ATI PROCTORED FUNDAMENTALS EXAM QUESTIONS
WITH 100% CORRECT ANSWERS AND EXPLANATIONS
NEW VERSION
A nurse is contributing to the plan of care for four clients. For which of the following clients should the
nurse initiate airborne precautions?
a. a client who has pneumonia
b. a client who has measles
c. a client who has pertussis
d. a client who has methicillin-resistant Staphylococcus aureus (MRSA)
b. a client who has measles-The nurse should initiate airborne precautions for a client who has measles
A nurse is collecting data from a client following a lumbar puncture . THe nurse should identify which of
the follwing finidngs as a potential adverse effect of this procedure?
a. Fluid overload
b. Diarrhea
c.Headache
d. difficulty voiding
c. Headache
-The nurse should identify that a headache can be an adverse effect following a lumbar puncture. To
minimize the client's discomfort, the nurse should administer analgesics, offer fluids, and maintain the
client in a dorsal recumbent position for the length of time prescribed by the provider.
A nurse is caring for a group of clients in a long-term care facility. Which of the following actions should
the nurse take to prevent healthcare-associated infections for these clients? (select all that apply)
a. place immunocompromised clients in the same room
b. wash hands after removing gloves
c. use antimicrobial hand gel after refilling the client's water pitcher
d. clean the stethoscope with an antimicrobial wipe after obtaining vital signs
e. administer a prophylactic dose of antibiotics prior to discharge
b. wash hands after removing gloves-The nurse should perform hand hygiene after removing
gloves to prevent the transmission of microorganisms from one setting or client to another
,c. use antimicrobial hand gel after refilling the client's water pitcher-The nurse should perform
hand hygiene after touching a client's supplies to prevent the transmission of microorganisms.
d. clean the stethoscope with an antimicrobial wipe after obtaining vital signs-The nurse should
wipe all equipment between clients to prevent the transmission of microorganisms from one client to
another.
1+ pitting edema
The nurse should document 1+ pitting edema when there a slight indentation of the tissue, which is
about 2 mm.
2+ pitting edema
The nurse should document 2+ pitting edema when there is a slight indentation of about 4 mm to the
tissue.
4+ pitting edema
The nurse should document 4+ pitting edema when there is very deep indentation of the tissue, which is
about 8 mm.
A nurse is planning to administer medication to a client who has a Clostridium difficile infection. TO
prevent the transmission of this infection to others, which of the following actions should the nurse plan
to take?
a. clean hands with an alcohol-based hand rub immediately after removing gloves
b. remove the cover gown in the client's room after providing care
c. place the client in a room with negative-pressure airflow
d. wear a mask when administering oral medications to the client
b. remove the cover gown in the client's room after providing care-The nurse should initiate contact
precautions for clients who have a C. difficile infection. Contact precautions include the removal of the
cover gown and other personal protective equipment inside the client's room to prevent the spread of
infection.
maturational loss
Loss, usually of an aspect of self, resulting from the normal changes of growth and development.
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions
should the nurse take?
a. clean the perineal area at least once a day
b. empty the drainage bag when it is three-fourths full
c. flush the catheter with sterile water daily
d. disconnect the drainage bag when emptying and measuring urine
,a. clean the perineal area at least once a day-The nurse should clean the perineal area at least once a
day to reduce the risk for infection actual loss
loss that can be recognized by others as well as by the person sustaining the loss, such as loss of a limb
or a spouse disenfranchised grief
A situation in which certain people, although they are bereaved, are prevented from mourning publicly
by cultural customs or social restrictions.
complicated grief
a type of grief that impedes a person's future life, usually because the person clings to sorrow or is
buffeted by contradictory emotions
A nurse is caring for a client who is postoperative following a mastectomy. The client states, "I can barely
look at myself in the mirror." The nurse should identify that the client is experiencing which of the
following?
a. complicated grief
b. maturational loss
c. disenfranchised grief
d. actual loss
d. actual loss-the nurse should identify that the client's comments indicate an actual loss, which is a loss
that occurs when the person can no longer feel, see, hear, or know an object, another person, or a part
of themselves, such as a loss of a body part.
A nurse is caring for a client who has chronic kidney disease. The nurse should identify that which of the
following findings is the priority?
a. client reports voiding three times during the night
b. client reports burning and discomforting with urination
c. the client's WBC count is 11,000/mm^3
d. the client's output was 60 mL for the past 3 hr
d. the client's output was 60 mL for the past 3 hr-When using the urgent vs. nonurgent approach to the
client care, the nurse determines that the priority finding is a urinary output of 60 mL over 3 hr. This
finding represents oliguria and can indicate a decrease in kidney perfusion or function.
Intimacy vs. Isolation
Erikson's stage in which individuals form deeply personal relationships, marry, begin families identity
vs. role confusion
Erikson's stage during which teenagers and young adults search for and become their true selves
, Generativity vs. Self-Absorption
In adulthood ones focus shifts from independent goals to working productively with others. What you
contribute is the primary focus.
Ego Integrity vs. Despair
(Erikson) People in late adulthood either achieve a sense of integrity of the self by accepting the lives
they have lived or yield to despair that their lives cannot be relived Erikson's Theory of Psychosocial
Development
the theory that considers how individuals come to understand themselves and the meaning of others'
and their own behavior
A nurse is documenting client care in a client's electronic health record. Which of the following
statements should the nurse include in the documentation?
a. "The client complained about having to get out of bed."
b. "The client was voiding well."
c. "The client became short of breath when ambulating."
d. "The client appears to be comfortable while in bed."
c. "The client became short of breath when ambulating."-The nurse should include objective and
significant information about the client when documenting client data in the electronic health record.
A nurse is reinforcing teaching with a client who is scheduled for a bladder scan. Which of the following
instructions should the nurse include in the teaching?
a. "You will need to sign a consent form before we begin the procedure."
b. "I will place a gel pad directly above your pubic area before I place the probe."
c. "You will need to hold your urine for 1 hour prior to the procedure."
d. "You will receive a contrast dye through an IV catheter prior to the scan."
b. "I will place a gel pad directly above your pubic area before I place the probe."-The nurse should use a
gel pad, which promotes ultrasound transmission and accurate measurement. The correct placement of
the ultrasound device is just above the symphysis pubis.
a nurse is demonstrating the use of a transparent film dressing over a clients superficial wound. Which
of the following information about a transparent film dressing should the nurse include?
a."This dressing keeps the wound bed dry."
b. "This dressing allows the wound bed to breathe."
c."This dressing requires a secondary dressing."
d."This dressing requires paper tape to secure."
WITH 100% CORRECT ANSWERS AND EXPLANATIONS
NEW VERSION
A nurse is contributing to the plan of care for four clients. For which of the following clients should the
nurse initiate airborne precautions?
a. a client who has pneumonia
b. a client who has measles
c. a client who has pertussis
d. a client who has methicillin-resistant Staphylococcus aureus (MRSA)
b. a client who has measles-The nurse should initiate airborne precautions for a client who has measles
A nurse is collecting data from a client following a lumbar puncture . THe nurse should identify which of
the follwing finidngs as a potential adverse effect of this procedure?
a. Fluid overload
b. Diarrhea
c.Headache
d. difficulty voiding
c. Headache
-The nurse should identify that a headache can be an adverse effect following a lumbar puncture. To
minimize the client's discomfort, the nurse should administer analgesics, offer fluids, and maintain the
client in a dorsal recumbent position for the length of time prescribed by the provider.
A nurse is caring for a group of clients in a long-term care facility. Which of the following actions should
the nurse take to prevent healthcare-associated infections for these clients? (select all that apply)
a. place immunocompromised clients in the same room
b. wash hands after removing gloves
c. use antimicrobial hand gel after refilling the client's water pitcher
d. clean the stethoscope with an antimicrobial wipe after obtaining vital signs
e. administer a prophylactic dose of antibiotics prior to discharge
b. wash hands after removing gloves-The nurse should perform hand hygiene after removing
gloves to prevent the transmission of microorganisms from one setting or client to another
,c. use antimicrobial hand gel after refilling the client's water pitcher-The nurse should perform
hand hygiene after touching a client's supplies to prevent the transmission of microorganisms.
d. clean the stethoscope with an antimicrobial wipe after obtaining vital signs-The nurse should
wipe all equipment between clients to prevent the transmission of microorganisms from one client to
another.
1+ pitting edema
The nurse should document 1+ pitting edema when there a slight indentation of the tissue, which is
about 2 mm.
2+ pitting edema
The nurse should document 2+ pitting edema when there is a slight indentation of about 4 mm to the
tissue.
4+ pitting edema
The nurse should document 4+ pitting edema when there is very deep indentation of the tissue, which is
about 8 mm.
A nurse is planning to administer medication to a client who has a Clostridium difficile infection. TO
prevent the transmission of this infection to others, which of the following actions should the nurse plan
to take?
a. clean hands with an alcohol-based hand rub immediately after removing gloves
b. remove the cover gown in the client's room after providing care
c. place the client in a room with negative-pressure airflow
d. wear a mask when administering oral medications to the client
b. remove the cover gown in the client's room after providing care-The nurse should initiate contact
precautions for clients who have a C. difficile infection. Contact precautions include the removal of the
cover gown and other personal protective equipment inside the client's room to prevent the spread of
infection.
maturational loss
Loss, usually of an aspect of self, resulting from the normal changes of growth and development.
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions
should the nurse take?
a. clean the perineal area at least once a day
b. empty the drainage bag when it is three-fourths full
c. flush the catheter with sterile water daily
d. disconnect the drainage bag when emptying and measuring urine
,a. clean the perineal area at least once a day-The nurse should clean the perineal area at least once a
day to reduce the risk for infection actual loss
loss that can be recognized by others as well as by the person sustaining the loss, such as loss of a limb
or a spouse disenfranchised grief
A situation in which certain people, although they are bereaved, are prevented from mourning publicly
by cultural customs or social restrictions.
complicated grief
a type of grief that impedes a person's future life, usually because the person clings to sorrow or is
buffeted by contradictory emotions
A nurse is caring for a client who is postoperative following a mastectomy. The client states, "I can barely
look at myself in the mirror." The nurse should identify that the client is experiencing which of the
following?
a. complicated grief
b. maturational loss
c. disenfranchised grief
d. actual loss
d. actual loss-the nurse should identify that the client's comments indicate an actual loss, which is a loss
that occurs when the person can no longer feel, see, hear, or know an object, another person, or a part
of themselves, such as a loss of a body part.
A nurse is caring for a client who has chronic kidney disease. The nurse should identify that which of the
following findings is the priority?
a. client reports voiding three times during the night
b. client reports burning and discomforting with urination
c. the client's WBC count is 11,000/mm^3
d. the client's output was 60 mL for the past 3 hr
d. the client's output was 60 mL for the past 3 hr-When using the urgent vs. nonurgent approach to the
client care, the nurse determines that the priority finding is a urinary output of 60 mL over 3 hr. This
finding represents oliguria and can indicate a decrease in kidney perfusion or function.
Intimacy vs. Isolation
Erikson's stage in which individuals form deeply personal relationships, marry, begin families identity
vs. role confusion
Erikson's stage during which teenagers and young adults search for and become their true selves
, Generativity vs. Self-Absorption
In adulthood ones focus shifts from independent goals to working productively with others. What you
contribute is the primary focus.
Ego Integrity vs. Despair
(Erikson) People in late adulthood either achieve a sense of integrity of the self by accepting the lives
they have lived or yield to despair that their lives cannot be relived Erikson's Theory of Psychosocial
Development
the theory that considers how individuals come to understand themselves and the meaning of others'
and their own behavior
A nurse is documenting client care in a client's electronic health record. Which of the following
statements should the nurse include in the documentation?
a. "The client complained about having to get out of bed."
b. "The client was voiding well."
c. "The client became short of breath when ambulating."
d. "The client appears to be comfortable while in bed."
c. "The client became short of breath when ambulating."-The nurse should include objective and
significant information about the client when documenting client data in the electronic health record.
A nurse is reinforcing teaching with a client who is scheduled for a bladder scan. Which of the following
instructions should the nurse include in the teaching?
a. "You will need to sign a consent form before we begin the procedure."
b. "I will place a gel pad directly above your pubic area before I place the probe."
c. "You will need to hold your urine for 1 hour prior to the procedure."
d. "You will receive a contrast dye through an IV catheter prior to the scan."
b. "I will place a gel pad directly above your pubic area before I place the probe."-The nurse should use a
gel pad, which promotes ultrasound transmission and accurate measurement. The correct placement of
the ultrasound device is just above the symphysis pubis.
a nurse is demonstrating the use of a transparent film dressing over a clients superficial wound. Which
of the following information about a transparent film dressing should the nurse include?
a."This dressing keeps the wound bed dry."
b. "This dressing allows the wound bed to breathe."
c."This dressing requires a secondary dressing."
d."This dressing requires paper tape to secure."
