ATI FUNDAMENTALS PROCTORED EXAM
QUESTIONS AND VERIFIED ANSWERS 2023/2024
GRADED A+
A nurse is preparing to apply a dressing for a client who has a stage 2 pressure
injury. Which of the following types of dressing should the nurse use?
1. Alginate
2. Gauze
3. Transparent
4. Hydrocolloid
- answers-Hydrocolloid - dressings promote healing in stage 2 pressure injuries by
creating a moist wound bed.
Alginate - dressing are used to treat stage 3 and 4 pressure injuries to absorb
drainage. Alginate forms a soft gel when it comes in contact with drainage.
Gauze - moistened gauze promotes healing in stage 4 or unstageable pressure
injuries by causing debridement and allowing granulation of the wound bed.
Transparent - dressings promote healing in stage 1 pressure injuries by preventing
further friction and shearing.
Hydrocolloid - dressings promote healing in stage 2 pressure injuries by creating a
moist wound bed.
A nurse is caring for a client who has a terminal illness and is at the end of life.
The nurse should recognize that which of the following statements by the client's
partner indicates effective coping?
1. "I am not worried because I still have hope that he will be okay."
2. "I am relying on support from our family during this time."
,3. "We can plan our family reunion once he recovers and comes home."
4. "We don't see any reason to start discussing funeral arrangements right now." –
answers-2. "I am relying on support from our family during this time."
1. False hope
3. Denial feelings
4. Yes, it's right that not a good time to talk about funeral arrangement but it is not
effective coping to patient
A nurse is assessing an older adult client's risk for falls. Which of the following
assessments should the nurse to identify the client's safety needs? (Select all that
apply)
1. Lacrimal apparatus
2. Pupil clarity
3. Appearance of bulbar conjunctivae
4. Visual fields
5. Visual acuity - answers-2. Pupil clarity
4. Visual fields (finger test)
5. Visual acuity (Snellen chart)
-Answers -
1. Lacrimal apparatus - If clients have an impairment in the ability to produce
tears, it should not affect their fall risk.
3. Appearance of bulbar conjunctivae
A nurse is evaluating a client's use of a cane. Which of the following actions
should the nurse identify as an indication of correct use?
,1. The top of the cane is parallel to the client's waist.
2. When walking, the client moves the cane 46 cm (18 in) forward.
3. The client holds the cane on the stronger side of her body.
4. The client moves her stronger limb forward with the cane.
- Answers-3. The client holds the cane on the stronger side of her body.
1. The top of the cane should be parallel to the client's greater trochanter.
2. To maintain balance, the client should advance the cane about 15 to 30 cm (6 to
12 in) at a time.
4. The client should move her weaker leg forward with the cane.
A nurse is initiating a protective environment for a client who has had an
allogeneic stem cell transplant. Which of the following precautions should the
nurse plan for this client?
1. Make sure the client's room has at least six air exchanges per hour.
2. Make sure the client wears a mask when outside her room if there is
construction in the area.
3. Place the client in a private room with negative-pressure airflow.
4. Wear an N95 respirator when giving the client direct care.
- answers-2. Make sure the client wears a mask when outside her room if there is
construction in the area - protect patient from risk for infection from environment.
1. 12 air exchanges not 6
, 3. private room yes, but positive pressure airflow.
4. The nurse should wear an N95 respirator mask when caring for clients who
require airborne precautions, not a protective environment.
A nurse is providing discharge instructions to a client who will be using a walker.
Which of the following client statements indicates an understanding of the
teaching?
1. "I can place an extension cord across my living room to plug in my television."
2. "I will hire someone to trim the tree that hangs low over the stairs of my front
porch."
3. "I will place my alarm clock on my bedroom dresser across the room."
4. "I will replace the old throw rug in my kitchen with a new one." - answers-2. "I
will hire someone to trim the tree that hangs low over the stairs of my front porch."
A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of
the following actions should the nurse take?
1. Administer the medication with the needle at a 45° angle.
2. Administer the medication into the client's nondominant arm.
3. Pull the client's skin laterally or downward prior to administration.
4. Massage the injection site after administration.
- answers-1. The nurse should insert the needle at a 45° to 90° angle for a
subcutaneous injection.
2. AThe nurse should administer enoxaparin into the abdomen, at least 5 cm (2 in)
from the umbilicus.
QUESTIONS AND VERIFIED ANSWERS 2023/2024
GRADED A+
A nurse is preparing to apply a dressing for a client who has a stage 2 pressure
injury. Which of the following types of dressing should the nurse use?
1. Alginate
2. Gauze
3. Transparent
4. Hydrocolloid
- answers-Hydrocolloid - dressings promote healing in stage 2 pressure injuries by
creating a moist wound bed.
Alginate - dressing are used to treat stage 3 and 4 pressure injuries to absorb
drainage. Alginate forms a soft gel when it comes in contact with drainage.
Gauze - moistened gauze promotes healing in stage 4 or unstageable pressure
injuries by causing debridement and allowing granulation of the wound bed.
Transparent - dressings promote healing in stage 1 pressure injuries by preventing
further friction and shearing.
Hydrocolloid - dressings promote healing in stage 2 pressure injuries by creating a
moist wound bed.
A nurse is caring for a client who has a terminal illness and is at the end of life.
The nurse should recognize that which of the following statements by the client's
partner indicates effective coping?
1. "I am not worried because I still have hope that he will be okay."
2. "I am relying on support from our family during this time."
,3. "We can plan our family reunion once he recovers and comes home."
4. "We don't see any reason to start discussing funeral arrangements right now." –
answers-2. "I am relying on support from our family during this time."
1. False hope
3. Denial feelings
4. Yes, it's right that not a good time to talk about funeral arrangement but it is not
effective coping to patient
A nurse is assessing an older adult client's risk for falls. Which of the following
assessments should the nurse to identify the client's safety needs? (Select all that
apply)
1. Lacrimal apparatus
2. Pupil clarity
3. Appearance of bulbar conjunctivae
4. Visual fields
5. Visual acuity - answers-2. Pupil clarity
4. Visual fields (finger test)
5. Visual acuity (Snellen chart)
-Answers -
1. Lacrimal apparatus - If clients have an impairment in the ability to produce
tears, it should not affect their fall risk.
3. Appearance of bulbar conjunctivae
A nurse is evaluating a client's use of a cane. Which of the following actions
should the nurse identify as an indication of correct use?
,1. The top of the cane is parallel to the client's waist.
2. When walking, the client moves the cane 46 cm (18 in) forward.
3. The client holds the cane on the stronger side of her body.
4. The client moves her stronger limb forward with the cane.
- Answers-3. The client holds the cane on the stronger side of her body.
1. The top of the cane should be parallel to the client's greater trochanter.
2. To maintain balance, the client should advance the cane about 15 to 30 cm (6 to
12 in) at a time.
4. The client should move her weaker leg forward with the cane.
A nurse is initiating a protective environment for a client who has had an
allogeneic stem cell transplant. Which of the following precautions should the
nurse plan for this client?
1. Make sure the client's room has at least six air exchanges per hour.
2. Make sure the client wears a mask when outside her room if there is
construction in the area.
3. Place the client in a private room with negative-pressure airflow.
4. Wear an N95 respirator when giving the client direct care.
- answers-2. Make sure the client wears a mask when outside her room if there is
construction in the area - protect patient from risk for infection from environment.
1. 12 air exchanges not 6
, 3. private room yes, but positive pressure airflow.
4. The nurse should wear an N95 respirator mask when caring for clients who
require airborne precautions, not a protective environment.
A nurse is providing discharge instructions to a client who will be using a walker.
Which of the following client statements indicates an understanding of the
teaching?
1. "I can place an extension cord across my living room to plug in my television."
2. "I will hire someone to trim the tree that hangs low over the stairs of my front
porch."
3. "I will place my alarm clock on my bedroom dresser across the room."
4. "I will replace the old throw rug in my kitchen with a new one." - answers-2. "I
will hire someone to trim the tree that hangs low over the stairs of my front porch."
A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of
the following actions should the nurse take?
1. Administer the medication with the needle at a 45° angle.
2. Administer the medication into the client's nondominant arm.
3. Pull the client's skin laterally or downward prior to administration.
4. Massage the injection site after administration.
- answers-1. The nurse should insert the needle at a 45° to 90° angle for a
subcutaneous injection.
2. AThe nurse should administer enoxaparin into the abdomen, at least 5 cm (2 in)
from the umbilicus.
