ATI FUNDAMENTALS ATI 2019 PROCTORED EXAMS
COMPLETE GUIDE A+ PASS (REVISED VERSION)
• A nurse is planning care for a group of clients. Which of
the following tasks should the nurse delegate to assistive
personnel?: A. changing the dressing for a client who has
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 post mortem care to a client
(answer is D)
• a nurse is conducting a health assessment for a client
who takes herbalsupplements. Which of the following
statements by the client indicates anunderstanding of the
use of the supplements?: A. I take ginkgo biloba for a
headache
B. I take echinacea to
control my cholesterol
C. I take ginger when I get car sick
D. I use garlic for my menopausal symptoms
(Answer is C)
• A nurse is caring for a client who has influenza and
isolation precautions in place. Which of the following
actions should the nurse take to prevent the spread of
infection?:
• A. wear a mask when working within 3 ft of the client
• administer metronidazole
• don protective eyewear before entering the room
• place the client in a negative airflow room(Answer
is A)
,• a nurse obtains a prescription for wrist restraints for a
client who is tryingto pull out his NG tube. Which of the
following actions should the nurse take?: A. attach the
restraints securely to the side rails of the client's bed.
• apply the restraints to allow as little movement as possible
• allow room for two fingers to fit between the clients skin and
the restraints
• remove the restraints every 4 hr.(Answer is C)
• a nurse is admitting a client who has tuberculosis.
Which of the followingtypes of transmission precautions
should the nurse plan to initiate?: A. droplet
• airborne
• protective environment
• contact (Answer is B)
• a nurse in a well child clinic receives a telephone call
from a parent who states that their child accidentally
swallowed paint thinner.The child is awakeand alert. Which
of the following responses should the nurse take?:
• A. Have your child drink one large glass of water
• Hang up and call a poison control center hotline
• Bring your child into the clinic later today
• Induce vomiting in your child with syrup in ipacac
(Answer is A)
• a nurse is documenting a child's medical record. Which
of the following entries should the nurse record?:
• A. oral temperature slightly elevated at 0800
• B. administered pain medication
C. incision without redness or drainage
,D. drank adequate amounts of fluid with meals
(Answer is B)
• a nurse is providing oral care for a client who is
unconscious. Which of the following actions should the
nurse take?:
• A. Place the client in a side lying position
• brush the clients teeth daily
• apply mineral oil to the client's lips
• rinse the client's mouth with an alcohol-based
mouthwash(Answer is A)
• A nurse is collaborating with a risk management team
about potential legal issues involving client care. The nurse
should identify which of the following situations is an
example of negligence?:
• A. a nurse administers a medication without first identifying
the client
• assistive personnel discuss client care in the facility
cafeteria with visitorspresent
• a nurse begins a blood transfusion without obtaining consent
• assistive personnel prevent a client from
leaving the facility(Answer is C)
• a nurse is collecting a sputum specimen for culture
from a client who has a respiratory infection. Which of the
following actions should the nursetake?:
A. wear sterile gloves when collecting the specimen
• offer the client oral hygiene after the collection
• collect the specimen in the evening
• collect 1 ml of sputum.
• (Answer is B)
, • a nurse is assessing an older client. Which of the
following findingsshould the nurse expect?:
• A. Decreased sense of balance
• increased night time sleeping
• heightened sense of pain
• nighttime urinary incontinence
• (Answer is A)
• A nurse is completing discharge teaching about ostomy
care with a client who has a new stoma. Which of the
following instructions should the nruse include in the
teaching? (select all that apply):
• A. cut the opening of the pouch 1/8 of an inch larger than the
stoma
B. place a piece of gauze over the stoma while
changing the pouchC. use povidone iodine to
clean around the stoma
D. empty the ostomy pouch when it becomes one third full of
contents
E. expect the stoma to turn a purple blue color as it heals(Answer A,
B, C, and D)
• a nurse is preparing to obtain informed consent from a
client who speaksa different language than the nurse.
Which of the following actions should the nurse take?:
• A. request the assistive personnel interpret the information
for the client
B. use proper medical terms when giving
information to the client
C. offer written information in the client's
language
D. avoid using gestures when speaking
to the client(Answer is C)
COMPLETE GUIDE A+ PASS (REVISED VERSION)
• A nurse is planning care for a group of clients. Which of
the following tasks should the nurse delegate to assistive
personnel?: A. changing the dressing for a client who has
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 post mortem care to a client
(answer is D)
• a nurse is conducting a health assessment for a client
who takes herbalsupplements. Which of the following
statements by the client indicates anunderstanding of the
use of the supplements?: A. I take ginkgo biloba for a
headache
B. I take echinacea to
control my cholesterol
C. I take ginger when I get car sick
D. I use garlic for my menopausal symptoms
(Answer is C)
• A nurse is caring for a client who has influenza and
isolation precautions in place. Which of the following
actions should the nurse take to prevent the spread of
infection?:
• A. wear a mask when working within 3 ft of the client
• administer metronidazole
• don protective eyewear before entering the room
• place the client in a negative airflow room(Answer
is A)
,• a nurse obtains a prescription for wrist restraints for a
client who is tryingto pull out his NG tube. Which of the
following actions should the nurse take?: A. attach the
restraints securely to the side rails of the client's bed.
• apply the restraints to allow as little movement as possible
• allow room for two fingers to fit between the clients skin and
the restraints
• remove the restraints every 4 hr.(Answer is C)
• a nurse is admitting a client who has tuberculosis.
Which of the followingtypes of transmission precautions
should the nurse plan to initiate?: A. droplet
• airborne
• protective environment
• contact (Answer is B)
• a nurse in a well child clinic receives a telephone call
from a parent who states that their child accidentally
swallowed paint thinner.The child is awakeand alert. Which
of the following responses should the nurse take?:
• A. Have your child drink one large glass of water
• Hang up and call a poison control center hotline
• Bring your child into the clinic later today
• Induce vomiting in your child with syrup in ipacac
(Answer is A)
• a nurse is documenting a child's medical record. Which
of the following entries should the nurse record?:
• A. oral temperature slightly elevated at 0800
• B. administered pain medication
C. incision without redness or drainage
,D. drank adequate amounts of fluid with meals
(Answer is B)
• a nurse is providing oral care for a client who is
unconscious. Which of the following actions should the
nurse take?:
• A. Place the client in a side lying position
• brush the clients teeth daily
• apply mineral oil to the client's lips
• rinse the client's mouth with an alcohol-based
mouthwash(Answer is A)
• A nurse is collaborating with a risk management team
about potential legal issues involving client care. The nurse
should identify which of the following situations is an
example of negligence?:
• A. a nurse administers a medication without first identifying
the client
• assistive personnel discuss client care in the facility
cafeteria with visitorspresent
• a nurse begins a blood transfusion without obtaining consent
• assistive personnel prevent a client from
leaving the facility(Answer is C)
• a nurse is collecting a sputum specimen for culture
from a client who has a respiratory infection. Which of the
following actions should the nursetake?:
A. wear sterile gloves when collecting the specimen
• offer the client oral hygiene after the collection
• collect the specimen in the evening
• collect 1 ml of sputum.
• (Answer is B)
, • a nurse is assessing an older client. Which of the
following findingsshould the nurse expect?:
• A. Decreased sense of balance
• increased night time sleeping
• heightened sense of pain
• nighttime urinary incontinence
• (Answer is A)
• A nurse is completing discharge teaching about ostomy
care with a client who has a new stoma. Which of the
following instructions should the nruse include in the
teaching? (select all that apply):
• A. cut the opening of the pouch 1/8 of an inch larger than the
stoma
B. place a piece of gauze over the stoma while
changing the pouchC. use povidone iodine to
clean around the stoma
D. empty the ostomy pouch when it becomes one third full of
contents
E. expect the stoma to turn a purple blue color as it heals(Answer A,
B, C, and D)
• a nurse is preparing to obtain informed consent from a
client who speaksa different language than the nurse.
Which of the following actions should the nurse take?:
• A. request the assistive personnel interpret the information
for the client
B. use proper medical terms when giving
information to the client
C. offer written information in the client's
language
D. avoid using gestures when speaking
to the client(Answer is C)
