Updated
. a nurse is assessing a client who is immobile and notices a red area over the client's coccyx.
Which of the following actions should the nurse take? - ✔✔✔-Assess the red area for blanching
. a nurse is preparing to insert an iv catheter for a client following a right mastectomy. Which of
the following veins should the nurse select when initiating an IV therapy? - ✔✔✔-The cephalic
vein in the left distal forearm
. a nurse is providing teaching to a client about colorectal cancer prevention guidelines. Which
of the following recommendations should the nurse include? - ✔✔✔-Reduce intake of red
meats
10. a nurse is caring for a client who is 2 days postoperative following bowel resection and
reports sudden severe abdominal pain. Which of the following actions should the nurse take
first? - ✔✔✔-Expose the clients abdomen to look for changes in appearance
11. a nurse is providing care for a client who is to undergo a total laryngectomy. Which of the
following interventions is the nurses priority? - ✔✔✔-For the client explain the techniques of
esophageal speech
12. a home care nurse is teaching a client about home safety. Which of the following statements
by the client indicates an understanding of the teaching? (select all that apply) - ✔✔✔--I will
use the bars when getting in and out of the bathtub
-I need to check my medications for expiration dates
-I need to have a fire escape plan with my family
13. a nurse is assessing a client's cranial nerve VII. Which of the following responses should the
nurse expect? - ✔✔✔-The client has a symmetrical smile
, ATI Fundamentals Proctor 2023 Exam with Questions and Answers – 100%
Updated
14. a nurse in an emergency department is assessing a client who reports a right lower quadrant
pain, nausea and vomiting for the past 48 hours? Which of the following actions should the
nurse take first? - ✔✔✔-Auscultate bowel sounds
15. a nurse is caring for a client who recently received a diagnosis of terminal cancer. Which of
the following statements by the clients partner indicates maladaptive coping? - ✔✔✔-I am
going to ask my daughter to come and stay for a week
16. a nurse is planning care for a client who has a stage 1 pressure ulcer on the right heel. The
nurse should anticipate application of which of the following dressings? - ✔✔✔-Transparent
17. a nurse is caring for a client who has brain cancer and is transferring to hospice care. The
client's son tells the nurse "I don't know what to tell my dad if he asks how he is going to die".
Which of the following is an appropriate response from the nurse? - ✔✔✔-I think you should
discuss this with the hospice nurse
18. a nurse is teaching an older adult client who has type 2 diabetes mellitus about how to care
for corns and calluses toes. Which of the following statements by the client indicates
understanding of the teaching? - ✔✔✔-
19. a nurse is caring for a client who has wrists restraints after an episode of violent behavior.
Which of the following actions should the nurse take? - ✔✔✔-Tie the restraints to the side rale
20. a nurse is admitting a client who has a clostridium difficile infection. Which of the following
actions should the nurse take? Select all that apply - ✔✔✔--Wear a gown and gloves when
providing client care
-Wash hands with soap and water after contact with the client