ATI FUNDAMENTALS PROCTOR Retake
Questions with Correct Answers &
Rationales | Proctor Nursing Exam Prep
Guide for RN Students
A nurse is caring for a client who is scheduled to have his alanine
aminotransferase (ALT) level checked. The client asks the nurse to
explain the laboratory test. Which of the following is an appropriate
response by the nurse? <<<<correct answer>>>-This test will
provide information about the function of your liver
-Rationale: ALT and AST measure your liver function. Creatinine and
BUN measure your kidney function
A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-
year-old child who has difficulty swallowing pills. Available is
diphenhydramine 12.5 mg/5 mL oral syrup. Which of the following
images shows the correct # of mL the nurse should administer? (Round
,the answer to the nearest whole number.) <<<<correct
answer>>>20 mg x (5mL/12.5mg) = 8 mL
A nurse is caring for a 6-year-old child who has a new prescription for
cefoxitin 80 mg/kg/day administered intravenously every 6 hour. The
child weighs 20 kg. How much cefoxitin should the nurse administer
with each dose? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.) <<<<correct
answer>>>80 x 20 = (dose is given every 6 hours a day) = 400
mg
A nurse is preparing to administer IV fluids to a client. The nurse notes
sparks when plugging in the IV pump. Which of the following actions
should the nurse take first? <<<<correct answer>>>-Unplug the
pump.
Rationale: YOU WILL FIRST UNPLUG the IV pump to avoid causing a fire
A nurse is caring for a client who has a surgical wound. Which of the
following laboratory values places the client at risk for poor wound
healing? <<<<correct answer>>>-Serum albumin 3 g/dL
Rationale: Albumin low. Normal range is 3.5 to 5.5 g/dL. Low albumin
places the client at risk for poor wound healing.
,.A nurse is preparing to check a client's blood pressure. Which of the
following actions should the nurse take? Chapter 27 Vitals signs page
244 <<<<correct answer>>>-Apply the cuff above the client's
antecubital fossa
Rationale: ATI FUNDA says 40% of the arm circumference pg. 139.
Release the pressure no faster than 2 to 3 mm Hg per second. Apply the
BP cuff 2.5 cm (1 in) above the antecubital space with the brachial
artery in line with the marking on the cuff. Apply the BP cuff 2.5 cm (1
in) above the antecubital space
A nurse is preparing to perform nasal tracheal suctioning for a client.
Which of the following is an appropriate action for the nurse to take?
Chapter 53 Airway management page 563 <<<<correct answer>>>-
Use surgical asepsis when performing the procedure (book says medical
asepsis which is maybe the same thing)
Rationale: Use surgical asepsis for all types of suctioning. No longer
than 10-15 seconds to avoid hypoxemia
A nurse is documenting client care. Which of the following
abbreviations should the nurse use? <<<<correct answer>>>"BRP"
for bathroom privileges
, A nurse is collecting A blood pressure reading from a client who is
sitting in a chair. The nurse determines that the clients BP is 158/96
mmhg. which of the following actions should the nurse take?
<<<<correct answer>>>Recheck the clients BP and her other arm
for comparison.
A nurse is caring for a client who has left lower atelectasis. in which of
the following positions should the nurse place the client for postural
drainage? Chapter 53 Airway Management <<<<correct
answer>>>Right lateral in Trendelenburg position
A nurse is receiving the prescription for a client who is experiencing
dysphagia following a stroke. Which of the following prescriptions
should the nurse clarify? <<<<correct answer>>>Clear liquids-
liquids must be THICK. Clear liquids can cause aspiration
Rationale: ATI MS. Pg. 83 food levels for dysphagia include pureed,
mechanically altered, advanced/ mechanically soft, and regular.
A nurse is administering a large volume enema to a client. Identify the
sequence of steps the nurse should follow after preparation and
lubricating the enema set <<<<correct answer>>>1. Insert the
enema tube into the client's rectum
2. Administer the enema solution
3. Clamp the enema tube
Questions with Correct Answers &
Rationales | Proctor Nursing Exam Prep
Guide for RN Students
A nurse is caring for a client who is scheduled to have his alanine
aminotransferase (ALT) level checked. The client asks the nurse to
explain the laboratory test. Which of the following is an appropriate
response by the nurse? <<<<correct answer>>>-This test will
provide information about the function of your liver
-Rationale: ALT and AST measure your liver function. Creatinine and
BUN measure your kidney function
A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-
year-old child who has difficulty swallowing pills. Available is
diphenhydramine 12.5 mg/5 mL oral syrup. Which of the following
images shows the correct # of mL the nurse should administer? (Round
,the answer to the nearest whole number.) <<<<correct
answer>>>20 mg x (5mL/12.5mg) = 8 mL
A nurse is caring for a 6-year-old child who has a new prescription for
cefoxitin 80 mg/kg/day administered intravenously every 6 hour. The
child weighs 20 kg. How much cefoxitin should the nurse administer
with each dose? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.) <<<<correct
answer>>>80 x 20 = (dose is given every 6 hours a day) = 400
mg
A nurse is preparing to administer IV fluids to a client. The nurse notes
sparks when plugging in the IV pump. Which of the following actions
should the nurse take first? <<<<correct answer>>>-Unplug the
pump.
Rationale: YOU WILL FIRST UNPLUG the IV pump to avoid causing a fire
A nurse is caring for a client who has a surgical wound. Which of the
following laboratory values places the client at risk for poor wound
healing? <<<<correct answer>>>-Serum albumin 3 g/dL
Rationale: Albumin low. Normal range is 3.5 to 5.5 g/dL. Low albumin
places the client at risk for poor wound healing.
,.A nurse is preparing to check a client's blood pressure. Which of the
following actions should the nurse take? Chapter 27 Vitals signs page
244 <<<<correct answer>>>-Apply the cuff above the client's
antecubital fossa
Rationale: ATI FUNDA says 40% of the arm circumference pg. 139.
Release the pressure no faster than 2 to 3 mm Hg per second. Apply the
BP cuff 2.5 cm (1 in) above the antecubital space with the brachial
artery in line with the marking on the cuff. Apply the BP cuff 2.5 cm (1
in) above the antecubital space
A nurse is preparing to perform nasal tracheal suctioning for a client.
Which of the following is an appropriate action for the nurse to take?
Chapter 53 Airway management page 563 <<<<correct answer>>>-
Use surgical asepsis when performing the procedure (book says medical
asepsis which is maybe the same thing)
Rationale: Use surgical asepsis for all types of suctioning. No longer
than 10-15 seconds to avoid hypoxemia
A nurse is documenting client care. Which of the following
abbreviations should the nurse use? <<<<correct answer>>>"BRP"
for bathroom privileges
, A nurse is collecting A blood pressure reading from a client who is
sitting in a chair. The nurse determines that the clients BP is 158/96
mmhg. which of the following actions should the nurse take?
<<<<correct answer>>>Recheck the clients BP and her other arm
for comparison.
A nurse is caring for a client who has left lower atelectasis. in which of
the following positions should the nurse place the client for postural
drainage? Chapter 53 Airway Management <<<<correct
answer>>>Right lateral in Trendelenburg position
A nurse is receiving the prescription for a client who is experiencing
dysphagia following a stroke. Which of the following prescriptions
should the nurse clarify? <<<<correct answer>>>Clear liquids-
liquids must be THICK. Clear liquids can cause aspiration
Rationale: ATI MS. Pg. 83 food levels for dysphagia include pureed,
mechanically altered, advanced/ mechanically soft, and regular.
A nurse is administering a large volume enema to a client. Identify the
sequence of steps the nurse should follow after preparation and
lubricating the enema set <<<<correct answer>>>1. Insert the
enema tube into the client's rectum
2. Administer the enema solution
3. Clamp the enema tube
