ATI RN FUNDAMENTALS PROCTORED EXAM LATEST UPDATE

ATI RN FUNDAMENTALS PROCTORED EXAM ATI RN FUNDAMENTALS PROCTORED EXAM QBANK 2023 1- A nurse on a medical unit is preparing to discharge a client to home. Which of the following actions should the nurse take as part of the medication reconciliation process? A) Seal unused hospital medications in a plastic bag. B) Evaluate the client's ability to self-administermedications. C) Report an identified discrepancy to The Joint Commission. D) Compare prescriptions with medicationsthe client received during hospitalization. 2- A nurse isreviewing a client's medication prescription that reads, "digoxin 0.25 by mouth every day." Which of the following components of the prescription should the nurse verify with the provider? a. medication name b. route of administration c. medication dose d. frequency of administration 3- A nurse isteaching a group ofstaff nurses about the use of essential oilsfor aromatherapy. The nurse should include in the teaching that this therapy might be contraindicated for which of the following clients? a. a client who has a history of physical abuse b. a client who has a permanent pacemaker c. a client who has ulcerative colitis d. a client who has asthma 4- A nurse is admitting a client who hasrubella. Which of the following types of transmission based precautions should the nurse initiate? a. droplet b. airborne c. contact d. protective environment 5- A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. Which of the following actions should the nurse take? a. gently shake the container of medication prior to administration b. transfer the medication to a medicine cup c. place the client in the semi-Fowler's position prior to medication administration d. verify the dosage by measuring the liquid before administering it 6- A nurse is performing a peripheral vascular assessment for a client. When placing the bell of the stethoscope on the client's neck, she hears the following sound. This sound indicates which of the following? (Click on the audio button to listen to the clip.) A) Narrowed arterial lumen B) Distended jugular veins C) Impaired ventricular contraction D) Asynchronous closure of the aortic and pulmonic valves 7- A nurse is caring for a client who isrefusing a blood transfusion for religious reasons. The client's partner wants the client to have the blood transfusion. Which of the following actions should the nurse take? A) Ask the client to consider a direct donation. B) Withhold the blood transfusion. C) Request a consultation with the ethics committee. D) Ask the client'sfamily to intervene. 8- A nurse in an acute care facility is preparing a discharge summary for a client who istransferring to a long-term care facility. Which of the following documentation should the nurse include? a. client flow sheet b. acuity ranges c. current medications d. incident reports 9- A nurse is assessing an adult client who has been immobile for the past 3 weeks. The nurse should identify that which of the following findings requiresfurther intervention? A) Erythema on pressure points B) Lower-extremity pulse strength of 2+ C) Fluid intake of 3,000 mL per day D) A bowel movement every other day 10- A nurse is planning teaching for a group of adolescents who each recently had surgical placement of an ostomy. Which of the following methods should the nurse use as psychomotor approach to learning? a. role play b. group discussions c. question-answer meetings d. practice sessions 11- A nurse is caring for a client who reports pain. When documenting the quality of the client's pain on an initial pain assessment, the nurse should record which of the following client statements? A) "I'm having mild pain." B) "The pain is like a dull ache in my stomach." C) "I notice that the pain gets worse after I eat." D) "The pain makes me feel nauseous." 12- A nurse isreviewing practice guidelines with a group of newly licensed nurses. Which of the following interventions should the nurse include that is within the RN scope of practice? A) Insert an implanted port. B) Close a laceration with sutures. C) Place an endotracheal tube. D) Initiate an enteral feeding through a gastrostomy tube. 13- A client who is non ambulatory notifies the nurse that histrash can is on fire. After the nurse confirms the fire, which of the following actions should the nurse take next? a. activate the emergency fire alarm b. extinguish the fire c. evacuate the client d. confine the fore 14- A nurse is discussing the use of herbal supplements for health promotion with a client. Which of the following clientstatements indicates an understanding of herbal supplement use? A) "I can take echinacea to improve my immune system" B) "I can take feverfew to reduce my level of anxiety" C) "I can take ginger to improve my memory" D) "I can take ginkgo biloba to relieve nausea" 15- A nurse enters a client'sroom and finds her on the floor. The client'sroommate reports that the client was trying to get out of bed and fell over the side rail onto the floor. Which of the following statements should the nurse document about this incident? A) "incidentreport completed" S - The Marketplace to Buy and Sell your Study Material B) "client climbed over the side rails" C "client found lying on the floor" D) "client was trying to get out of bed" 16- A nurse is performing a Romberg test during the physical assessment of a client. Which of the following techniques should the nurse use? A) touch the face with a cotton ball B) apply vibrating tuning fork to the client'sforehead C) have the client stand with their arms at theirsides and their feet together D) perform direct percussion over the area of the kidneys 17- A nurse isteaching a client whose left leg isin a cast about using crutches. Which of the following statementsshould the nurse identify as an indication that the client understands the teaching? A) "When descending stairs, I will first shif t my weight to my right leg." B) "Ishould place my crutches 12 inches in front and to the side of each foot." C) "As Isit down, I will hold one crutch in each hand." D) "I will make sure the shoulder rests are snug against my armpits." 18- A nurse is preparing to administer multiple medications to a client who has an enteral feeding tube. Which of the following action should the nurse plan to take? A) dissolve each medication in 5 mL ofsterile water B) draw up medicationstogether in the syringe C) push the syringe plunger gently when feeling resistance D) flush the tube with 15 mL of sterile water 19- A community health nurse is checking blood pressure for a group of clients at a community health screening. Which of the following clients is at an increased risk for hypertension? a. a client who is 52 years old b. a client who smokes one pack of cigarettes each day c. a client who walks for 30 minutes every day d. a client who drinks one glass of wine 3 times per week 20- A nurse is planning care for a client who has vision loss. Which of the following interventions should the nurse include in the plan of care to assist the client with feeding? a. assign a staff member to feed the client b. provide small handled utensils for the client c. thicken liquids on the client's tray d. arrange food in a consistent pattern on the client's plate 21- A nurse is planning an educational program for a group of older adults at a senior living center. Which of the following recommendations should the nurse include? a. "You should have an eye exam every 2 years" b. "You should receive a tetanus booster every 5 years" c. "You should have a fecal occult blood test every 2 years" d. "You should receive a pneumococcal immunization every 10 years" 22- A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? a. neck vein distention b. urine specific gravity 1.010 c. rapid heart rate d. blood pressure 144/82 mmHg 23- A nurse is administering IV fluid to an older adult client. The nurse should perform which priority assessment to monitor for adverse effects? A) Auscultate lung sounds. B) Measure urine output. C) Monitor blood pressure readings. D) Monitorserum electrolyte levels. 24- A nurse is caring for a client who has decreased mobility. Which of the following actions should the nurse take to decrease the client's risk of developing plantar flexion contractures? a. place a pillow under the client's knees b. position a trochanter toll under each of the client's hips c. advise the client to wear rubber-soled slippers d. apply an ankle-foot orthotic device to the client'sfeet 25- A nurse is planning care for a client who has tuberculosis. The nurse should use which of the following pieces of personal protective equipment when providing care for the client? a. gown b. N95 respirator c. shoe covers d. surgical cap 26- A nurse in a surgical suite notes documentation on a client's medical record that he has a latex allergy. In preparation for the client's procedure, which of the following precautions should the nurse take? A) Ensure sterilization of nondisposable items with ethylene oxide. B) Wrapmonitoring cords with stockinette and tape them in place. C) Cleanse latex ports on IV tubing with chlorhexidine before injectingmedication. D) Wear hypoallergenic latex glovesthat contain powder. B) Wrapmonitoring cords with stockinette and tape them in place. 27- A nurse is assessing a client who received an IV fluid bolus for dehydration. Which of the following findingsshould the nurse identify as an indication of fluid volume excess? a. hypotension b. weak, thready pulse c. slow capillary refill d. distended neck veins 28- A nurse is caring for a client who haslimited mobility in hislower extremities. Which of the following actions should the nurse take to prevent skin breakdown? A) Place the client in high-Fowler's position. B) Increase the client'sintake of carbohydrates. C) Massage reddened areas with unscented lotion. D) Have the client use a trapeze bar when changing position. 29- A nurse is caring for a client who isreceiving pain medication through a patient-controlled analgesia (PCA) pump. Which of the following actions should the nurse take? A) instruct the family to refrain from pushing the button for the client while she is asleep B) inform the client that because she is on PCA, vital signs will be taken every 8 hours C) teach the client to avoid pushing the button until pain is above a 7 on a scale of 0-10 D) increase the basal rate and shorten the lock-out interval time if the client's pain level istoo high 30- A nurse hasjust inserted an NG tube for a client. Which of the following findings should the nurse expect to confirm correct tube placement? a. the tube aspirate has a pH of 7 b. an x-ray shows the end of the tube above the pylorus c. bowelsounds are present on auscultation d. the client reportsrelief of nausea 31- A home health nurse is completing an admission assessment of an older adult client who hastheir caregiver present. Which of the following should the nurse identify as a potential indication of elder abuse? a. the caregiver is the client'sfinancial power of attorney b. the client is in a wheelchair with the wheels locked c. the client reports receiving a full bath twice each week d. the caregiver insists on remaining in the room 32- A nurse is preparing to transfer a client who can bear weight on one leg from the bed to a chair. Aftersecuring a safe environment, which of the following actionsshould 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. assessthe client for orthostatic hypotension d. apply gait belt to the client 33- A nurse is admitting a client who has been having frequent tonic-clonic seizures. Which of the following actions should the nurse add to the client's plan of care? a. wrap blankets around all 4 sides of the bed b. apply restraints during seizure activity c. place the client in a supine position during seizure activity d. have a tongue depressor at the client's bedside 34- The nurse is providing discharge teaching for a client who has a new prescription for a home oxygen concentrator. Which ofthe following instructions should the nurse provide to the client and his family? select all that apply. a. check the cord routinely forfrays and tearing b. keep the unit at least 1.2 m (4 feet) away from a gas stove c. consider purchasing a generatorfor power backup d. observe forsigns of hypoxia t synthetic clothing and bedding 35- A nurse is caring for a client who has an NG tube and isreceiving intermittent feedings through an open system. Which of the following actions should the nurse take first? a. rinse the feeding bag with water between feedings b. tell the client to keep the head of the bed elevated at least 30 degrees c. make sure the enteral formula is at room temperature d. wipe the top of the formula can with alcohol 36- A nurse is caring for a client who has a terminal diagnosis and whose health is declining. The client requests information about advance directives. Which of the following responses should the nurse make? a. "we can talk about advance directives, and I can also give you some brochures about them" b. "you should set up a time to talk with your provider about that" c. "let's discuss how you are feeling today, and we'llsave the planning for when you are feeling a little better" d. "why do you want to discuss this without your partner here to plan this with you?" 37- A nurse is calculating a client's fluid intake over the past 8 hr. Which of the following should the nurse plan to document on the client's intake and output record as 120 mL of fluid? a. 2 cups of soup b. 1 quart of water c. 8 oz of ice chips d. 6 oz of tea 38- A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take? a. wearsterile gloves when removing the old dressing b. warm the irrigation solution to 40.5(105 degreesfarenheit) c. cleanse the wound from the center outward d. use a 20 mL syringe to irrigate the wound. 39- A charge nurse is discussing the responsibility of nurses caring for clients who have Clostridium difficile infection. Which ofthe following information should the nurse include in the teaching? a. assign the client to a room with a negative airflow system b. use alcohol-based hand sanitizer when leaving the client'sroom c. clean contaminated surfaces in the client'sroom with a phenolsolution d. have family members wear a gown and gloves when visiting 40- A nurse is caring for a client who requires 24 hr urine collection. Wh