ATI FUNDAMENTALS PROCTORED EXAM COMPLETE QNS
& ANS WITH RATIONALES FINAL LATEST 2023
1*A nurse is teaching a client how to self-administer insulin. Which of the following actions
should the nurse take to evaluate the client's understanding of the process within the
psychomotor domain of learning? Have the client demonstrates the procedure.
Having the client demonstrate the procedure provides the nurse the ability to evaluate the
client's understanding within the psychomotor domain of learning.
2*A nurse is preparing to administer a cleansing enema to a client. Which of the following
actions should the nurse plan to take? Position the client on his left side.
Positioning is an important aspect of administering an enema. Having the client lie on his left
side facilitates the flow of the enema solution into the sigmoid and descending colon.
3*A client who reports shortness of breath requests her nurse's help in changing positions.
After repositioning the client, which of the following actions should the nurse take next?
Observe the rate, depth, and character of the client's respirations.
The nurse should apply the nursing process priority-setting framework when caring for this
client. The nurse can use the nursing process to plan client care and prioritize nursing actions.
Each step of the nursing process builds on the previous step, beginning with assessment or
data collection. Before the nurse can formulate a plan of action, implement a nursing
intervention, or notify a provider of a change in the client's status, the nurse must first collect
adequate data from the client. Assessing or collecting additional data will provide the nurse
with knowledge to make an appropriate decision; therefore, the first action the nurse should
take is to assess the client's respiratory status.
4*A nurse is caring for a client who has bilateral casts on her hands. Which of the following
actions should the nurse take when assisting the client with feeding?
Sit at the bedside while feeding the client.
The nurse should avoid appearing to be in a hurry. Sitting at the bedside provides the client
with the nurse's full attention during the feeding.
, 5*A nurse is caring for a client who, while sitting in a chair, starts to experience a seizure.
Which of the following actions should the nurse take?
Lower the client to the floor and place a pad under the clients head.
To reduce the risk of injury to the client, the nurse should lower the client to the floor and place
a pillow or other soft object under the client's head.
6*A home health nurse is planning to provide health promotion activities for a group of clients
in the community. Which of the following activities is an example of the nurse promoting
primary prevention?
Educating clients about the recommended immunization schedule for adults.
Primary prevention includes health education about disease prevention.
7*An assistive personnel (AP) is assisting a nurse with the care of a female client who has an
indwelling urinary catheter. Which of the following actions by the AP indicates for further
teaching?
The AP hangs the collection bag at the level of the bladder.
The AP should place the drainage bag below the level of the bladder to ensure proper drainage
by gravity.
8*A nurse is performing a neurological assessment for a client. Which of the following
examinations should the nurse use to check the client's balance? Romberg Test
When using the Romberg test, the nurse instructs the client to stand with his feet together and
arms at sides, first with his eyes open and then with eyes closed. The inability to maintain
balance is a positive Romberg test.
9*A nurse is providing discharge teaching to a client who is recovering from lung cancer. The
provider instructed the client that he could resume lower-intensity activities of daily living.
Which of the following activities should the nurse recommend to the client? Washing dishes
Washing dishes requires a low level of activity and is appropriate for this client.
& ANS WITH RATIONALES FINAL LATEST 2023
1*A nurse is teaching a client how to self-administer insulin. Which of the following actions
should the nurse take to evaluate the client's understanding of the process within the
psychomotor domain of learning? Have the client demonstrates the procedure.
Having the client demonstrate the procedure provides the nurse the ability to evaluate the
client's understanding within the psychomotor domain of learning.
2*A nurse is preparing to administer a cleansing enema to a client. Which of the following
actions should the nurse plan to take? Position the client on his left side.
Positioning is an important aspect of administering an enema. Having the client lie on his left
side facilitates the flow of the enema solution into the sigmoid and descending colon.
3*A client who reports shortness of breath requests her nurse's help in changing positions.
After repositioning the client, which of the following actions should the nurse take next?
Observe the rate, depth, and character of the client's respirations.
The nurse should apply the nursing process priority-setting framework when caring for this
client. The nurse can use the nursing process to plan client care and prioritize nursing actions.
Each step of the nursing process builds on the previous step, beginning with assessment or
data collection. Before the nurse can formulate a plan of action, implement a nursing
intervention, or notify a provider of a change in the client's status, the nurse must first collect
adequate data from the client. Assessing or collecting additional data will provide the nurse
with knowledge to make an appropriate decision; therefore, the first action the nurse should
take is to assess the client's respiratory status.
4*A nurse is caring for a client who has bilateral casts on her hands. Which of the following
actions should the nurse take when assisting the client with feeding?
Sit at the bedside while feeding the client.
The nurse should avoid appearing to be in a hurry. Sitting at the bedside provides the client
with the nurse's full attention during the feeding.
, 5*A nurse is caring for a client who, while sitting in a chair, starts to experience a seizure.
Which of the following actions should the nurse take?
Lower the client to the floor and place a pad under the clients head.
To reduce the risk of injury to the client, the nurse should lower the client to the floor and place
a pillow or other soft object under the client's head.
6*A home health nurse is planning to provide health promotion activities for a group of clients
in the community. Which of the following activities is an example of the nurse promoting
primary prevention?
Educating clients about the recommended immunization schedule for adults.
Primary prevention includes health education about disease prevention.
7*An assistive personnel (AP) is assisting a nurse with the care of a female client who has an
indwelling urinary catheter. Which of the following actions by the AP indicates for further
teaching?
The AP hangs the collection bag at the level of the bladder.
The AP should place the drainage bag below the level of the bladder to ensure proper drainage
by gravity.
8*A nurse is performing a neurological assessment for a client. Which of the following
examinations should the nurse use to check the client's balance? Romberg Test
When using the Romberg test, the nurse instructs the client to stand with his feet together and
arms at sides, first with his eyes open and then with eyes closed. The inability to maintain
balance is a positive Romberg test.
9*A nurse is providing discharge teaching to a client who is recovering from lung cancer. The
provider instructed the client that he could resume lower-intensity activities of daily living.
Which of the following activities should the nurse recommend to the client? Washing dishes
Washing dishes requires a low level of activity and is appropriate for this client.
