ATI RN FUNDAMENTALS PROCTORED 2024 WITH NGN
LATEST TEST BANK 60 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
A charge nurse is discussing the responsibility of nurses caring for clients who have a
Clostridium difficile infection. Which of the following information should the nurse include
in the teaching?
A. Assign the client to a room with a negative airflow system.
B. Use alcohol-based hand sanitizer when leaving the client's room.
C. Clean contaminated surfaces in the client's room with a phenol solution.
D. Have family members wear a gown and gloves when visiting. - ansD. Have family
members wear a gown and gloves when visiting.
Nurses are responsible for ensuring that family members wear a gown and gloves to
prevent the transmission of Clostridium difficile spores. Staff must also wear gowns and
gloves.
A charge nurse is observing a newly licensed nurse prepare a sterile field for a dressing
change. Which of the following actions by the newly licensed nurse requires intervention
by the charge nurse?
A. The newly licensed nurse places the cap of a bottle of sterile saline solution on the
sterile field.
B. The newly licensed nurse places sterile objects 2.5 cm (1 inch) within the border of
the field.
C. The newly licensed nurse holds the bottle of sterile saline outside the edge of the
field when pouring.
D. The sterile field is positioned at the level of the newly licensed nurse's waist. - ansA.
The newly licensed nurse places the cap of a bottle of sterile saline solution on the
sterile field.
The newly licensed nurse should place the cap with the sterile side up on a clean
surface because the outer edges are unsterile and will contaminate the sterile field.
A client who is nonambulatory notifies the nurse that his trash can is on fire. After the
nurse confirms the presence of the fire, which of the following actions should the nurse
take next?
A. Activate the emergency fire alarm.
B. Extinguish the fire.
C. Evacuate the client.
D. Confine the fire. - ansC. Evacuate the client.
,According to the RACE mnemonic, the first action in response to a fire is to rescue the
clients, moving them to a safe area.
R = Rescue
A = Activate alarm
C = Contain fire (close windows and doors)
E = Extinguish
A community health nurse is checking blood pressures for a group of clients at a
community health screening. Which of the following clients is at an increased risk for
hypertension?
A. A client who is 52 years old
B. A client who smokes one pack of cigarettes each day
C. A client who walks for 30 min every day
D. A client who drinks one glass of wine three times per week - ansB. A client who
smokes one pack of cigarettes each day
A client who smokes one pack of cigarettes each day is at an increased risk for
hypertension.
A home health nurse is completing an admission assessment of an older adult client
who has their caregiver present. Which of the following findings should the nurse
identify as a potential indication of elder abuse?
A. The caregiver is the client's financial power of attorney.
B. The client is in a wheelchair with the wheels locked.
C. The client reports receiving a full bath twice each week.
D. The caregiver insists on remaining in the room. - ansD. The caregiver insists on
remaining in the room.
A caregiver who refuses to leave the room during an admission assessment can be an
indication of potential mistreatment of the client who is receiving care. The nurse should
evaluate the client for additional signs of potential mistreatment throughout the
admission assessment.
A middle adult client tells the nurse, "I feel so useless now that my children do not need
me anymore." Which of the following responses should the nurse make?
A. "Most people are happy when their children grow up and leave home."
B. "You should be proud that your children are becoming independent."
C. "Maybe you should consider why you are feeling useless."
D. "People in middle adulthood often find satisfaction in nurturing and guiding young
people." - ansD. "People in middle adulthood often find satisfaction in nurturing and
guiding young people."
,According to Erik Erikson, the task of middle adulthood is generativity versus self-
absorption and stagnation. The focus of this task is on offering support and guidance to
future generations. The nurse should explore opportunities for mastering the
developmental tasks of this stage with the client, such as volunteering and mentoring
young people.
A nurse has accepted a verbal prescription "for three tenths of a milligram of
levothyroxine IV stat" for a client who has myxedema coma. How should the nurse
transcribe the dosage of this medication in the client's medical record?
A. .3 mg
B. 0.3 mg
C. 0.30 mg
D. 3/10 mg - ansB. 0.3 mg
The use and placement of a decimal point can potentially cause a medication error if
documented incorrectly. A zero should precede a decimal point, as in 0.3 mg, but
should not follow a decimal point unless a whole number follows the zero, as in 2.05
mg.
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 a routine screening. What
does that involve?" Which of the following responses should the nurse make?
A. "I'll get a blood sample from you and send it for a screening test."
B. "Beginning at age 60, you should have a colonoscopy."
C. "You should have a fecal occult blood test every year."
D. "The recommendation is to have a sigmoidoscopy every 10 years." - ansC. "You
should have a fecal occult blood test every year."
Colorectal cancer screening for clients who are at average risk begins at age 50. One
option for screening is a fecal occult blood test annually.
A nurse in a medical-surgical unit is caring for six clients.
Complete the following sentence by using the lists of options.
Nurses' Notes
0800:
Client 1: Client is admitted with a new diagnosis of rheumatoid arthritis.
Client 2: Client has a history of hyperlipidemia. Atorvastatin 20 mg PO administered as
prescribed.
Client 3: Client is 1 day postoperative. Reports pain as 8 on a scale of 0 to 10. Morphine
5 mg subcutaneous administered as prescribed.
Client 4: Client is admitted with a new diagnosis of heart failure.
, Client 5: Client has a stage 2 pressure injury on the left heel.
Client 6: Client is admitted with a new diagnosis of diabetes mellitus.
Diagnostic Results
0900:
Client 1: C-reactive protein 3.2 mg/dL (less than 1.0 mg/dL)
Client 2: Cholesterol 250 mg/dL (less than 200 mg/dL)
Client 3: Oxygen saturation 88% (95% to 100%)
Client 4: Potassium 3.2 mEq/L (3.5 to 5.0 mEq/L)
Client 5: Prealbumin 14 mg/dL - ansThe first client the nurse should assess is
C. Client 3
When using the airway, breathing, circulation approach to client care, the nurse should
determine that this client is the priority client to assess. The client has an oxygen
saturation that is less than the expected reference range, which is an indication of
hypoxia.
Followed by
A. Client 4
When using the airway, breathing, circulation approach to client care, the nurse should
determine that this client is the next priority client to assess. The client has a potassium
level that is less than the expected reference range, which places the client at risk for
dysrhythmias.
A nurse in a surgical suite notes documentation on a client's medical record that he has
a latex allergy. In preparation for the client's procedure, which of the following
precautions should the nurse take?
A. Ensure sterilization of nondisposable items with ethylene oxide.
B. Wrap monitoring cords with stockinette and tape them in place.
C. Cleanse latex ports on IV tubing with chlorhexidine before injecting medication.
D. Wear hypoallergenic latex gloves that contain powder. - ansB. Wrap monitoring
cords with stockinette and tape them in place.
Many monitoring devices and cords contain latex. The nurse should prevent any contact
of these cords and devices with the client's skin by covering them with a nonlatex barrier
material, such as stockinette, and using nonlatex tape to secure them.
A nurse in an acute care facility is preparing a discharge summary for a client who is
transferring to a long-term care facility. Which of the following documentation should the
nurse include?
A. Client flow sheet
B. Acuity ratings
C. Current medications
D. Incident reports - ansC. Current medications
LATEST TEST BANK 60 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
A charge nurse is discussing the responsibility of nurses caring for clients who have a
Clostridium difficile infection. Which of the following information should the nurse include
in the teaching?
A. Assign the client to a room with a negative airflow system.
B. Use alcohol-based hand sanitizer when leaving the client's room.
C. Clean contaminated surfaces in the client's room with a phenol solution.
D. Have family members wear a gown and gloves when visiting. - ansD. Have family
members wear a gown and gloves when visiting.
Nurses are responsible for ensuring that family members wear a gown and gloves to
prevent the transmission of Clostridium difficile spores. Staff must also wear gowns and
gloves.
A charge nurse is observing a newly licensed nurse prepare a sterile field for a dressing
change. Which of the following actions by the newly licensed nurse requires intervention
by the charge nurse?
A. The newly licensed nurse places the cap of a bottle of sterile saline solution on the
sterile field.
B. The newly licensed nurse places sterile objects 2.5 cm (1 inch) within the border of
the field.
C. The newly licensed nurse holds the bottle of sterile saline outside the edge of the
field when pouring.
D. The sterile field is positioned at the level of the newly licensed nurse's waist. - ansA.
The newly licensed nurse places the cap of a bottle of sterile saline solution on the
sterile field.
The newly licensed nurse should place the cap with the sterile side up on a clean
surface because the outer edges are unsterile and will contaminate the sterile field.
A client who is nonambulatory notifies the nurse that his trash can is on fire. After the
nurse confirms the presence of the fire, which of the following actions should the nurse
take next?
A. Activate the emergency fire alarm.
B. Extinguish the fire.
C. Evacuate the client.
D. Confine the fire. - ansC. Evacuate the client.
,According to the RACE mnemonic, the first action in response to a fire is to rescue the
clients, moving them to a safe area.
R = Rescue
A = Activate alarm
C = Contain fire (close windows and doors)
E = Extinguish
A community health nurse is checking blood pressures for a group of clients at a
community health screening. Which of the following clients is at an increased risk for
hypertension?
A. A client who is 52 years old
B. A client who smokes one pack of cigarettes each day
C. A client who walks for 30 min every day
D. A client who drinks one glass of wine three times per week - ansB. A client who
smokes one pack of cigarettes each day
A client who smokes one pack of cigarettes each day is at an increased risk for
hypertension.
A home health nurse is completing an admission assessment of an older adult client
who has their caregiver present. Which of the following findings should the nurse
identify as a potential indication of elder abuse?
A. The caregiver is the client's financial power of attorney.
B. The client is in a wheelchair with the wheels locked.
C. The client reports receiving a full bath twice each week.
D. The caregiver insists on remaining in the room. - ansD. The caregiver insists on
remaining in the room.
A caregiver who refuses to leave the room during an admission assessment can be an
indication of potential mistreatment of the client who is receiving care. The nurse should
evaluate the client for additional signs of potential mistreatment throughout the
admission assessment.
A middle adult client tells the nurse, "I feel so useless now that my children do not need
me anymore." Which of the following responses should the nurse make?
A. "Most people are happy when their children grow up and leave home."
B. "You should be proud that your children are becoming independent."
C. "Maybe you should consider why you are feeling useless."
D. "People in middle adulthood often find satisfaction in nurturing and guiding young
people." - ansD. "People in middle adulthood often find satisfaction in nurturing and
guiding young people."
,According to Erik Erikson, the task of middle adulthood is generativity versus self-
absorption and stagnation. The focus of this task is on offering support and guidance to
future generations. The nurse should explore opportunities for mastering the
developmental tasks of this stage with the client, such as volunteering and mentoring
young people.
A nurse has accepted a verbal prescription "for three tenths of a milligram of
levothyroxine IV stat" for a client who has myxedema coma. How should the nurse
transcribe the dosage of this medication in the client's medical record?
A. .3 mg
B. 0.3 mg
C. 0.30 mg
D. 3/10 mg - ansB. 0.3 mg
The use and placement of a decimal point can potentially cause a medication error if
documented incorrectly. A zero should precede a decimal point, as in 0.3 mg, but
should not follow a decimal point unless a whole number follows the zero, as in 2.05
mg.
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 a routine screening. What
does that involve?" Which of the following responses should the nurse make?
A. "I'll get a blood sample from you and send it for a screening test."
B. "Beginning at age 60, you should have a colonoscopy."
C. "You should have a fecal occult blood test every year."
D. "The recommendation is to have a sigmoidoscopy every 10 years." - ansC. "You
should have a fecal occult blood test every year."
Colorectal cancer screening for clients who are at average risk begins at age 50. One
option for screening is a fecal occult blood test annually.
A nurse in a medical-surgical unit is caring for six clients.
Complete the following sentence by using the lists of options.
Nurses' Notes
0800:
Client 1: Client is admitted with a new diagnosis of rheumatoid arthritis.
Client 2: Client has a history of hyperlipidemia. Atorvastatin 20 mg PO administered as
prescribed.
Client 3: Client is 1 day postoperative. Reports pain as 8 on a scale of 0 to 10. Morphine
5 mg subcutaneous administered as prescribed.
Client 4: Client is admitted with a new diagnosis of heart failure.
, Client 5: Client has a stage 2 pressure injury on the left heel.
Client 6: Client is admitted with a new diagnosis of diabetes mellitus.
Diagnostic Results
0900:
Client 1: C-reactive protein 3.2 mg/dL (less than 1.0 mg/dL)
Client 2: Cholesterol 250 mg/dL (less than 200 mg/dL)
Client 3: Oxygen saturation 88% (95% to 100%)
Client 4: Potassium 3.2 mEq/L (3.5 to 5.0 mEq/L)
Client 5: Prealbumin 14 mg/dL - ansThe first client the nurse should assess is
C. Client 3
When using the airway, breathing, circulation approach to client care, the nurse should
determine that this client is the priority client to assess. The client has an oxygen
saturation that is less than the expected reference range, which is an indication of
hypoxia.
Followed by
A. Client 4
When using the airway, breathing, circulation approach to client care, the nurse should
determine that this client is the next priority client to assess. The client has a potassium
level that is less than the expected reference range, which places the client at risk for
dysrhythmias.
A nurse in a surgical suite notes documentation on a client's medical record that he has
a latex allergy. In preparation for the client's procedure, which of the following
precautions should the nurse take?
A. Ensure sterilization of nondisposable items with ethylene oxide.
B. Wrap monitoring cords with stockinette and tape them in place.
C. Cleanse latex ports on IV tubing with chlorhexidine before injecting medication.
D. Wear hypoallergenic latex gloves that contain powder. - ansB. Wrap monitoring
cords with stockinette and tape them in place.
Many monitoring devices and cords contain latex. The nurse should prevent any contact
of these cords and devices with the client's skin by covering them with a nonlatex barrier
material, such as stockinette, and using nonlatex tape to secure them.
A nurse in an acute care facility is preparing a discharge summary for a client who is
transferring to a long-term care facility. Which of the following documentation should the
nurse include?
A. Client flow sheet
B. Acuity ratings
C. Current medications
D. Incident reports - ansC. Current medications
