1-A nurse is planning care for a group of clients. Which of the following tasks should the
nurse delegate to assistive personnel?
A.Changing the dressing for a client who has stage 3 pressure injury
B. determining a client’s response to a diuretic
C. comparing radial pulses for a client who is postoperative
D. providing post mortem care to a client*
2-A nurse is conducting a health assessment for a client who takes herbal supplements. Which of the
following statements by the client indicates an understanding of the use of the supplements?
A.I take ginkgo biloba for a headache
B. I take echinacea to control my cholesterol
C. I take ginger when I get car sick*
D. I use garlic for my menopausal symptoms
3-A nurse is caring for a client who hasinfluenza and isolation precautions in place. Which of the
following actions should the nurse take to prevent the spread of infection?
A.wear a mask when working within 3 ft of the client*
B. administer metronidazole
C. don protective eyewear before entering the room
D. place the client in a negative airflow room
4-a nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG tube. WA.
attach the restraints securely to the side rails of the client’s bed.
B. apply the restraints to allow as little movement as possible
C. allow room for two fingers to fit between the clients skin and the restraints*
D. remove the restraints every 4 hr.
5-a nurse is admitting a client who hastuberculosis. Which of the following types of transmission
precautions should the nurse plan to initiate?
A. droplet
B. airborne*
C. protective environment
D. contact
6-a nurse in a well child clinic receives a telephone call from a parent who states that their child
accidentally swallowed paint thinner. The child is awake and alert. Which of the following responses
should the nurse take?
A.Have your child drink one large glass of water*
B. Hang up and call a poison control center hotline
C. Bring your child into the clinic later today
D. Induce vomiting in your child with syrup in ipecac
7-a nurse is documenting a child’s medical record. Which of the following entries should the nurse
record?
ATI Fundamentals 2019 Proctored Exam | Fundamentals Proctored Exam Questions & Answers
A. oral temperature slightly elevated at 0800
B. administered pain medication*
C. incision without redness or drainage
D. drank adequate amounts of fluid with meals
8-a nurse is providing oral care for a client who is unconscious. Which of the following actions should the
nurse take?
A. Place the client in a side lying position*
B. brush the clients teeth daily
C. apply mineral oil to the client’s lips
D. rinse the client’s mouth with an alcohol-based mouthwash
9-A nurse is collaborating with a risk management team about potential legal issues involving client care.
The nurse should identify which of the following situations is an example of negligence?
A. a nurse administers a medication without first identifying the client
B. assistive personnel discuss client care in the facility cafeteria with visitors present
C. a nurse begins a blood transfusion without obtaining consent*
D. assistive personnel prevent a client from leaving the facility
10-a nurse is collecting a sputum specimen for culture from a client who has a respiratory infection.
Which of the following actions should the nurse take?
A. wearsterile gloves when collecting the specimen
B. offer the client oral hygiene after the collection*
C. collect the specimen in the evening
D. collect 1 ml of sputum.
11-a nurse is assessing an older client. Which of the following findings should the nurse expect?
A. Decreased sense of balance*
B. increased night time sleeping
C. heightened sense of pain
D. nighttime urinary incontinence
12-A nurse is completing discharge teaching about ostomy care with a client who has a new stoma.
Which of the following instructions should the nurse include in the teaching? (select all that apply)
A. cut the opening of the pouch 1/8 of an inch larger than the stoma*
B. place a piece of gauze over the stoma while changing the pouch*
C. use povidone iodine to clean around the stoma*
D. empty the ostomy pouch when it becomes one third full of contents*
E. expect the stoma to turn a purple blue color as it heals
13-a nurse is preparing to obtain informed consent from a client who speaks a different language than
the nurse. Which of the following actions should the nurse take?
A. request the assistive personnel interpret the information for the client
B. use proper medical terms when giving information to the client
C. offer written information in the client’slanguage*
D. avoid using gestures when speaking to the client
14-a nurse is teaching a client about home care equipment. Which of the following information should
the nurse include in the teaching? (Select all that apply)
A. avoid using wool blankets when receiving oxygen*
B. keep the oxygen delivery system 0.6 m (2 feet) from any heatsource
C. check the oxygen delivery rate at least once a day*
D. align the middle of the ball in the flow meter with the line of the prescribed flow rate*
15-a nurse is planning care for a client who reports insomnia. Which of the following actions should the
nurse perform short before bedtime?
A. provide a late supper*
B. offer a wet washcloth for the client to wash her face
C. perform range of motion exercises
D. prepare hot cocoa or tea for the client
16-a nurse on a medical-surgical unit is receiving a change of shift report for four clients.
Which of the following clients should the nurse see first?
A. a client who has acute abdominal pain of 4 on a scale from 0 to 10
B. a client who has pneumonia and an oxygen saturation of 96%
C. a client who has a new onset of dyspnea 24 hours after a total hip arthroplasty*
D. a client who has a urinary tract infection and low-grade fever
17-a nurse is reviewing a client’s intake and output and notes the following: 0.9%
sodium chloride 600mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100mL
intermittent IV bolus, 200mL emesis, 40mL voided urine, and 20mL urine from straight
catheterization. The nurse should record the client’s net fluid intake as how many mL?
(round the answer to the nearest whole number. Use a leading zero if it applies. Do not
use a trailing zero.)
700mL, the rest are output*
18-a nurse is discussing incident reports with a group of newly licensed nurses. The
nurse should include that which if the following requires the completion of incident
report?
A. a client’s prescribed laboratory testing was not obtained*
B. a client withdrew consent for a procedure
C. an oncoming nurse arrived to work late
D. a nurse transfused a unit of packed RBCs in 2 hr.
19-a nurse is caring for a client who has a new prescription for negative-pressure
therapy for a chronic wound. The nurse is unfamiliar with the procedure. Which of the
following recourses should the nurse consult to learn more about the intervention?
A. the client’s plan of care
B. the nurse practice act
C. the material safety data sheet
D. the policy and procedure manual*
20-a nurse is performing postural drainage with percussion and vibration for a client
who has cystic fibrosis. Which of the following actions should the nurse take?
A. cover the area of percussion with a towel
B. instruct the client to exhale quickly during vibrations
C. schedule postural drainage after meals
D. perform percussion over the lower back*
21-a nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old
child who has difficulty swallowing pills. Available is diphenhydramine 12.5mg/5ml oral
syrup. Which of the following images indicates the correct number of mL the nurse
should administer? (round answer to the nearest whole number)
should be 8mL syringe*
22-a nurse is admitting a client who is malnourished. The client states, “my wedding ring
is loose and I’m worried I will lose it if it falls off.” Which of the following is an appropriate
response by the nurse?
A. I will place it in your drawer so it won’t get lost
B. I can pin it to your hospital gown so you won’t lose it.
C. I will hold onto it until a family member can take it home
D. I can put it in a locked storage unit for you*
23-A charge nurse is teaching a group of newly licensed nurses about the use of
restraints. In which of the following clinical situations should the nurse apply restraints?
A. if the client is pacing in the hallway
B. as a part of a fall prevention program
C. at the request of the client’s family
D. when the client poses a threat to self*
24-to ensure client safety, a nurse manager is planning to observe a newly licensed
nurse perform a straight catheterization on a client. In which of the following roles is the
nurse manager functioning?
A.case manager
B. client educator
C. client care provider
D. client advocate*
25-a charge nurse in a long term care facility is preparing an educational program about
delirium for newly hired nurses. Which of the following statements should the nurse plan
to include?
A. delirium does not affect the client’s perception of her environment
B. delirium does not affect a client’s sleep cycle
C. delirium has an abrupt onset*
D. delirium has a slow progression
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