ATI Fundamentals Proctored Exam 100
Questions and Answers updated (With
Verified Answers)
1) 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.
2) 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
3) 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
4) 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
5) 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.
6) 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
7) 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.
8) 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."
, 9) 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.
10)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.
11) 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.
12) 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
13) 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)
14) 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
15) 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.
16) 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
17) 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.
Questions and Answers updated (With
Verified Answers)
1) 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.
2) 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
3) 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
4) 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
5) 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.
6) 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
7) 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.
8) 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."
, 9) 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.
10)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.
11) 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.
12) 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
13) 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)
14) 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
15) 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.
16) 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
17) 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.
