ATI 2019 Fundamentals Proctored Exam,
ATI Fundamentals Retake
A nurse is planning care for a group of clients. Which of the
following tasks should the nurse delegate to an assistive
personnel?
a. Changing the dressing for a client who has a stage 3 pressure
injury
b. Determining a client's response to a diuretic
c. Comparing radial pulses for a client who is postoperative
d. Providing postmortem care to a client - CORRECT ANSWER
d. Providing postmortem care to a client
A nurse is conducting a health assessment for a client who takes
herbal supplements. Which of the following statements by the
client indicates an understanding of the use of the supplements?
A. I take ginkgo biloba for a headache
B. I take echinacea to control my cholesterol
C. I use ginger when I get car sick
D. I use garlic for my menopausal symptoms
- CORRECT ANSWER I use ginger when I get car sick
Discharge documentation should include - CORRECT ANSWER
Type of discharge, date & time of discharge, who went with the
client & transportation, where the client went, summary of clients
current condition at discharge, description of any unresolved
difficulties and disposition of valuables, medications brought from
home & prescriptions.
Documentation & abbreviations and symbols - CORRECT
ANSWER Being accurate & concise is an important element of
documentation. Only abbreviations & symbols approved by The
Joint Commission and the facility are acceptable.
,A nurse is discussing the HIPPA privacy rule with nurses during
new employee orientation. Which of the following information
should the nurse include? - CORRECT ANSWER Family
members should provide a code prior to receiving client health
information
Communication of a client can occur at the nurse's station
A client can request a hard copy of their records
Nurses may photocopy a client's medical record for transfer to
another facility.
A nurse is receiving a providers prescription for morphine by
telephone for a client who is reporting moderate to severe pain.
What are the appropriate nursing actions? - CORRECT
ANSWER Repeat the details of the prescription back to the
provider, have another nurse listen to the telephone prescription
and obtain the providers signature on the prescription within 24
hours.
A problem is an ethical dilemma when - CORRECT ANSWER
I. A review of scientific data is not enough to solve it
II. It involves a conflict between two moral imperatives
III. The answer will have a profound effect on the situation and the
client
Ethical dilemmas are problems that - CORRECT ANSWER
involve more than one choice and stem from differences in the
values and beliefs of decision makers
Autonomy - CORRECT ANSWER the right to makes one's own
personal decisions, even when those decisions might not be in
the that person's best interest.
,Beneifience - CORRECT ANSWER positive actions to help
others (do good)
Fidelity - CORRECT ANSWER agreement to keep promises
Justice - CORRECT ANSWER fairness in care delivery and
use of resources
Nonmaleficence - CORRECT ANSWER avoidance of harm or
injury (do no harm)
Admission inventory of personal items include - CORRECT
ANSWER clothing, jewelry, money, credit cards, assistive
devices, medications, cell phones and other technology devices,
and religious articles... Nurses should discourage keeping
valuables at the bedside.
The nurse will document what related to personal items? -
CORRECT ANSWER The nurse will document communication
with the client related to items left within the room and valuables
locked in the facility's safe.
Assault (intentional tort) - CORRECT ANSWER The conduct of
one person makes another person fearful and apprehensive.
Example: a nurse threatens to place an NG tube in a client who is
refusing to eat.
Battery (intentional tort) - CORRECT ANSWER Intentional &
wrongful physical contract with a person that involves an injury of
offensive contact.
Example: A nurse restrains a client and administers an injection
against her wishes.
False Imprisonment (Intentional Tort) - CORRECT ANSWER A
person is confined or retained against his will. The nurses uses
, restraints on a competent client to prevent his leaving the health
care facility.
What should the nurse teach older clients about home safety? -
CORRECT ANSWER To place electrical cords & extension
cords against a wall behind furniture and use a nonskid mat in the
tub or shower & place a shower chair in the shower and a beside
commode if needed.
The client who has heat stroke will have what sign? - CORRECT
ANSWER Hypotension
One of the nurse's responsibility for a client in restraints is to
make sure... - CORRECT ANSWER the restraints are loose
enough for range of motion & that there is enough room to fit two
fingers between the restraints & the client.
What is the priority action for a patient with a history of falls? -
CORRECT ANSWER Complete a fall risk assessment.
What blood glucose level requires immediate action? - CORRECT
ANSWER 70 mg/dL of less
What are manifestations of hypoglycemia? - CORRECT
ANSWER Mild shakiness, mental confusion, sweating,
palpitations, headache, lack of coordination, blurred vision,
seizures, and coma.
What should clients with hypoglycemia do? - CORRECT
ANSWER Take 10 to 30 g of readily absorbed carbohydrate.
Including two or three glucose tablets, six to ten hard candies, 1/2
cup of soda or juice, 1 tbsp honey or 4 tsp sugar.
ATI Fundamentals Retake
A nurse is planning care for a group of clients. Which of the
following tasks should the nurse delegate to an assistive
personnel?
a. Changing the dressing for a client who has a stage 3 pressure
injury
b. Determining a client's response to a diuretic
c. Comparing radial pulses for a client who is postoperative
d. Providing postmortem care to a client - CORRECT ANSWER
d. Providing postmortem care to a client
A nurse is conducting a health assessment for a client who takes
herbal supplements. Which of the following statements by the
client indicates an understanding of the use of the supplements?
A. I take ginkgo biloba for a headache
B. I take echinacea to control my cholesterol
C. I use ginger when I get car sick
D. I use garlic for my menopausal symptoms
- CORRECT ANSWER I use ginger when I get car sick
Discharge documentation should include - CORRECT ANSWER
Type of discharge, date & time of discharge, who went with the
client & transportation, where the client went, summary of clients
current condition at discharge, description of any unresolved
difficulties and disposition of valuables, medications brought from
home & prescriptions.
Documentation & abbreviations and symbols - CORRECT
ANSWER Being accurate & concise is an important element of
documentation. Only abbreviations & symbols approved by The
Joint Commission and the facility are acceptable.
,A nurse is discussing the HIPPA privacy rule with nurses during
new employee orientation. Which of the following information
should the nurse include? - CORRECT ANSWER Family
members should provide a code prior to receiving client health
information
Communication of a client can occur at the nurse's station
A client can request a hard copy of their records
Nurses may photocopy a client's medical record for transfer to
another facility.
A nurse is receiving a providers prescription for morphine by
telephone for a client who is reporting moderate to severe pain.
What are the appropriate nursing actions? - CORRECT
ANSWER Repeat the details of the prescription back to the
provider, have another nurse listen to the telephone prescription
and obtain the providers signature on the prescription within 24
hours.
A problem is an ethical dilemma when - CORRECT ANSWER
I. A review of scientific data is not enough to solve it
II. It involves a conflict between two moral imperatives
III. The answer will have a profound effect on the situation and the
client
Ethical dilemmas are problems that - CORRECT ANSWER
involve more than one choice and stem from differences in the
values and beliefs of decision makers
Autonomy - CORRECT ANSWER the right to makes one's own
personal decisions, even when those decisions might not be in
the that person's best interest.
,Beneifience - CORRECT ANSWER positive actions to help
others (do good)
Fidelity - CORRECT ANSWER agreement to keep promises
Justice - CORRECT ANSWER fairness in care delivery and
use of resources
Nonmaleficence - CORRECT ANSWER avoidance of harm or
injury (do no harm)
Admission inventory of personal items include - CORRECT
ANSWER clothing, jewelry, money, credit cards, assistive
devices, medications, cell phones and other technology devices,
and religious articles... Nurses should discourage keeping
valuables at the bedside.
The nurse will document what related to personal items? -
CORRECT ANSWER The nurse will document communication
with the client related to items left within the room and valuables
locked in the facility's safe.
Assault (intentional tort) - CORRECT ANSWER The conduct of
one person makes another person fearful and apprehensive.
Example: a nurse threatens to place an NG tube in a client who is
refusing to eat.
Battery (intentional tort) - CORRECT ANSWER Intentional &
wrongful physical contract with a person that involves an injury of
offensive contact.
Example: A nurse restrains a client and administers an injection
against her wishes.
False Imprisonment (Intentional Tort) - CORRECT ANSWER A
person is confined or retained against his will. The nurses uses
, restraints on a competent client to prevent his leaving the health
care facility.
What should the nurse teach older clients about home safety? -
CORRECT ANSWER To place electrical cords & extension
cords against a wall behind furniture and use a nonskid mat in the
tub or shower & place a shower chair in the shower and a beside
commode if needed.
The client who has heat stroke will have what sign? - CORRECT
ANSWER Hypotension
One of the nurse's responsibility for a client in restraints is to
make sure... - CORRECT ANSWER the restraints are loose
enough for range of motion & that there is enough room to fit two
fingers between the restraints & the client.
What is the priority action for a patient with a history of falls? -
CORRECT ANSWER Complete a fall risk assessment.
What blood glucose level requires immediate action? - CORRECT
ANSWER 70 mg/dL of less
What are manifestations of hypoglycemia? - CORRECT
ANSWER Mild shakiness, mental confusion, sweating,
palpitations, headache, lack of coordination, blurred vision,
seizures, and coma.
What should clients with hypoglycemia do? - CORRECT
ANSWER Take 10 to 30 g of readily absorbed carbohydrate.
Including two or three glucose tablets, six to ten hard candies, 1/2
cup of soda or juice, 1 tbsp honey or 4 tsp sugar.
