ATI Proctored – Fundamentals Home Study Thorough Review
and Complete Answers Ace your first Attempt Updated
2025/2026
A nurse is inserting an IV catheter for a client that results in a blood spill on her gloved
hand. The client has no documented bloodstream infection. Which of the following
actions should the nurse take?
A. Wash the gloved hands and then throw the gloves away.
B. Prepare an incident report to document the event.
C. Carefully remove the gloves and follow with hand hygiene.
D. Ask the provider to order a blood culture to determine the risk of infection. - correct
answer C. Carefully remove the gloves and follow with hand hygiene.
A nurse is caring for a client who is unstable and has vital signs measured every 15
minutes by an electronic blood pressure machine. The nurse notices the machine
begins to measure the blood pressure at varied intervals and the readings are
inconsistent. Which of the following actions should the nurse take?
A. Turn on the machine every 15 min to measure the client's blood pressure.
B. Record only blood pressure readings needed for the 15-min intervals.
C. Obtain manual and automatic readings and compare them.
D. Disconnect the machine, and measure the blood pressure manually every 15 min. -
correct answer D. Disconnect the machine, and measure the blood pressure manually
every 15 min.
If the nurse questions the reliability of the monitoring equipment, a manual process
should be used. Also, malfunctioning equipment can pose a safety risk for the client, so
it must be tagged and removed.
A nurse is caring for an older adult client who is violent and attempting to disconnect her
IV lines. The provider prescribes soft wrist restraints. Which of the following actions
should the nurse take while the client is in restraints?
, A. Tie the restraints to the side rails.
B. Perform range-of-motion exercises to the wrists every 3 hr.
C. Remove the restraints one at a time.
D. Obtain a PRN prescription for the restraints. - correct answer C. Remove the
restraints one at a time.
The nurse should remove one restraint at a time for a client who is violent or
noncompliant.
The nurse should ensure that the restraints are removed and range-of-motion exercises
are performed every 2 hr.
A charge nurse is teaching adult cardiopulmonary resuscitation (CPR) to a group of
newly licensed nurses. Which of the following actions should the charge nurse teach as
the first response in CPR?
A. Call for assistance.
B. Begin chest compressions.
C. Confirm unresponsiveness.
D. Give rescue breaths. - correct answer C. Confirm unresponsiveness.
A nurse is teaching an assistive personnel (AP) about proper hand hygiene. Which of
the following statements by the AP indicates an understanding of the teaching?
A. "There are times I should use soap and water rather than an alcohol-based hand rub
to clean my hands."
B. "I will use cold water when I wash my hands to protect my skin from becoming too
dry."
C. "I will apply friction for at least 10 seconds while washing my hands."
and Complete Answers Ace your first Attempt Updated
2025/2026
A nurse is inserting an IV catheter for a client that results in a blood spill on her gloved
hand. The client has no documented bloodstream infection. Which of the following
actions should the nurse take?
A. Wash the gloved hands and then throw the gloves away.
B. Prepare an incident report to document the event.
C. Carefully remove the gloves and follow with hand hygiene.
D. Ask the provider to order a blood culture to determine the risk of infection. - correct
answer C. Carefully remove the gloves and follow with hand hygiene.
A nurse is caring for a client who is unstable and has vital signs measured every 15
minutes by an electronic blood pressure machine. The nurse notices the machine
begins to measure the blood pressure at varied intervals and the readings are
inconsistent. Which of the following actions should the nurse take?
A. Turn on the machine every 15 min to measure the client's blood pressure.
B. Record only blood pressure readings needed for the 15-min intervals.
C. Obtain manual and automatic readings and compare them.
D. Disconnect the machine, and measure the blood pressure manually every 15 min. -
correct answer D. Disconnect the machine, and measure the blood pressure manually
every 15 min.
If the nurse questions the reliability of the monitoring equipment, a manual process
should be used. Also, malfunctioning equipment can pose a safety risk for the client, so
it must be tagged and removed.
A nurse is caring for an older adult client who is violent and attempting to disconnect her
IV lines. The provider prescribes soft wrist restraints. Which of the following actions
should the nurse take while the client is in restraints?
, A. Tie the restraints to the side rails.
B. Perform range-of-motion exercises to the wrists every 3 hr.
C. Remove the restraints one at a time.
D. Obtain a PRN prescription for the restraints. - correct answer C. Remove the
restraints one at a time.
The nurse should remove one restraint at a time for a client who is violent or
noncompliant.
The nurse should ensure that the restraints are removed and range-of-motion exercises
are performed every 2 hr.
A charge nurse is teaching adult cardiopulmonary resuscitation (CPR) to a group of
newly licensed nurses. Which of the following actions should the charge nurse teach as
the first response in CPR?
A. Call for assistance.
B. Begin chest compressions.
C. Confirm unresponsiveness.
D. Give rescue breaths. - correct answer C. Confirm unresponsiveness.
A nurse is teaching an assistive personnel (AP) about proper hand hygiene. Which of
the following statements by the AP indicates an understanding of the teaching?
A. "There are times I should use soap and water rather than an alcohol-based hand rub
to clean my hands."
B. "I will use cold water when I wash my hands to protect my skin from becoming too
dry."
C. "I will apply friction for at least 10 seconds while washing my hands."
