Download ATI RN FUNDAMENTALS PROCTORED EXAM|2025-2026| LATEST UPDATE |ALL 100 QUESTIONS&ANSWERS|A+ and more Exams Nursing in PDF only on Docsity!
ATI RN FUNDAMENTALS PROCTORED EXAM| 2025 - 2026|
LATEST UPDATE |ALL 100 QUESTIONS&CORRECT ANSWERS
WITH RATIONALES|A+ GRADE
Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia?
- ANS:-Yes. A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients.Which of the following client's needs may the nurse assign to an assistive personnel (AP)? A. Feeding a client who was admitted 24 hrs. ago w/aspiration pneumoni B. Reinforcing teaching w/a client who is learning to walk using a quad cane C. Reapplying a condom catheter for a client who has urinary incontinence D. Applying a sterile dressing to a pressure ulcer 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 client returning from surgery requires assessment and establishment of a plan of care.RNs are responsible for this, especially if the client is potentially unstable. A nurse observes an AP reprimanding a client for not using the urinal properly. The APtells him she will put a diaper on him if he does not use the urinal more carefully next time. Which of the following torts is the AP committing? A. Assault
- ANS:-C.
B. Battery C. False imprisonment D. Invasion of privacy
- ANS:-A. Assault Rationale: By threatening the client, the AP is committing assault. An adult client who is competent tells the nurse that he is thinking about leaving the hospital against medical advice. 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 alongw/his usual meds. Which of the following tort has the nurse committed? A. Assault B. False imprisonment C. Negligence D. Breach of confidentiality
- ANS:-B. False imprisonment Rationale: The nurse gave the med as a chemical restraint to keep the client from leaving the facility against medical advice. The client did not consent. An RN is making assignments for client care to a LPN at the beginning of the shift.Which of the following assignments should the LPN question? A. Assisting a client who is 24hr postop to use an incentive spirometer B. Collecting a clean-catch urine specimen from a client who was admitted on theprevious shift
the client about alternatives to having the surgery – ANS:-A, B Rationale: The rest of the choices are the surgeon's responsibility, not the nurse A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy & unable to focus on the issue at hand. Today, she found the nurse asleepin a chair in the break room when she was not on break. Which of the following actions should the nurse take? A. Remind the nurse that safe client care is a priority on the unit B. Ask others on the team whether they have observed the same behaviorC. Report observations to the nurse manager on the unit D. Conclude that her coworker's fatigue is not her problem to solve
- ANS:-C. Rationale: Any nurse who notices behavior that could possibly jeopardize client care orindicate 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. Which of the following info shouldthe nurse include in the report? A. The client's input & output for the shiftB. The client's BP from the previous day C. A bone scan that is scheduled for today D. The med routine from the med administration record - ANS:-C. A bone scan that is scheduled for today Rationale: 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. He states, "I fell in the shower, but I got myself back up & into my chair." How should the nurse document thisin the client's chart? A. The client fell in the shower. B. The client states he fell in the shower & was able to get himself back into his chairC. The nurse should not document this info because she did not witness the fall D. The client fell in the shower & is now resting comfortably
- ANS:-B. Rationale: By writing what the client states, the info is subjective data A nursing instructor is reviewing documentation w/a group of nursing students. Which ofthe following legal guidelines should they follow when documenting a client's record? Select all. A. Cover errors w/correction fluid, & write in the correct infoB. Put the date & time on all entries C. Document objective data, leaving out opinionsD. Use as many abbreviations as possible E. Wait until the end of the shift to document - ANS:-B, C
devices. The nurse caring for the client should initiate a referral w/which of the following members of the interprofessional care team? A. Social worker B. Certified nursing assistantC. Registered dietitian D. Occupational therapist - ANS:-D. Rationale: An occupational therapist can assist clients who have physical challenges touse adaptive devices & strategies to help w/self-care activities A client who is postop following a knee arthroplasty is concerned about the adverse effects of the medication he is receiving for pain management. Which of the followingmembers of the interprofessional care team may assist the client in understanding the medication's effects? Select all. A. Provider B. CNA C. Pharmacist D. RN E. Respiratory therapist - ANS:-A, C, D A client who has had a cerebrovascular accident has persistent problems w/dysphagia.The nurse caring for the client should initiate a referral w/which of the following members of the
interprofessional care team? A. Social worker B. CNA C. Occupational therapist D. Speech-language pathologist - ANS:-D Rationale: A speech-language pathologist can initiate specific therapy for clients whohave difficulty feeding due to swallowing difficulties A nursing instructor is acquainting a group of nursing students w/the roles of the variousmembers of the health care team they will encounter on a medical-surgical unit. When
B. A number she traces on the palm of his hand C. The vibration of a tuning fork she places on his footD. A familiar object she places in his hand
- ANS:-D. Stereognosis is tactile recognition A nurse is assessing a client who reports pain when the nurse evaluates the internal rotation of her right shoulder. Which of the following activities is this problem likely toaffect? A. Mopping her floors B. Brushing the back of her hair C. Fastening her bra behind her back D. Reaching into a cabinet above her sink - ANS:-C.
Rationale: Fastening a bra from behind requires internal rotation of the shoulder, so thisactivity will illicit pain A nurse is preforming a neurosensory examination for a client. Which of the followingtests should the nurse preform to test the client's balance? Select all. A. Romberg test B. Heel-to-toe walkC. Snellen test D. Spinal accessory function E. Rosenbaum test - ANS:-A, B Rationale: C and E test visual acuity , D tests cranial nerve XI is intact by asking theclient to shrug shoulders without complication. A nurse is collecting data from an older adult client as part of a neurosensory examination. Which of the following findings should the nurse expect as changesassociated w/aging? Select all. A. Slower light touch sensation B. Some vision & hearing declineC. Slower fine finger movement D. Some short-term memory decline E. Slower superficial pain sensation - ANS:-B, C, D
D. The client had pain medication 30 min agoE. The client is allergic to codeine F. The client ate 50% of his breakfast this morning – ANS:-B, C, D A nurse is providing discharge instructions to a client who has a prescription for the useof oxygen in his home. Which of the following should the nurse teach the client about using oxygen safely in his home? Select all. A. Family members who smoke must be at least 10 ft from the client when the oxygen isin use B. Nail polish should not be used near a client who is receiving oxygenC. A "No smoking" sign should be placed on the front door D. Cotton bedding & clothing should be replaced w/items made from wool E. A fire extinguisher should be readily available in the home - ANS:-B, C, E
Rationale: Family members that smoke should do so outside, and wool creates staticelectricity so it should be avoided. A nurse educator is conducting a parenting class for new parents. Which of the following statements made by a participant indicates a need for further clarification & instruction? A. "I will begin swimming lessons as soon as my baby can close her mouth under water."B. "Once my baby can sit up, he should be safe in the bathtub." C. "I will test the temp of the water before placing my baby in the bath." D. "Once my infant starts to push up, I will remove the mobile from over the bed." - ANS:-B Rationale: Although the baby can hold his head above the water by sitting up, this does not make the baby safe in the tub. Parents should never leave a child unattended in a tub. A home health nurse is discussing the dangers of carbon monoxide poisoning w/a client.Which of the following information should the nurse include in her counseling? A. Carbon monoxide has a distinct odor B. Water heaters should be inspected every 5 years C. The lungs are damaged from carbon monoxide inhalation D. Carbon monoxide binds w/hemoglobin in the body - ANS:-D. Rationale: Carbon monoxide is a very dangerous gas because it binds w/hemoglobin &ultimately
Rationale: Tachycardia, hot dry skin, and tachypnea are other manifestations of heatstroke A home health nurse is discussing the dangers of food poisoning w/a client. Which of thefollowing info should the nurse include in her counseling? Select all. A. Most food poisoning is caused by a virus B. Immunocompromised individuals are at risk for complications from food poisoning C. Clients who are especially at risk are instructed to eat or drink only pasteurized milk,yogurt, cheese, or other dairy products D. Healthy individuals usually recover from the illness in a few weeks E. Handling raw & fresh food separately to avoid cross contamination may prevent foodpoisoning - ANS:-B, C, E Rationale: Most food poisoning is caused by bacteria such as E. coli.Healthy individuals usually recover in a few days. A nurse is caring for a client diagnosed w/severe acute respiratory syndrome (SARS). The nurse is aware that health care professionals are required to report communicable &infectious diseases. Which of the following illustrate the rationale for reporting? Select all. A. Planning & evaluating control & prevention strategiesB. Determining public health priorities C. Ensuring proper medical treatmentD. Identifying endemic disease
E. Monitoring for common-source outbreaks - ANS:-A, B, C, E Rationale: Not D because endemic disease is already prevalent within a population, soreporting is not necessary A nurse is contributing to the plan of care for a client who is being admitted to the facilityw/a suspected diagnosis of pertussis. Which of the following should the nurse include in the plan of care? Select all. A. Place the client in a room that has negative air pressure of at least 6 exchanges/hrB. Wear a mask when providing care within 3 ft of the client C. Place a surgical mask on the client if transportation to another dept. is unavoidable
B. Incubation C. Convalescence D. Illness - ANS:-D. Illness Rationale: specific s/s present is the illness stage A nurse educator is reviewing w/a newly hired nurse the difference in clinical manifestations of a localized vs. a systemic infection. The nurse indicates understandingwhen she states that which of the following are clinical manifestations of a systemic infection? Select all. A. Fever B. MalaiseC. Edema D. Pain or tenderness
E. Increase in pulse & respiratory rate - ANS:-A, B, E Rationale: Edema and pain and tenderness is localized A nurse is teaching a young adult client about health promotion & illness prevention.Which of the following statements by the client indicates an understanding of the teaching? A. "I already had my immunizations as a child, so I'm protected in that area." B. "It is important to schedule routine health care visits even if I'm feeling well."C. "If I'm having any discomfort, I'll just got to an urgent care center." D. "If I am felling stressed, I will remind myself that this is something I should expect." - ANS:-B. Rationale: routine health screenings are important at any age A nursing instructor is explaining the various stages of the lifespan to a group of nursing students. The nurse should offer which of the following behaviors by a young adult as an example of appropriate psychosocial development? A. Becoming actively involved in providing guidance to the next generationB. Adjusting to major changes in roles and relationships due to losses C. Devoting a great deal of time to establishing an occupation D. Finding oneself "sandwiched" in between & being responsible for 2 generations - ANS:-C. Rationale: Exploring and establishing career options & establishing oneself is important
