NEXT GENERATION NCLEX RN ATI FUNDAMENTALS OF NURSING PROCTORED EXAM 2023 /2024 WITH NGN QUESTIONS AND ANSWERS Question 1 A nurse is caring for a client who is postoperative and has a prescription for clear liquids. Which of the following items should the nurse offer the client? A. Coffee with cream B. Grape juice C. Gelatin D. Ice cream Correct Answer: C. Gelatin Rationale: Clear liquids include any liquid that you can see through at room temperature. Gelatin is an example of a clear liquid. Coffee with cream, grape juice, and ice cream do not meet the criteria for clear liquids. Question 2 A nurse is preparing to administer an intramuscular injection to an adult client. At which of the following angles should the nurse insert the needle? A. 15° B. 45° C. 75° D. 90° Correct Answer: D. 90° Rationale: Intramuscular injections are typically administered at a 90° angle to ensure the medication is delivered into the muscle tissue. Question 3 A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric -coated aspirin. Which of the following actions should the nurse take? A. Crush the medication and mix it with applesauce. B. Break the medication into smaller pieces. C. Request a liquid form of the medication from the pharmacy. D. Administer the medication with thickened liquids. Correct Answer: C. Request a liquid form of the medication from the pharmacy. Rationale: Enteric -coated medications should not be crushed or broken as this can destroy the coating designed to protect the stomach lining. Requesting a liquid form is the safest option for a client with difficulty swallowing. Question 4 A nurse is reviewing the laboratory results of a client who has an acute infection. Which of the following findings should the nurse expect? A. Decreased white blood cell count B. Elevated hemoglobin C. Increased white blood cell count D. Decreased hematocrit Correct Answer: C. Increased white blood cell count Rationale: An increased white blood cell count is a common finding in clients who have an acute infection as the body is responding to fight off the infection. Question 5 A nurse is teaching a client about the use of a cane. Which of the following instructions should the nurse include? A. "Hold the cane on the stronger side of your body." B. "Move the cane forward first, followed by your stronger leg." C. "Place the cane about 12 inches in front of your body before taking a step." D. "Use the cane on the side that needs the most support. " Correct Answer: A. "Hold the cane on the stronger side of your body." Rationale: The cane should be held on the stronger side of the body to provide maximum support and balance. Question 6 A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of the following actions should the nurse take first? A. Don sterile gloves. B. Lubricate the catheter tip. C. Clean the urinary meatus. D. Position the client supine with knees bent. Correct Answer: D. Position the client supine with knees bent. Rationale: Positioning the client properly is the first step to ensure ease of access and comfort during the catheter insertion procedure. Question 7 A nurse is assessing a client's pain using a numeric pain scale. The client rates their pain as 7 out of 10. Which of the following is an appropriate nursing action? A. Reassess the client's pain in 8 hours. B. Administer the prescribed pain medication. C. Withhold pain medication until the pain level increases. D. Contact the provider for a new pain medication order. Correct Answer: B. Administer the prescribed pain medication. Rationale: A pain rating of 7 out of 10 indicates significant pain, and the nurse should administer the prescribed pain medication to alleviate the client's discomfort. Question 8 A nurse is caring for a client who requires a dressing change. Which of the following actions should the nurse perform first? A. Put on sterile gloves. B. Clean the wound with antiseptic solution. C. Don clean gloves. D. Apply a new dressing. Correct Answer: C. Don clean gloves. Rationale: The nurse should first put on clean gloves to remove the old dressing and reduce the risk of infection before proceeding with the dressing change. Question 9 A nurse is planning care for a client who has a prescription for a fluid restriction of 1500 mL/day. Which of the following strategies should the nurse include to assist the client in adhering to the restriction? A. Provide the client with a pitcher of water. B. Offer the client fluids in large quantities. C. Use a small cup for fluids. D. Remove the water pitcher from the client's bedside. Correct Answer: C. Use a small cup for fluids. Rationale: Using a small cup for fluids can help the client better manage their fluid intake and adhere to the restriction. Question 10 A nurse is teaching a client how to self -administer insulin. Which of the following instructions should the nurse include? A. "Shake the insulin vial before drawing up the dose." B. "Inject the insulin into a muscle." C. "Rotate injection sites within the same area for a week." D. "Store the insulin in the freezer." Correct Answer: C. "Rotate injection sites within the same area for a week." Rationale: Rotating injection sites within the same area for a week prevents lipodystrophy and ensures consistent absorption of insulin. Question 11 A nurse is providing discharge teaching to a client who has a new prescription for a metered -dose inhaler (MDI). Which of the following instructions should the nurse include? A. "Shake the inhaler well before each use." B. "Breathe in through your nose while administering the medication." C. "Administer two puffs in rapid succession." D. "Hold your breath for 2 seconds after inhaling the medication." Correct Answer: A. "Shake the inhaler well before each use." Rationale: Shaking the inhaler ensures that the medication is properly mixed and delivered effectively. Question 12 A nurse is caring for a client who is postoperative following a hip replacement. Which of the following interventions should the nurse include in the plan of care? A. Encourage the client to sit in a low chair. B. Apply a heating pad to the surgical site.
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