ATI proctored Fundamentals Exam 2020
A nurse is reinforcing information with a client who wishes to complete their advance
directives. Which of the following statements should the nurse make? - ANSYou can decline to
have certain medical procedures performed in your living will.
A nurse is reinforcing teaching with a client who is premenopausal. Which of the
following statements by the client indicates in understanding of the teaching? - ANS"I might
have headaches due to a decline in my estrogen levels.
A nurse in a provider's office is calculating a client's BMI. Which of the following pieces
of the client data should the nurse use as a part of the calculation? - ANSHeight
A nurse is reinforcing teaching with a client about the use of a peak flow meter. Which of
the following actions should the nurse make first? - ANSDetermine the client's knowledge of the
use of the peak flow meter
A nurse is collecting data about a client's oral care. The client wears dentures and reports
having mouth sores. The nurse should identify which of the following oral care practices
by the client as a possible cause of the mouth sores? - ANSWears dentures while sleeping at
night.
A nurse is preparing to administer a medication from an ampule. Which of the following
is an appropriate action for the nurse to make? - ANSUse a filter needle to aspirate the
medication.
A nurse on a medical-surgical unit is caring for a group of clients. Which of the following
findings should the nurse identify as a safety hazard? - ANSAn assistive personnel raises all
four side rails of a client's bed before leaving the
room
A nurse is caring for a client who is 2 days postoperative following a below-the-knee
amputation. Which of the following statements by the client should the nurse identify as
indicating an acceptance of the limb loss? - ANSI need to learn how to perform a dressing
change on my leg.
A nurse on a medical-surgical unit is collecting data from a client who is postoperative
following abdominal surgery. The client's BP was 126/72 mm Hg 15 min ago. The nurse
now finds that the client's BP is 176/96 mm Hg. Which of the following actions should
the nurse make? - ANSMeasure the client's BP in the other arm
A nurse is assisting with the admission of a client who has streptococcal pharyngitis.
, Which of the following precautions should the nurse make? - ANSWear a surgical mask when
giving the client direct care
A nurse is caring for a client who has dyspnea with an oxygen saturation of 88%. Which
of the following images indicates the type of face mask the nurse should use to deliver
the client a 90% oxygen concentration - ANSnon-rebreather mask mask with bag
A nurse working in a rehabilitation unit is caring for a client who has dysphagia and has difficulty
swallowing during meals. Which of the following actions should the nurse take to prevent the
client from aspiration while eating? - ANSAdd liquid to foods to thin consistency
A nurse in a provider's office performs a fecal occult blood test with a positive result on a
client. Which of the following clients may have a false positive result? - ANSA client who takes
an iron supplement.
A nurse is caring for a client who is flushed and has temperature of 38.7 C (101.7 F).
Which of the following actions should the nurse take? - ANSRemove blankets from the client
A nurse is caring for a client who has a hip fracture and plans to administer a pain
medication prior to turning the client. Which of the following ethical principles is the
nurse implementing? - ANSBeneficence
A nurse is caring for a client who was recently admitted to hospice care and tells the
nurse "I am going to die, and my family is hoping for a cure. I am mad that they behave
like everything will be fine." Which of the following responses should the nurse make? - ANSYou
are feeling angry that your family continues to wish for a cure?
A nurse in a provider's office is reviewing the medical record of an older adult who
report's having nausea and vomiting for the last 48 hrs. Which of the following findings
indicate fluid volume deficit? (Select all that apply.) - ANSDry mucous membranes.
Decreased skin turgor.
Blood pressure 88/62 mm Hg
A nurse is caring for a client who refuses a prescribed medical procedure. Which of the
following actions should the nurse take to act as the client's advocate? - ANSEvaluate the
client's concerns and communicate them to the provider
A nurse is assisting with scoliosis screenings for students at a public school. Which of the
following findings should the nurse recognize as an indication of scoliosis? - ANSUnequal height
of the shoulders.
A nurse is disinfecting the room of a client who has a Clostridium difficile infection.
Which of the following solutions should the nurse use? - ANSChlorine bleach
A nurse is reinforcing information with a client who wishes to complete their advance
directives. Which of the following statements should the nurse make? - ANSYou can decline to
have certain medical procedures performed in your living will.
A nurse is reinforcing teaching with a client who is premenopausal. Which of the
following statements by the client indicates in understanding of the teaching? - ANS"I might
have headaches due to a decline in my estrogen levels.
A nurse in a provider's office is calculating a client's BMI. Which of the following pieces
of the client data should the nurse use as a part of the calculation? - ANSHeight
A nurse is reinforcing teaching with a client about the use of a peak flow meter. Which of
the following actions should the nurse make first? - ANSDetermine the client's knowledge of the
use of the peak flow meter
A nurse is collecting data about a client's oral care. The client wears dentures and reports
having mouth sores. The nurse should identify which of the following oral care practices
by the client as a possible cause of the mouth sores? - ANSWears dentures while sleeping at
night.
A nurse is preparing to administer a medication from an ampule. Which of the following
is an appropriate action for the nurse to make? - ANSUse a filter needle to aspirate the
medication.
A nurse on a medical-surgical unit is caring for a group of clients. Which of the following
findings should the nurse identify as a safety hazard? - ANSAn assistive personnel raises all
four side rails of a client's bed before leaving the
room
A nurse is caring for a client who is 2 days postoperative following a below-the-knee
amputation. Which of the following statements by the client should the nurse identify as
indicating an acceptance of the limb loss? - ANSI need to learn how to perform a dressing
change on my leg.
A nurse on a medical-surgical unit is collecting data from a client who is postoperative
following abdominal surgery. The client's BP was 126/72 mm Hg 15 min ago. The nurse
now finds that the client's BP is 176/96 mm Hg. Which of the following actions should
the nurse make? - ANSMeasure the client's BP in the other arm
A nurse is assisting with the admission of a client who has streptococcal pharyngitis.
, Which of the following precautions should the nurse make? - ANSWear a surgical mask when
giving the client direct care
A nurse is caring for a client who has dyspnea with an oxygen saturation of 88%. Which
of the following images indicates the type of face mask the nurse should use to deliver
the client a 90% oxygen concentration - ANSnon-rebreather mask mask with bag
A nurse working in a rehabilitation unit is caring for a client who has dysphagia and has difficulty
swallowing during meals. Which of the following actions should the nurse take to prevent the
client from aspiration while eating? - ANSAdd liquid to foods to thin consistency
A nurse in a provider's office performs a fecal occult blood test with a positive result on a
client. Which of the following clients may have a false positive result? - ANSA client who takes
an iron supplement.
A nurse is caring for a client who is flushed and has temperature of 38.7 C (101.7 F).
Which of the following actions should the nurse take? - ANSRemove blankets from the client
A nurse is caring for a client who has a hip fracture and plans to administer a pain
medication prior to turning the client. Which of the following ethical principles is the
nurse implementing? - ANSBeneficence
A nurse is caring for a client who was recently admitted to hospice care and tells the
nurse "I am going to die, and my family is hoping for a cure. I am mad that they behave
like everything will be fine." Which of the following responses should the nurse make? - ANSYou
are feeling angry that your family continues to wish for a cure?
A nurse in a provider's office is reviewing the medical record of an older adult who
report's having nausea and vomiting for the last 48 hrs. Which of the following findings
indicate fluid volume deficit? (Select all that apply.) - ANSDry mucous membranes.
Decreased skin turgor.
Blood pressure 88/62 mm Hg
A nurse is caring for a client who refuses a prescribed medical procedure. Which of the
following actions should the nurse take to act as the client's advocate? - ANSEvaluate the
client's concerns and communicate them to the provider
A nurse is assisting with scoliosis screenings for students at a public school. Which of the
following findings should the nurse recognize as an indication of scoliosis? - ANSUnequal height
of the shoulders.
A nurse is disinfecting the room of a client who has a Clostridium difficile infection.
Which of the following solutions should the nurse use? - ANSChlorine bleach
