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ATI Nursing Proctored Exam Pack: Latest
Questions & Answers with Detailed
Rationales
**1. A nurse is caring for a client who has a new tracheostomy. Which
action should the nurse take first when the client begins to desaturate
to 85%?**
A) Suction the tracheostomy
B) Call the rapid response team
C) Increase the oxygen flow rate
D) Manually ventilate with a bag-valve mask
**2. A nurse is preparing to administer a blood transfusion. Which IV
solution is compatible with packed red blood cells?**
A) Lactated Ringer’s
B) 5% Dextrose in Water (D5W)
C) 0.9% Normal Saline
D) 0.45% Normal Saline
,**3. A client is on fall precautions. Which nursing action is most
appropriate?**
A) Keep all four side rails up
B) Place the bed in the highest position
C) Lock the bed wheels and keep the call light within reach
D) Apply wrist restraints at night
**4. A nurse is delegating tasks to a licensed practical nurse (LPN).
Which task is appropriate to delegate?**
A) Initial admission assessment
B) Administration of IV push morphine
C) Suctioning a stable tracheostomy patient
D) Creating the plan of care
**5. A nurse discovers a small fire in a patient’s trash can. What is the
priority action?**
A) Pull the fire alarm
B) Use the nearest fire extinguisher
C) Rescue the patient from the room
D) Close all doors
**6. A nurse is reviewing informed consent. Which statement by the
client indicates a need for further teaching?**
,A) “I can change my mind after signing.”
B) “My doctor explained the risks and benefits.”
C) “The nurse will be performing my surgery.”
D) “I understand I might need a blood transfusion.”
**7. A client refuses to take a prescribed medication. What is the
nurse’s best response?**
A) “You must take it, or I will tell the doctor.”
B) “Can you tell me why you are refusing?”
C) “I’ll hide it in your food.”
D) “Your family wants you to take it.”
**8. A nurse is preparing to insert a urinary catheter. Which technique
is correct?**
A) Use sterile gloves only, no other sterile equipment
B) Clean the meatus from the anal area toward the urethra
C) Use a new sterile catheter if the first touches a non-sterile surface
D) Lubricate the catheter after insertion
**9. A nurse is caring for a post-op patient who is confused and pulling
at IV lines. Which restraint order is acceptable?**
A) PRN (as needed) restraint use
B) “Restrain for 24 hours for confusion”
, C) “Apply wrist restraints, renew every 72 hours”
D) “Soft wrist restraints for 2 hours, reassess in person within 1 hour”
**10. A nurse is discharging a patient with a new colostomy. Which
statement indicates understanding?**
A) “I should only change the appliance once a week.”
B) “I’ll cut the wafer opening slightly larger than my stoma.”
C) “I’ll call if my stoma turns dark purple.”
D) “My stoma should bleed easily every time I clean it.”
**11. A nurse receives a telephone order from a physician. What is
required?**
A) The physician’s medical license number only
B) “Read back” the order and document “T.O.” with verification
C) A second nurse listening on speakerphone
D) Only written orders are allowed now
**12. A client has a living will. The client is now terminally ill and
unconscious. Who makes treatment decisions?**
A) The nurse
B) The hospital ethics committee
C) The client’s designated healthcare proxy or family according to the
living will
ATI Nursing Proctored Exam Pack: Latest
Questions & Answers with Detailed
Rationales
**1. A nurse is caring for a client who has a new tracheostomy. Which
action should the nurse take first when the client begins to desaturate
to 85%?**
A) Suction the tracheostomy
B) Call the rapid response team
C) Increase the oxygen flow rate
D) Manually ventilate with a bag-valve mask
**2. A nurse is preparing to administer a blood transfusion. Which IV
solution is compatible with packed red blood cells?**
A) Lactated Ringer’s
B) 5% Dextrose in Water (D5W)
C) 0.9% Normal Saline
D) 0.45% Normal Saline
,**3. A client is on fall precautions. Which nursing action is most
appropriate?**
A) Keep all four side rails up
B) Place the bed in the highest position
C) Lock the bed wheels and keep the call light within reach
D) Apply wrist restraints at night
**4. A nurse is delegating tasks to a licensed practical nurse (LPN).
Which task is appropriate to delegate?**
A) Initial admission assessment
B) Administration of IV push morphine
C) Suctioning a stable tracheostomy patient
D) Creating the plan of care
**5. A nurse discovers a small fire in a patient’s trash can. What is the
priority action?**
A) Pull the fire alarm
B) Use the nearest fire extinguisher
C) Rescue the patient from the room
D) Close all doors
**6. A nurse is reviewing informed consent. Which statement by the
client indicates a need for further teaching?**
,A) “I can change my mind after signing.”
B) “My doctor explained the risks and benefits.”
C) “The nurse will be performing my surgery.”
D) “I understand I might need a blood transfusion.”
**7. A client refuses to take a prescribed medication. What is the
nurse’s best response?**
A) “You must take it, or I will tell the doctor.”
B) “Can you tell me why you are refusing?”
C) “I’ll hide it in your food.”
D) “Your family wants you to take it.”
**8. A nurse is preparing to insert a urinary catheter. Which technique
is correct?**
A) Use sterile gloves only, no other sterile equipment
B) Clean the meatus from the anal area toward the urethra
C) Use a new sterile catheter if the first touches a non-sterile surface
D) Lubricate the catheter after insertion
**9. A nurse is caring for a post-op patient who is confused and pulling
at IV lines. Which restraint order is acceptable?**
A) PRN (as needed) restraint use
B) “Restrain for 24 hours for confusion”
, C) “Apply wrist restraints, renew every 72 hours”
D) “Soft wrist restraints for 2 hours, reassess in person within 1 hour”
**10. A nurse is discharging a patient with a new colostomy. Which
statement indicates understanding?**
A) “I should only change the appliance once a week.”
B) “I’ll cut the wafer opening slightly larger than my stoma.”
C) “I’ll call if my stoma turns dark purple.”
D) “My stoma should bleed easily every time I clean it.”
**11. A nurse receives a telephone order from a physician. What is
required?**
A) The physician’s medical license number only
B) “Read back” the order and document “T.O.” with verification
C) A second nurse listening on speakerphone
D) Only written orders are allowed now
**12. A client has a living will. The client is now terminally ill and
unconscious. Who makes treatment decisions?**
A) The nurse
B) The hospital ethics committee
C) The client’s designated healthcare proxy or family according to the
living will
