ATI RN Fundamentals Proctored Exam | Questions and
Verified Answers| 100% Correct| Grade A (Latest 2026/ 2027
Update) PDF
A nurse who is admitting a client who has a fractured femur obtains a BP reading of
140/94 mmHg. The client denies any history of HTN. Which of the following actions
should the nurse take next?
A. Request a prescription for an antihypertensive med
B. Ask the client if she is having pain
C. Request a prescription for an anti-anxiety med
D. Return in 30min to recheck the client's BP - SELECTED ANSWER 👀 B
Perform a pain assessment would be the appropriate action to take next
A nurse is caring for a client who will perform fecal occult blood testing at home.
Which of the following info should the nurse include when explaining the procedure
to the client?
A. Eating more protein is optimal prior to testing
B. One stool specimen is sufficient for testing
C. A red color change indicates a positive test
D. The specimen cannot be contaminated - SELECTED ANSWER 👀 D.
The stool specimens cannot be contaminated with water or urine
A nurse is talking w/a client who reports constipation. When the nurse discusses
dietary changes that can help prevent constipation, which of the following foods
should the nurse recommend?
A. Macaroni & cheese
B. Fresh fruit & whole wheat toast
C. Rice pudding & ripe bananas
D. Roast chicken & white rice - SELECTED ANSWER 👀 B.
A high-fiber diet promotes normal bowel elimination
A nurse is caring for a client who has had diarrhea for the past 4 days. When
assessing the client, the nurse should expect which of the following findings? Select
all.
,A. Bradycardia
B. Hypotension
C. Fever
D. Poor skin turgor
E. Peripheral edema - SELECTED ANSWER 👀 B, C, D
fever=caused by dehydration
tachycardia not brady
hypotension because of decreased BP from dehydration
fluid overload=peripheral edema
A nurse is preparing to administer a cleansing enema to an adult client in preparation
for a diagnostic procedure. Which of the following are appropriate steps for the nurse
to take? Select all.
A. Warm the enema prior to instillation
B. Position the client on the left side w/the right leg flexed forward
C. Lubricate the rectal tube or nozzle
D. Slowly insert the rectal tube about 2 inches
E. Hang the enema container 24 inches above the client's anus - SELECTED
ANSWER 👀 A, B, C
-D is the appropriate length of insertion for a child, 3-4 for an adult.
-24 inches is too high & will cause it to run to fast & possible painful distention of the
colon, 18 inches is the recommended height
While a nurse is administering a cleansing enema, the client reports abdominal
cramping. Which of the following is the appropriate intervention?
A. Have the client hold his breath briefly
B. Discontinue the fluid instillation
C. Remind the client that cramping is common at this time
D. Lower the enema fluid container - SELECTED ANSWER 👀 D.
This will slow the rate of instillation & relieve some discomfort
A nurse is caring for a client who has been sitting in a chair for 3 hrs. Which of the
following problems is the client at risk for developing?
, A. Stasis of secretions
B. Muscle atrophy
C. Pressure ulcer
D. Fecal impaction - SELECTED ANSWER 👀 Answer: C
Unrelieved pressure over a bony prominence for too long increases the risk of a
pressure ulcer
A-sitting will help prevent stasis of secretions
B and D-these are from prolonged bed rest
A nurse is caring for a client who is on bed rest. Which of the following interventions
should the nurse implement to maintain the patency of the client's airway?
A. Encourage isometric exercises
B. Suction Q8 hr
C. Give low-dose heparin
D. Promote incentive spirometer use - SELECTED ANSWER 👀 Answer: D. it helps
keep airways open and prevent atelectasis
A-this strengthens skeletal muscles
B-this is not indicated
C-helps prevent thrombus formation
A nurse is caring for a client who is postop. Which of the following nursing
interventions reduce the risk of thrombus development? Select all.
A. Instruct the client not to use the Valsalva maneuver
B. Apply elastic stockings
C. Review lab values for total protein level
D. Place pillows under the client's knees & lower extremities
E. Assist the client to change position often - SELECTED ANSWER 👀 B, E
A nurse is instructing a postop client about the sequential compression device the
provider has prescribed. Which of the following statements should indicate to the
nurse that the client understands the teaching?
A. "This device will keep me from getting sores on my skin."
B. "This thing will keep the blood pumping through my leg."
C. "With this thing on, my leg muscles won't get weak."
Verified Answers| 100% Correct| Grade A (Latest 2026/ 2027
Update) PDF
A nurse who is admitting a client who has a fractured femur obtains a BP reading of
140/94 mmHg. The client denies any history of HTN. Which of the following actions
should the nurse take next?
A. Request a prescription for an antihypertensive med
B. Ask the client if she is having pain
C. Request a prescription for an anti-anxiety med
D. Return in 30min to recheck the client's BP - SELECTED ANSWER 👀 B
Perform a pain assessment would be the appropriate action to take next
A nurse is caring for a client who will perform fecal occult blood testing at home.
Which of the following info should the nurse include when explaining the procedure
to the client?
A. Eating more protein is optimal prior to testing
B. One stool specimen is sufficient for testing
C. A red color change indicates a positive test
D. The specimen cannot be contaminated - SELECTED ANSWER 👀 D.
The stool specimens cannot be contaminated with water or urine
A nurse is talking w/a client who reports constipation. When the nurse discusses
dietary changes that can help prevent constipation, which of the following foods
should the nurse recommend?
A. Macaroni & cheese
B. Fresh fruit & whole wheat toast
C. Rice pudding & ripe bananas
D. Roast chicken & white rice - SELECTED ANSWER 👀 B.
A high-fiber diet promotes normal bowel elimination
A nurse is caring for a client who has had diarrhea for the past 4 days. When
assessing the client, the nurse should expect which of the following findings? Select
all.
,A. Bradycardia
B. Hypotension
C. Fever
D. Poor skin turgor
E. Peripheral edema - SELECTED ANSWER 👀 B, C, D
fever=caused by dehydration
tachycardia not brady
hypotension because of decreased BP from dehydration
fluid overload=peripheral edema
A nurse is preparing to administer a cleansing enema to an adult client in preparation
for a diagnostic procedure. Which of the following are appropriate steps for the nurse
to take? Select all.
A. Warm the enema prior to instillation
B. Position the client on the left side w/the right leg flexed forward
C. Lubricate the rectal tube or nozzle
D. Slowly insert the rectal tube about 2 inches
E. Hang the enema container 24 inches above the client's anus - SELECTED
ANSWER 👀 A, B, C
-D is the appropriate length of insertion for a child, 3-4 for an adult.
-24 inches is too high & will cause it to run to fast & possible painful distention of the
colon, 18 inches is the recommended height
While a nurse is administering a cleansing enema, the client reports abdominal
cramping. Which of the following is the appropriate intervention?
A. Have the client hold his breath briefly
B. Discontinue the fluid instillation
C. Remind the client that cramping is common at this time
D. Lower the enema fluid container - SELECTED ANSWER 👀 D.
This will slow the rate of instillation & relieve some discomfort
A nurse is caring for a client who has been sitting in a chair for 3 hrs. Which of the
following problems is the client at risk for developing?
, A. Stasis of secretions
B. Muscle atrophy
C. Pressure ulcer
D. Fecal impaction - SELECTED ANSWER 👀 Answer: C
Unrelieved pressure over a bony prominence for too long increases the risk of a
pressure ulcer
A-sitting will help prevent stasis of secretions
B and D-these are from prolonged bed rest
A nurse is caring for a client who is on bed rest. Which of the following interventions
should the nurse implement to maintain the patency of the client's airway?
A. Encourage isometric exercises
B. Suction Q8 hr
C. Give low-dose heparin
D. Promote incentive spirometer use - SELECTED ANSWER 👀 Answer: D. it helps
keep airways open and prevent atelectasis
A-this strengthens skeletal muscles
B-this is not indicated
C-helps prevent thrombus formation
A nurse is caring for a client who is postop. Which of the following nursing
interventions reduce the risk of thrombus development? Select all.
A. Instruct the client not to use the Valsalva maneuver
B. Apply elastic stockings
C. Review lab values for total protein level
D. Place pillows under the client's knees & lower extremities
E. Assist the client to change position often - SELECTED ANSWER 👀 B, E
A nurse is instructing a postop client about the sequential compression device the
provider has prescribed. Which of the following statements should indicate to the
nurse that the client understands the teaching?
A. "This device will keep me from getting sores on my skin."
B. "This thing will keep the blood pumping through my leg."
C. "With this thing on, my leg muscles won't get weak."
