2024/25 ATI RN FUNDAMENTALS PROCTORED
EXAM WITH DETAILED QUESTIONS AND ALL
CORRECT ANSWERS
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 bad. 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 bad. 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 bad.
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
A nurse is caring for an older adult client who is at risk for developing pressure ulcers.
Which of the following interventions should the nurse use to help maintain the integrity
of the client's skin? Select all.
A. Keep the head of the bed elevated 30 degrees
B. Massage the client's bony prominences often
C. Apply cornstarch liberally to the skin after bathing
D. Have the client sit on a gel cushion when in a chair
E. Reposition the client at least Q 3 hr. while in bed - CORRECT ANSWER A, D
not E because it should be at least every 2 hours
102 - CORRECT ANSWER Can an RN delegate to the LPN to provide tracheostomy
care to a client with pneumonia? - CORRECT ANSWER Yes.
A nurse on a med-surge 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
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer - CORRECT ANSWER C. Reapplying
a condom catheter for a client who has urinary incontinence
Rationale: The application of a condom catheter is a noninvasive, routine procedure that
the nurse may delegate to the AP
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago
to an AP. Which of the following information should the nurse share with the AP? Select
All.
A. The roommate is up independently.
B. The client ambulates w/his slippers on over his ant embolic stockings
, C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning - CORRECT ANSWER B, C, D
An RN is making assignments for client care to a LPN at the beginning of the shift.
Which of the following assignments should the LPN question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the
previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - CORRECT ANSWER D.
Replacing the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
A nurse is preparing an in-service program about delegation. Which of the following
elements should she identify when presenting the 5 rights of delegation? Select all.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances - CORRECT ANSWER B, C, E
An and D are rights of medication administration
A nurse manager of a med-surge unit is assigning care responsibilities for the oncoming
shift. A client is awaiting transfer back to the unit from the PACU following thoracic
surgery. To which staff member should the nurse assign to this client?
A. Charge nurse
B. RN
C. LPN
D. AP - CORRECT ANSWER B. RN
A client returning from surgery requires assessment and establishment of a plan of
care. RNs are responsible for this, especially if the client is potentially unstable.
A nurse observes an AP reprimanding a client for not using the urinal properly. The AP
tells him she will put a diaper on him if he does not use the urinal more carefully next
time. Which of the following torts is the AP committing?
A. Assault
B. Battery
EXAM WITH DETAILED QUESTIONS AND ALL
CORRECT ANSWERS
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 bad. 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 bad. 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 bad.
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
A nurse is caring for an older adult client who is at risk for developing pressure ulcers.
Which of the following interventions should the nurse use to help maintain the integrity
of the client's skin? Select all.
A. Keep the head of the bed elevated 30 degrees
B. Massage the client's bony prominences often
C. Apply cornstarch liberally to the skin after bathing
D. Have the client sit on a gel cushion when in a chair
E. Reposition the client at least Q 3 hr. while in bed - CORRECT ANSWER A, D
not E because it should be at least every 2 hours
102 - CORRECT ANSWER Can an RN delegate to the LPN to provide tracheostomy
care to a client with pneumonia? - CORRECT ANSWER Yes.
A nurse on a med-surge 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
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer - CORRECT ANSWER C. Reapplying
a condom catheter for a client who has urinary incontinence
Rationale: The application of a condom catheter is a noninvasive, routine procedure that
the nurse may delegate to the AP
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago
to an AP. Which of the following information should the nurse share with the AP? Select
All.
A. The roommate is up independently.
B. The client ambulates w/his slippers on over his ant embolic stockings
, C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning - CORRECT ANSWER B, C, D
An RN is making assignments for client care to a LPN at the beginning of the shift.
Which of the following assignments should the LPN question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the
previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - CORRECT ANSWER D.
Replacing the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
A nurse is preparing an in-service program about delegation. Which of the following
elements should she identify when presenting the 5 rights of delegation? Select all.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances - CORRECT ANSWER B, C, E
An and D are rights of medication administration
A nurse manager of a med-surge unit is assigning care responsibilities for the oncoming
shift. A client is awaiting transfer back to the unit from the PACU following thoracic
surgery. To which staff member should the nurse assign to this client?
A. Charge nurse
B. RN
C. LPN
D. AP - CORRECT ANSWER B. RN
A client returning from surgery requires assessment and establishment of a plan of
care. RNs are responsible for this, especially if the client is potentially unstable.
A nurse observes an AP reprimanding a client for not using the urinal properly. The AP
tells him she will put a diaper on him if he does not use the urinal more carefully next
time. Which of the following torts is the AP committing?
A. Assault
B. Battery
