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FUNDAMENTALS PROCTORED ATI RN
EXAM AND CORRECT ANSWERS
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A nurse is preparing to instill an enteral feeding to a client who has an NG
tube in place
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Check how long the feeding container has been opened
B
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Confirm that the client doesn't have diarrhea
D
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Which of the following nursing interventions is the highest priority when
the nurse suspects aspiration of the feeding?

A
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Stop the feeding
C
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Initiate oxygen therapy - CorreCt Answers -B
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Which of the following is an appropriate
nursing action prior to administering the tube feeding? Select all
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Auscultate bowel sounds
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Assist the client to an upright position
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Test the pH of gastric aspirate
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Warm the formula to body temp
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Discard any residual gastric contents
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Which of the following actions should the nurse perform
prior to beginning the procedure? Select all
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Review a signal the client can use if feeling any distress
B
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Administer oral pain meds
D
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Have a petroleum-based lubricant available - CorreCt Answers -A, B

An adolescent who has diabetes mellitus is 2 days postop following an
appendectomy
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He has ambulated
successfully around the unit w/assistance
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His
incision is approximated & free of redness, w/scant serous drainage on the
dressing
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A
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Impaired circulation
C
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Malnutrition
E
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surgery
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Which of the following assessment
findings should the nurse expect? Select all
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Increase in incisional pain
B
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Reddened wound edges
D
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Decrease in thirst - CorreCt Answers -A, B, C

A nursing instructor is reviewing the wound healing process w/a group of
nursing students
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A
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Sutured surgical incision
C
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Laceration sealed w/adhesive
E
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surgery 24 hr ago reports a pulling sensation & pain
in his surgical incision
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Which of the following
interventions is appropriate? Select all
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Cover the area w/saline-soaked sterile dressings
B
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C
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Position the client supine w/his hips & knees bent
E
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Which of the following interventions should the nurse use
to help maintain the integrity of the client's skin? Select all
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Keep the head of the bed elevated 30 degrees
B
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Apply cornstarch liberally to the skin after bathing
D
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Reposition the client at least Q 3 hr while in bed - CorreCt Answers -A, D

not E because it should be at least every 2 hours

102 - CorreCt Answers A nurse on a med-surg unit has received change-of-shift report & will care
for 4 clients
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Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia

B
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Reapplying a condom catheter for a client who has urinary incontinence

D
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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
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A
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B
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The client uses a front-wheeled walker when ambulating
D
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The client is allergic to codeine
F
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Which of the following assignments should the LPN question?

A
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Collecting a clean-catch urine specimen from a client who was admitted
on the previous shift
C
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Replacing the cartridge and tubing on a PCA pump - CorreCt Answers D
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Which of the
following elements should she identify when presenting the 5 rights of
delegation? Select all
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Right client
B
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Right direction/communication
D
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Right circumstances - CorreCt Answers -B, C, E

A and D are rights of medication administration

A nurse manager of a med-surg unit is assigning care responsibilities for
the oncoming shift
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To which staff member should the nurse
assign to this client?

A
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RN
C
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AP - CorreCt Answers -B
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RNs are responsible for this, especially if the client is
potentially unstable
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The AP tells him she will put a diaper on him if he does not use
the urinal more carefully next time
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Assault
B
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False imprisonment
D
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Assault

By threatening the client, the AP is committing assault
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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
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Assault
B
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Negligence
D
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False imprisonment

The nurse gave the med as a chemical restraint to keep the client from
leaving the facility against medical advice
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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
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"I'd rather have my brother make decisions for me, but I know it has to
be my wife
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"I know they won't go ahead w/the surgery unless I prepare these
forms
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"I plan to write that I don't want them to keep me on a breathing
machine
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"I will get my regular doctor to approve my plan before I hand it in at the
hospital
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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
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A
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Witness the client's signature on the consent form
C
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Describe the consequences of choosing not to have the surgery
E
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Today,
she found the nurse asleep in a chair in the break room when she was not
on break
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Remind the nurse that safe client care is a priority on the unit
B
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Report observations to the nurse manager on the unit
D
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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
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The client's input & output for the shift
B
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A bone scan that is scheduled for today
D
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A bone scan that is scheduled for today

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
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" How should
the nurse document this in the client's chart?

A
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B
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The nurse should not document this info because she did not witness the
fall
D
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By writing what the client states, the info is subjective data

A nursing instructor is reviewing documentation w/a group of nursing
students
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A
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Put the date & time on all entries
C
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Use as many abbreviations as possible
E
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The nurse has reapplied it twice during the shift,
but it remains intact only when the client is supine in bed
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The client sat in a chair during lunch w/an absorbent pad over the fistula
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The wound care nurse confirmed that
she will see the client later today
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Which of the following information should the nurse include in
the change-of-shift report? Select all
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The physical therapist didn't ambulate the client today
B
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Which of the following
nursing actions are appropriate? Select all
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Repeat the details of the prescription back to the provider
B
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Obtain the prescriber's signature on the prescription within 24hrs
D
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Tell the charge nurse that the provider has prescribed morphine by
telephone - CorreCt Answers -A, B, C

A nurse is caring for an older adult client who lives alone & is to be
discharged in 3 days
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To which of the following
members of the health care team should the nurse refer him?

A
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Occupational therapist
C
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Social worker - CorreCt Answers -D
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The nurse caring for the client should
initiate a referral w/which of the following members of the
interprofessional care team?

A
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Certified nursing assistant
C
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Occupational therapist - CorreCt Answers -D
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Which of the following members of the interprofessional care team may
assist the client in understanding the medication's effects? Select all
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Provider
B
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Pharmacist
D
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Respiratory therapist - CorreCt Answers -A, C, D

A client who has had a cerebrovascular accident has persistent problems
w/dysphagia
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Social worker
B
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Occupational therapist
D
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When she gives examples of the types of tasks CNAs
may perform, which of the following client activities should she include?
Select all
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Bathing
B
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Toileting
D
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Measuring vital signs - CorreCt Answers -A, B, C, E

Determining pain level requires assessment, which is the job of the licensed
personnel
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Which of the following findings should the nurse expect?
Select all
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A concave thoracic spine posteriorly
B
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A concave lumbar spine posteriorly
D
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Muscles slightly larger on his dominant side - CorreCt Answers -C, E

A nurse is evaluating a client's neurosensory system

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