ATI FUNDAMENTALS PROCTORED 2023, SCORE
100%
A nurse is teaching an assistive personnel about a upper body mechanics to
prevent injury. Which of the following actions by the AP demonstrate an
understanding of the teaching?
The AP keeps the object he is lifting close to his body
. 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 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)
. 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
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?
Request a prescription for an indwelling urinary catheter
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
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)
-Apply pressure just below artificial eye to break the suction
-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?
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?
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
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
21. 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?
Remove the stop stocks from iv tubing
22. 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?
Direct verbal discharge instructions to the interpreter
100%
A nurse is teaching an assistive personnel about a upper body mechanics to
prevent injury. Which of the following actions by the AP demonstrate an
understanding of the teaching?
The AP keeps the object he is lifting close to his body
. 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 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)
. 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
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?
Request a prescription for an indwelling urinary catheter
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
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)
-Apply pressure just below artificial eye to break the suction
-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?
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?
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
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
21. 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?
Remove the stop stocks from iv tubing
22. 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?
Direct verbal discharge instructions to the interpreter
