1|Page
ATI RN FUNDAMENTALS PROCTORED 2024 WITH
NGN 60+ QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
A nurse is teaching an older adult client who is at risk for osteoporosis about
beginning a program of regular physical activity. Which of the following types of
activity should the nurse recommend?
A. Walking briskly
B. Riding a bicycle
C. Performing isometric exercises
D. Engaging in high-impact aerobics - Answer: A. Walking briskly
Weight-bearing exercises are essential for maintaining bone mass, which helps to
prevent osteoporosis. Walking engages older adult clients in this preventive and
therapeutic strategy.
A nurse is caring for a client who had a spinal cord injury and has paraplegia.
The nurse is reviewing the client's medical record.
Click to highlight the findings that require intervention by the nurse. To deselect a
finding, click on the finding again.
Nurses' Notes
Day 1:
Client is alert and oriented.
Client is repositioned every 2 hr.
Passive range-of-motion exercises to lower extremities performed once each day.
Day 5:
Client is alert and oriented.
Client is repositioned every 2 hr.
Passive range-of-motion exercises to lower extremities performed once each day.
Feet warm. Pedal pulses 2+ bilaterally.
Plantar flexion contractures noted bilaterally.
Left heel with 1.3 cm x 1.3 cm (0.5 in x 0.5 in) area of nonblanchable erythema,
skin intact.
,2|Page
A. Client is repositioned every 2 hr.
B. Passive range-of-motion exercises to lower extremities performed once each
day.
C. Feet warm. Pedal pulses 2+ bilaterally.
D. Pl - Answer: B. Passive range-of-motion exercises to lower extremities
performed once each day.
The nurse should perform passive range-of-motion exercises to the client's lower
extremities two to three times each day to reduce the risk for contractures.
D. Plantar flexion contractures noted bilaterally.
The nurse should place a footboard at the end of the client's bed or apply foot boots
to the client's feet to protect the client's heels and decrease the contractures.
E. Left heel with 1.3 cm x 1.3 cm (0.5 in x 0.5 in) area of nonblanchable erythema,
skin intact.
The client has a stage 1 pressure injury on the heel. The nurse should apply foot
boots to the client's feet to protect the client's heels and promote healing.
A nurse is reviewing practice guidelines with a group of newly licensed nurses.
Which of the following interventions should the nurse include that is within the RN
scope of practice?
A. Insert an implanted port.
B. Close a laceration with sutures.
C. Place an endotracheal tube.
D. Initiate an enteral feeding through a gastrostomy tube. - Answer: D. Initiate an
enteral feeding through a gastrostomy tube.
It is within the RN scope of practice for nurses to initiate enteral feedings through
nasoenteric, gastrostomy, and jejunostomy tubes.
A nurse is caring for a client who has an NG tube and is receiving intermittent
feedings through an open system. Which of the following actions should the nurse
take first?
A. Rinse the feeding bag with water between feedings.
B. Tell the client to keep the head of the bed elevated at least 30°.
C. Make sure the enteral formula is at room temperature.
D. Wipe the top of the formula can with alcohol. - Answer: B. Tell the client to
keep the head of the bed elevated at least 30°.
, 3|Page
The first action the nurse should take when using the airway, breathing, circulation
approach to client care is to prevent aspiration of the enteral formula; therefore, the
priority intervention is to keep the head of the bed elevated at least 30° to prevent
reflux of the formula into the esophagus.
A nurse in a surgical suite notes documentation on a client's medical record that he
has a latex allergy. In preparation for the client's procedure, which of the following
precautions should the nurse take?
A. Ensure sterilization of nondisposable items with ethylene oxide.
B. Wrap monitoring cords with stockinette and tape them in place.
C. Cleanse latex ports on IV tubing with chlorhexidine before injecting medication.
D. Wear hypoallergenic latex gloves that contain powder. - Answer: B. Wrap
monitoring cords with stockinette and tape them in place.
A nurse in an acute care facility is preparing a discharge summary for a client who
is transferring to a long-term care facility. Which of the following documentation
should the nurse include?
A. Client flow sheet
B. Acuity ratings
C. Current medications
D. Incident reports - Answer: C. Current medications
The nurse should include the client's medications in the discharge summary to
ensure client safety and continuity of care.
A nurse is reviewing protocol in preparation for suctioning secretions from a client
who has a new tracheostomy. Which of the following actions should the nurse plan
to take?
A. Use a resuscitation bag with 80% oxygen prior to the procedure.
B. Select a suction catheter that is half the size of the lumen.
C. Place the end of the suction catheter in water-soluble lubricant.
D. Adjust the wall suction apparatus to a pressure of 170 mm Hg. - Answer: B.
Select a suction catheter that is half the size of the lumen.
ATI RN FUNDAMENTALS PROCTORED 2024 WITH
NGN 60+ QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
A nurse is teaching an older adult client who is at risk for osteoporosis about
beginning a program of regular physical activity. Which of the following types of
activity should the nurse recommend?
A. Walking briskly
B. Riding a bicycle
C. Performing isometric exercises
D. Engaging in high-impact aerobics - Answer: A. Walking briskly
Weight-bearing exercises are essential for maintaining bone mass, which helps to
prevent osteoporosis. Walking engages older adult clients in this preventive and
therapeutic strategy.
A nurse is caring for a client who had a spinal cord injury and has paraplegia.
The nurse is reviewing the client's medical record.
Click to highlight the findings that require intervention by the nurse. To deselect a
finding, click on the finding again.
Nurses' Notes
Day 1:
Client is alert and oriented.
Client is repositioned every 2 hr.
Passive range-of-motion exercises to lower extremities performed once each day.
Day 5:
Client is alert and oriented.
Client is repositioned every 2 hr.
Passive range-of-motion exercises to lower extremities performed once each day.
Feet warm. Pedal pulses 2+ bilaterally.
Plantar flexion contractures noted bilaterally.
Left heel with 1.3 cm x 1.3 cm (0.5 in x 0.5 in) area of nonblanchable erythema,
skin intact.
,2|Page
A. Client is repositioned every 2 hr.
B. Passive range-of-motion exercises to lower extremities performed once each
day.
C. Feet warm. Pedal pulses 2+ bilaterally.
D. Pl - Answer: B. Passive range-of-motion exercises to lower extremities
performed once each day.
The nurse should perform passive range-of-motion exercises to the client's lower
extremities two to three times each day to reduce the risk for contractures.
D. Plantar flexion contractures noted bilaterally.
The nurse should place a footboard at the end of the client's bed or apply foot boots
to the client's feet to protect the client's heels and decrease the contractures.
E. Left heel with 1.3 cm x 1.3 cm (0.5 in x 0.5 in) area of nonblanchable erythema,
skin intact.
The client has a stage 1 pressure injury on the heel. The nurse should apply foot
boots to the client's feet to protect the client's heels and promote healing.
A nurse is reviewing practice guidelines with a group of newly licensed nurses.
Which of the following interventions should the nurse include that is within the RN
scope of practice?
A. Insert an implanted port.
B. Close a laceration with sutures.
C. Place an endotracheal tube.
D. Initiate an enteral feeding through a gastrostomy tube. - Answer: D. Initiate an
enteral feeding through a gastrostomy tube.
It is within the RN scope of practice for nurses to initiate enteral feedings through
nasoenteric, gastrostomy, and jejunostomy tubes.
A nurse is caring for a client who has an NG tube and is receiving intermittent
feedings through an open system. Which of the following actions should the nurse
take first?
A. Rinse the feeding bag with water between feedings.
B. Tell the client to keep the head of the bed elevated at least 30°.
C. Make sure the enteral formula is at room temperature.
D. Wipe the top of the formula can with alcohol. - Answer: B. Tell the client to
keep the head of the bed elevated at least 30°.
, 3|Page
The first action the nurse should take when using the airway, breathing, circulation
approach to client care is to prevent aspiration of the enteral formula; therefore, the
priority intervention is to keep the head of the bed elevated at least 30° to prevent
reflux of the formula into the esophagus.
A nurse in a surgical suite notes documentation on a client's medical record that he
has a latex allergy. In preparation for the client's procedure, which of the following
precautions should the nurse take?
A. Ensure sterilization of nondisposable items with ethylene oxide.
B. Wrap monitoring cords with stockinette and tape them in place.
C. Cleanse latex ports on IV tubing with chlorhexidine before injecting medication.
D. Wear hypoallergenic latex gloves that contain powder. - Answer: B. Wrap
monitoring cords with stockinette and tape them in place.
A nurse in an acute care facility is preparing a discharge summary for a client who
is transferring to a long-term care facility. Which of the following documentation
should the nurse include?
A. Client flow sheet
B. Acuity ratings
C. Current medications
D. Incident reports - Answer: C. Current medications
The nurse should include the client's medications in the discharge summary to
ensure client safety and continuity of care.
A nurse is reviewing protocol in preparation for suctioning secretions from a client
who has a new tracheostomy. Which of the following actions should the nurse plan
to take?
A. Use a resuscitation bag with 80% oxygen prior to the procedure.
B. Select a suction catheter that is half the size of the lumen.
C. Place the end of the suction catheter in water-soluble lubricant.
D. Adjust the wall suction apparatus to a pressure of 170 mm Hg. - Answer: B.
Select a suction catheter that is half the size of the lumen.
