ATI Fundamental Proctored Exam| Fundamentals
Proctored Exam| Graded A+| Latest 2022/2023
A nurses planning to administer pain medication to a client following abdominal
surgery. Which of the following actions should the nurse take first?
use the pain scale to determine the client's pain level
discuss the adverse effects of pain medication with the client
obtain the client's vital signs
check the client's allergies - ANSWER-use the pain scale to determine the client's
pain level
a nurse is teaching a client who is using a patient-controlled analgesia (PCA) pump
to deliver morphine for pain management. which of the following statements
should the nurse identify as an indication that the client understands the
instructions?
I'll limit pushing the button so I don't get an overdose
if I push the button and still have pain after 2 minutes, I'll push it again
I'll ask my niece to push the button when I am sleeping
I can still use my transcutaneous electrical nerve stimulation unit while I'm
pushing the PCA button - ANSWER-I can still use my transcutaneous electrical
nerve stimulation unit while I'm pushing the PCA button
a nurse is preparing to administer a bolus feeding to a client through an NG tube
and observes that the exit mark on the tube has moved since the last feeding.
Which of the following actions should the nurse plan to take?
auscultate over the stomach while injecting air
request an x-ray of the client's abdomen
place the head of the client's bed in a flat position
administer the feeding if the pH of the aspirated contents is >6 - ANSWER-request
an x-ray of the client's abdomen
, ATI Fundamental Proctored Exam| Fundamentals
Proctored Exam| Graded A+| Latest 2022/2023
A nurse in a same-day procedure unit is caring for several clients who are
undergoing different types of procedures. the nurse should anticipate that the client
who has which of the following devices can safely undergo magnetic resonance
imaging (MRI)?
coronary artery stents
aneurysm clip
hearing aids
automated internal defibrillator - ANSWER-hearing aids
A nurse is performing eye irrigation for a client who was exposed to smoke and
ash. Which of the following actions should the nurse take?
Hold the irrigator 1.25 cm (0.5 in) above the eye
direct the irrigation solution up toward the upper eyelid
exert pressure on the bony prominences when holding the eyelids open
direct the irrigation from the outer canthus to the inner canthus of the eye -
ANSWER-exert pressure on the bony prominences when holding the eyelids open
A nurse is preparing to provide chest physiotherapy for a client who has left lower
lobe atelectasis. Which of the following actions should the nurse plan to take?
Place the client in the trendelenburg position
perform percussion directly over the client's bare skin
use a flattened hand to perform percussions
remind the client that chest percussions can cause mild pain - ANSWER-Place the
client in the trendelenburg position
, ATI Fundamental Proctored Exam| Fundamentals
Proctored Exam| Graded A+| Latest 2022/2023
A nurse is changing the dressings for a client who is 3 days postoperative
following a cholecystectomy. The nurse observes yellow, thick drainage on the
dressing. The nurse should document this finding as which of the following types
of drainage?
sanguineous exudate
serous exudate
serosanguineous exudate
purulent exudate - ANSWER-purulent exudate
A nurse is teaching a client who is recovering from gallbladder surgery how to use
an incentive spirometer. Which of the following pieces of information should the
nurse include in the teaching?
exhale slowly to reach the goal volume
hold the breath for 5 sec after goal volume is reached
continue to breathe deeply between each cycle
limit the repeat pattern of breathing to 5 breaths - ANSWER-hold the breath for 5
sec after goal volume is reached
A nurse is administering a cleansing enema to a client who is scheduled for a
diagnostic procedure. which of the following actions should the nurse take?
Lubricate up to 3.2 cm (1.25 in) of the tip of the rectal tube
position the client on the right side
insert the tip of the tubing 8 cm (3.1 in)
hold the enema container 61 cm (24 in) above the rectum - ANSWER-Insert the tip
of the tubing 8 cm (3.1 in)
Proctored Exam| Graded A+| Latest 2022/2023
A nurses planning to administer pain medication to a client following abdominal
surgery. Which of the following actions should the nurse take first?
use the pain scale to determine the client's pain level
discuss the adverse effects of pain medication with the client
obtain the client's vital signs
check the client's allergies - ANSWER-use the pain scale to determine the client's
pain level
a nurse is teaching a client who is using a patient-controlled analgesia (PCA) pump
to deliver morphine for pain management. which of the following statements
should the nurse identify as an indication that the client understands the
instructions?
I'll limit pushing the button so I don't get an overdose
if I push the button and still have pain after 2 minutes, I'll push it again
I'll ask my niece to push the button when I am sleeping
I can still use my transcutaneous electrical nerve stimulation unit while I'm
pushing the PCA button - ANSWER-I can still use my transcutaneous electrical
nerve stimulation unit while I'm pushing the PCA button
a nurse is preparing to administer a bolus feeding to a client through an NG tube
and observes that the exit mark on the tube has moved since the last feeding.
Which of the following actions should the nurse plan to take?
auscultate over the stomach while injecting air
request an x-ray of the client's abdomen
place the head of the client's bed in a flat position
administer the feeding if the pH of the aspirated contents is >6 - ANSWER-request
an x-ray of the client's abdomen
, ATI Fundamental Proctored Exam| Fundamentals
Proctored Exam| Graded A+| Latest 2022/2023
A nurse in a same-day procedure unit is caring for several clients who are
undergoing different types of procedures. the nurse should anticipate that the client
who has which of the following devices can safely undergo magnetic resonance
imaging (MRI)?
coronary artery stents
aneurysm clip
hearing aids
automated internal defibrillator - ANSWER-hearing aids
A nurse is performing eye irrigation for a client who was exposed to smoke and
ash. Which of the following actions should the nurse take?
Hold the irrigator 1.25 cm (0.5 in) above the eye
direct the irrigation solution up toward the upper eyelid
exert pressure on the bony prominences when holding the eyelids open
direct the irrigation from the outer canthus to the inner canthus of the eye -
ANSWER-exert pressure on the bony prominences when holding the eyelids open
A nurse is preparing to provide chest physiotherapy for a client who has left lower
lobe atelectasis. Which of the following actions should the nurse plan to take?
Place the client in the trendelenburg position
perform percussion directly over the client's bare skin
use a flattened hand to perform percussions
remind the client that chest percussions can cause mild pain - ANSWER-Place the
client in the trendelenburg position
, ATI Fundamental Proctored Exam| Fundamentals
Proctored Exam| Graded A+| Latest 2022/2023
A nurse is changing the dressings for a client who is 3 days postoperative
following a cholecystectomy. The nurse observes yellow, thick drainage on the
dressing. The nurse should document this finding as which of the following types
of drainage?
sanguineous exudate
serous exudate
serosanguineous exudate
purulent exudate - ANSWER-purulent exudate
A nurse is teaching a client who is recovering from gallbladder surgery how to use
an incentive spirometer. Which of the following pieces of information should the
nurse include in the teaching?
exhale slowly to reach the goal volume
hold the breath for 5 sec after goal volume is reached
continue to breathe deeply between each cycle
limit the repeat pattern of breathing to 5 breaths - ANSWER-hold the breath for 5
sec after goal volume is reached
A nurse is administering a cleansing enema to a client who is scheduled for a
diagnostic procedure. which of the following actions should the nurse take?
Lubricate up to 3.2 cm (1.25 in) of the tip of the rectal tube
position the client on the right side
insert the tip of the tubing 8 cm (3.1 in)
hold the enema container 61 cm (24 in) above the rectum - ANSWER-Insert the tip
of the tubing 8 cm (3.1 in)
