NGN ATI Fundamentals Proctored
Exam – Test Bank with 250
Questions, Detailed Verified Answers
and Rationales (A+ Graded)
A Nurse is caring for client who has pneumonia. The nurse
should recognize which of the following should be discarded
in a biohazard bag?
a. An emesis basin filled with blood from severe coughing
b. A bedpan containing diarrhea from a client who was
receiving antibiotics
c. A disposable tissue containing expectorated sputum
d. A calibrated toilet insert filled with urine. -
...ANSWER...a
A nurse is caring for a client who is receiving enteral
feedings via NG tube. Which following actions should the
nurse take prior to administering the formula? a. Check
for gastric residual volume
b. Encourage the client to breathe deeply and cough.
c. Flush the tube with sterile 0.9% sodium chloride
irrigation.
d. Encourage the client to take sips of water. -
...ANSWER...a
A nurse is caring for a client immediately following the
,insertion of an NG tube. Which of the following should
indicate to the nurse that the tube is placed incorrectly?
a. The client has a dry mouth
b. The client is coughing
c. The client has active bowel sounds
d. The client is hiccuping - ...ANSWER...b
A nurse is inserting an NG tube for a client who requires
gastric decompression. Which of the following actions
should the nurse take to verify proper placement of the tube?
a. Assess the client for a gag reflex
b. Measure the pH of the gastric
c. Place the end of the NG tube in the water to observe for
bubbling
d. Asculatate 2.5 cm above the umbilicus while injecting 15
ml of water - ...ANSWER...b
A nurse is caring for a client who reports a pain level of 5 on
a scale from 0-10. The client informs the nurse that pain
meds are not an option for managing pain. Which of the
following is an appropriate response by the nurse? a. Would
you like to get you a back massage?
b. Why do you think pain med is not going to help you?
c. You may take any herbal remedies you bring from home
d. I'm sure it will work if you just give it a chance -
...ANSWER...a
a nurse is caring for a client who has an extracellular fluid
volume deficit. Which of the following findings should the
nurse expect?
a. Bradycardia
,b. Postural hypotension
c. Distended neck vein
d. Dependent edema - ...ANSWER...b
A nurse is caring for a client who is immunocompromised
which of the following actions should the nurse take? a.
Use sterile gloves to provide perineal care
b. Cleanse hands with an alcohol based hand rub before
client contact
c. Have the client apply a mask when children are visiting
d. Place the client in a semi-private room - ...ANSWER...b
Which of the following veins should the nurse select when
initiating iv therapy?
a. The radial vein on the left arm
b. The cephalic vein in the left distal forearm
c. The cephalic within on the back of the right hand
d. The basilic vein in the right antecubital fossa -
...ANSWER...b
interventions should the nurse take to prevent skin
breakdown?
a. Apply powder to the client perineal area
b. Restrict client's fluid intake
c. Request a prescriptions for an indwelling urinary catheter
d. Apply a moisture barrier ointment after perineal hygiene -
...ANSWER...d
client tells the nurse" I am looking forward to seeing my
grandchildren grow up." the nurse should identify the client
, is experiencing which of the following stages of grief? a.
Acceptance
b. Bargaining
c. Anger
d. Denial - ...ANSWER...d
A nurse is teaching a client about the care and use of hearing
aids. Which of the following instructions should the nurse
include in the teaching?
a. clean the hearing aid by soaking it in warm water
b. Turn the hearing aid off and the volume down before
insertion
c. Replace the battery if the hearing aid emits a whistling
sound
d. Leave the battery in place when the hearing aid is not in
use - ...ANSWER...b
A nurse is teaching a client about the care and use of hearing
aids. Which of the following should the nurse take?
a. Observe the client's eyes for the six cardinal position of
gaze
b. Verify the client's ability to read letters on a snellen eye
chart
c. Check the client's pupil reaction when focusing on
distant and nearby objects
d. Test the client's eyes for reactions to light response -
...ANSWER...c
A nurse is teaching the assistive personnel about upper body
mechanics to prevent injury. Which of the following actions
Exam – Test Bank with 250
Questions, Detailed Verified Answers
and Rationales (A+ Graded)
A Nurse is caring for client who has pneumonia. The nurse
should recognize which of the following should be discarded
in a biohazard bag?
a. An emesis basin filled with blood from severe coughing
b. A bedpan containing diarrhea from a client who was
receiving antibiotics
c. A disposable tissue containing expectorated sputum
d. A calibrated toilet insert filled with urine. -
...ANSWER...a
A nurse is caring for a client who is receiving enteral
feedings via NG tube. Which following actions should the
nurse take prior to administering the formula? a. Check
for gastric residual volume
b. Encourage the client to breathe deeply and cough.
c. Flush the tube with sterile 0.9% sodium chloride
irrigation.
d. Encourage the client to take sips of water. -
...ANSWER...a
A nurse is caring for a client immediately following the
,insertion of an NG tube. Which of the following should
indicate to the nurse that the tube is placed incorrectly?
a. The client has a dry mouth
b. The client is coughing
c. The client has active bowel sounds
d. The client is hiccuping - ...ANSWER...b
A nurse is inserting an NG tube for a client who requires
gastric decompression. Which of the following actions
should the nurse take to verify proper placement of the tube?
a. Assess the client for a gag reflex
b. Measure the pH of the gastric
c. Place the end of the NG tube in the water to observe for
bubbling
d. Asculatate 2.5 cm above the umbilicus while injecting 15
ml of water - ...ANSWER...b
A nurse is caring for a client who reports a pain level of 5 on
a scale from 0-10. The client informs the nurse that pain
meds are not an option for managing pain. Which of the
following is an appropriate response by the nurse? a. Would
you like to get you a back massage?
b. Why do you think pain med is not going to help you?
c. You may take any herbal remedies you bring from home
d. I'm sure it will work if you just give it a chance -
...ANSWER...a
a nurse is caring for a client who has an extracellular fluid
volume deficit. Which of the following findings should the
nurse expect?
a. Bradycardia
,b. Postural hypotension
c. Distended neck vein
d. Dependent edema - ...ANSWER...b
A nurse is caring for a client who is immunocompromised
which of the following actions should the nurse take? a.
Use sterile gloves to provide perineal care
b. Cleanse hands with an alcohol based hand rub before
client contact
c. Have the client apply a mask when children are visiting
d. Place the client in a semi-private room - ...ANSWER...b
Which of the following veins should the nurse select when
initiating iv therapy?
a. The radial vein on the left arm
b. The cephalic vein in the left distal forearm
c. The cephalic within on the back of the right hand
d. The basilic vein in the right antecubital fossa -
...ANSWER...b
interventions should the nurse take to prevent skin
breakdown?
a. Apply powder to the client perineal area
b. Restrict client's fluid intake
c. Request a prescriptions for an indwelling urinary catheter
d. Apply a moisture barrier ointment after perineal hygiene -
...ANSWER...d
client tells the nurse" I am looking forward to seeing my
grandchildren grow up." the nurse should identify the client
, is experiencing which of the following stages of grief? a.
Acceptance
b. Bargaining
c. Anger
d. Denial - ...ANSWER...d
A nurse is teaching a client about the care and use of hearing
aids. Which of the following instructions should the nurse
include in the teaching?
a. clean the hearing aid by soaking it in warm water
b. Turn the hearing aid off and the volume down before
insertion
c. Replace the battery if the hearing aid emits a whistling
sound
d. Leave the battery in place when the hearing aid is not in
use - ...ANSWER...b
A nurse is teaching a client about the care and use of hearing
aids. Which of the following should the nurse take?
a. Observe the client's eyes for the six cardinal position of
gaze
b. Verify the client's ability to read letters on a snellen eye
chart
c. Check the client's pupil reaction when focusing on
distant and nearby objects
d. Test the client's eyes for reactions to light response -
...ANSWER...c
A nurse is teaching the assistive personnel about upper body
mechanics to prevent injury. Which of the following actions
