ATI FUNDAMENTALS PROCTORED EXAM
70 NGN QUESTIONS AND VERIFIED ANSWERS & RATIONALES
WELL GRADED, BEST ATI
1. A nurse is caring for a client who has a peripheral IV inserted for fluid
replacement. The nurse is assessing the client. Which of the following actions should
the nurse take?
Select all that apply.
Nurses' Notes
Day 1:
Lactated Ringer's at 100 mL/hr infusing into a 20-gauge IV catheter in left hand. IV
dressing dry and intact. IV site without redness or swelling. IV fluid infusing well.
Day 2:
IV site edematous. Skin surrounding catheter site taut, blanched, and cool to touch. IV
fluid not infusing.
,A. Start a new IV in the client's left hand.
B. Place a pressure dressing over the IV site.
C. Apply heat to the client's left hand.
D. Elevate the client's left arm.
E. Stop the IV infusion
Ans> Apply heat to the client's left hand. Elevate the client's left
arm.
Stop the IV infusion.
2. A nurse in a medical-surgical unit is caring for six clients. Complete the
following sentence by using the lists of options.
Exhibit 1
Nurses' Notes 0800:
Client 1: Client is admitted with a new diagnosis of rheumatoid arthritis. Client 2:
Client has a history of hyperlipidemia. Atorvastatin 20 mg PO admin- istered as
prescribed.
Client 3: Client is 1 day postoperative. Reports pain as 8 on a scale of 0 to 10. Morphine
5 mg subcutaneous administered as prescribed.
Client 4: Client is admitted with a new diagnosis of heart failure. Client
5: Client has a stage 2 pressure injury on the left heel.
Client 6: Client is admitted with a new diagnosis of diabetes mellitus
Ans> The first client the nurse should assess is client 3 followed by client 4.
,3. A nurse is giving a change-of-shift report about a client they admitted earlier that day
who has pneumonia. Which of the following pieces of information is the priority for
the nurse to provide?
A. Admitting diagnosis
,B. Breath sounds
C. Body temperature
D. Diagnostic test results: Breath sounds
4. A nurse is preparing to transfer a client who can bear weight on one leg from the bed
to a chair. After securing a safe environment, which of the following actions should the
nurse take next?
A. Rock the client up to a standing position.
B. Pivot on the foot that is the farthest from the chair.
C. Assess the client for orthostatic hypotension.
D. Apply a gait belt to the client
Ans> Assess the client for orthostatic hypotension
5. A nurse is teaching an older adult client who is at risk for osteoporosis about
beginning a program of regular physical activity. Which of the following types of
activity should the nurse recommend?
A. Walking briskly
B. Riding a bicycle
C. Performing isometric exercises
D. Engaging in high-impact aerobics: Walking briskly
,6. A nurse is caring for a client who has terminal liver cancer. Which of the following
statements should the nurse identify as an indication that the client is experiencing
spiritual distress?
A. "What could I have done to deserve this illness?"
B. "I blame medical science for not curing me."
C. "Where is my daughter at a time like this?"
D. "Will I ever begin to feel in charge of my life again?": "What could I have done to
deserve this illness?"
7. A nurse is reviewing protocol in preparation for suctioning secretions from a client
who has a new tracheostomy. Which of the following actions should the nurse plan to
take?
A. Use a resuscitation bag with 80% oxygen prior to the procedure.
B. Select a suction catheter that is half the size of the lumen.
C. Place the end of the suction catheter in water-soluble lubricant.
D. Adjust the wall suction apparatus to a pressure of 170 mm Hg
Ans> Select a suction catheter that is half the size of the lumen.
8. A nurse is caring for a client who requires an NG tube for stomach decom- pression.
Which of the following actions should the nurse take when inserting
, the NG tube?
a. position the client with the head of the bed elevated to 30 degrees prior to
insertion of the NG tube
b. remove the NG tube if the client begins to gag or choke
c. apply suction to the NG tube prior to insertion
d. have the client take sips of water to promote insertion of the NG tube into the
esophagus: have the client take sips of water to promote insertion of the NG tube into the
esophagus
9. A nurse is reviewing a client's medication prescription that reads, "digoxin
0.25 by mouth everyday". Which of the following components of the prescrip- tion
should the nurse verify with the provider?
A. medication name
B. Route of administration
C. Medication Dose
D. Frequency of administration: Medication Dose
10. A nurse is evaluating a client's use of a cane. Which of the following actions should
the nurse identify as an indication of correct use?
a. the top of the cane is parallel to the client's waist
b. when walking, the client moves the cane 46 cm forward
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