis, cover tracheostomy
went outside.
Insulin - ANSWER *Remember Clear before Cloudy
■Inject jet air into longer-acting insulin (ex:NPH insulin)
■Inject air into shorter-acting insulin (ex: regular insulin) Do not remove
needle.
,■Draw up shorter-acting (clear) insulin.
■Draw up longer-acting (cloudy) insulin.
Verbalization - ANSWER CHILDREN
●Usesimple straightforward language
●Be aware of nonverbal messages because children are especially
sensitive to nonverbal communication
●Enhance communication by being at the child's eye level ●Incorporate
play and interactions
OLDER ADULT CLIENTS
■ Make sure assistive devices such as glasses/hearing aids are available
minimize discretion and face clients when speaking speaking short and
simple sentences allow plenty of time for clients to respond as for input
from caregivers or family to determine the extent of any communication
deficits and how best to communicate identify any cultural considerations
that affect communication provide an interpreter address to client directly
when their interpreter is present provide educational materials and
instructions in the client's language
Autonomy - ANSWER client's right to make own personal decisions, even
when those decisions might not be in the client's own best interest
Beneficence - ANSWER positive actions to help others
Fidelity - ANSWER agreement to keep promises
Justice - ANSWER fairness in care delivery and use of resources
Nonmaleficence - ANSWER avoidance of harm or injury
Paternalism - ANSWER assumption that one person can assume
responsibility for making the decisions of another person
Advocacy - ANSWER support of clients' health, safety, and personal rights
Responsibility - ANSWER willingness to respect obligations and follow
through on promises
Accountability - ANSWER ability to answer for one's own actions
, Confidentiality - ANSWER protection of privacy without diminishing access
to high-quality care
When is a problem an ethical dilemma? - ANSWER When:
- A review of scientific data is not enough to solve it.
- It involves a conflict between two moral imperatives.
- The answer will have a profound effect on the situation and the client.
Ethical decision making - ANSWER Process that requires striking a
balance between science and morality
A nurse is caring for a client who decides not to have surgery despite
significant blockages in his
coronary arteries. The nurse understands that this client's choice is an
example of which of the following
ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - ANSWER B. Autonomy
In this situation, the client is exercising his right to make his own personal
decision about
surgery, regardless of others' opinions of what is "best" for him. This is an
example of autonomy.
A nurse offers pain medication to a client who is postoperative prior to
ambulation. The nurse
understands that this aspect of care delivery is an example of which of the
following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficence - ANSWER D. Beneficence
Beneficence is taking positive actions to help others. By administering pain
medication
before the client attempts a potentially painful exercise like ambulation, the
nurse is taking a
specific and positive action to help the client.
