2023 NGN ATI PN FUNDAMENTALS PROCTORED EXAM GRADED A
LATEST VERSION
1. A confused client with carbon monoxide poisoning experiences dizziness when
ambulating to the bathroom. The nurse should:
A. Put all four side rails up on the bed
B. Ask the unlicensed assistive personnel to place restraints on the client’s
upper
extremities
C. Request that the client’s roommate put the call light on when the client is
attempting to get out of bed
D. Check on the client at regular intervals to ascertain the need to use the
bathrooms
2. The nurse should use which type of precautions for a client being admitted to the
hospital with suspected tuberculosis?
A. Hand hygiene
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
3. The nurse is teaching a client with stomatitis about mouth care. Which instruction
is most
appropriate?
A. Drink hot tea at frequent intervals
B. Gargle with antiseptic mouthwash
C. Use an electric toothbrush
D. Eat a soft, bland diet
4. A client with cancer of the stomach had a total gastrectomy 2 days earlier. Which
indicates the client is ready to try a liquid diet? The client:
A. Is hungry
B. Has not requested pain medication for 8 hours
C. Has frequent bowel sounds
D. Has had a bowel movement
5. A client has returned from surgery during which the jaws were wired as treatment
for a fractured mandible. The client is in stable condition. The nurse in instructing
the unlicensed assistive personnel (UAP) on how to properly position the client.
Which instructions about positioning would be appropriate for the nurse to give to
the UAP?
A. Keep the client in a side-lying position with the head slightly elevated
B. Do not reposition the client without the assistance of a registered nurse
C. The client can assume any position that is comfortable
D. Keep the client’s head elevated on two pillows at all times
,6. The nurse’s best explanation for why the severely neutropenic client is placed in
reverse isolation is that reverse isolation helps prevent the spread of organisms:
A. To the client from sources outside the client’s environment
B. From the client to healthcare personnel, visitors and other clients
C. By using special techniques to handle the client’s linens and personal
items
D. By using special techniques to dispose of contaminated materials
7. Which statement indicated to the nurse that a client has understood the discharge
instructions provided after nasal surgery?
A. “I should not shower until my packing is removed.”
B. “I will take stool softeners and modify my diet to prevent constipation.”
C. “Coughing every 2 hours is important to prevent respiratory complications.”
D. “It is important to blow my nose each day to remove the dried secretions.”
8. The nurse is suctioning a client who had a laryngectomy. What is the maximum
amount of time the nurse should suction the client?
A. 10 seconds B. 20 seconds C. 25 seconds
D. 30 seconds
9. A client with a history of asthma is admitted to the emergency department. The
nurse notes that the client is dyspneic, with a respiratory rate of 35 breaths/min,
nasal flaring, and use of accessory muscles. Auscultation of the lung fields
reveals greatly diminished breath sounds. What should the nurse do first?
A. Initiate oxygen therapy as prescribed, and reassess the client in 10
mintues
B. Draw blood for arterial blood gas
C. Encourage the client to relax and breath slowly through the mouth
D. Administer bronchodilators as prescribed
10. A confused client with carbon monoxide poisoning experiences dizziness when
ambulating to the bathroom. The nurse should:
A. Put all four side rails up on the bed
B. Ask the unlicensed assistive personnel to place restraints on the client’s
upper extremities
C. Request that the client’s roommate put the call light on when the client is
attempting to get out of bed
D. Check on the client at regular intervals to ascertain the need to use the
bathrooms
11. The nurse should use which type of precautions for a client being admitted to the
hospital with suspected tuberculosis?
, A. Hand hygiene
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
12. The nurse is teaching a client with stomatitis about mouth care. Which instruction
is most appropriate?
A. Drink hot tea at frequent intervals
B. Gargle with antiseptic mouthwash
C. Use an electric toothbrush
D. Eat a soft, bland diet
13. A client with cancer of the stomach had a total gastrectomy 2 days earlier. Which
indicates the client is ready to try a liquid diet? The client:
A. Is hungry
B. Has not requested pain medication for 8 hours
C. Has frequent bowel sounds
D. Has had a bowel movement
14. A client has returned from surgery during which the jaws were wired as treatment
for a fractured mandible. The client is in stable condition. The nurse in instructing
the unlicensed assistive personnel (UAP) on how to properly position the client.
Which instructions about positioning would be appropriate for the nurse to give to
the UAP?
A. Keep the client in a side-lying position with the head slightly elevated
B. Do not reposition the client without the assistance of a registered nurse
C. The client can assume any position that is comfortable
D. Keep the client’s head elevated on two pillows at all times
15. The nurse is caring for an older adult with mild dementia with heart failure. What
nursing care will be helpful for this client in reducing potential confusion related to
hospitalization and change in routine? Select all that apply.
A. Reorient frequently to time, place and situation.
B. Put the client in a quiet room furthest from the nursing station.
C. Perform the necessary procedures quickly.
D. Arrange for familiar pictures or special items at bedside.
E. Limit the client’s visitors.
F. Spend time with the client, establishing a trusting relationship.
LATEST VERSION
1. A confused client with carbon monoxide poisoning experiences dizziness when
ambulating to the bathroom. The nurse should:
A. Put all four side rails up on the bed
B. Ask the unlicensed assistive personnel to place restraints on the client’s
upper
extremities
C. Request that the client’s roommate put the call light on when the client is
attempting to get out of bed
D. Check on the client at regular intervals to ascertain the need to use the
bathrooms
2. The nurse should use which type of precautions for a client being admitted to the
hospital with suspected tuberculosis?
A. Hand hygiene
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
3. The nurse is teaching a client with stomatitis about mouth care. Which instruction
is most
appropriate?
A. Drink hot tea at frequent intervals
B. Gargle with antiseptic mouthwash
C. Use an electric toothbrush
D. Eat a soft, bland diet
4. A client with cancer of the stomach had a total gastrectomy 2 days earlier. Which
indicates the client is ready to try a liquid diet? The client:
A. Is hungry
B. Has not requested pain medication for 8 hours
C. Has frequent bowel sounds
D. Has had a bowel movement
5. A client has returned from surgery during which the jaws were wired as treatment
for a fractured mandible. The client is in stable condition. The nurse in instructing
the unlicensed assistive personnel (UAP) on how to properly position the client.
Which instructions about positioning would be appropriate for the nurse to give to
the UAP?
A. Keep the client in a side-lying position with the head slightly elevated
B. Do not reposition the client without the assistance of a registered nurse
C. The client can assume any position that is comfortable
D. Keep the client’s head elevated on two pillows at all times
,6. The nurse’s best explanation for why the severely neutropenic client is placed in
reverse isolation is that reverse isolation helps prevent the spread of organisms:
A. To the client from sources outside the client’s environment
B. From the client to healthcare personnel, visitors and other clients
C. By using special techniques to handle the client’s linens and personal
items
D. By using special techniques to dispose of contaminated materials
7. Which statement indicated to the nurse that a client has understood the discharge
instructions provided after nasal surgery?
A. “I should not shower until my packing is removed.”
B. “I will take stool softeners and modify my diet to prevent constipation.”
C. “Coughing every 2 hours is important to prevent respiratory complications.”
D. “It is important to blow my nose each day to remove the dried secretions.”
8. The nurse is suctioning a client who had a laryngectomy. What is the maximum
amount of time the nurse should suction the client?
A. 10 seconds B. 20 seconds C. 25 seconds
D. 30 seconds
9. A client with a history of asthma is admitted to the emergency department. The
nurse notes that the client is dyspneic, with a respiratory rate of 35 breaths/min,
nasal flaring, and use of accessory muscles. Auscultation of the lung fields
reveals greatly diminished breath sounds. What should the nurse do first?
A. Initiate oxygen therapy as prescribed, and reassess the client in 10
mintues
B. Draw blood for arterial blood gas
C. Encourage the client to relax and breath slowly through the mouth
D. Administer bronchodilators as prescribed
10. A confused client with carbon monoxide poisoning experiences dizziness when
ambulating to the bathroom. The nurse should:
A. Put all four side rails up on the bed
B. Ask the unlicensed assistive personnel to place restraints on the client’s
upper extremities
C. Request that the client’s roommate put the call light on when the client is
attempting to get out of bed
D. Check on the client at regular intervals to ascertain the need to use the
bathrooms
11. The nurse should use which type of precautions for a client being admitted to the
hospital with suspected tuberculosis?
, A. Hand hygiene
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
12. The nurse is teaching a client with stomatitis about mouth care. Which instruction
is most appropriate?
A. Drink hot tea at frequent intervals
B. Gargle with antiseptic mouthwash
C. Use an electric toothbrush
D. Eat a soft, bland diet
13. A client with cancer of the stomach had a total gastrectomy 2 days earlier. Which
indicates the client is ready to try a liquid diet? The client:
A. Is hungry
B. Has not requested pain medication for 8 hours
C. Has frequent bowel sounds
D. Has had a bowel movement
14. A client has returned from surgery during which the jaws were wired as treatment
for a fractured mandible. The client is in stable condition. The nurse in instructing
the unlicensed assistive personnel (UAP) on how to properly position the client.
Which instructions about positioning would be appropriate for the nurse to give to
the UAP?
A. Keep the client in a side-lying position with the head slightly elevated
B. Do not reposition the client without the assistance of a registered nurse
C. The client can assume any position that is comfortable
D. Keep the client’s head elevated on two pillows at all times
15. The nurse is caring for an older adult with mild dementia with heart failure. What
nursing care will be helpful for this client in reducing potential confusion related to
hospitalization and change in routine? Select all that apply.
A. Reorient frequently to time, place and situation.
B. Put the client in a quiet room furthest from the nursing station.
C. Perform the necessary procedures quickly.
D. Arrange for familiar pictures or special items at bedside.
E. Limit the client’s visitors.
F. Spend time with the client, establishing a trusting relationship.
