ATI RN FUNDAMENTALS PROCTORED EXAM 3
2026 PATIENT CARE PRACTICE SET ANSWERS
FULL SOLUTION
◉ A client who will undergo neurosurgery the following week tells
the nurse in the surgeon's office that he will prepare his advance
directives before he goes to the hospital. Which of the following
statements by the client indicates to the nurse that he understands
advance directives?
A. "I'd rather have my brother make decisions for me, but I know it
has to be my wife."
B. "I know they won't go ahead w/the surgery unless I prepare these
forms."
C. "I plan to write that I don't want them to keep me on a breathing
machine."
D. "I will get my regular doctor to approve my plan before I hand it in
at the hospital."
Answer: C.
The client has the right to decide and specify which medical
procedures he wants when a life-threatening situation arrives
,◉ A client is about to undergo an elective surgical procedure. Which
of the following actions are appropriate for the nurse who is
providing preop care regarding informed consent? Select all.
A. Make sure the surgeon obtained the client's consent
B. Witness the client's signature on the consent form
C. Explain the risks and benefits of the procedure
D. Describe the consequences of choosing not to have the surgery
E. Tell the client about alternatives to having the surgery
Answer: A, B
The rest of the choices are the surgeon's responsibility, not the nurse
◉ A nurse has noticed several occasions in the past week when
another nurse on the unit seemed drowsy & unable to focus on the
issue at hand. Today, she found the nurse asleep in a chair in the
break room when she was not on break. Which of the following
actions should the nurse take?
A. Remind the nurse that safe client care is a priority on the unit
B. Ask others on the team whether they have observed the same
behavior
C. Report observations to the nurse manager on the unit
D. Conclude that her coworker's fatigue is not her problem to solve
Answer: C.
,Any nurse who notices behavior that could possibly jeopardize
client care or indicate a substance abuse problem has a duty to
report the situation immediately to the nurse manager
◉ A nurse is preparing info for a change-of-shift report. Which of the
following info should the nurse include in the report?
A. The client's input & output for the shift
B. The client's BP from the previous day
C. A bone scan that is scheduled for today
D. The med routine from the med administration record
Answer: C. A bone scan that is scheduled for today
This is important because the nurse might have to modify the
client's care to accommodate them leaving the unit
◉ A nurse enters a client's room & finds him sitting in his chair. He
states, "I fell in the shower, but I got myself back up & into my chair."
How should the nurse document this in the client's chart?
A. The client fell in the shower.
B. The client states he fell in the shower & was able to get himself
back into his chair
, C. The nurse should not document this info because she did not
witness the fall
D. The client fell in the shower & is now resting comfortably
Answer: B.
By writing what the client states, the info is subjective data
◉ A nursing instructor is reviewing documentation w/a group of
nursing students. Which of the following legal guidelines should
they follow when documenting a client's record? Select all.
A. Cover errors w/correction fluid, & write in the correct info
B. Put the date & time on all entries
C. Document objective data, leaving out opinions
D. Use as many abbreviations as possible
E. Wait until the end of the shift to document
Answer: B, C
◉ The skin barrier covering a client's intestinal fistula keeps falling
off when she stands up to ambulate. The nurse has reapplied it twice
during the shift, but it remains intact only when the client is supine
in bed. The nurse telephoned the physical therapist about the
difficulties containing the drainage from the fistula, so the therapist
didn't ambulate the client today. The client sat in a chair during
lunch w/an absorbent pad over the fistula. The client ate all the food
2026 PATIENT CARE PRACTICE SET ANSWERS
FULL SOLUTION
◉ A client who will undergo neurosurgery the following week tells
the nurse in the surgeon's office that he will prepare his advance
directives before he goes to the hospital. Which of the following
statements by the client indicates to the nurse that he understands
advance directives?
A. "I'd rather have my brother make decisions for me, but I know it
has to be my wife."
B. "I know they won't go ahead w/the surgery unless I prepare these
forms."
C. "I plan to write that I don't want them to keep me on a breathing
machine."
D. "I will get my regular doctor to approve my plan before I hand it in
at the hospital."
Answer: C.
The client has the right to decide and specify which medical
procedures he wants when a life-threatening situation arrives
,◉ A client is about to undergo an elective surgical procedure. Which
of the following actions are appropriate for the nurse who is
providing preop care regarding informed consent? Select all.
A. Make sure the surgeon obtained the client's consent
B. Witness the client's signature on the consent form
C. Explain the risks and benefits of the procedure
D. Describe the consequences of choosing not to have the surgery
E. Tell the client about alternatives to having the surgery
Answer: A, B
The rest of the choices are the surgeon's responsibility, not the nurse
◉ A nurse has noticed several occasions in the past week when
another nurse on the unit seemed drowsy & unable to focus on the
issue at hand. Today, she found the nurse asleep in a chair in the
break room when she was not on break. Which of the following
actions should the nurse take?
A. Remind the nurse that safe client care is a priority on the unit
B. Ask others on the team whether they have observed the same
behavior
C. Report observations to the nurse manager on the unit
D. Conclude that her coworker's fatigue is not her problem to solve
Answer: C.
,Any nurse who notices behavior that could possibly jeopardize
client care or indicate a substance abuse problem has a duty to
report the situation immediately to the nurse manager
◉ A nurse is preparing info for a change-of-shift report. Which of the
following info should the nurse include in the report?
A. The client's input & output for the shift
B. The client's BP from the previous day
C. A bone scan that is scheduled for today
D. The med routine from the med administration record
Answer: C. A bone scan that is scheduled for today
This is important because the nurse might have to modify the
client's care to accommodate them leaving the unit
◉ A nurse enters a client's room & finds him sitting in his chair. He
states, "I fell in the shower, but I got myself back up & into my chair."
How should the nurse document this in the client's chart?
A. The client fell in the shower.
B. The client states he fell in the shower & was able to get himself
back into his chair
, C. The nurse should not document this info because she did not
witness the fall
D. The client fell in the shower & is now resting comfortably
Answer: B.
By writing what the client states, the info is subjective data
◉ A nursing instructor is reviewing documentation w/a group of
nursing students. Which of the following legal guidelines should
they follow when documenting a client's record? Select all.
A. Cover errors w/correction fluid, & write in the correct info
B. Put the date & time on all entries
C. Document objective data, leaving out opinions
D. Use as many abbreviations as possible
E. Wait until the end of the shift to document
Answer: B, C
◉ The skin barrier covering a client's intestinal fistula keeps falling
off when she stands up to ambulate. The nurse has reapplied it twice
during the shift, but it remains intact only when the client is supine
in bed. The nurse telephoned the physical therapist about the
difficulties containing the drainage from the fistula, so the therapist
didn't ambulate the client today. The client sat in a chair during
lunch w/an absorbent pad over the fistula. The client ate all the food
