2024 ATI Proctored Exam Practice, Answered
A nurse in an urgent care center is caring for a 15 year old client whose symptoms
suggest a sexually transmitted infection (STI). The client's parent is unavailable,
but the client's grandmother accompanied the client to the clinic. Which of the
following actions should the nurse take?
- Have the adolescent sign the consent form
A nurse is assisting with the administration of a client who will undergo a
craniotomy. During the physical planning phase of the nursing process, to which of
the following areas should the nurse contribute?
- Establish client outcomes
A nurse is reviewing adult cardiopulmonary resuscitation (CPR) with a newly
licensed nurse. Which of the following steps should the nurse identify as the first
response when performing CPR?
- Confirm unresponsiveness
A nurse is preparing a client who is scheduled for a hysterectomy for transport to
the operating room. The client states she no longer wants the surgery. Which of the
following actions should the nurse take?
- Notify the provider about the client's decision
A nurse is reinforcing teaching with a client about a surgical procedure that she
will undergo later in the day. The client states that no one has spoken to her about
this procedure before. Which of the following should the nurse take?
- Stop reinforcing the teaching and check with the surgeon about informed consent
A nurse is contributing to the plan of care for a client who had a stroke and is
scheduled to receive feeding via a gastrostomy tube. Which of the following
should the nurse recommend prior to initiating each feeding?
- Elevate the head of the bed
, A nurse is assisting with preparing a client for discharge and providing instructions
about performing dressing changes at home. Which of the following statements
indicates that the client understands medical asepsis?
- "I'll wash my hands before I remove the old dressing and again before putting on
the new one."
A nurse on a medical surgical unit is washing her hands prior to assisting with a
surgical procedure. Which of the following actions by the nurse demonstrates
proper surgical hand washing technique?
- The nurse washes her hands held higher than her elbows
A nurse is caring for a client who requires a chest x-ray. Prior to the client being
transported for the procedure,which of the following actions should the nurse take
first?
- Identify the client using 2 identifiers
A nurse is instructing an assistive personnel (AP) about proper hand hygiene.
Which of the following statements by the AP indicates an understanding of the
teaching?
- "Sometimes, I should use soap and water rather than hand-rub to clean my
hands."
A nurse is preparing to change the bed linens of a client who has AIDS and is
incontinent of stool. Which of the following personnel protective equipment (PPE)
items should the nurse don prior to providing client care?
- Gown, gloves
A nurse is discussing fire safety with newly hired nurses. Which of the following
actions is the priority if a fire occurs in the healthcare facility?
- Evacuate clients from the unit
A nurse is beginning her shift and reviewing the medication administration records
(MAR's) for her clients. She notes a medication dosage above the safe range and
sees that another nurse administered that dosage during the previous shift. Which
of the following actions should the nurse take?
A nurse in an urgent care center is caring for a 15 year old client whose symptoms
suggest a sexually transmitted infection (STI). The client's parent is unavailable,
but the client's grandmother accompanied the client to the clinic. Which of the
following actions should the nurse take?
- Have the adolescent sign the consent form
A nurse is assisting with the administration of a client who will undergo a
craniotomy. During the physical planning phase of the nursing process, to which of
the following areas should the nurse contribute?
- Establish client outcomes
A nurse is reviewing adult cardiopulmonary resuscitation (CPR) with a newly
licensed nurse. Which of the following steps should the nurse identify as the first
response when performing CPR?
- Confirm unresponsiveness
A nurse is preparing a client who is scheduled for a hysterectomy for transport to
the operating room. The client states she no longer wants the surgery. Which of the
following actions should the nurse take?
- Notify the provider about the client's decision
A nurse is reinforcing teaching with a client about a surgical procedure that she
will undergo later in the day. The client states that no one has spoken to her about
this procedure before. Which of the following should the nurse take?
- Stop reinforcing the teaching and check with the surgeon about informed consent
A nurse is contributing to the plan of care for a client who had a stroke and is
scheduled to receive feeding via a gastrostomy tube. Which of the following
should the nurse recommend prior to initiating each feeding?
- Elevate the head of the bed
, A nurse is assisting with preparing a client for discharge and providing instructions
about performing dressing changes at home. Which of the following statements
indicates that the client understands medical asepsis?
- "I'll wash my hands before I remove the old dressing and again before putting on
the new one."
A nurse on a medical surgical unit is washing her hands prior to assisting with a
surgical procedure. Which of the following actions by the nurse demonstrates
proper surgical hand washing technique?
- The nurse washes her hands held higher than her elbows
A nurse is caring for a client who requires a chest x-ray. Prior to the client being
transported for the procedure,which of the following actions should the nurse take
first?
- Identify the client using 2 identifiers
A nurse is instructing an assistive personnel (AP) about proper hand hygiene.
Which of the following statements by the AP indicates an understanding of the
teaching?
- "Sometimes, I should use soap and water rather than hand-rub to clean my
hands."
A nurse is preparing to change the bed linens of a client who has AIDS and is
incontinent of stool. Which of the following personnel protective equipment (PPE)
items should the nurse don prior to providing client care?
- Gown, gloves
A nurse is discussing fire safety with newly hired nurses. Which of the following
actions is the priority if a fire occurs in the healthcare facility?
- Evacuate clients from the unit
A nurse is beginning her shift and reviewing the medication administration records
(MAR's) for her clients. She notes a medication dosage above the safe range and
sees that another nurse administered that dosage during the previous shift. Which
of the following actions should the nurse take?
