ATI Proctored Fundamentals Review
Questions (Pt.1)
following statements should the nurse identify as an indication that the client is having
difficulty achieving Erikson's developmental task for the age group? - ANS -A (We miss
our daughter so much that we are going to move closer to her.)
A newly licensed nurse is preparing to administer medications to a client. The nurse
notes that the provider has prescribed a medication that is unfamiliar to him. Which of
the following actions should the nurse take?
A. Consult the medication reference book available on the unit
B. Ask a more experienced nurse for information about the medication
C. Call the client's provider and verify the prescription
D. Ask the client if she takes this medication at home - ANS -A (Consult the medication
reference book available on the unit)
A nurse documents the presence of clubbing of the fingernails for a client who has
emphysema. Which of the following is the underlying cause of this finding? - ANS -D
(Chronic hypoxemia)
A nurse in an acute care facility is planning care for a client who is alert but temporarily
immobile due to a total hip arthroplasty. Which of the following interventions should the
nurse plan to take to prevent a complication of immobility?
A. Move the client from supine to a low Fowler's position every 2-3 hr to help prevent
orthostatic hypotension
B. Limit fluid intake to 1 L (33.8 oz) in 24 hr to help prevent dependent edema
C. Encourage the client to turn from side to side every 3-4 hr to help prevent respiratory
complications
D. Instruct the client to perform foot and leg exercises every 1-2 hr while awake to help
prevent thrombophlebitis - ANS -D (Instruct the client to perform foot and leg exercises
every 1-2 hr while awake to help prevent thrombophlebitis)
, A nurse in the emergency department is assessing a client who has deep, rapid
respirations. Arterial blood gas analysis includes the following values: pH 7.25, PaCO2
40, and HCO3- 18. Which of the following acid-base imbalances should the nurse
identify and report to the provider?
A. Respiratory alkalosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Metabolic acidosis - ANS -D (Metabolic acidosis)
A nurse is administering an IM injection to a 5-month-old infant. Which of the following
injection sites should the nurse use?
A. Deltoid
B. Ventrogluteal
C. Vastus lateralis
D. Dorsogluteal - ANS -C "Vastus lateralis"
A nurse is administering medication to a client who asks the nurse to leave the
medication at the bedside to be taken at a later time. Which of the following responses
should the nurse make?
A. "Call me when you are ready, and I will return with the medication."
B. "Since you were taking this medication at home, I will leave it for you to take."
C. "I will come back in 30 minutes to check that you took the medication so I can chart
the time."
D. "If you refuse to take the medication now, I can't give it again until your next
scheduled time." - ANS -A ("Call me when you are ready, and I will return with the
medication.")
A nurse is admitting a client who has tuberculosis. In addition to standard precautions,
which of the following transmission-based precautions should the nurse add to the
client's plan of care? - ANS -B (Airborne)
A nurse is applying antiembolitic stockings for a client who has a history of deep vein
thrombosis. Which of the following actions should the nurse take when applying the
stockings?
A. Roll the stocking partially down if too long
B. Remove the stocking once per day
Questions (Pt.1)
following statements should the nurse identify as an indication that the client is having
difficulty achieving Erikson's developmental task for the age group? - ANS -A (We miss
our daughter so much that we are going to move closer to her.)
A newly licensed nurse is preparing to administer medications to a client. The nurse
notes that the provider has prescribed a medication that is unfamiliar to him. Which of
the following actions should the nurse take?
A. Consult the medication reference book available on the unit
B. Ask a more experienced nurse for information about the medication
C. Call the client's provider and verify the prescription
D. Ask the client if she takes this medication at home - ANS -A (Consult the medication
reference book available on the unit)
A nurse documents the presence of clubbing of the fingernails for a client who has
emphysema. Which of the following is the underlying cause of this finding? - ANS -D
(Chronic hypoxemia)
A nurse in an acute care facility is planning care for a client who is alert but temporarily
immobile due to a total hip arthroplasty. Which of the following interventions should the
nurse plan to take to prevent a complication of immobility?
A. Move the client from supine to a low Fowler's position every 2-3 hr to help prevent
orthostatic hypotension
B. Limit fluid intake to 1 L (33.8 oz) in 24 hr to help prevent dependent edema
C. Encourage the client to turn from side to side every 3-4 hr to help prevent respiratory
complications
D. Instruct the client to perform foot and leg exercises every 1-2 hr while awake to help
prevent thrombophlebitis - ANS -D (Instruct the client to perform foot and leg exercises
every 1-2 hr while awake to help prevent thrombophlebitis)
, A nurse in the emergency department is assessing a client who has deep, rapid
respirations. Arterial blood gas analysis includes the following values: pH 7.25, PaCO2
40, and HCO3- 18. Which of the following acid-base imbalances should the nurse
identify and report to the provider?
A. Respiratory alkalosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Metabolic acidosis - ANS -D (Metabolic acidosis)
A nurse is administering an IM injection to a 5-month-old infant. Which of the following
injection sites should the nurse use?
A. Deltoid
B. Ventrogluteal
C. Vastus lateralis
D. Dorsogluteal - ANS -C "Vastus lateralis"
A nurse is administering medication to a client who asks the nurse to leave the
medication at the bedside to be taken at a later time. Which of the following responses
should the nurse make?
A. "Call me when you are ready, and I will return with the medication."
B. "Since you were taking this medication at home, I will leave it for you to take."
C. "I will come back in 30 minutes to check that you took the medication so I can chart
the time."
D. "If you refuse to take the medication now, I can't give it again until your next
scheduled time." - ANS -A ("Call me when you are ready, and I will return with the
medication.")
A nurse is admitting a client who has tuberculosis. In addition to standard precautions,
which of the following transmission-based precautions should the nurse add to the
client's plan of care? - ANS -B (Airborne)
A nurse is applying antiembolitic stockings for a client who has a history of deep vein
thrombosis. Which of the following actions should the nurse take when applying the
stockings?
A. Roll the stocking partially down if too long
B. Remove the stocking once per day
