ATI Fundamentals 2021 Proctored Exam ||
Fundamentals ATI Proctored Exam 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
This study source was downloaded by 100000819951441 from CourseHero.com on 05-16-2021 01:42:52 GMT -05:00
https://www.coursehero.com/file/45030796/funds-study-guidedocx/
, Have a colonoscopy every 3 years
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
This study source was downloaded by 100000819951441 from CourseHero.com on 05-16-2021 01:42:52 GMT -05:00
https://www.coursehero.com/file/45030796/funds-study-guidedocx/
, Review the use of an artificial larynx
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
This study source was downloaded by 100000819951441 from CourseHero.com on 05-16-2021 01:42:52 GMT -05:00
https://www.coursehero.com/file/45030796/funds-study-guidedocx/
, 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
a nurse is teaching an older adult client who has type 2 diabetes mellitus about how to
care for cornsand calluses toes. Which of the following statements by the client
indicates understanding of the teaching?
II can apply lotion to soften the calluses as long as I don’t put lotion between my toes
I can place an oval corn pad over toes that have corns as longs as a remove the pad weekly
I should soak my feet in warm water daily to soften corns and calluses
I should use an over the counter liquid medication to remove corns
18. a nurse is caring for a client who has wrists restraints after an episode of violent behavior. Which ofthe
following actions should the nurse take?
Tie the restraints to the side rale
Secure restraints with a square knot
Remove one restraint at a time
Remove the restraints every 3 hours
19. 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
Use an N95 respirator while providing client care
Wear a gown and gloves when providing client care
Assign the client to a private room with positive are flow
Wash hands with soap and water after contact with the client
Ensure the client does not receive fresh fruits
20. a nurse is planning care for a client who has latex allergy and is scheduled for surgery. Which of the
following actions is appropriate to include in the clients plan of care?
Schedule the client as the first surgical procedure of the day
Cleanse the stoppers with primidone iodine for withdrawing medication
Remove the stop stocks from iv tubing
Ensure the gloves in the surgical suite are powdered gloves
21. a nurse is providing discharge teaching to a client who does not speak the same language as the nurse.
Which of the following actions should the nurse take?
Offer written instructions in the clients language
Request that an assistive personnel interpret instructions for the client
Use proper medical terms giving instructions to client
Direct verbal discharge instructions to the interpreter
This study source was downloaded by 100000819951441 from CourseHero.com on 05-16-2021 01:42:52 GMT -05:00
https://www.coursehero.com/file/45030796/funds-study-guidedocx/
Fundamentals ATI Proctored Exam 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
This study source was downloaded by 100000819951441 from CourseHero.com on 05-16-2021 01:42:52 GMT -05:00
https://www.coursehero.com/file/45030796/funds-study-guidedocx/
, Have a colonoscopy every 3 years
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
This study source was downloaded by 100000819951441 from CourseHero.com on 05-16-2021 01:42:52 GMT -05:00
https://www.coursehero.com/file/45030796/funds-study-guidedocx/
, Review the use of an artificial larynx
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
This study source was downloaded by 100000819951441 from CourseHero.com on 05-16-2021 01:42:52 GMT -05:00
https://www.coursehero.com/file/45030796/funds-study-guidedocx/
, 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
a nurse is teaching an older adult client who has type 2 diabetes mellitus about how to
care for cornsand calluses toes. Which of the following statements by the client
indicates understanding of the teaching?
II can apply lotion to soften the calluses as long as I don’t put lotion between my toes
I can place an oval corn pad over toes that have corns as longs as a remove the pad weekly
I should soak my feet in warm water daily to soften corns and calluses
I should use an over the counter liquid medication to remove corns
18. a nurse is caring for a client who has wrists restraints after an episode of violent behavior. Which ofthe
following actions should the nurse take?
Tie the restraints to the side rale
Secure restraints with a square knot
Remove one restraint at a time
Remove the restraints every 3 hours
19. 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
Use an N95 respirator while providing client care
Wear a gown and gloves when providing client care
Assign the client to a private room with positive are flow
Wash hands with soap and water after contact with the client
Ensure the client does not receive fresh fruits
20. a nurse is planning care for a client who has latex allergy and is scheduled for surgery. Which of the
following actions is appropriate to include in the clients plan of care?
Schedule the client as the first surgical procedure of the day
Cleanse the stoppers with primidone iodine for withdrawing medication
Remove the stop stocks from iv tubing
Ensure the gloves in the surgical suite are powdered gloves
21. a nurse is providing discharge teaching to a client who does not speak the same language as the nurse.
Which of the following actions should the nurse take?
Offer written instructions in the clients language
Request that an assistive personnel interpret instructions for the client
Use proper medical terms giving instructions to client
Direct verbal discharge instructions to the interpreter
This study source was downloaded by 100000819951441 from CourseHero.com on 05-16-2021 01:42:52 GMT -05:00
https://www.coursehero.com/file/45030796/funds-study-guidedocx/
