ATI RN Fundamentals Proctored Exam
Test Bank 2026 UPDATED PDF
A nurse is reviewing a client's intake and output and notes the following: 0.9%
sodium chloride 600mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100mL
intermittent IV bolus, 200mL emesis, 40mL voided urine, and 20mL urine from
straight catheterization. The nurse should record the client's net fluid intake as how
many mL? (Round the answer to the nearest whole number. Use a leading zero if it
applies. Do not use a trailing zero.)
DOSAGE CALCULATION
700 mL
A nurse is discussing incident reports with a group of newly licensed nurses. The
nurse should include that which if the following requires the completion of an
incident report?
a. A client's prescribed laboratory testing was not obtained
b. A client withdrew consent for a procedure
c. An oncoming nurse arrived to work late
d. A nurse transfused a unit of packed RBCs in 2 hr.
a
A nurse is caring for a client who has a new prescription for negative-pressure
therapy for a chronic wound. The nurse is unfamiliar with the procedure. Which of the
following resources should the nurse consult to learn more about the intervention.
a. The client's plan of care
b. The nurse practice act
c. The material safety data sheet
d. The policy and procedure manual
d
A nurse is performing postural drainage with percussion and vibration for a client
who has cystic fibrosis. Which of the following actions should the nurse take?
a. Cover the area of percussion with a towel.
b. Instruct the client to exhale quickly during vibration
,c. Schedule postural drainage after meals
d. Perform percussion over the lower back
d
A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old child
who has difficulty swallowing pills. Available is diphenhydramine 12.5mg/5ml oral
syrup. Which of the following images indicates the correct number of mL the nurse
should administer? (round answer to the nearest whole number.)
DOSAGE CALCULATION
8ml
A nurse is admitting a client who is malnourished. The client states, "My wedding
ring is loose and I'm worried I will lose it if it falls off."Which of the following is an
appropriate response by the nurse?
a. " I will place it in your drawer so it won't get lost."
b. I can pin it to your hospital gown so you won't lose it."
c. "I will hold onto it until a family member can take it home."
d. I can put it in a locked storage unit for you
d
A charge nurse is teaching a group of newly licensed nurses about the use of
restraints. In which of the following clinical situations should the nurse apply
restraints?
a. If the client is pacing in the hallway
b. As a part of a fall prevention program
c. At the request of the client's family
d. When the client poses a threat to self
d
To ensure client safety, a nurse manager is planning to observe a newly licensed
nurse perform a straight catheterization on a client. In which of the following roles is
the nurse manager functioning?
a. Case manager
b. Client educator
c. Client care provider
d. Client advocate
d
,A charge nurse in a long-term care facility is preparing an educational program about
delirium for newly hired nurses. Which of the following statements should the nurse
plan to include?
a. "Delirium does not affect a client's perception of her environment."
b. "Delirium does not affect a client's sleep cycle."
c. "Delirium has an abrupt onset."
d. "Delirium has a slow progression."
c
A nurse is speaking with a client who has recently received a diagnosis of a chronic
illness. The client states, " The doctor must be wrong. I can't be that sick". The nurse
should inform the client that their reaction is an example of which of the following
expected responses to grief?
a. Acceptance
b. Denial
c. Anger
d. Depression
b
A Nurse on a medical-surgical unit is providing care for four clients. The nurse
should identify which of the following situations as an ethical dilemma?
a. A surgeon who removed the wrong kidney during a surgical procedure refuses to
take responsibility for her actions
b. A client who has Crohn's disease reports that his prescription drug plan will not
pay for his medications.
c. A client who has a new colostomy refuses to take instructions from the ostomy
therapist because she "doesn't like him."
d. the family of a client who has a terminal illness asks the provider not to tell the
client the diagnosis
d
A nurse is teaching a client about performing breast self-examinations. Which of the
following statements by the clients indicates an understanding of the teaching?
a. "I should perform my self-exam the week that my period starts"
b. "I should make different patterns on each breast when I do my self-exam."
c. "I should use the palm of my hand to apply pressure to each breast."
d. "I should make circular motions with my fingertips under my arms."
, d
A nurse is preparing to transfer a client who is partially weight bearing from the bed
to the chair. Which of the following actions should the nurse take?
a. Keep his knees straight when moving the client
b. Position the chair next to the bed as a 90 degree angle
c. Stand with his feet together when lifting the client
d. Have the client bear weight on her stronger leg
d
A nurse is caring for a client following a laparoscopic cholecystectomy. The client
has a prescription for ondansetron 4mg IV bolus every 6hr PRN for nausea and
vomiting. Identify the sequence of steps the nurse should follow to administer the
medication. ( Move the steps into the box on the right, placing them in the order of
performance. Use all the steps.)
- Select the injection port of the IV tubing closest to the client.
- Cleanse the injection port with an antiseptic swab.
- Aspirate for blood return.
- Inject the medication.
- perform hand hygiene
1. perform hand hygiene
2. select the injection port of the IV tubing closest to the client
3. cleanse the injection port with an antiseptic swab
4. aspirate for blood return
5. inject the medication
A nurse is teaching a client who has diabetes mellitus about mixing regular and NPH
insulin.
Which of the following statements but the client indicates an understanding of the
teaching
a. I should wait 3 minutes after mixing the insulin to inject it
b. I should draw up the NPH insulin before regular insulin
c. I should inject air into the vial of regular insulin first
d. I should roll the vial of NPH insulin between my hands before drawing it up
d
A nurse is assessing the body temperature of an adult client using a temporal artery
thermometer. Which of the following actions should the nurse take? (Select all that
Test Bank 2026 UPDATED PDF
A nurse is reviewing a client's intake and output and notes the following: 0.9%
sodium chloride 600mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100mL
intermittent IV bolus, 200mL emesis, 40mL voided urine, and 20mL urine from
straight catheterization. The nurse should record the client's net fluid intake as how
many mL? (Round the answer to the nearest whole number. Use a leading zero if it
applies. Do not use a trailing zero.)
DOSAGE CALCULATION
700 mL
A nurse is discussing incident reports with a group of newly licensed nurses. The
nurse should include that which if the following requires the completion of an
incident report?
a. A client's prescribed laboratory testing was not obtained
b. A client withdrew consent for a procedure
c. An oncoming nurse arrived to work late
d. A nurse transfused a unit of packed RBCs in 2 hr.
a
A nurse is caring for a client who has a new prescription for negative-pressure
therapy for a chronic wound. The nurse is unfamiliar with the procedure. Which of the
following resources should the nurse consult to learn more about the intervention.
a. The client's plan of care
b. The nurse practice act
c. The material safety data sheet
d. The policy and procedure manual
d
A nurse is performing postural drainage with percussion and vibration for a client
who has cystic fibrosis. Which of the following actions should the nurse take?
a. Cover the area of percussion with a towel.
b. Instruct the client to exhale quickly during vibration
,c. Schedule postural drainage after meals
d. Perform percussion over the lower back
d
A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old child
who has difficulty swallowing pills. Available is diphenhydramine 12.5mg/5ml oral
syrup. Which of the following images indicates the correct number of mL the nurse
should administer? (round answer to the nearest whole number.)
DOSAGE CALCULATION
8ml
A nurse is admitting a client who is malnourished. The client states, "My wedding
ring is loose and I'm worried I will lose it if it falls off."Which of the following is an
appropriate response by the nurse?
a. " I will place it in your drawer so it won't get lost."
b. I can pin it to your hospital gown so you won't lose it."
c. "I will hold onto it until a family member can take it home."
d. I can put it in a locked storage unit for you
d
A charge nurse is teaching a group of newly licensed nurses about the use of
restraints. In which of the following clinical situations should the nurse apply
restraints?
a. If the client is pacing in the hallway
b. As a part of a fall prevention program
c. At the request of the client's family
d. When the client poses a threat to self
d
To ensure client safety, a nurse manager is planning to observe a newly licensed
nurse perform a straight catheterization on a client. In which of the following roles is
the nurse manager functioning?
a. Case manager
b. Client educator
c. Client care provider
d. Client advocate
d
,A charge nurse in a long-term care facility is preparing an educational program about
delirium for newly hired nurses. Which of the following statements should the nurse
plan to include?
a. "Delirium does not affect a client's perception of her environment."
b. "Delirium does not affect a client's sleep cycle."
c. "Delirium has an abrupt onset."
d. "Delirium has a slow progression."
c
A nurse is speaking with a client who has recently received a diagnosis of a chronic
illness. The client states, " The doctor must be wrong. I can't be that sick". The nurse
should inform the client that their reaction is an example of which of the following
expected responses to grief?
a. Acceptance
b. Denial
c. Anger
d. Depression
b
A Nurse on a medical-surgical unit is providing care for four clients. The nurse
should identify which of the following situations as an ethical dilemma?
a. A surgeon who removed the wrong kidney during a surgical procedure refuses to
take responsibility for her actions
b. A client who has Crohn's disease reports that his prescription drug plan will not
pay for his medications.
c. A client who has a new colostomy refuses to take instructions from the ostomy
therapist because she "doesn't like him."
d. the family of a client who has a terminal illness asks the provider not to tell the
client the diagnosis
d
A nurse is teaching a client about performing breast self-examinations. Which of the
following statements by the clients indicates an understanding of the teaching?
a. "I should perform my self-exam the week that my period starts"
b. "I should make different patterns on each breast when I do my self-exam."
c. "I should use the palm of my hand to apply pressure to each breast."
d. "I should make circular motions with my fingertips under my arms."
, d
A nurse is preparing to transfer a client who is partially weight bearing from the bed
to the chair. Which of the following actions should the nurse take?
a. Keep his knees straight when moving the client
b. Position the chair next to the bed as a 90 degree angle
c. Stand with his feet together when lifting the client
d. Have the client bear weight on her stronger leg
d
A nurse is caring for a client following a laparoscopic cholecystectomy. The client
has a prescription for ondansetron 4mg IV bolus every 6hr PRN for nausea and
vomiting. Identify the sequence of steps the nurse should follow to administer the
medication. ( Move the steps into the box on the right, placing them in the order of
performance. Use all the steps.)
- Select the injection port of the IV tubing closest to the client.
- Cleanse the injection port with an antiseptic swab.
- Aspirate for blood return.
- Inject the medication.
- perform hand hygiene
1. perform hand hygiene
2. select the injection port of the IV tubing closest to the client
3. cleanse the injection port with an antiseptic swab
4. aspirate for blood return
5. inject the medication
A nurse is teaching a client who has diabetes mellitus about mixing regular and NPH
insulin.
Which of the following statements but the client indicates an understanding of the
teaching
a. I should wait 3 minutes after mixing the insulin to inject it
b. I should draw up the NPH insulin before regular insulin
c. I should inject air into the vial of regular insulin first
d. I should roll the vial of NPH insulin between my hands before drawing it up
d
A nurse is assessing the body temperature of an adult client using a temporal artery
thermometer. Which of the following actions should the nurse take? (Select all that
