Download (NGN) ATI FUNDAMENTALS MIDTERM PROCTORED EXAM ||2025-2026||ACTUAL EXAM WITH 100+ Qs&As and more Exams Nursing in PDF only on Docsity!
(NGN) ATI FUNDAMENTALS MIDTERM PROCTORED EXAM
|| 2025 - 202 6||ACTUAL EXAM WITH 100+ QUESTIONS AND CORRECT ANSWERS||A+ GRADE
- A nurse is reviewing information about the Health Insurance Portability and
Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? A. "Information about a client can be disclosed to family members at any time." ANSWER B. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form." C. "A client's address would be an example of personally identifiable information." D. "HIPAA is a federal law, not a state law."
- A nurse is preparing to perform hand hygiene. Which of the following actions should the
nurse take? A. Adjust the water temperature to feel hot. B. Apply 4 to 5 mL of liquid soap to the hands. ANSWER C. Hold the hands higher than the elbows. D. Rub hands and arms to dry.
- A nurse is administering nasal decongestant drops for a client. Which of the
following actions should the nurse take? A. Tell the client to blow her nose gently before the instillation. ANSWER
B. Assist the client to a side-lying position. C. Hold the dropper 2 cm (1 in) above the naris. D. Instruct the client to stay in the same position for 2 min.
- A newly licensed nurse is applying prescribed wrist restraints on a client. Which of the following actions should the nurse take? A. Secure the restraints using a quick-release tie. ANSWER B. Ensure four fingers fit under the restraints to prevent constriction. C. Secure the restraints to the lowest bar of the side rail. D. Anticipate removing the restraints every 4 hr.
- The family of an older adult client brings him to the emergency department after finding him wandering outside. During the initial assessment, the nurse notes that the client flinches when she palpates his abdomen yet responds to questions only by nodding and smiling. Which of the following factors should the nurse identify as a likely explanation for the client's behavior? A. He is hard of hearing. B. Pain ANSWER C. Confusion
civil action by the nurse? A. Invasion of privacy B. Assault C. Battery D. False imprisonment ANSWER
- A nurse is performing tracheostomy care for a client and suctioning to remove copious secretions. Which of the following actions should the nurse take? A. Suction two to three times with a 60 - second pause between passes. ANSWER B. Perform chest physiotherapy prior to suctioning. C. Lubricate the suction catheter tip with sterile saline. D. Hyperventilate the client on 100% oxygen prior to suctioning.
- A nurse is inserting an IV catheter for an older client in preparation for an outpatient procedure. Which of the following veins should the nurse select? A. Dorsal metacarpal vein B. Radial vein in the wrist C. Antecubital vein D. Median vein in the forearm ANSWER
- A nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take? A. Use a stiff toothbrush to clean the client’s teeth. B. Use the thumb and index finger to keep the client’s mouth open. C. Turn the client on his side before starting oral care. ANSWER D. Apply petroleum jelly to the client's lips after oral care.
- A nurse is caring for a client who experienced a lacerated spleen and has been on bedrest for several days. The nurse auscultates decreased breath sounds in the lower lobes of both lungs. The nurse should realize that this finding is most likely an indication of which of the following conditions? A. An upper respiratory infection B. Pulmonary edema C. Atelectasis ANSWER D. Delayed gastric emptying
- A nurse is assessing a client and discovers the infusion pump with the client’s total parenteral nutrition (TPN) solution is not infusing. The nurse should monitor the client for which of the following conditions?
temperature 37.1° C (98.8° F), pulse 92/min, respiratory rate 18/min, and BP 98/58 mm Hg. Which of the following vital signs should the nurse re-measure? A. BP ANSWER B. Respiratory Rate C. Pulse rate D. Temperature
- A nurse accidentally administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client’s hospitalization. The client could rightfully sue the nurse for which of the following? A. Battery B. Assault C. Malpractice ANSWER D. Abuse
- A nurse is caring for an older adult client who states, "I am afraid that I may fall while walking to the bathroom during the night." Which of the following actions should the nurse take? A. Limit the client's fluid intake in the evening.
B. Obtain a bedside commode for the client's use. C. Leave a night light on in the client's room. ANSWER D. Put the side rails up and tell the client to call the nurse before voiding.
- A nurse is working with a licensed practical nurse (LPN) to care for a client who is receiving a continuous IV infusion. Which of the following findings reported by the LPN indicates to the nurse the client has phlebitis at the IV insertion site? A. “The infusion rate has stopped but the tubing is not kinked.” B. The area surrounding the insertion site feels warm to the touch ANSWER C. “There is fluid leaking around the insertion site.” D. “There is no blood return when the tubing is aspirated.” 20.A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day. After reviewing the admission laboratory findings, the nurse recognizes that these findings are consistent with which of the following conditions? Sodium 152 mEq/L Glucose 102 mg/dLPotassium 3.6 mEq/L BUN 18 mg/dLChloride 105 mEq/L Creatinine 0.7 mg/dL
of aging. Which of the following changes should the nurse include in the discussion? (Select all that apply.) A. More difficulty seeing due to a greater sensitivity to glare B. Decreased cough reflex C. Decreased bladder capacity D. Decreased systolic blood pressure E. Dehydration of intervertebral discs A,B,C and E
- A nurse is caring for a client who has an NG tube. The nurse tests the pH of the secretions to determine if the tube is correctly placed. Which of the following readings should the nurse expect? A. 6. B. 4.0 stomach is acidic C. 7. D. 8.
- A charge nurse is anticipating the admission of four clients and planning their room
assignments. Which of the following clients should the nurse assign to the room closest to the nurses’ station? A. A client who sustained a head injury and is having periods of confusion ANSWER B. A client who reports a severe migraine headache C. A client who has a suspected diagnosis of tuberculosis (TB) D. A client who has a history of atrial fibrillation and is on continuous ECG monitoring.
- A nurse is attending a social event when another guest coughs weakly once, grasps his throat with his hands, and cannot talk. Which of the following actions should the nurse should take? A. Observe the client before taking further action. B. Perform the Heimlich maneuver. ANSWER The question states the patient cannot talk letting you know they are choking C. Assi st the client to the floor and begin mouth-to-mouth resuscitation. D. Slap the client on the back several times.
- A nurse is assessing a client's peripheral circulation. In which of the following
D. Administer medication to sedate the client.
- A nurse is performing a cardiac assessment. Identify where the nurse should place the stethoscope to auscultate the client's apical pulse. (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) ANSWER: fifth intercostal, mid-clavicular (left)
- A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client’s potential allergies during which phase of the nursing process? A. Planning B. Evaluation C. Assessment ANSWER D. Implementation
- A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Additional data includes pulse 100/min, respiratory rate 24/min, BP 132/ mm Hg, and temperature 36.8º C (98.2º F). Which of the following actions should the
nurse perform? A. Complete a neurological check. B. Administer the prescribed PRN antihypertensive medication. C. Increase the client's fluid intake. D. Hold the client's evening dose of digoxin.
- A nurse is planning care for a client who has a decreased level of consciousness. The client is receiving continuous enteral feedings via a gastrostomy tube due to an inability to swallow. Which of the following is the priority action by the nurse? A. Observe client’s respiratory status. B. Elevate the head of the client’s bed 30 to 45 degrees. C. Monitor intake and output every 8 hr. D. Check residual volume every 4 to 6 hr.
- A nurse is caring for a client who has fallen while getting out of bed and states, "I'm okay! I guess I should have called for help to the bathroom." After assessing the client, the nurse notifies the provider. Which of the following documentation should the nurse include in the client’s medical record?
B. Dorsal surface of the hand C. Conjunctivae D. Dorsal surface of the foot ANSWER: C. Conjunctivae To assess the skin color changes in clients who have dark skin, the nurse should examine body areas with minimal pigmentation, such as the sclerae, soles of feet, conjunctivae and mucous membranes.
- A nurse is assessing an older adult client who has osteoporosis. Which of the following spinal deformities should the nurse expect to find in this client? A. Lordosis B. Ankylosis C. Kyphosis D. Scoliosis ANSWER: Kyphosis, a forward "stooping" posture with a loss of height, is an angulation of the posterior curve of the thoracic spine, usually a result of osteoporosis. It is most common in older adults and increases with aging and vertebral fractures.
- A nurse is caring for a client who requires cold applications with an ice bag to reduce the swelling and pain of an ankle injury. Which of the following actions should the nurse take? A. Apply the bag for 30 min at a time. B. Reapply the bag 30 min after removing it. C. Allow room for some air inside the bag. D. Place the bag directly on the skin.
tenderness over the symphysis pubis.)
- Distended bladder (Urinary retention is commonly seen in clients diagnosed with prostatic hypertrophy. Clinical findings of urinary retention include a distended bladder.)
- Voiding 30 mL frequently (Urinary retention is commonly seen in clients diagnosed with prostatic hypertrophy. Clinical findings of urinary retention include frequent voiding of 25 to 60 mL of urine.)
- A nurse is providing teaching to an assistive personnel (AP) about caring for clients with restraints. Which of the following statements by the AP indicates an understanding of the teaching? A. “I will tie restraints in double knots.” B. “I will tie a restraint to the portion of the bed that moves when the head of the bed is moved.” C. “I will ensure that restraints fit tightly against the client.” D. “I will put four side rails up if a client is confused.” 40.A nurse is creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented?
A. “I will begin 48 hr before the client’s discharge.” B. “I will begin once the client’s discharge order is written.” C. “I will begin upon the client’s admission to the facility.” D. “I will begin once the client’s insurance company approves discharge coverage.”
- A nurse has completed an informed consent form with a client. The client then states, “I have changed my mind and do not want to have the procedure done.” Which of the following actions should the nurse take? A. Remind the client that a signed informed consent form is a legally binding document. B. Notify the surgeon that the client wishes to withdraw informed consent for the procedure. C. Inform the surgical team to cancel the client’s surgery. D. Proceed with preparation of the patient for the surgical procedure. ANSWER: - notify the surgeon that the client wishes the withdraw informed consent for the procedure (The client has the right to withdraw informed consent; therefore, the surgeon who is the one to obtain the informed consent should be notified of the request.)
- A nurse is documenting information in a computerized health record. Which of the following nursing actions jeopardizes client confidentiality? A. Logging out of the computer before leaving a terminal
