ATI RN Fundamentals Proctored Exam
Questions and Verified Answers
Question 1
A nurse is caring for a client who reports severe sore throat, pain when swallowing, &
swollen lymph nodes. The client is experiencing which of the following stages of
infection?
A. Prodromal
B. Incubation
C. Convalescence
D. Illness
Correct Answer
D. Illness
specific s/s present is the illness stage
Question 2
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
Correct Answer
B
Perform a pain assessment would be the appropriate action to take next
Page 1 of 219
,Question 3
A nursing instructor is reviewing documentation w/a group of nursing students.
Which of the following legal guidelines should they follow when documenting a
client's record? Select all.
A. Cover errors w/correction fluid, & write in the correct info
B. Put the date & time on all entries
C. Document objective data, leaving out opinions
D. Use as many abbreviations as possible
E. Wait until the end of the shift to document
Correct Answer
B, C
Question 4
A nurse has noticed several occasions in the past week when another nurse on the
unit seemed drowsy & unable to focus on the issue at hand. Today, she found the
nurse asleep in a chair in the break room when she was not on break. Which of the
following actions should the nurse take?
A. Remind the nurse that safe client care is a priority on the unit
B. Ask others on the team whether they have observed the same behavior
C. Report observations to the nurse manager on the unit
D. Conclude that her coworker's fatigue is not her problem to solve
Correct Answer
C.
Any nurse who notices behavior that could possibly jeopardize client care or
indicate a substance abuse problem has a duty to report the situation immediately
to the nurse manager
Page 2 of 219
,Question 5
A nurse is caring for a client in a long-term care facility who is receiving enteral
feedings via NG tube. Which of the following is an appropriate nursing action prior to
administering the tube feeding? Select all.
A. Auscultate bowel sounds.
B. Assist the client to an upright position.
C. Test the pH of gastric aspirate.
D. Warm the formula to body temp.
E. Discard any residual gastric contents.
Correct Answer
A, B, C
D-the formula should be room temp not body
E-unless the volume of the contents is more than 250 mL, the nurse should return
the residual content to the client's stomach
Question 6
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
Correct Answer
D.
This will slow the rate of instillation & relieve some discomfort
Page 3 of 219
, Question 7
A nurse is teaching an adult client how to administer ear drops. Which of the
following statements by the client indicates understanding of the proper technique?
A. "I will straighten my ear canal by pulling my ear down & back."
B. "I will gently apply pressure w/my finger to the tragus of my ear after putting in the
drops."
C. "I will insert the nozzle of the ear drop bottle snug into my ear before squeezing
the drops in."
D. "After the drops are in, I will place a cotton ball all the way into my ear canal."
Correct Answer
B.
The client should apply gentle pressure w/the finger to the tragus of the ear after
administering the drops to help the drops go into the ear canal.
Question 8
A client who will undergo neurosurgery the following week tells the nurse in the
surgeon's office that he will prepare his advance directives before he goes to the
hospital. Which of the following statements by the client indicates to the nurse that
he understands advance directives?
A. "I'd rather have my brother make decisions for me, but I know it has to be my wife."
B. "I know they won't go ahead w/the surgery unless I prepare these forms."
C. "I plan to write that I don't want them to keep me on a breathing machine."
D. "I will get my regular doctor to approve my plan before I hand it in at the hospital."
Correct Answer
C.
The client has the right to decide and specify which medical procedures he wants
when a life-threatening situation arrives
Page 4 of 219
Questions and Verified Answers
Question 1
A nurse is caring for a client who reports severe sore throat, pain when swallowing, &
swollen lymph nodes. The client is experiencing which of the following stages of
infection?
A. Prodromal
B. Incubation
C. Convalescence
D. Illness
Correct Answer
D. Illness
specific s/s present is the illness stage
Question 2
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
Correct Answer
B
Perform a pain assessment would be the appropriate action to take next
Page 1 of 219
,Question 3
A nursing instructor is reviewing documentation w/a group of nursing students.
Which of the following legal guidelines should they follow when documenting a
client's record? Select all.
A. Cover errors w/correction fluid, & write in the correct info
B. Put the date & time on all entries
C. Document objective data, leaving out opinions
D. Use as many abbreviations as possible
E. Wait until the end of the shift to document
Correct Answer
B, C
Question 4
A nurse has noticed several occasions in the past week when another nurse on the
unit seemed drowsy & unable to focus on the issue at hand. Today, she found the
nurse asleep in a chair in the break room when she was not on break. Which of the
following actions should the nurse take?
A. Remind the nurse that safe client care is a priority on the unit
B. Ask others on the team whether they have observed the same behavior
C. Report observations to the nurse manager on the unit
D. Conclude that her coworker's fatigue is not her problem to solve
Correct Answer
C.
Any nurse who notices behavior that could possibly jeopardize client care or
indicate a substance abuse problem has a duty to report the situation immediately
to the nurse manager
Page 2 of 219
,Question 5
A nurse is caring for a client in a long-term care facility who is receiving enteral
feedings via NG tube. Which of the following is an appropriate nursing action prior to
administering the tube feeding? Select all.
A. Auscultate bowel sounds.
B. Assist the client to an upright position.
C. Test the pH of gastric aspirate.
D. Warm the formula to body temp.
E. Discard any residual gastric contents.
Correct Answer
A, B, C
D-the formula should be room temp not body
E-unless the volume of the contents is more than 250 mL, the nurse should return
the residual content to the client's stomach
Question 6
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
Correct Answer
D.
This will slow the rate of instillation & relieve some discomfort
Page 3 of 219
, Question 7
A nurse is teaching an adult client how to administer ear drops. Which of the
following statements by the client indicates understanding of the proper technique?
A. "I will straighten my ear canal by pulling my ear down & back."
B. "I will gently apply pressure w/my finger to the tragus of my ear after putting in the
drops."
C. "I will insert the nozzle of the ear drop bottle snug into my ear before squeezing
the drops in."
D. "After the drops are in, I will place a cotton ball all the way into my ear canal."
Correct Answer
B.
The client should apply gentle pressure w/the finger to the tragus of the ear after
administering the drops to help the drops go into the ear canal.
Question 8
A client who will undergo neurosurgery the following week tells the nurse in the
surgeon's office that he will prepare his advance directives before he goes to the
hospital. Which of the following statements by the client indicates to the nurse that
he understands advance directives?
A. "I'd rather have my brother make decisions for me, but I know it has to be my wife."
B. "I know they won't go ahead w/the surgery unless I prepare these forms."
C. "I plan to write that I don't want them to keep me on a breathing machine."
D. "I will get my regular doctor to approve my plan before I hand it in at the hospital."
Correct Answer
C.
The client has the right to decide and specify which medical procedures he wants
when a life-threatening situation arrives
Page 4 of 219
