ATI Fundamentals 2019 Proctored Exam

1. A nurse is assessing a client’s personal hygiene. Which of the following findings

indicates that the client might have difficulty with routinely bruising their

teeth?

A. The clients mucosa is moist

B. The client gums feel spongy

C. The client has a missing tooth

D. The Client’s tongue is a dull red color

2. A nurse is planning to discharge a client who has diabetes mellitus and a new

prescription for insulin. Which of the following actions should the nurse plan to

complete first?

A. Make a copy of the medication reconciliation form for the client

B. Provide the client with the contact number for a diabetes education specialist

C. Determine whether the client can afford the insulin administration supplies

D. Obtain printed about insulin self administration

3. A community health nurse is teaching a group of clients about kegel exercises to

prevent urinary incontinence. Which of the following instructions should the nurse

include?

A. Contact your pelvic muscle when performing the exercises

B. Expect improvement after 2 weeks of performing the exercises

C. Hold your breath when performing the exercises

D. Tighten your buttocks when performing the exercises

4. A nurse is assessing the skin of a client who has worked outdoors for the past 20

years. Which of the following findings is the nurse's priority?

A. Skin tags noted in the neck region

B. A change in appearance of a mole on the shoulder

C. A flat, nonpalpable, discovered area of skin on the trunk

D. Atrophic wart on the left index finger

5. A nurse is caring for a client who has a high fever. Which of the following actions

should the nurse take?

A cover the client with heavy blankets after shivering subsides

B place ice packs on the clients neck and behind the knees

C apply a bath blanket between the client and a cooling blanket

D give the client a sponge bath using alcohol water solution

6. A nurse is caring for an infant who is to undergo surgery. The nurse should

identifywhich of the following individuals should sign the consent form?

A. The infants 17 year old mother

B. The infants provider

C. The infants grandmother

D. The mother’s 21 year old sibling

7. A nurse is assisting in the use of a fracture bedpan for a client who is immobile due to

a cast. Which of the following actions should the nurse use?

A. Encourage the client to try to defecate for 20 min while on the fracture pan.

B. Keep the bed flat while the client is on the fracture pan.

C. Hyperextend the clients back while the fracture pan is in place.

D. Place the shallow end of the fracture pan under the clients buttocks.

8. A nurse is reviewing the medical record of a client who asks about the use of a

magnet therapy for pain relief. The nurse should identify which of the following

findingsis a contraindication for receiving this type of therapy?

A. The client is allergic to penicillin

B. The client has a prescription for metoprolol

C. The client has a history of alcohol use disorder

D. The client has an implanted defibrillator

9. A nurse is caring for a client who requires airborne precautions. The nurse is

preparing to leave the clients room following a dressing change. Which of the

followingpieces of personal protective equipment should the nurse remove first?

A. Gloves

B. Eyewear

C. Gown

D. Mask

10. A nurse is teaching a newly licensed nurse about the care of a client who has

methicillin resistant staphylococcus aureus (MRSA) infection. Which of the following

statements by the newly licensed nurse indicates an understanding of the teaching?

A. I will wear an N95 respirator mask when caring for the client

B. I will tell the clients visitors to wear a mask when they are within 3 feet of

theclient.

C. I will place the client in a private room

D. I will remove my gown before my gloves after providing client care.

11. 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

thenurse plan to include?

A. Delirium has an abrupt onset

12. A nurse is preparing to insert an IV catheter for an adult client. Which of

thefollowing actions should the nurse take?

A.choose the most proximal site on the extremity selected

B. apply a cool compress for several minutes before insertion of the IV catheter

C. place the tourniquet below the proposed insertion site

D. place the extremity in a dependent position