ATI Fundamentals Proctored Exam Study Guide
1. A nurse is caring for a client who requires a 24-hr "I flushed what I uri-
urine collection. Which of the following state-
ments by the client indicates an understanding
of the teaching?
2. A nurse is assessing a client who has been on
bed rest f...
1. A nurse is caring for a client who requires a 24-hr "I flushed what I uri-
urine collection. Which of the following state- nated at 7:00 a.m. and
ments by the client indicates an understanding have saved all urine
of the teaching? since."
2. A nurse is assessing a client who has been on Calf swelling
bed rest for the past month. Which of the fol-
lowing findings should the nurse identify as an
indication that the client has developed throm-
bophlebitis?
3. A nurse manager is overseeing the care on a A nurse asks a nurse
unit. Which of the following situations should from another unit to as-
the nurse manager identify as a violation of sist with her documen-
HIPAA guidelines? tation.
4. A nurse is caring for a client who requires Remove the stockings
bed rest and has a prescription for antiembolic at least once per shift.
stockings. Which of the following actions should
the nurse take?
5. A nurse is administering IV fluid to an older adult Auscultate lung sounds
client. The nurse should perform which priority
assessment to monitor for adverse effects?
6. A nurse is assessing a client's readiness to learn "I can concentrate best
about insulin administration. Which of the fol- in the morning."
lowing statements should the nurse identify as
an indication that the client is ready to learn?
7. A nurse is performing a Romberg's test during Have the client stand
the physical assessment of a client. Which of the with her arms at her
following techniques should the nurse use? side and her feet togeth-
er.
8. A nurse is planning an deduction session for Allow extra time for the
an older adult client who has just learned that client to respond to
she has type 2 diabetes mellitus. Which of the questions
following strategies should the nurse plan to use
with this client?
, ATI Fundamentals Proctored Exam Study Guide
9. A nurse is teaching an older client who is at risk Walking briskly
for osteoporosis about beginning a program of
regular physical activity. Which of the following
types of activity should the nurse recommend?
10. A nurse is assessing an adult client who has Erythema on pressure
been immobile for the past 3 weeks. The nurse points
should identify that which of the following find-
ings requires further intervention?
11. A nurse is preparing to administer 0.5 mL of oral Gently shake the con-
single-dose liquid medication to a client. Which tainer of medication pri-
of the following actions should the nurse take? or to administration.
12. A nurse is responding to a call light and finds a Check the client for in-
client lying on the bathroom floor. Which of the juries
following actions should the nurse take first?
13. A nurse is caring for a client who is expressing Reassure the client that
anger over his diagnosis of colorectal cancer. this is an expected re-
Which of the following actions should the nurse sponse to grief.
take?
14. A nurse in a clinic is caring for a middle "You should have a fecal
adult client who states, "The doctor says that, occult blood test every
since I am at an average risk for colon can- year."
cer, I should have routine screening. What does
that involve?" Which of the following responses
should the nurse make?
15. A nurse manager is preparing to review med- "Use the complete
ication documentation with a group of newly name of the medication
licensed nurses. Which of the following state- magnesium sulfate."
ments should the nurse manager plan to include
in the teaching?
16. A nurse is caring for a client who has tubercu- Place the client in
losis. Which of the following actions should the a room with nega-
nurse take? tive-pressure airflow.
, Wear gloves when as-
sisting the client with
oral care.
Use antimicrobial sani-
tizer for hand hygiene.
17. A charge nurse is discussing the responsibility Have family members
of nurses caring for clients who have Clostridi- wear a gown and gloves
um difficile infection. Which of the following in- when visiting.
formation should the nurse include in the teach-
ing?
18. A nurse in a surgical suite notes documentation Wrap monitoring cords
on a client's medical record he has a latex al- with stockinette and
lergy. In preparation for the client's procedure, tape them in place.
which of the following precautions should the
nurse take?
19. A nurse is caring for a client who is reporting Use progressive relax-
difficulty falling asleep. Which of the following ation techniques at bed-
measures would the nurse recommend? time.
20. A nurse is caring for a client who has a prescrip- Air into NPH
tion for 5 units of regular insulin and 10 units Air into Regular
of NPH insulin to mix together and administer Draw up Regular
subcutaneously. Determine the correct order of Draw up NPH
steps for this procedure.
21. A nurse is reviewing practice guidelines with a Initiate an enteral feed-
group of newly licensed nurses. Which of the ing through a gastrosto-
following interventions should the nurse include my tube.
that is within the RN scope of practice?
22. A nurse is caring for a client who requires an NG Have the client take sips
tube for stomach decompression. Which of the of water to promote in-
following actions should the nurse take when sertion of the NG tube
inserting the NG tube? into the esophagus.
23. A nurse is assessing an older client's risk
for falls. Which of the following assessments
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