1|Page
ATI RN FUNDAMENTALS PROCTORED NEWEST 2024
VERSION A AND B AND A STUDY GUIDE 400
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
ATI RN FUNDAMENTALS PROCTORED VERSION A
A nurse is preparing to bathe a client who has dementia. Which of the
following actions should the nurse take?
a. Give detailed instructions for the client to follow.
b. Complete the bath even if the client is in distress.
c. Use distractions when bathing the client.
d. Allow the client to select the temperature of the bath water. -
ANSWER- c
A hospice nurse is caring for a client who has end stage cancer. Which
of the following interventions should the nurse include to promote the
client's dignity?
a. Provide guided imagery exercises to the client.
b. Refrain from discussing the client's prognosis
c. Suggest that the client keep a journal.
d. Encourage the client to share their life story. - ANSWER- b
A nurse is caring for a client who has a closed wound drainage system.
Which of the following actions should the nurse take?
,2|Page
a. Wear sterile gloves when emptying the container.
b. Reset the container with the drainage port closed
c. Connect the drain to high pressure suction.
d. Press straight down on the container to create vacuum. - ANSWER- d
A nurse receives a telephone prescription from a provider for a client
who is experiencing pain. Which of the following responses should the
nurse make?
a. " Will you please spell the name of that medication for me?"
b. "Let me clarify that you want the medication given qid, correct?"
c. " I will sign my name now and leave a space for you to sign your
name."
d. "Let me provide you with the client's medical record number for
identification." - ANSWER- a
During change of shift report, a nurse discovers she overlooked a
prescription for a type and cross-match of a client who is to have surgery
the next day. Which of the following actions should the nurse take first?
a. Inform the provider of the delay in obtaining the type and cross-
match.
b. Obtain the client's type and cross-match.
c. Prepare an incident report for risk management.
d. Document the incident in the client's medical record. - ANSWER- a
,3|Page
A Nurse is caring for client who has pneumonia. The nurse should
recognize which of the following should be discarded in a biohazard
bag?
a. An emesis basin filled with blood from severe coughing
b. A bedpan containing diarrhea from a client who was receiving
antibiotics
c. A disposable tissue containing expectorated sputum
d. A calibrated toilet insert filled with urine. - ANSWER- a
A nurse is caring for a client who is receiving enteral feedings via NG
tube. Which following actions should the nurse take prior to
administering the formula?
a. Check for gastric residual volume
b. Encourage the client to breathe deeply and cough.
c. Flush the tube with sterile 0.9% sodium chloride irrigation.
d. Encourage the client to take sips of water. - ANSWER- a
A nurse is caring for a client immediately following the insertion of an
NG tube. Which of the following should indicate to the nurse that the
tube is placed incorrectly?
a. The client has a dry mouth
b. The client is coughing
c. The client has active bowel sounds
d. The client is hiccuping - ANSWER- b
, 4|Page
A nurse is inserting an NG tube for a client who requires gastric
decompression. Which of the following actions should the nurse take to
verify proper placement of the tube?
a. Assess the client for a gag reflex
b. Measure the pH of the gastric
c. Place the end of the NG tube in the water to observe for bubbling
d. Asculatate 2.5 cm above the umbilicus while injecting 15 ml of water
- ANSWER- b
A nurse is caring for a client who reports a pain level of 5 on a scale
from 0-10. The client informs the nurse that pain meds are not an option
for managing pain. Which of the following is an appropriate response by
the nurse?
a. Would you like to get you a back massage?
b. Why do you think pain med is not going to help you?
c. You may take any herbal remedies you bring from home
d. I'm sure it will work if you just give it a chance - ANSWER- a
a nurse is caring for a client who has an extracellular fluid volume
deficit. Which of the following findings should the nurse expect?
a. Bradycardia
b. Postural hypotension
c. Distended neck vein
d. Dependent edema - ANSWER- b
ATI RN FUNDAMENTALS PROCTORED NEWEST 2024
VERSION A AND B AND A STUDY GUIDE 400
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
ATI RN FUNDAMENTALS PROCTORED VERSION A
A nurse is preparing to bathe a client who has dementia. Which of the
following actions should the nurse take?
a. Give detailed instructions for the client to follow.
b. Complete the bath even if the client is in distress.
c. Use distractions when bathing the client.
d. Allow the client to select the temperature of the bath water. -
ANSWER- c
A hospice nurse is caring for a client who has end stage cancer. Which
of the following interventions should the nurse include to promote the
client's dignity?
a. Provide guided imagery exercises to the client.
b. Refrain from discussing the client's prognosis
c. Suggest that the client keep a journal.
d. Encourage the client to share their life story. - ANSWER- b
A nurse is caring for a client who has a closed wound drainage system.
Which of the following actions should the nurse take?
,2|Page
a. Wear sterile gloves when emptying the container.
b. Reset the container with the drainage port closed
c. Connect the drain to high pressure suction.
d. Press straight down on the container to create vacuum. - ANSWER- d
A nurse receives a telephone prescription from a provider for a client
who is experiencing pain. Which of the following responses should the
nurse make?
a. " Will you please spell the name of that medication for me?"
b. "Let me clarify that you want the medication given qid, correct?"
c. " I will sign my name now and leave a space for you to sign your
name."
d. "Let me provide you with the client's medical record number for
identification." - ANSWER- a
During change of shift report, a nurse discovers she overlooked a
prescription for a type and cross-match of a client who is to have surgery
the next day. Which of the following actions should the nurse take first?
a. Inform the provider of the delay in obtaining the type and cross-
match.
b. Obtain the client's type and cross-match.
c. Prepare an incident report for risk management.
d. Document the incident in the client's medical record. - ANSWER- a
,3|Page
A Nurse is caring for client who has pneumonia. The nurse should
recognize which of the following should be discarded in a biohazard
bag?
a. An emesis basin filled with blood from severe coughing
b. A bedpan containing diarrhea from a client who was receiving
antibiotics
c. A disposable tissue containing expectorated sputum
d. A calibrated toilet insert filled with urine. - ANSWER- a
A nurse is caring for a client who is receiving enteral feedings via NG
tube. Which following actions should the nurse take prior to
administering the formula?
a. Check for gastric residual volume
b. Encourage the client to breathe deeply and cough.
c. Flush the tube with sterile 0.9% sodium chloride irrigation.
d. Encourage the client to take sips of water. - ANSWER- a
A nurse is caring for a client immediately following the insertion of an
NG tube. Which of the following should indicate to the nurse that the
tube is placed incorrectly?
a. The client has a dry mouth
b. The client is coughing
c. The client has active bowel sounds
d. The client is hiccuping - ANSWER- b
, 4|Page
A nurse is inserting an NG tube for a client who requires gastric
decompression. Which of the following actions should the nurse take to
verify proper placement of the tube?
a. Assess the client for a gag reflex
b. Measure the pH of the gastric
c. Place the end of the NG tube in the water to observe for bubbling
d. Asculatate 2.5 cm above the umbilicus while injecting 15 ml of water
- ANSWER- b
A nurse is caring for a client who reports a pain level of 5 on a scale
from 0-10. The client informs the nurse that pain meds are not an option
for managing pain. Which of the following is an appropriate response by
the nurse?
a. Would you like to get you a back massage?
b. Why do you think pain med is not going to help you?
c. You may take any herbal remedies you bring from home
d. I'm sure it will work if you just give it a chance - ANSWER- a
a nurse is caring for a client who has an extracellular fluid volume
deficit. Which of the following findings should the nurse expect?
a. Bradycardia
b. Postural hypotension
c. Distended neck vein
d. Dependent edema - ANSWER- b
