RN ATI Fundamentals of Nursing Proctored Exam 2023
What finding in an immobile client requires further intervention? - (ANSWERS)Erythema on
pressure points requires prompt relief of pressure and additional measures to protect the skin
from further breakdown.
What statement indicates a client understands the instructions for a 24-hour urine collection?
- (ANSWERS)"I flushed what I urinated at 7:00 a.m. And have saved all urine since."
Which complementary therapy is contraindicated for a client with herpes zoster? -
(ANSWERS)Acupuncture is contraindicated to prevent an open portal on the skin's surface,
which could increase the risk of further infection.
What is the correct order of actions for transferring a client with right-sided weakness from bed
to chair? - (ANSWERS)1. Ask the client if he can bear weight. 2. Position the chair on the left
side of the bed. 3. Have the client sit and dangle his feet at the bedside. 4. Use the stand-pivot
technique to move the client to the chair.
What should a nurse do after drawing 1 ml of opioid medication from a vial? - (ANSWERS)Ask
another nurse to observe the medication wastage, as a second nurse must witness the disposal
of any portion of a dose of a controlled substance.
How should a nurse set the infusion pump for a heparin infusion of 25,000 units in 250 ml at
800 units/hr? - (ANSWERS)Set the infusion pump to 8 ml/hr.
What is the first step in mixing regular and NPH insulin? - (ANSWERS)Inject 5 units of air into
the bottle of regular insulin.
What is the second step in mixing regular and NPH insulin? - (ANSWERS)Withdraw the correct
dose of NPH insulin from the bottle.
What is the third step in mixing regular and NPH insulin? - (ANSWERS)Inject 10 units of air into
the bottle of NPH insulin.
What is the fourth step in mixing regular and NPH insulin? - (ANSWERS)Withdraw the correct
dose of regular insulin from the bottle.
What is the recommended fluid intake for a client who has been immobile? - (ANSWERS)Fluid
intake of 3,000 ml per day is generally adequate unless contraindicated.
What is a normal finding for lower-extremity pulse strength? - (ANSWERS)A lower-extremity
pulse strength of 2+ is considered normal.
,RN ATI Fundamentals of Nursing Proctored Exam 2023
How often should a client have a bowel movement? - (ANSWERS)A bowel movement every
other day can be considered normal for some clients.
What should a nurse monitor for in a client with a history of immobility? - (ANSWERS)Monitor
for signs of pressure ulcers, such as erythema on pressure points.
What is the purpose of a 24-hour urine collection? - (ANSWERS)To assess kidney function and
measure substances in the urine over a full day.
What is the significance of flushing the first urine in a 24-hour collection? - (ANSWERS)Flushing
the first urine ensures that only the urine produced after the collection starts is measured.
What is a potential risk of acupuncture in clients with skin infections? - (ANSWERS)It could
create an open portal on the skin's surface, increasing the risk of further infection.
What is the role of a second nurse in the disposal of controlled substances? - (ANSWERS)A
second nurse must witness the disposal of any portion of a dose of a controlled substance.
What is the importance of positioning the chair correctly when transferring a client? -
(ANSWERS)Positioning the chair on the correct side facilitates a safer and more efficient
transfer.
What is the rationale for having a client dangle their feet at the bedside before transfer? -
(ANSWERS)It helps the client to adjust and prevent dizziness or falls when standing.
What are the key components of patient education for insulin administration? -
(ANSWERS)Correct mixing of insulins, understanding the timing of doses, and recognizing signs
of hypoglycemia.
What should a nurse assess before transferring a client with weakness? - (ANSWERS)Assess
the client's ability to bear weight and their overall stability.
What is the expected outcome of effective pain management for herpes zoster? -
(ANSWERS)Reduction in pain and discomfort, allowing for better mobility and quality of life.
What is the first step a nurse should take when a client refuses to use an incentive spirometer
after surgery? - (ANSWERS)Determine the reasons why the client is refusing to use the incentive
spirometer.
What should a nurse question about a medication prescription that reads 'digoxin 0.25 by
mouth every day'? - (ANSWERS)The dose, as it should include a unit of measurement such as
mg.
, RN ATI Fundamentals of Nursing Proctored Exam 2023
What action should a nurse take to prevent skin breakdown in a client with limited mobility in
the lower extremities? - (ANSWERS)Have the client use a trapeze bar when changing positions
to avoid friction and shearing.
How should a nurse transcribe a verbal prescription for 'three tenths of a milligram of
levothyroxine IV STAT'? - (ANSWERS)0.3 mg, as a zero should precede a decimal point.
What signs at the IV site indicate infiltration? - (ANSWERS)Skin blanching, edema, and
coolness.
What should a nurse do before administering medications through an enteral feeding tube? -
(ANSWERS)Flush the tube with 15 to 30 ml of sterile water.
What is the correct method for withdrawing insulin from a bottle? - (ANSWERS)Inject 10 units
of air into the bottle of NPH insulin, then withdraw the correct dose of regular insulin.
What is the priority action for a nurse caring for a postoperative client who refuses to use an
incentive spirometer? - (ANSWERS)Assess the client's reasons for refusal.
What is the correct way to administer medications through an enteral feeding tube? -
(ANSWERS)Flush the tube with 30 to 60 ml of sterile water after administering the last
medication.
What should a nurse document if a client refuses to participate in health restorative activities?
- (ANSWERS)Document the client's refusal.
What is the purpose of using a trapeze bar for a client with limited mobility? - (ANSWERS)To
assist with repositioning and transferring, reducing the risk of pressure ulcers.
What is the significance of the decimal point in medication dosages? - (ANSWERS)A zero
should precede a decimal point (e.g., 0.3 mg) to prevent medication errors.
What should a nurse do if resistance is felt while pushing the syringe plunger during medication
administration? - (ANSWERS)Do not push harder; assess the situation.
What is the correct dosing format for medications? - (ANSWERS)Always include the unit of
measurement after the dose.
How should a nurse respond to a client who has just learned they have type 2 diabetes mellitus?
- (ANSWERS)Allow extra time for the client to respond to questions.
What finding in an immobile client requires further intervention? - (ANSWERS)Erythema on
pressure points requires prompt relief of pressure and additional measures to protect the skin
from further breakdown.
What statement indicates a client understands the instructions for a 24-hour urine collection?
- (ANSWERS)"I flushed what I urinated at 7:00 a.m. And have saved all urine since."
Which complementary therapy is contraindicated for a client with herpes zoster? -
(ANSWERS)Acupuncture is contraindicated to prevent an open portal on the skin's surface,
which could increase the risk of further infection.
What is the correct order of actions for transferring a client with right-sided weakness from bed
to chair? - (ANSWERS)1. Ask the client if he can bear weight. 2. Position the chair on the left
side of the bed. 3. Have the client sit and dangle his feet at the bedside. 4. Use the stand-pivot
technique to move the client to the chair.
What should a nurse do after drawing 1 ml of opioid medication from a vial? - (ANSWERS)Ask
another nurse to observe the medication wastage, as a second nurse must witness the disposal
of any portion of a dose of a controlled substance.
How should a nurse set the infusion pump for a heparin infusion of 25,000 units in 250 ml at
800 units/hr? - (ANSWERS)Set the infusion pump to 8 ml/hr.
What is the first step in mixing regular and NPH insulin? - (ANSWERS)Inject 5 units of air into
the bottle of regular insulin.
What is the second step in mixing regular and NPH insulin? - (ANSWERS)Withdraw the correct
dose of NPH insulin from the bottle.
What is the third step in mixing regular and NPH insulin? - (ANSWERS)Inject 10 units of air into
the bottle of NPH insulin.
What is the fourth step in mixing regular and NPH insulin? - (ANSWERS)Withdraw the correct
dose of regular insulin from the bottle.
What is the recommended fluid intake for a client who has been immobile? - (ANSWERS)Fluid
intake of 3,000 ml per day is generally adequate unless contraindicated.
What is a normal finding for lower-extremity pulse strength? - (ANSWERS)A lower-extremity
pulse strength of 2+ is considered normal.
,RN ATI Fundamentals of Nursing Proctored Exam 2023
How often should a client have a bowel movement? - (ANSWERS)A bowel movement every
other day can be considered normal for some clients.
What should a nurse monitor for in a client with a history of immobility? - (ANSWERS)Monitor
for signs of pressure ulcers, such as erythema on pressure points.
What is the purpose of a 24-hour urine collection? - (ANSWERS)To assess kidney function and
measure substances in the urine over a full day.
What is the significance of flushing the first urine in a 24-hour collection? - (ANSWERS)Flushing
the first urine ensures that only the urine produced after the collection starts is measured.
What is a potential risk of acupuncture in clients with skin infections? - (ANSWERS)It could
create an open portal on the skin's surface, increasing the risk of further infection.
What is the role of a second nurse in the disposal of controlled substances? - (ANSWERS)A
second nurse must witness the disposal of any portion of a dose of a controlled substance.
What is the importance of positioning the chair correctly when transferring a client? -
(ANSWERS)Positioning the chair on the correct side facilitates a safer and more efficient
transfer.
What is the rationale for having a client dangle their feet at the bedside before transfer? -
(ANSWERS)It helps the client to adjust and prevent dizziness or falls when standing.
What are the key components of patient education for insulin administration? -
(ANSWERS)Correct mixing of insulins, understanding the timing of doses, and recognizing signs
of hypoglycemia.
What should a nurse assess before transferring a client with weakness? - (ANSWERS)Assess
the client's ability to bear weight and their overall stability.
What is the expected outcome of effective pain management for herpes zoster? -
(ANSWERS)Reduction in pain and discomfort, allowing for better mobility and quality of life.
What is the first step a nurse should take when a client refuses to use an incentive spirometer
after surgery? - (ANSWERS)Determine the reasons why the client is refusing to use the incentive
spirometer.
What should a nurse question about a medication prescription that reads 'digoxin 0.25 by
mouth every day'? - (ANSWERS)The dose, as it should include a unit of measurement such as
mg.
, RN ATI Fundamentals of Nursing Proctored Exam 2023
What action should a nurse take to prevent skin breakdown in a client with limited mobility in
the lower extremities? - (ANSWERS)Have the client use a trapeze bar when changing positions
to avoid friction and shearing.
How should a nurse transcribe a verbal prescription for 'three tenths of a milligram of
levothyroxine IV STAT'? - (ANSWERS)0.3 mg, as a zero should precede a decimal point.
What signs at the IV site indicate infiltration? - (ANSWERS)Skin blanching, edema, and
coolness.
What should a nurse do before administering medications through an enteral feeding tube? -
(ANSWERS)Flush the tube with 15 to 30 ml of sterile water.
What is the correct method for withdrawing insulin from a bottle? - (ANSWERS)Inject 10 units
of air into the bottle of NPH insulin, then withdraw the correct dose of regular insulin.
What is the priority action for a nurse caring for a postoperative client who refuses to use an
incentive spirometer? - (ANSWERS)Assess the client's reasons for refusal.
What is the correct way to administer medications through an enteral feeding tube? -
(ANSWERS)Flush the tube with 30 to 60 ml of sterile water after administering the last
medication.
What should a nurse document if a client refuses to participate in health restorative activities?
- (ANSWERS)Document the client's refusal.
What is the purpose of using a trapeze bar for a client with limited mobility? - (ANSWERS)To
assist with repositioning and transferring, reducing the risk of pressure ulcers.
What is the significance of the decimal point in medication dosages? - (ANSWERS)A zero
should precede a decimal point (e.g., 0.3 mg) to prevent medication errors.
What should a nurse do if resistance is felt while pushing the syringe plunger during medication
administration? - (ANSWERS)Do not push harder; assess the situation.
What is the correct dosing format for medications? - (ANSWERS)Always include the unit of
measurement after the dose.
How should a nurse respond to a client who has just learned they have type 2 diabetes mellitus?
- (ANSWERS)Allow extra time for the client to respond to questions.
