ATI FUNDAMENTALS PROCTORED EXAM
9 LATEST VERSIONS
1000+ QUESTION AND ANSWERS - 129 Pages Document
100% CORRECT
RATED: 100% 5 STAR
COMPLETE GUIDE FOR
ATI FUNDAMENTALS PROCTORED EXAM 2021
100% SUCCESS GUARENTEED
ATI FUNDAMENTALS PROCTORED EXAM
VERSION 1
Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia? Yes.
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 a 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
C. Reapplying a condom catheter for a client who has urinary incontinence
Rationale: The application of a condom catheter is a noninvasive, routine procedure that the
nurse may delegate to the AP
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
ANS: B, C, D
An RN is making assignments for client care to a LPN at the beginning of the shift. Which of the
following assignments should the LPN question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
D. Replacing the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
CLICK HERE TO DOWNLOAD THE COMPLETE PDF
A nurse is preparing an in-service program about delegation. Which of the following elements
should she identify when presenting the 5 rights of delegation? Select all.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
ANS: B, C, E
Rational: A and D are rights of medication administration
A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A
client is awaiting transfer back to the unit from the PACU following thoracic surgery. To which
staff member should the nurse assign to this client?
A. Charge nurse
B. RN
C. LPN
D. AP
B. RN
Rational: A client returning from surgery requires assessment and establishment of a plan of
care. RNs are responsible for this, especially if the client is potentially unstable.
lOMoAR cPSD|6457222
A nurse observes an AP reprimanding a client for not using the urinal properly. The AP tells him
she will put a diaper on him if he does not use the urinal more carefully next time. Which of the
following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
A. Assault
Rational: By threatening the client, the AP is committing assault.
An adult client who is competent tells the nurse that he is thinking about leaving the hospital
against medical advice. The nurse believes that this is not in the client's best interest, so she
administers a PRN sedative med that the client has not requested along w/his usual meds.
Which of the following tort has the nurse committed?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality
B. False imprisonment
Rational: The nurse gave the med as a chemical restraint to keep the client from leaving the
facility against medical advice. The client did not consent.
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."
C. "I plan to write that I don't want them to keep me on a breathing machine."
CLICK HERE TO DOWNLOAD THE COMPLETE PDF
Rational: 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 pre-op 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
A, B
Rational: 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
C. Report observations to the nurse manager on the unit
Rational: 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
C. A bone scan that is scheduled for today
lOMoAR cPSD|6457222
Rational: 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
B. The nurse should not document this info because she did not witness the fall
Rational: 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 that
apply
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
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
on her tray. The wound care nurse confirmed that she will see the client later today. The client
states she feels frustrated at not having physical therapy, but the nurse thinks the client
welcomed having a day to rest. Which of the following information should the nurse include in
the change-of-shift report? Select all that apply.
A. The physical therapist didn't ambulate the client today
B. The skin barrier's seal stays on in bed but loosens when the client stands.
C. The client seemed to welcome having a "day off" from physical therapy
D. The wound care nurse will see the client later today
E. The client ate all the food on her lunch tray
A, B, D
CLICK HERE TO DOWNLOAD THE COMPLETE PDF
A nurse is receiving a provider's prescription by telephone for morphine for a client who is
reporting moderate to severe pain. Which of the following nursing actions are appropriate?
Select all that apply.
A. Repeat the details of the prescription back to the provider
B. Have another nurse listen to the telephone prescription
C. Obtain the prescriber's signature on the prescription within 24hrs
D. Decline the verbal prescription because it is not an emergency situation
E. Tell the charge nurse that the provider has prescribed morphine by telephone
A, B, C
A nurse is caring for an older adult client who lives alone & is to be discharged in 3 days. He
states that it is difficult to prepare adequate nutritious meals at home for just 1 person. To
which of the following members of the health care team should the nurse refer him?
A. Registered dietitian
B. Occupational therapist
C. Physical therapist
D. Social worker
D. social worker
Rational: A social worker can make arrangements for a meal delivery service to provide
nutritious meals daily, or recommend a congregate meal site near the client's home
lOMoAR cPSD|6457222
A goal for a client who has difficulty w/self-feeding due to rheumatoid arthritis is to use
adaptive devices. The nurse caring for the client should initiate a referral w/which of the
following members of the inter-professional care team?
A. Social worker
B. Certified nursing assistant
C. Registered dietitian
D. Occupational therapist
E. Registered dietitian
D. Occupational therapist
Rational: An occupational therapist can assist clients who have physical challenges to use
adaptive devices & strategies to help w/self-care activities
A client who is postop following a knee arthroplasty is concerned about the adverse effects of
the medication he is receiving for pain management. Which of the following members of the
inter-professional care team may assist the client in understanding the medication's effects?
Select all that apply.
A. Provider
B. CNA
C. Pharmacist
D. RN
E. Respiratory therapist
A, C, D
A client who has had a cerebrovascular accident has persistent problems w/dysphagia. The
nurse caring for the client should initiate a referral w/which of the following members of the
inter-professional care team?
A. Social worker
B. CNA
C. Occupational therapist
D. Speech-language pathologist
D. Speech-language pathologist
Rational: A speech-language pathologist can initiate specific therapy for clients who have
difficulty feeding due to swallowing difficulties
A nursing instructor is acquainting a group of nursing students w/the roles of the various
members of the health care team they will encounter on a medical-surgical unit. When she
gives examples of the types of tasks CNAs may perform, which of the following client activities
should she include? Select all.
A. Bathing
B. Ambulating
C. Toileting
D. Determining Pain Level
E. Measuring vital signs
A, B, C, E
Rational: Determining pain level requires assessment, which is the job of the licensed
personnel.
A nurse in a provider's office is preparing to assess a young adult male client's musculoskeletal
system as part of a comprehensive physical examination. Which of the following findings should
the nurse expect? Select all.
A. A concave thoracic spine posteriorly
B. An exaggerated lumbar curvature
C. A concave lumbar spine posteriorly
D. An exaggerated thoracic curvature
E. Muscles slightly larger on his dominant side
C, E
A nurse is evaluating a client's neurosensory system. To evaluate stereo-gnosis, she would ask
the client to close his eyes & identify which of the following items?
A. A word she whispers 30cm from his ear
B. A number she traces on the palm of his hand
C. The vibration of a tuning fork she places on his foot
D. A familiar object she places in his hand
D. A familiar object she places in his hand
Rational: Stereognosis is tactile recognition
A nurse is assessing a client who reports pain when the nurse evaluates the internal rotation of
her right shoulder. Which of the following activities is this problem likely to affect?
A. Mopping her floors
B. Brushing the back of her hair
C. Fastening her bra behind her back
D. Reaching into a cabinet above her sink
C. Fastening her bra behind her back
Rational: Fastening a bra from behind requires internal rotation of the shoulder, so this
activity will illicit pain
A nurse is preforming a neurosensory examination for a client. Which of the following tests
should the nurse preform to test the client's balance? Select all.
A. Romberg test
B. Heel-to-toe walk
C. Snellen test
D. Spinal accessory function
E. Rosenbaum test
A, B
Rational: C and E test visual acuity, D tests cranial nerve XI is intact by asking the client to
shrug shoulders without complication.
A nurse is collecting data from an older adult client as part of a neurosensory examination.
Which of the following findings should the nurse expect as changes associated w/aging? Select
all.
A. Slower light touch sensation
B. Some vision & hearing decline
C. Slower fine finger movement
D. Some short-term memory decline
E. Slower superficial pain sensation
B, C, D
A nurse is providing discharge instructions to a client who has a prescription for the use of
oxygen in his home. Which of the following should the nurse teach the client about using
oxygen safely in his home? Select all.
A. Family members who smoke must be at least 10 ft from the client when the oxygen is in use
B. Nail polish should not be used near a client who is receiving oxygen
C. A "No smoking" sign should be placed on the front door
D. Cotton bedding & clothing should be replaced w/items made from wool
E. A fire extinguisher should be readily available in the home
B, C, E
Rational: Family members that smoke should do so outside, and wool creates static electricity
so it should be avoided.
A nurse educator is conducting a parenting class for new parents. Which of the following
statements made by a participant indicates a need for further clarification & instruction?
A. "I will begin swimming lessons as soon as my baby can close her mouth under water."
B. "Once my baby can sit up, he should be safe in the bathtub."
C. "I will test the temp of the water before placing my baby in the bath."
D. "Once my infant starts to push up, I will remove the mobile from over the bed."
B. "Once my baby can sit up, he should be safe in the bathtub."
Rational: Although the baby can hold his head above the water by sitting up, this does not
make the baby safe in the tub. Parents should never leave a child unattended in a tub.
CLICK HERE TO DOWNLOAD THE COMPLETE PDF
A home health nurse is discussing the dangers of carbon monoxide poisoning w/a client. Which
of the following information should the nurse include in her counseling?
A. Carbon monoxide has a distinct odor
B. Water heaters should be inspected every 5 years
C. The lungs are damaged from carbon monoxide inhalation
D. Carbon monoxide binds w/hemoglobin in the body
D. Carbon monoxide binds w/hemoglobin in the body
Rational: Carbon monoxide is a very dangerous gas because it binds w/hemoglobin &
ultimately reduces the oxygen supplied to the tissues in the body.
Carbon monoxide is tasteless, has no scent, and cannot be seen. The water heaters, gaslOMoAR cPSD|6457222
burning furnaces, and appliances should be inspected annually the lungs are not damaged in
the process of inhalation.
A nurse educator is presenting a module on basic first aid for newly licensed home health
nurses. The nurse educator evaluates the teaching as effective when the newly licensed nurse
states the client who has heat stroke will have which of the following?
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea
A. Hypotension
Rational: Tachycardia, hot dry skin, and tachypnea are other manifestations of heat stroke
A home health nurse is discussing the dangers of food poisoning w/a client. Which of the
following info should the nurse include in her counseling? Select all.
A. Most food poisoning is caused by a virus
B. Immunocompromised individuals are at risk for complications from food poisoning
C. Clients who are especially at risk are instructed to eat or drink only pasteurized milk, yogurt,
cheese, or other dairy products
D. Healthy individuals usually recover from the illness in a few weeks
E. Handling raw & fresh food separately to avoid cross contamination may prevent food
poisoning
B, C, E
Rational: Most food poisoning is caused by a bacteria such as E. coli. Healthy individuals
usually recover in a few days.
A nurse is caring for a client diagnosed w/severe acute respiratory syndrome (SARS). The nurse
is aware that health care professionals are required to report communicable & infectious
diseases. Which of the following illustrate the rationale for reporting? Select all.
A. Planning & evaluating control & prevention strategies
B. Determining public health priorities
C. Ensuring proper medical treatment
D. Identifying endemic disease
E. Monitoring for common-source outbreaks A, B, C, E
Rational: Not D because endemic disease is already prevalent within a population, so
reporting is not necessary
A nurse is contributing to the plan of care for a client who is being admitted to the facility w/a
suspected diagnosis of pertussis. Which of the following should the nurse include in the plan of
care? Select all.
A. Place the client in a room that has negative air pressure of at least 6 exchanges/hr
B. Wear a mask when providing care within 3 ft of the client
C. Place a surgical mask on the client if transportation to another dept is unavoidable D. Use
sterile gloves when handling soiled linens
E. Wear a gown when preforming care that may result in contamination from secretions
B, C, E
Rational: Private room w/droplet precautions indicated for this client.
The nurse should wear a gown when contamination from body fluids might happen
A nurse is caring for a client who presents w/linear clusters of fluid-containing vesicles w/some
crustings. Which of the following should the nurse suspect?
A. Allergic reaction
B. Ringworm
C. Systemic lupus erythematosus
D. Herpes zoster
D. Herpes zoster
Rational: pink body rash=allergic reaction,
red circles w/white centers=ringworm,
red cheek rash bilaterally=lupus
A nurse is caring for a client who reports severe sore throat, pain when swallowing, & swollen
lymph nodes. The client is experiencing which of the following stages of infection?
A. Prodromal
B. Incubation
C. Convalescence
D. Illness
D. Illness
Rational: specific s/s present is the illness stage
A nurse educator is reviewing w/a newly hired nurse the difference in clinical manifestations of
a localized vs. a systemic infection. The nurse indicates understanding when she states that
which of the following are clinical manifestations of a systemic infection? Select all.
A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. Increase in pulse & respiratory rate
A, B, E
Rational: Edema and pain and tenderness is localized
A nurse is teaching a young adult client about health promotion & illness prevention. Which of
the following statements by the client indicates an understanding of the teaching?
A. "I already had my immunizations as a child, so I'm protected in that area."
B. "It is important to schedule routine health care visits even if I'm feeling well."
C. "If I'm having any discomfort, I'll just got to an urgent care center."
D. "If I am felling stressed, I will remind myself that this is something I should expect."
B. "It is important to schedule routine health care visits even if I'm feeling well."
Rational: Routine health screenings are important at any age
A nursing instructor is explaining the various stages of the lifespan to a group of nursing
students. The nurse should offer which of the following behaviors by a young adult as an
example of appropriate psychosocial development?
A. Becoming actively involved in providing guidance to the next generation
B. Adjusting to major changes in roles and relationships due to losses
C. Devoting a great deal of time to establishing an occupation
D. Finding oneself "sandwiched" in between & being responsible for 2 generations
C. Devoting a great deal of time to establishing an occupation
Rational: Exploring and establishing career options & establishing oneself is important
developmental task in a young adult
A nurse is counseling a young adult who describes having difficulty dealing w/several issues.
Which of the following problems the client verbalized should the nurse identify as the priority
for further assessment & intervention?
A. "I have my own apartment now, but it's not easy living away from my parents."
B. "It's been so stressful for me to even think about having my own family."
C. "I don't even know who I am yet, & now I'm supposed to know what to do."
D. "My girlfriend is pregnant, & I don't think I have what it takes to be a good father."
C. "I don't even know who I am yet, & now I'm supposed to know what to do."
Rational: Applying Erikson stages of development, knowing oneself is done in adolescence,
and this requires the most urgent help
A nurse is reviewing safety precautions w/a group of young adults at a community health fair.
Which of the following recommendations should the nurse include specifically for this age
group? Select all.
A. Install bath rails & grab bars in bathrooms
B. Wear a helmet while skiing
C. Install a carbon monoxide detector
D. Secure firearms in a safe location
E. Remove throw rugs from the home
B, C, D
Rational: A is recommended for older adults and E as well for risk of falls
A nurse is reviewing the CDC's immunization recommendations w/a young adult client. Which
of the following recommendations should the nurse include in this discussion? Select all.
A. Human papillomavirus
B. Measles, mumps, rubella
C. Varicella
D. Haemophilus influenzae type b
E. Polio
A, B, C
Rational: D is not for after 18 months of age and polio is also given as a child and not usually
beyond 18 yrs old
A nurse is caring for an 82-yr-old client in the ER who has an oral body temp of 38.3 C (101 F), a
pulse rate of 114/min, & a RR of 22/min. He is restless & his skin is warm. Which of the
following are appropriate nursing interventions for this client? Select all.
A. Obtain culture specimens before initiating antimicrobials
B. Restrict the client's oral fluid intake
C. Encourage the client to limit activity & rest
D. Allow the client to shiver to dispel excess heat
E. Assist the client w/oral hygiene frequently
A, C, E
Rational: The nurse should prevent shivering & encourage the client to increase fluids. Oral
hygiene helps prevent cracking of dry mucous membranes of the mouth & lips.