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Ati fundamentals proctored exam questions and answers with rationales

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Ati fundamentals proctored exam questions and answers with rationalesATI Fundamentals Proctored Exam with Rationales | LATEST 2020/ 2021 1. A nurse is caring for a client who has bilateral cats on her hands. Which of the following actions should the nurse take when assisting the client with feeding? A. Sit at the bedside when feeding the client -The nurse should avoid appearing to be in a hurry. Sitting at the bedside provides the client with the nurse’s full attention during the feeding B. Order pureed foods -incorrect: Without any mouth or throat injuries that make chewing or swallowing difficult, the client should be served foods of an appropriate variety of textures. Pureed foods are for clients who cannot chew, have difficulty swallowing, or do not have teeth. C. Make sure feedings are provided at room temperature -incorrect: The nurse should ask the client if the food is the correct temperature D. Offer the client a drink of fluid after every bite -incorrect: If the client is unable to communicate, the nurse should offer the client fluids after every 3 or 4 mouthfuls. However, there is no indication that this client is unable to communicate. Therefore, the client should tell the nurse when she would like a drink. 2. A nurse is administering an IM injection to a 5-month-old infant. Which of the following injection sites should the nurse use? A. Deltoid -incorrect: The nurse can use the deltoid muscle for injecting small volumes of medication for children 18 months of age or older, but its proximity to several nerves and arteries make it a riskier choice. B. Ventrogluteal -incorrect: This is a safe site for IM injections for clients older than 7 months. C. Vastus lateralis -The nurse should use the vastus lateralis site over the anterior thigh for IM injections for infants and children. D. Dorsogluteal -incorrect: This site is unsafe to use because of its proximity to the sciatic nerve and the superior gluteal nerve and artery. 3. A nurse is caring for a client who has major fecal incontinence and reports irritation in the perianal area. Which of the following actions should the nurse take first? A. Apply a fecal collection system -incorrect: The nurse should apply a fecal collection system to divert the feces away from the area of skin irritation; however, there is another action the nurse should take first. B. Apply a barrier cream -incorrect: The nurse should apply a barrier cream to decrease skin breakdown in the perianal area from the feces; however, there is another action the nurse should take first. C. Cleanse and dry the area -incorrect: The nurse should cleanse and dry the perianal area to decrease skin irritation; however, there is another action the nurse should take first. D. Check the client’s perineum -The nurse should apply the nursing process priority-setting framework to plan care and prioritize nursing actions. Each step of the nursing process builds on the previous step, beginning with an assessment or data collection. Before the nurse can formulate a plan of action, implement a nursing intervention, or notify a provider of a change in the client’s status, the nurse must first collect adequate data from the client. Assessing or collecting additional data will provide the nurse with knowledge to make an appropriate decision. The priority nursing action is for the nurse to collect more data by assessing the area of irritation. 4. A nurse is caring for a client who is receiving IV therapy via a peripheral catheter. The nurse should identify that which of the following findings is an indication of infiltration? A. Redness at the infusion site -incorrect: Redness at the infusion site is an indication of phlebitis or infection. B. Edema at the infusion site -Edema due to fluid entering subcutaneous tissue is an indication of infiltration. C. Warmth at the infusion site -incorrect: Warmth at the infusion site is an indication of phlebitis or infection. D. Oozing of blood at the infusion site -incorrect: Oozing of blood at the infusion site is an indication that the IV system is not intact. 5. A nurse is caring for a client who reports not sleeping at night, which interferes with her ability to function during the day. Which of the following interventions should the nurse suggest to this client? A. Avoid beverages that contain caffeine -Caffeine is a stimulant. The nurse should suggest that the client avoid caffeinated beverages. B. Take a sleep medication regularly at bedtime -incorrect: Sleep-promoting medication is a last resort. The nurse should not suggest this type of medication for the client before recommending other nonpharmacological interventions. C. Watch television for 30 minutes in bed to relax prior to falling asleep -incorrect: Clients should associate going to bed with sleep. Therefore, the client should not get into bed until she is sleepy. D. Advise the client to take several naps during the day -incorrect: Napping in the daytime can prevent sound sleep at night 6. A nurse is providing teaching to a client regarding protein intake. Which of the following foods should the nurse include as an example of an incomplete protein? A. Eggs -incorrect: this is a complete protein, contains all of the essential amino acids necessary for the synthesis of protein in the body. B. Soybeans -incorrect: this is a complete protein, contains all of the essential amino acids necessary for the synthesis of protein in the body. C. Lentils

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ATI FUNDAMENTALS PROCTORED EXAM




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,ATI FUNDAMENTALS PROCTORED EXAM: LATEST 2021|
MORE THAN 300 QUESTION AND ANSWERS

1. A nurse is teaching an assistive personnel about a upper body mechanics to prevent injury. Which ofthe
following actions by the AP demonstrate an understanding of the teaching?

The AP keeps the object he is lifting close to his body

2. 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?

Change the clients position every 4 hours

Apply petroleum base ointment in the red area

Assess the red area for blanching

Use friction when cleansing the client’s skin

3. 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 radial vein on the left wrist

The cephalic vein in the left distal forearm

The basilic vein in the right antecubital fossa

The cephalic vein on the back of the right hand

4. a nurse is preparing to administer a medication into a client by the intradermal route after applying
gloves and cleaning the site with an antiseptic swab. In what order should the nurse take the steps to
administer the medication? (move steps into box 1- 4 priority)

1.Use a nondominated hand to stretch the skin

2. Insert the needle at an angle

3. inject the medication

4. Withdrawal the needle

5. Activate the needle safety device

5. a nurse is providing teaching to a client about colorectal cancer prevention guidelines. Which of the
following recommendations should the nurse include?

Intake of dietary fiber

Have a fecal occult blood test every 2 years

Reduce intake of red meats

Have a colonoscopy every 3 years

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, 6. a nurse is planning care to prevent skin breakdown for a client who is immobile and is urinary
incontinent. Which of the following actions should the nurse include in the plan of care?

Reposition the client every 4 hours

Arrange for an alternating pressure mattress

Apply cornstarch to the skin

Request a prescription for an indwelling urinary catheter

7. a nurse is preparing to apply a condom catheter for a client who is uncircumcised which of the following
actions should the nurse plan to take?

Place adhesive tape directly on the penis

Allow 2.5 to 5 m between the end of the catheter and the tip of the penis

Keep foreskin in a retractable position after application of the catheter

Change the condom catheter every 3 days

8. a nurse is teaching a client who had an enucleation about care of an artificial eye. Which of the following
information should the include in the teaching? (select all that apply)

Store the artificial eye in the label container filled with 0.9% sodium chloride irrigation remove from the

artificial eye by retracting the upper eyelid

Apply pressure just below artificial eye to break the suction

Clear the artificial eye with hydrogen peroxide before storing

Retract the upper and lower lids to reinsert the artificial eye

9. a nurse is reviewing client confidentiality with a newly licensed nurse. The nurse should identify which of
the following examples as a violation of HIPPA?

Faxing medical information about the client to a provider’s office

Teaching a client discharge instruction with his partner present

Giving a telephone report to a surgical nurse and sending the client to the surgical suite

Discussing the clients transfer to a long-term care facility with a nurse from another unit

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?

Determine areas of resonance across the abdomen using a systematic approach

Expose the clients abdomen to look for changes in appearance

Perform abdominal palpation by pressing gently with the finger pads

Use the diaphragm of the stethoscope to listen for bowel sounds

11. a nurse is providing care for a client who is to undergo a total laryngectomy. Which of the
followinginterventions is the nurses priority?

Determine the client’s reading ability

Review the use of an artificial larynx
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, With the client schedule a support session

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 bath tub

I need to check my medications for expiration dates

I need to have a fire escape plan with my family

I will apply tape over frayed areas of electrical cords

I need to set my hot water heater to 140 degrees Fahrenheit

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

The client’s tongue is in a midline position

The client turns his head against resistance

The clients pupils constrict and responds to light

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? Offer
pain medication

Palpate the abdomen

Auscultate bowel sounds

Administer an antiemetic

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? Don’t understand why he can’t get better
and return to work

I cook for him at home and work hard to prepare a nutritious meals

I am going to ask my daughter to come and stay for a week

I don’t know if I will be able to meet his physical needs

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?

Dry gauge

Transparent

Calcium alginate

Hydrogel



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