NR 324 EXAM REVIEW ATI RN FUNDAMENTALS
PROCTORED FOCUS (DOWNLOAD TO SCORE A)
1. A nurse is preparing to insert an NG tube for a client who requires gastric
decompression. Which of the following actions should the nurse perform prior to
beginning the procedure? Select all.
A. Review a signal the client can use if feeling any distress
B. Lay a towel across the client's chest
C. Administer oral pain meds
D. Obtain a Dobhoff tube for insertion
E. Have a petroleum-based lubricant available
2. An adolescent who has diabetes mellitus is 2 days postop following an appendectomy.
The client is tolerating a regular diet. He has ambulated successfully around the unit
w/assistance. He requests pain meds Q 6-8 hr while reporting pain at a 2 on a scale of 1-10
after receiving the med. His incision is approximated & free of redness, w/scant serous
drainage on the dressing. Which of the following risk factors for poor wound healing does
this client have? Select all.
A. Extremes in age
B. Impaired circulation
C. Impaired/suppressed immune system
D. Malnutrition
E. Poor wound care
3. A nurse is assessing a client who is 5 days post op following abd. surgery. The
surgeon suspects an incisional wound infection & has prescribed antibiotic therapy for
the nurse to initiate after collecting wound & blood specimens for culture & sensitivity.
, NR 324 EXAM REVIEW ATI RN FUNDAMENTALS
PROCTORED FOCUS (DOWNLOAD TO SCORE A)
Which of the following assessment findings should the nurse expect? Select all.
A. Increase in incisional pain
B. Fever & chills
C. Reddened wound edges
D. Increase in serosanguineous drainage
E. Decrease in thirst
, NR 324 EXAM REVIEW ATI RN FUNDAMENTALS
PROCTORED FOCUS (DOWNLOAD TO SCORE A)
4. A nursing instructor is reviewing the wound healing process w/a group of nursing
students. They should be able to identify which of the following alterations as a wound or
injury that heals by secondary intention? Select all.
A. Stage III pressure ulcer
B. Sutured surgical incision
C. Casted bone fracture
D. Laceration sealed w/adhesive
E. Open burn area
5. A client who had abd. surgery 24 hr ago reports a pulling sensation & pain in his
surgical incision. The nurse checks the client's surgical wound & finds the wound
separated w/viscera protruding. Which of the following interventions is appropriate?
Select all.
A. Cover the area w/saline-soaked sterile dressings
B. Apply an abdominal binder snugly around the abd.
C. Use sterile gloves to apply gentle pressure to the exposed tissues
D. Position the client supine w/his hips & knees bent
E. Offer the client a warm beverage, such as herbal tea
6. A nurse is caring for an older adult client who is at risk for developing pressure
ulcers. Which of the following interventions should the nurse use to help maintain the
integrity of the client's skin? Select all.
A. Keep the head of the bed elevated 30 degrees
B. Massage the client's bony prominences often
C. Apply cornstarch liberally to the skin after bathing
, NR 324 EXAM REVIEW ATI RN FUNDAMENTALS
PROCTORED FOCUS (DOWNLOAD TO SCORE A)
D. Have the client sit on a gel cushion when in a chair
E. Reposition the client at least Q 3 hr while in bed
7. Can an RN delegate to the LPN to provide tracheostomy care to a client with
pneumonia?
8. A nurse on a med-surg unit has received change-of-shift report & will care for 4
clients. Which of the following client's needs may the nurse assign to an assistive
personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia
B. Reinforcing teaching w/a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Rationale: The application of a condom catheter is a noninvasive, routine procedure that
the nurse may delegate to the AP
9. A nurse is delegating the ambulation of a client who had knee arthroplasty 5
days ago to an AP. Which of the following information should the nurse share
with the AP? Select All.
A. The roommate is up independently.
B. The client ambulates w/his slippers on over his antiembolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
PROCTORED FOCUS (DOWNLOAD TO SCORE A)
1. A nurse is preparing to insert an NG tube for a client who requires gastric
decompression. Which of the following actions should the nurse perform prior to
beginning the procedure? Select all.
A. Review a signal the client can use if feeling any distress
B. Lay a towel across the client's chest
C. Administer oral pain meds
D. Obtain a Dobhoff tube for insertion
E. Have a petroleum-based lubricant available
2. An adolescent who has diabetes mellitus is 2 days postop following an appendectomy.
The client is tolerating a regular diet. He has ambulated successfully around the unit
w/assistance. He requests pain meds Q 6-8 hr while reporting pain at a 2 on a scale of 1-10
after receiving the med. His incision is approximated & free of redness, w/scant serous
drainage on the dressing. Which of the following risk factors for poor wound healing does
this client have? Select all.
A. Extremes in age
B. Impaired circulation
C. Impaired/suppressed immune system
D. Malnutrition
E. Poor wound care
3. A nurse is assessing a client who is 5 days post op following abd. surgery. The
surgeon suspects an incisional wound infection & has prescribed antibiotic therapy for
the nurse to initiate after collecting wound & blood specimens for culture & sensitivity.
, NR 324 EXAM REVIEW ATI RN FUNDAMENTALS
PROCTORED FOCUS (DOWNLOAD TO SCORE A)
Which of the following assessment findings should the nurse expect? Select all.
A. Increase in incisional pain
B. Fever & chills
C. Reddened wound edges
D. Increase in serosanguineous drainage
E. Decrease in thirst
, NR 324 EXAM REVIEW ATI RN FUNDAMENTALS
PROCTORED FOCUS (DOWNLOAD TO SCORE A)
4. A nursing instructor is reviewing the wound healing process w/a group of nursing
students. They should be able to identify which of the following alterations as a wound or
injury that heals by secondary intention? Select all.
A. Stage III pressure ulcer
B. Sutured surgical incision
C. Casted bone fracture
D. Laceration sealed w/adhesive
E. Open burn area
5. A client who had abd. surgery 24 hr ago reports a pulling sensation & pain in his
surgical incision. The nurse checks the client's surgical wound & finds the wound
separated w/viscera protruding. Which of the following interventions is appropriate?
Select all.
A. Cover the area w/saline-soaked sterile dressings
B. Apply an abdominal binder snugly around the abd.
C. Use sterile gloves to apply gentle pressure to the exposed tissues
D. Position the client supine w/his hips & knees bent
E. Offer the client a warm beverage, such as herbal tea
6. A nurse is caring for an older adult client who is at risk for developing pressure
ulcers. Which of the following interventions should the nurse use to help maintain the
integrity of the client's skin? Select all.
A. Keep the head of the bed elevated 30 degrees
B. Massage the client's bony prominences often
C. Apply cornstarch liberally to the skin after bathing
, NR 324 EXAM REVIEW ATI RN FUNDAMENTALS
PROCTORED FOCUS (DOWNLOAD TO SCORE A)
D. Have the client sit on a gel cushion when in a chair
E. Reposition the client at least Q 3 hr while in bed
7. Can an RN delegate to the LPN to provide tracheostomy care to a client with
pneumonia?
8. A nurse on a med-surg unit has received change-of-shift report & will care for 4
clients. Which of the following client's needs may the nurse assign to an assistive
personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia
B. Reinforcing teaching w/a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Rationale: The application of a condom catheter is a noninvasive, routine procedure that
the nurse may delegate to the AP
9. A nurse is delegating the ambulation of a client who had knee arthroplasty 5
days ago to an AP. Which of the following information should the nurse share
with the AP? Select All.
A. The roommate is up independently.
B. The client ambulates w/his slippers on over his antiembolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
