ATI FUNDAMENTALS PROCTORED EXAM RETAKE 2023
RETAKE GUIDE| FUNDAMENTALS ATI PROCTORED RETAKE
2023
• A nurse is performing a Romberg's test during the physical assessment
of a client. Whichof the following techniques should the nurse use?
ANS: Have the client stand with her arms at her side and her feet together.
• A nurse is planning an deduction session for an older adult client who
has just learned that she has type 2 diabetes mellitus. Which of the
following strategies should the nurseplan to use with this client?
ANS: Allow extra time for the client to respond to questions
• A nurse is teaching an older client who is at risk for osteoporosis
about beginning a program of regular physical activity. Which of the
following types of activity should thenurse recommend?
ANS: Walking briskly
• A nurse is assessing an adult client who has been immobile for the
past 3 weeks. The nurse should identify that which of the following
findings requires further intervention?
ANS: Erythema on pressure points
• A nurse is preparing to administer 0.5 mL of oral single-dose liquid
medication to aclient. Which of the following actions should the
nurse take?
ANS: Gently shake the container of medication prior to administration.
• A nurse is responding to a call light and finds a client lying on the
bathroom floor. Whichof the following actions should the nurse take
first?
ANS: Check the client for injuries
• A nurse is caring for a client who is expressing anger over his
diagnosis of colorectalcancer. Which of the following actions should
the nurse take?
, ANS: Reassure the client that this is an expected response to grief.
• A nurse in a clinic is caring for a middle adult client who states, "The
doctor says that, since I am at an average risk for colon cancer, I should
have routine screening. What doesthat involve?" Which of the following
responses should the nurse make?
ANS: "You should have a fecal occult blood test every year."
• A nurse is preparing to administer multiple medications to a client
who has an enteralfeeding tube. Which of the following actions
should the nurse plan to take?
ANS: Flush the tube with 15 mL of sterile water.
• A nurse is caring for a client who has a prescription for
wound irrigation. Which of thefollowing actions should the nurse
take? ANS: Cleanse the wound from the center outward.
• A nurse is providing care to four clients. Which of the
following situations requires thenurse the complete an
incident report?
ANS: A client who has an IV infusion pump receives an additional 250
mL of IVfluid.
• A nurse is caring for a client receiving fluid through a peripheral IV
catheter. Which ofthe following findings at the IV site should the
nurse identify as infiltration?
ANS: Skin blanching
• A nurse is preparing a change-of-shift report. Which of the
followingtools or documentsshould the nurse use to communicate
continuity of care?
ANS: Situation, background, assessment, and recommendation (SBAR)
• A nurse is admitting a client who has an abdominal wound with
alarge amount of purulent drainage. Which of the following types
of transmission precautions should thenurse initiate?
ANS: Contact precautions
, • A nurse is caring for a client who is having difficulty breathing. The
client is lying in bedwith a nasal cannula delivering oxygen. Which of
the following interventions should the nurse take first?
ANS: Assist the client to an upright position.
• A nurse is reviewing a client's fluid and electrolyte status.
Which of the followingfindings should the nurse report to the
provider?
ANS: Potassium 5.4 meq/L
• A nurse is lifting a bedside cabinet to move it closer to a client
whois sitting in a chair. To prevent self-injury, which of the
following actions should the nurse take when liftingthis object?
ANS: Stand close to the cabinet when lifting it.
• A nurse is reviewing a client's medication prescription, which reads,
"digoxin 0.25 by mouth every day. "Which of the following
components of the prescription should the nurse question?
ANS: The dose
• A nurse is caring for a client who has had his diet prescription
changed to a mechanicalsoft diet. Which of the following food
items should the nurse remove from the client's breakfast tray?
ANS: Fried Egg
• A nurse is caring for a client who has terminal liver cancer.
Which of the followingstatements should the nurse identify as
an indication that the client is experiencing spiritual distress?
ANS: "What could I have done to deserve this illness?"
• A nurse is caring for a client who is refusing a blood transfusion for
religious reasons. The client's partner wants the client to have the
blood transfusion. Which of the followingactions should the nurse
take?
ANS: Withhold the blood transfusion.
RETAKE GUIDE| FUNDAMENTALS ATI PROCTORED RETAKE
2023
• A nurse is performing a Romberg's test during the physical assessment
of a client. Whichof the following techniques should the nurse use?
ANS: Have the client stand with her arms at her side and her feet together.
• A nurse is planning an deduction session for an older adult client who
has just learned that she has type 2 diabetes mellitus. Which of the
following strategies should the nurseplan to use with this client?
ANS: Allow extra time for the client to respond to questions
• A nurse is teaching an older client who is at risk for osteoporosis
about beginning a program of regular physical activity. Which of the
following types of activity should thenurse recommend?
ANS: Walking briskly
• A nurse is assessing an adult client who has been immobile for the
past 3 weeks. The nurse should identify that which of the following
findings requires further intervention?
ANS: Erythema on pressure points
• A nurse is preparing to administer 0.5 mL of oral single-dose liquid
medication to aclient. Which of the following actions should the
nurse take?
ANS: Gently shake the container of medication prior to administration.
• A nurse is responding to a call light and finds a client lying on the
bathroom floor. Whichof the following actions should the nurse take
first?
ANS: Check the client for injuries
• A nurse is caring for a client who is expressing anger over his
diagnosis of colorectalcancer. Which of the following actions should
the nurse take?
, ANS: Reassure the client that this is an expected response to grief.
• A nurse in a clinic is caring for a middle adult client who states, "The
doctor says that, since I am at an average risk for colon cancer, I should
have routine screening. What doesthat involve?" Which of the following
responses should the nurse make?
ANS: "You should have a fecal occult blood test every year."
• A nurse is preparing to administer multiple medications to a client
who has an enteralfeeding tube. Which of the following actions
should the nurse plan to take?
ANS: Flush the tube with 15 mL of sterile water.
• A nurse is caring for a client who has a prescription for
wound irrigation. Which of thefollowing actions should the nurse
take? ANS: Cleanse the wound from the center outward.
• A nurse is providing care to four clients. Which of the
following situations requires thenurse the complete an
incident report?
ANS: A client who has an IV infusion pump receives an additional 250
mL of IVfluid.
• A nurse is caring for a client receiving fluid through a peripheral IV
catheter. Which ofthe following findings at the IV site should the
nurse identify as infiltration?
ANS: Skin blanching
• A nurse is preparing a change-of-shift report. Which of the
followingtools or documentsshould the nurse use to communicate
continuity of care?
ANS: Situation, background, assessment, and recommendation (SBAR)
• A nurse is admitting a client who has an abdominal wound with
alarge amount of purulent drainage. Which of the following types
of transmission precautions should thenurse initiate?
ANS: Contact precautions
, • A nurse is caring for a client who is having difficulty breathing. The
client is lying in bedwith a nasal cannula delivering oxygen. Which of
the following interventions should the nurse take first?
ANS: Assist the client to an upright position.
• A nurse is reviewing a client's fluid and electrolyte status.
Which of the followingfindings should the nurse report to the
provider?
ANS: Potassium 5.4 meq/L
• A nurse is lifting a bedside cabinet to move it closer to a client
whois sitting in a chair. To prevent self-injury, which of the
following actions should the nurse take when liftingthis object?
ANS: Stand close to the cabinet when lifting it.
• A nurse is reviewing a client's medication prescription, which reads,
"digoxin 0.25 by mouth every day. "Which of the following
components of the prescription should the nurse question?
ANS: The dose
• A nurse is caring for a client who has had his diet prescription
changed to a mechanicalsoft diet. Which of the following food
items should the nurse remove from the client's breakfast tray?
ANS: Fried Egg
• A nurse is caring for a client who has terminal liver cancer.
Which of the followingstatements should the nurse identify as
an indication that the client is experiencing spiritual distress?
ANS: "What could I have done to deserve this illness?"
• A nurse is caring for a client who is refusing a blood transfusion for
religious reasons. The client's partner wants the client to have the
blood transfusion. Which of the followingactions should the nurse
take?
ANS: Withhold the blood transfusion.
