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ATI 2019 Fundamentals Proctored Exam, ATI Fundamentals Retake()updated solution
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A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel? a. Changing the dressing for a client who has a stage 3 pressure injury b. Determining a client's response to a diuretic c. Comparing radial pulses for a client who...

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  • March 21, 2024
  • 49
  • 2023/2024
  • Exam (elaborations)
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ATI 2019 Fundamentals Proctored Exam,
ATI Fundamentals Retake(2023-
2024)updated solution
A nurse is planning care for a group of clients. Which of the following tasks should the nurse
delegate to an assistive personnel?

a. Changing the dressing for a client who has a stage 3 pressure injury

b. Determining a client's response to a diuretic

c. Comparing radial pulses for a client who is postoperative

d. Providing postmortem care to a client - answerd. Providing postmortem care to a client



A nurse is conducting a health assessment for a client who takes herbal supplements. Which of the
following statements by the client indicates an understanding of the use of the supplements?

A. I take ginkgo biloba for a headache

B. I take echinacea to control my cholesterol

C. I use ginger when I get car sick

D. I use garlic for my menopausal symptoms

- answerI use ginger when I get car sick



A nurse is caring for a client who has influenza and isolation precautions in place. Which of the
following actions should the nurse take to prevent the spread of infection?

A. Wear a mask when working within 3 feet of the client

B. Administer metronidazole

C. Don protective eyewear before entering the room.

D. Place the client in a negative airflow room. - answerWear a mask when working within 3 feet of
the client



A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG tube.
Which of the following actions should the nurse take?

A. Attach the restraints securely to the side rails of the client's bed.

B. Apply the restraints to allow as little movement as possible

C.Allow room for two fingers to fit between the clients skin and the restraints

d. remove the restraints every 4 hours - answerAllow room for two fingers to fit between the clients
skin and the restraints

,ATI 2019 Fundamentals Proctored Exam,
ATI Fundamentals Retake(2023-
2024)updated solution
A nurse is admitting a client who has tuberculosis. Which of the following types of transmission
precautions should the nurse plan to initiate?

A. Droplet

B. Airborne

c. protective environment

d. contact - answerAirborne



A nurse in a well-child clinic receives a telephone call from a parent who states that their child
accidentally swallowed paint thinner. The child is awake and alert. Which of the following responses
should the nurse make?

A. Have your child drink one large glass of water.

B. Hang up and call a poison control center hotline.

C. Bring your child into the clinic later today.

D. Induce vomiting in your child with syrup of ipecac. - answerHave your child drink one large glass
of water



A nurse is documenting a client's medical record. Which of the following entries should the nurse
record.

A. Oral temperature slightly elevated at 0800

B. Administered pain medication

C. Incision without redness or drainage

D. Drank adequate amounts of fluid with meals. - answerAdministered pain medication



A nurse is providing oral care for a client who is unconscious. Which of the following actions should
the nurse take?

A. Place the client in a side-lying position.

B. Brush the clients teeth daily

C. Apply mineral oil to the client's lips

D. Rinse the client's mouth with an alcohol-based mouthwash - answerPlace the client in a side-lying
position

,ATI 2019 Fundamentals Proctored Exam,
ATI Fundamentals Retake(2023-
2024)updated solution
A nurse is collaborating with a risk management team about potential legal issues involving client
care. The nurse should identify which of the following situations is an example of negligence?

A. A nurse administers a medication without first identifying the client.

B. An assistive personnel discusses client care in the facility cafeteria with visitors present.

C. A nurse begins a blood transfusion without obtaining consent.

D. An assistive personnel prevents a client from leaving the facility. - answerA nurse begins a blood
transfusion without obtaining consent



A nurse is collecting a sputum specimen for culture from a client who has a respiratory infection.
Which of the following actions should the nurse take?

A. Wear sterile gloves when collecting the specimen.

B. Offer the client oral hygiene after the collection

C. Collect the specimen in the evening.

D Collect 1 ml of sputum. - answerOffer the client oral hygiene after the collection



A nurse is assessing an older client. Which of the following findings should the nurse expect?

a. Decreased sense of balance

b. Increased nighttime sleeping

c. Heightened sense of pain

d. Nighttime urinary incontinence - answerDecreased sense of balance



A nurse is completing discharge teaching about ostomy care with a client who has a new stoma.
Which of the following instructions should the nurse include in the teaching? (select all that apply)

a. "Cut the opening of the pouch 1⁄8 of an inch larger than the stoma "

b. "Place a piece a gauze over the stoma while changing the pouch"

c. "Use povidone-iodine to clean around the stoma"

d. "Empty the ostomy pouch when it becomes one-third full of contents"

e. expect the stoma to turn a purple-blue color as its heals" - answerCut the opening of the pouch
1⁄8 of an inch larger than the stoma

, ATI 2019 Fundamentals Proctored Exam,
ATI Fundamentals Retake(2023-
2024)updated solution
Place a piece a gauze over the stoma while changing the pouch



Use povidone-iodine to clean around the stoma



Empty the ostomy pouch when it becomes one-third full of contents



A nurse is preparing to obtain informed consent from a client who speaks a different language than
the nurse. Which of the following actions should the nurse take?

a. "Request that an assistive personnel interpret the information for the client"

b. "Use proper medical terms when giving information to the client"

c. "Offer written information in the client's language"

d. "Avoid using gestures when speaking to the client" - answerOffer written information in the
client's language



A nurse is teaching a client about home care equipment. Which of the following information should
the nurse include in the teaching? (select all that apply)

a. "Avoid using wool blankets when receiving oxygen"

b. check the O2 delivery rate at least once a day

c. align the middle of the ball in the flow meter with the line of the prescribed flow rate

d. "Keep the oxygen delivery system 0.6 m (2 feet) from any heat source"

e. "Lay the oxygen tank flat when storing" - answerAvoid using wool blankets when receiving oxygen



check the O2 delivery rate at least once a day



align the middle of the ball in the flow meter with the line of the prescribed flow rate



A nurse is planning care for a client who reports insomnia. Which of the following actions should the
nurse perform shortly before bedtime?

a. Provide a late supper.

b. Offer a wet washcloth for the client to wash her face

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