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ATI RN FUNDAMENTALS PROCTORED 2024-2025 WITH NGN
LATEST TEST BANK 60 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
A nurse is caring for a group of clients on a medical-surgical unit. In which of the following
situations does the nurse demonstrate the ethical principle of veracity?
A. A client who is unaware of her recent cancer diagnosis asks the nurse if she has cancer, and
the nurse responds affirmatively.
B. A client who has a prescription for a nasogastric tube refuses it, and the nurse complies with
the client's wishes.
C. A client who has a do-not-resuscitate (DNR) order has a cardiac arrest, and the nurse does
not perform CPR despite requests from the client's family.
D. A client who is about to undergo a painful procedure receives pain medication 30 min before
the procedure that the nurse previously promised to administer. - ANSWER-A. A client who is
unaware of her recent cancer diagnosis asks the nurse if she has cancer, and the nurse responds
affirmatively.
Following the ethical principle of veracity, the nurse must tell the truth at all times and never
deceive others.
A nurse is administering IV fluids to a client. When monitoring for adverse effects, which of the
following assessments should the nurse identify as the priority?
A. Auscultate lung sounds.
B. Measure urine output.
C. Monitor blood pressure readings.
D. Monitor electrolyte levels. - ANSWER-A. Auscultate lung sounds.
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The priority assessment the nurse should make when using the airway, breathing, circulation
approach to client care is auscultating lung sounds to monitor for fluid volume excess, a
complication of IV therapy. Manifestations of fluid volume excess include moist crackles in lung
fields, dyspnea, and shortness of breath.
A nurse is caring for a client who is receiving fluid through a peripheral IV catheter. Which of the
following findings at the IV site should the nurse identify as indicating infiltration?
A. Purulent exudate
B. Warmth
C. Skin blanching
D. Bleeding - ANSWER-C. Skin blanching
Skin blanching, edema, and coolness at the IV site indicate infiltration.
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 - ANSWER-C. Current medications
The nurse should include the client's medications in the discharge summary to ensure client
safety and continuity of care.
A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a
new tracheostomy. Which of the following actions should the nurse plan to take?
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A. Use a resuscitation bag with 80% oxygen prior to the procedure.
B. Select a suction catheter that is half the size of the lumen.
C. Place the end of the suction catheter in water-soluble lubricant.
D. Adjust the wall suction apparatus to a pressure of 170 mm Hg. - ANSWER-B. Select a suction
catheter that is half the size of the lumen.
The nurse should select a suction catheter that is half the size of the lumen to prevent
hypoxemia and trauma to the mucosa.
A nurse is caring for a client who has decreased mobility. Which of the following actions should
the nurse take to decrease the client's risk of developing plantar flexion contractures?
A. Place a pillow under the client's knees.
B. Position a trochanter roll under each of the client's hips.
C. Advise the client to wear rubber-soled slippers.
D. Apply an ankle-foot orthotic device to the client's feet. - ANSWER-D. Apply an ankle-foot
orthotic device to the client's feet.
The nurse should use a device to maintain dorsiflexion, such as an ankle-foot orthotic device or
a foot board placed perpendicular to the mattress.
A nurse manager is overseeing the care activities on a unit. For which of the following situations
should the nurse manager intervene due to a violation of HIPAA guidelines?
A. A nurse who is caring for a client reviews the client's medical chart with a nursing student
who is working with the nurse.
B. A nurse asks a nurse from another unit to assist with documentation for a client.
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C. A nurse who is caring for a client returns a call to the person appointed in the health care
proxy to discuss the client's care.
D. A nurse discusses a client's status with the physical therapist who is caring for the client. -
ANSWER-B. A nurse asks a nurse from another unit to assist with documentation for a client.
Only health care professionals directly caring for a client should have access to the client's
medical information; therefore, this is a violation of HIPAA guidelines.
A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. Which
of the following actions should the nurse take?
A. Gently shake the container of medication prior to administration.
B. Transfer the medication to a medicine cup.
C. Place the client in a semi-Fowler's position prior to medication administration.
D. Verify the dosage by measuring the liquid before administering it. - ANSWER-A. Gently shake
the container of medication prior to administration.
The nurse should gently shake the liquid medication to ensure that the medication is mixed.
A nurse on a medical unit is preparing to discharge a client to home. Which of the following
actions should the nurse take as part of the medication reconciliation process?
A. Seal unused medications from the facility in a plastic bag.
B. Evaluate the client's ability to self-administer medications.
C. Report an identified discrepancy to The Joint Commission.
D. Compare prescriptions with medications the client received while at the facility. - ANSWER-D.
Compare prescriptions with medications the client received while at the facility.
ATI RN FUNDAMENTALS PROCTORED 2024-2025 WITH NGN
LATEST TEST BANK 60 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
A nurse is caring for a group of clients on a medical-surgical unit. In which of the following
situations does the nurse demonstrate the ethical principle of veracity?
A. A client who is unaware of her recent cancer diagnosis asks the nurse if she has cancer, and
the nurse responds affirmatively.
B. A client who has a prescription for a nasogastric tube refuses it, and the nurse complies with
the client's wishes.
C. A client who has a do-not-resuscitate (DNR) order has a cardiac arrest, and the nurse does
not perform CPR despite requests from the client's family.
D. A client who is about to undergo a painful procedure receives pain medication 30 min before
the procedure that the nurse previously promised to administer. - ANSWER-A. A client who is
unaware of her recent cancer diagnosis asks the nurse if she has cancer, and the nurse responds
affirmatively.
Following the ethical principle of veracity, the nurse must tell the truth at all times and never
deceive others.
A nurse is administering IV fluids to a client. When monitoring for adverse effects, which of the
following assessments should the nurse identify as the priority?
A. Auscultate lung sounds.
B. Measure urine output.
C. Monitor blood pressure readings.
D. Monitor electrolyte levels. - ANSWER-A. Auscultate lung sounds.
,2|Page
The priority assessment the nurse should make when using the airway, breathing, circulation
approach to client care is auscultating lung sounds to monitor for fluid volume excess, a
complication of IV therapy. Manifestations of fluid volume excess include moist crackles in lung
fields, dyspnea, and shortness of breath.
A nurse is caring for a client who is receiving fluid through a peripheral IV catheter. Which of the
following findings at the IV site should the nurse identify as indicating infiltration?
A. Purulent exudate
B. Warmth
C. Skin blanching
D. Bleeding - ANSWER-C. Skin blanching
Skin blanching, edema, and coolness at the IV site indicate infiltration.
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 - ANSWER-C. Current medications
The nurse should include the client's medications in the discharge summary to ensure client
safety and continuity of care.
A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a
new tracheostomy. Which of the following actions should the nurse plan to take?
,3|Page
A. Use a resuscitation bag with 80% oxygen prior to the procedure.
B. Select a suction catheter that is half the size of the lumen.
C. Place the end of the suction catheter in water-soluble lubricant.
D. Adjust the wall suction apparatus to a pressure of 170 mm Hg. - ANSWER-B. Select a suction
catheter that is half the size of the lumen.
The nurse should select a suction catheter that is half the size of the lumen to prevent
hypoxemia and trauma to the mucosa.
A nurse is caring for a client who has decreased mobility. Which of the following actions should
the nurse take to decrease the client's risk of developing plantar flexion contractures?
A. Place a pillow under the client's knees.
B. Position a trochanter roll under each of the client's hips.
C. Advise the client to wear rubber-soled slippers.
D. Apply an ankle-foot orthotic device to the client's feet. - ANSWER-D. Apply an ankle-foot
orthotic device to the client's feet.
The nurse should use a device to maintain dorsiflexion, such as an ankle-foot orthotic device or
a foot board placed perpendicular to the mattress.
A nurse manager is overseeing the care activities on a unit. For which of the following situations
should the nurse manager intervene due to a violation of HIPAA guidelines?
A. A nurse who is caring for a client reviews the client's medical chart with a nursing student
who is working with the nurse.
B. A nurse asks a nurse from another unit to assist with documentation for a client.
, 4|Page
C. A nurse who is caring for a client returns a call to the person appointed in the health care
proxy to discuss the client's care.
D. A nurse discusses a client's status with the physical therapist who is caring for the client. -
ANSWER-B. A nurse asks a nurse from another unit to assist with documentation for a client.
Only health care professionals directly caring for a client should have access to the client's
medical information; therefore, this is a violation of HIPAA guidelines.
A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. Which
of the following actions should the nurse take?
A. Gently shake the container of medication prior to administration.
B. Transfer the medication to a medicine cup.
C. Place the client in a semi-Fowler's position prior to medication administration.
D. Verify the dosage by measuring the liquid before administering it. - ANSWER-A. Gently shake
the container of medication prior to administration.
The nurse should gently shake the liquid medication to ensure that the medication is mixed.
A nurse on a medical unit is preparing to discharge a client to home. Which of the following
actions should the nurse take as part of the medication reconciliation process?
A. Seal unused medications from the facility in a plastic bag.
B. Evaluate the client's ability to self-administer medications.
C. Report an identified discrepancy to The Joint Commission.
D. Compare prescriptions with medications the client received while at the facility. - ANSWER-D.
Compare prescriptions with medications the client received while at the facility.
