ATI FUNDAMENTALS PROCTORED EXAM | 400+
QUESTIONSAND 100% VERIFIED ANSWERS WITH
RATIONALES | LATEST 2022-2024
1. A nurse is planning to collect a stool specimen for ova and parasites from a client who has
diarrhea. Which of the following actions should the nurse take when collecting the specimen?
A. Instruct the client to defecate into the toilet bowl
-incorrect: The nurse should have the client defecate into a bedpan or a container for stool
collection. The toilet water can dilute and contaminate the liquid specimen.
B. Transfer the specimen to a sterile container
-incorrect: The nurse should place the stool specimen in a clean container using a tongue
depressor.
C. Refrigerate the collected specimen
-incorrect: The nurse should send the collected stool specimen immediately to the laboratory after
labeling the specimen properly to prevent contamination with microorganisms and keep thespecimen
from getting cold.
D. Place the stool specimen collection container in a biohazard bag
-The nurse should place the specimen collection container in a biohazard bag with the client label on
the container and the bag for easy identification. This will also prevent contaminationwith
microorganisms.
2. A nurse is caring for a client who has a tracheostomy and requires suctioning. Which of the
following actions should the nurse take?
A. Hyper oxygenate the client before suctioning
-The nurse should use a manual resuscitation bag to hyper oxygenate the client for severalminutes
prior to suctioning.
B. Insert the catheter during exhalation
-incorrect: The nurse should insert the catheter during inhalation
C. Apply suction during insertion of the catheter
-incorrect: Applying suction while inserting the catheter increases the risk of damage to thetracheal
mucosa and removes oxygen from the airways.
D. Apply suction for no more than 15 secs
-incorrect: The nurse should apply suction for no more than 10 seconds
5. A nurse is caring for a client who has bilateral cats on her hands. Which of the followingactions
,should the nurse take when assisting the client with feeding?
A. Sit at the bedside when feeding the client
-The nurse should avoid appearing to be in a hurry. Sitting at the bedside provides the client with
thenurse’s full attention during the feedingOrder pureed foods
-incorrect: Without any mouth or throat injuries that make chewing or swallowing difficult, the client
should be served foods of an appropriate variety of textures. Pureed foods are for clients who cannot
chew, have difficulty swallowing, or do not have teeth.
B. Make sure feedings are provided at room temperature
-incorrect: The nurse should ask the client if the food is the correct temperature
C. Offer the client a drink of fluid after every bite
-incorrect: If the client is unable to communicate, the nurse should offer the client fluids after every 3 or 4
mouthfuls. However, there is no indication that this client is unable to communicate.Therefore, the client
should tell the nurse when she would like a drink.
3. A nurse is providing teaching to a client regarding protein intake. Which of the followingfoods
should the nurse include as an example of an incomplete protein?
A. Eggs
-incorrect: this is a complete protein, contains all of the essential amino acids necessary for the
synthesis of protein in the body.
B. Soybeans
-incorrect: this is a complete protein, contains all of the essential amino acids necessary for the
synthesis of protein in the body.
,C. Lentils
-Incomplete proteins are missing 1 or more of the essential amino acids necessary for the synthesis
of protein in the body. Examples of incomplete proteins include lentils, vegetables,grains, nuts, and
seeds.
D. Yogurt
-incorrect: this is a complete protein, contains all of the essential amino acids necessary for the
synthesis of protein in the body.
4. A nurse is caring for a client who was admitted to a long-term care facility for rehabilitationafter a
total hip arthroplasty. At which of the following times should the nurse begin discharge planning?
A. One week prior to the client’s discharge
-incorrect: Beginning to plan for the client’s discharge a week prior to the event might not allow
sufficient time for planning. The nurse should begin discharge planning at the time of admission. B. Upon
the client’s admission to the care facility
-The nurse should begin discharge planning at the time that the client is admitted to the facility.
C. Once the discharge date is identified
-incorrect: Beginning to plan for the client’s discharge once the discharge date is identified might not
allow sufficient time for planning. The nurse should begin discharge planning at the time of admission.
D. When the client addresses the topic with the nurse
-incorrect: Beginning to plan for the client’s discharge once the discharge date is identified might not
allow sufficient time for planning. The nurse should begin discharge planning at the time of admission.
5. A nurse is preparing to administer a cleansing enema to a client. Which of the followingactions
should the nurse plan to take?
A. Insert the rectal tube 15.2 cm (6 in)
-incorrect: The nurse should insert the rectal tube 7 to 10 cm (3 to 4 in)
B. Wear sterile gloves to insert the tubing
-incorrect: The nurse should wear clean (nonsterile) gloves to prevent contamination.
, C. Position the client on his left side
-Positioning is an important aspect of administering an enema. Having the client lie on his leftside
facilitates the flow of the enema solution into the sigmoid and descending colon.
D. Hold the solution bag 91 cm (36 inch) above the client’s rectum
-incorrect: The nurse should hold the solution bag 30 cm (12 in) above the client’s rectum for alow
enema and 45 cm (18 in) for a high enema. If the nurse holds the solution bag too high, thesolution
might run in too fast, causing discomfort and spasms that make retaining the enema more difficult.
6. A nurse is administering an IM injection to a 5-month-old infant. Which of the following
injection sites should the nurse use?
A. Deltoid
-incorrect: The nurse can use the deltoid muscle for injecting small volumes of medication forchildren
18 months of age or older, but its proximity to several nerves and arteries make it a riskier choice.
B. Ventrogluteal
-incorrect: This is a safe site for IM injections for clients older than 7 months.
C. Vastus lateralis
-The nurse should use the vastus lateralis site over the anterior thigh for IM injections for infantsand
children.
D. Dorsogluteal
-incorrect: This site is unsafe to use because of its proximity to the sciatic nerve and the superiorgluteal
nerve and artery.
7. A nurse is caring for a client who has major fecal incontinence and reports irritation in theperianal
area. Which of the following actions should the nurse take first?
A. Apply a fecal collection system
-incorrect: The nurse should apply a fecal collection system to divert the feces away from thearea of
skin irritation; however, there is another action the nurse should take first.
B. Apply a barrier cream
-incorrect: The nurse should apply a barrier cream to decrease skin breakdown in the perianalarea
from the feces; however, there is another action the nurse should take first.
C. Cleanse and dry the area
-incorrect: The nurse should cleanse and dry the perianal area to decrease skin irritation;
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