2025 ATI Fundamentals Proctored Retake Exam – 2
Versions, 70 Questions Each with NGN Questions (2019)
| Updated 2023 | Guaranteed A+ Study Guide for Nursing
Students
1. A nurse is planning care for a group of clients. Which of the following
tasks should the nursedelegate to an assistive personnel?
A. Changing the dressing for a client who has a 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 postmortem care to a client Postmortem care serves several
purposes, including: preparing the patient for viewing by family. ensuring proper
identification of the patient prior to transportation to the morgue or funeral home.
providing appropriate dispositionof patient's belongings. maintaining vital organs,
if donation is planned.)
2. A nurse is conducting a health assessment for a client who takes herbal supplements.
Which ofthe 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 use ginger when I get car sick
D. I use garlic for my menopausal symptoms
3. A nurse is caring for a client who has influenza and isolation precautions in
place. Which ofthe following actions should the nurse take to prevent the
spread of infection?
A. Wear a mask when working within 3 feet 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 NGtube. Which of the following actions should the
nurse take?
A. 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 has tuberculosis. Which of the following
types of
transmission precautions should the nurse plan to initiate?
A. Droplet
B.
Airbornes
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 make?
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 of ipecac.
7. A nurse is documenting a client's medical record. Which of the
following entries should thenurse record.
, A. Oral temperature slightly
elevated at 0800B. 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 actionsshould 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
involvingclient 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. An assistive personnel discusses client care in the facility cafeteria with
visitorspresent.
C. A nurse begins a blood transfusion without obtaining consent.
D. An assistive personnel prevents a client from leaving the facility.
10. A nurse is collecting a sputum specimen for culture from a client
who has a respiratoryinfection. Which of the following actions should
the nurse take?
A. Wear sterile 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?
Decreased sense of balanced
Increased nighttime sleeping
Heightened sense of pain
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 allthat apply)
“Cut the opening of the pouch ⅛ of an inch larger than the stoma “
“Place a piece a gauze over the stoma while changing the pouch”
Versions, 70 Questions Each with NGN Questions (2019)
| Updated 2023 | Guaranteed A+ Study Guide for Nursing
Students
1. A nurse is planning care for a group of clients. Which of the following
tasks should the nursedelegate to an assistive personnel?
A. Changing the dressing for a client who has a 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 postmortem care to a client Postmortem care serves several
purposes, including: preparing the patient for viewing by family. ensuring proper
identification of the patient prior to transportation to the morgue or funeral home.
providing appropriate dispositionof patient's belongings. maintaining vital organs,
if donation is planned.)
2. A nurse is conducting a health assessment for a client who takes herbal supplements.
Which ofthe 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 use ginger when I get car sick
D. I use garlic for my menopausal symptoms
3. A nurse is caring for a client who has influenza and isolation precautions in
place. Which ofthe following actions should the nurse take to prevent the
spread of infection?
A. Wear a mask when working within 3 feet 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 NGtube. Which of the following actions should the
nurse take?
A. 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 has tuberculosis. Which of the following
types of
transmission precautions should the nurse plan to initiate?
A. Droplet
B.
Airbornes
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 make?
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 of ipecac.
7. A nurse is documenting a client's medical record. Which of the
following entries should thenurse record.
, A. Oral temperature slightly
elevated at 0800B. 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 actionsshould 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
involvingclient 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. An assistive personnel discusses client care in the facility cafeteria with
visitorspresent.
C. A nurse begins a blood transfusion without obtaining consent.
D. An assistive personnel prevents a client from leaving the facility.
10. A nurse is collecting a sputum specimen for culture from a client
who has a respiratoryinfection. Which of the following actions should
the nurse take?
A. Wear sterile 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?
Decreased sense of balanced
Increased nighttime sleeping
Heightened sense of pain
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 allthat apply)
“Cut the opening of the pouch ⅛ of an inch larger than the stoma “
“Place a piece a gauze over the stoma while changing the pouch”
