ATI FUNDAMENTALS CMS
PROTOCORED FINAL EXAM
QUESTIONS |STUDY NOTES |
GUARANTEED ACCURATE
ANSWERS |VERIFIED |LATEST
VERSION 2025|26
A nurse is assessing the heart sounds of a client who has developed chest
pain that becomes worse with inspiration. The nurse auscultates a high-
pitched scratching sound during both systole and diastole with the
diaphragm of the stethoscope positioned at the left sternal border. Which
of the following heart sounds should the nurse document?
A. Audible Click
B. Murmur
C. Third heart sound
D. Pericardial friction rub - ACCURATE ANSWERS✔✔ D
A nurse is obtaining the blood pressure in a client's lower extremity.
Which of the following action should the nurse take?
A. Auscultate for the blood presure at the dorsalis pedis artery.
B. Measure the blood pressure with the client sitting on the side of the
bed.
C. Place the cuff 7.6cm (3in) above the popliteal artery.
,D. Place the bladder of the cuff over the posterior aspect of the thigh. -
ACCURATE ANSWERS✔✔ D
A charge nurse is teaching adult cardiopulmonary resusciation (CPR) to
a group of newly licensed nurses. Which of the following actions should
the charge nurse teach as the first response in CPR?
A. Call for assisstance
B. Begin Chest compressions
C. Confirm unresponsiveness.
D. Give rescue breaths. - ACCURATE ANSWERS✔✔ C
A nurse is caring for a client who requires a chest x-ray. Prior to the
client being transported for the procedure, which of the following
actions should the nurse take first?
A. Explain the x-ray procedure to the client.
B. Help the client into a wheelchair before the transporter arrives.
C. Ask if the client has any questions.
D. Identify the client using two identifiers. - ACCURATE
ANSWERS✔✔ D
A nurse is caring for a child who is postoperative following a
tonsillectomy. Which of the following actions should the nurse take?
A. Encourage the child to cough frequently to clear congestion from
anesthesia.
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, B. Place a heating pad at the child's neck for comfort.
C. Administer analgesics to the child on a routine schedule throughout
the day and night.
D. Provide the child with ice cream when oral intake is initiated. -
ACCURATE ANSWERS✔✔ C
A nurse is providing taching to a client who has heart failure about how
to reduce his daily intake of sodium. Which of the following factors is
the most important in determining the client's ability to learn new dietary
habits?
A. The involvement of the client in planning the change.
B. The emphasis the provider places on the dietary changes.
C. The learning theory the nurse uses to teach the dietary changes.
D. The extent of the dietary changes planned for the client. -
ACCURATE ANSWERS✔✔ A
A charge nurse is observing a newly licensed nurse perform
tracheostomy care for a client. Which of the following actions by the
newly licensed nurse requires intervention?
A. Obtaining hydrogen peroxide for the trachesotomy care.
B. Obtainging cotton balls for the tracheostomy care.
C. Obtaining sterile gloves for the tracheostomy care.
D. Obtaining a sterile brush for the tracheostomy care. - ACCURATE
ANSWERS✔✔ B
EXAMLINKS
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PROTOCORED FINAL EXAM
QUESTIONS |STUDY NOTES |
GUARANTEED ACCURATE
ANSWERS |VERIFIED |LATEST
VERSION 2025|26
A nurse is assessing the heart sounds of a client who has developed chest
pain that becomes worse with inspiration. The nurse auscultates a high-
pitched scratching sound during both systole and diastole with the
diaphragm of the stethoscope positioned at the left sternal border. Which
of the following heart sounds should the nurse document?
A. Audible Click
B. Murmur
C. Third heart sound
D. Pericardial friction rub - ACCURATE ANSWERS✔✔ D
A nurse is obtaining the blood pressure in a client's lower extremity.
Which of the following action should the nurse take?
A. Auscultate for the blood presure at the dorsalis pedis artery.
B. Measure the blood pressure with the client sitting on the side of the
bed.
C. Place the cuff 7.6cm (3in) above the popliteal artery.
,D. Place the bladder of the cuff over the posterior aspect of the thigh. -
ACCURATE ANSWERS✔✔ D
A charge nurse is teaching adult cardiopulmonary resusciation (CPR) to
a group of newly licensed nurses. Which of the following actions should
the charge nurse teach as the first response in CPR?
A. Call for assisstance
B. Begin Chest compressions
C. Confirm unresponsiveness.
D. Give rescue breaths. - ACCURATE ANSWERS✔✔ C
A nurse is caring for a client who requires a chest x-ray. Prior to the
client being transported for the procedure, which of the following
actions should the nurse take first?
A. Explain the x-ray procedure to the client.
B. Help the client into a wheelchair before the transporter arrives.
C. Ask if the client has any questions.
D. Identify the client using two identifiers. - ACCURATE
ANSWERS✔✔ D
A nurse is caring for a child who is postoperative following a
tonsillectomy. Which of the following actions should the nurse take?
A. Encourage the child to cough frequently to clear congestion from
anesthesia.
EXAMLINKS
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, B. Place a heating pad at the child's neck for comfort.
C. Administer analgesics to the child on a routine schedule throughout
the day and night.
D. Provide the child with ice cream when oral intake is initiated. -
ACCURATE ANSWERS✔✔ C
A nurse is providing taching to a client who has heart failure about how
to reduce his daily intake of sodium. Which of the following factors is
the most important in determining the client's ability to learn new dietary
habits?
A. The involvement of the client in planning the change.
B. The emphasis the provider places on the dietary changes.
C. The learning theory the nurse uses to teach the dietary changes.
D. The extent of the dietary changes planned for the client. -
ACCURATE ANSWERS✔✔ A
A charge nurse is observing a newly licensed nurse perform
tracheostomy care for a client. Which of the following actions by the
newly licensed nurse requires intervention?
A. Obtaining hydrogen peroxide for the trachesotomy care.
B. Obtainging cotton balls for the tracheostomy care.
C. Obtaining sterile gloves for the tracheostomy care.
D. Obtaining a sterile brush for the tracheostomy care. - ACCURATE
ANSWERS✔✔ B
EXAMLINKS
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