ATI RN Fundamentals Proctored Exam
TEST QUESTIONS AND ANSWERS
(2023/2024) (VERIFIED ANSWERS)WITH
NGN
A nurse is caring for a client who is receiving continuous
enteral feedings. Which of the following nursing
interventions is the highest priority when the nurse
suspects aspiration of the feeding?
A. Auscultate breath sounds
B. Stop the feeding
C. Obtain a chest xray
D. Initiate oxygen therapy - CORRECT ANSWER B. Stop
the feeding
A nurse is caring for a client in a long-term care facility
who is receiving enteral feedings via NG tube. Which of
the following is an appropriate nursing action prior to
administering the tube feeding? Select all.
A. Auscultate bowel sounds.
B. Assist the client to an upright position.
C. Test the pH of gastric aspirate.
,D. Warm the formula to body temp.
E. Discard any residual gastric contents. - CORRECT
ANSWER A, B, C
D-the formula should be room temp not body
E-unless the volume of the contents is more than 250 mL,
the nurse should return the residual content to the client's
stomach
A nurse is preparing to insert an NG tube for a client who
requires gastric decompression. Which of the following
actions should the nurse perform prior to beginning the
procedure? Select all.
A. Review a signal the client can use if feeling any distress
B. Lay a towel across the client's chest
C. Administer oral pain meds
D. Obtain a Dobhoff tube for insertion
E. Have a petroleum-based lubricant available -
CORRECT ANSWER A, B
An adolescent who has diabetes mellitus is 2 days postop
following an appendectomy. The client is tolerating a
regular diet. He has ambulated successfully around the
unit w/assistance. He requests pain meds Q 6-8 hr while
reporting pain at a 2 on a scale of 1-10 after receiving the
med. His incision is approximated & free of redness,
w/scant serous drainage on the dressing. Which of the
following risk factors for poor wound healing does this
client have? Select all.
,A. Extremes in age
B. Impaired circulation
C. Impaired/suppressed immune system
D. Malnutrition
E. Poor wound care - CORRECT ANSWER B, C
A nurse is assessing a client who is 5 days post op
following abd. surgery. The surgeon suspects an incisional
wound infection & has prescribed antibiotic therapy for the
nurse to initiate after collecting wound & blood specimens
for culture & sensitivity. Which of the following assessment
findings should the nurse expect? Select all.
A. Increase in incisional pain
B. Fever & chills
C. Reddened wound edges
D. Increase in serosanguineous drainage
E. Decrease in thirst - CORRECT ANSWER A, B, C
A nursing instructor is reviewing the wound healing
process w/a group of nursing students. They should be
able to identify which of the following alterations as a
wound or injury that heals by secondary intention? Select
all.
A. Stage III pressure ulcer
B. Sutured surgical incision
C. Casted bone fracture
D. Laceration sealed w/adhesive
E. Open burn area - CORRECT ANSWER A, E
, B and D are healed w/primary intention
C is not a skin wound unless bone has pierced the skin
A client who had abd. surgery 24 hr ago reports a pulling
sensation & pain in his surgical incision. The nurse checks
the client's surgical wound & finds the wound separated
w/viscera protruding. Which of the following interventions
is appropriate? Select all.
A. Cover the area w/saline-soaked sterile dressings
B. Apply an abdominal binder snugly around the abd.
C. Use sterile gloves to apply gentle pressure to the
exposed tissues
D. Position the client supine w/his hips & knees bent
E. Offer the client a warm beverage, such as herbal tea -
CORRECT ANSWER A, D
Can an RN delegate to the LPN to provide tracheostomy
care to a client with pneumonia? - CORRECT ANSWER
Yes.
A nurse on a med-surg unit has received change-of-shift
report & will care for 4 clients. Which of the following
client's needs may the nurse assign to an assistive
personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago
w/aspiration pneumonia
B. Reinforcing teaching w/a client who is learning to walk
using a quad cane
TEST QUESTIONS AND ANSWERS
(2023/2024) (VERIFIED ANSWERS)WITH
NGN
A nurse is caring for a client who is receiving continuous
enteral feedings. Which of the following nursing
interventions is the highest priority when the nurse
suspects aspiration of the feeding?
A. Auscultate breath sounds
B. Stop the feeding
C. Obtain a chest xray
D. Initiate oxygen therapy - CORRECT ANSWER B. Stop
the feeding
A nurse is caring for a client in a long-term care facility
who is receiving enteral feedings via NG tube. Which of
the following is an appropriate nursing action prior to
administering the tube feeding? Select all.
A. Auscultate bowel sounds.
B. Assist the client to an upright position.
C. Test the pH of gastric aspirate.
,D. Warm the formula to body temp.
E. Discard any residual gastric contents. - CORRECT
ANSWER A, B, C
D-the formula should be room temp not body
E-unless the volume of the contents is more than 250 mL,
the nurse should return the residual content to the client's
stomach
A nurse is preparing to insert an NG tube for a client who
requires gastric decompression. Which of the following
actions should the nurse perform prior to beginning the
procedure? Select all.
A. Review a signal the client can use if feeling any distress
B. Lay a towel across the client's chest
C. Administer oral pain meds
D. Obtain a Dobhoff tube for insertion
E. Have a petroleum-based lubricant available -
CORRECT ANSWER A, B
An adolescent who has diabetes mellitus is 2 days postop
following an appendectomy. The client is tolerating a
regular diet. He has ambulated successfully around the
unit w/assistance. He requests pain meds Q 6-8 hr while
reporting pain at a 2 on a scale of 1-10 after receiving the
med. His incision is approximated & free of redness,
w/scant serous drainage on the dressing. Which of the
following risk factors for poor wound healing does this
client have? Select all.
,A. Extremes in age
B. Impaired circulation
C. Impaired/suppressed immune system
D. Malnutrition
E. Poor wound care - CORRECT ANSWER B, C
A nurse is assessing a client who is 5 days post op
following abd. surgery. The surgeon suspects an incisional
wound infection & has prescribed antibiotic therapy for the
nurse to initiate after collecting wound & blood specimens
for culture & sensitivity. Which of the following assessment
findings should the nurse expect? Select all.
A. Increase in incisional pain
B. Fever & chills
C. Reddened wound edges
D. Increase in serosanguineous drainage
E. Decrease in thirst - CORRECT ANSWER A, B, C
A nursing instructor is reviewing the wound healing
process w/a group of nursing students. They should be
able to identify which of the following alterations as a
wound or injury that heals by secondary intention? Select
all.
A. Stage III pressure ulcer
B. Sutured surgical incision
C. Casted bone fracture
D. Laceration sealed w/adhesive
E. Open burn area - CORRECT ANSWER A, E
, B and D are healed w/primary intention
C is not a skin wound unless bone has pierced the skin
A client who had abd. surgery 24 hr ago reports a pulling
sensation & pain in his surgical incision. The nurse checks
the client's surgical wound & finds the wound separated
w/viscera protruding. Which of the following interventions
is appropriate? Select all.
A. Cover the area w/saline-soaked sterile dressings
B. Apply an abdominal binder snugly around the abd.
C. Use sterile gloves to apply gentle pressure to the
exposed tissues
D. Position the client supine w/his hips & knees bent
E. Offer the client a warm beverage, such as herbal tea -
CORRECT ANSWER A, D
Can an RN delegate to the LPN to provide tracheostomy
care to a client with pneumonia? - CORRECT ANSWER
Yes.
A nurse on a med-surg unit has received change-of-shift
report & will care for 4 clients. Which of the following
client's needs may the nurse assign to an assistive
personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago
w/aspiration pneumonia
B. Reinforcing teaching w/a client who is learning to walk
using a quad cane
