ATI RN FUNDAMENTALS PROCTORED EXAM (22 VERSIONS, LATEST- 2021) (1600 + Q & A)

Exam For ATI Registered Nurse FUNDAMENTALS Proctored Examination (22 Versions, Latest- 2021) (1600 + Questions & Answers)

Registered Nurse Fundamentals 1. a nurse in a clinical setting is assisting a middle age adult who mentions, “the physician recommended routine screening for colon cancer since I am at an average risk. What does this procedure involve?” What should the nurse response with? A. “I will collect a blood sample for a screening test.” B. “Starting at 60 years, you should undergo a colonoscopy.” C. “You should undergo a fecal occult blood test annually.” D. “It is recommended to have a sigmoidoscopy every 10 years.” “You should undergo a fecal occult blood test annually.” Colorectal cancer screening for clients at average risk should commence at 50 years. One option is the annual fecal occult blood test. 2. a nurse is tending to a client experiencing breathing difficulties. The client is in bed with a nasal cannula supplying oxygen. What should be the nurse’s initial intervention? A. Suction the client’s airway B. Administer a bronchodilator C. Increase humidity in the client’s room D. Help the client sit up Help the client sit up Sitting up is the least invasive intervention and should be the first step to promote optimal chest expansion by elevating the client’s bed to semi-Fowler’s or high Fowler’s position. Upright sitting improves gas exchange and prevents pressure on the diaphragm. 3. a nurse is getting ready to give 0.5 mL of oral single-dose liquid medication to a client. What should the nurse do? A. Gently shake the medication container before administration B. Transfer the medication to a medicine cup C. Position the client in a semi-fowlers stance for medication intake D. Verify the dosage by measuring the liquid before given Gentle shake the medication container before administration. The nurse should softly shake the liquid medication to ensure proper mixing. 4. a nurse is strategizing to enhance self-feeding for a client with vision impairment. What intervention should the nurse incorporate? A. Instruct the client on eating sequence B. Provide utensils with small handles C. Thicken liquids on the client’s tray D. Use a clock layout to describe food on the client’s plate Describe food using a clock layout on the client’s plate. Describing the food’s position on the plate using a clock layout promotes self-reliance during meals. 5. a nurse is educating an older adult client at risk for osteoporosis on initiating a regular physical activity regimen. Which type of activity should the nurse suggest? A. Brisk walking B. Bicycle riding C. Isometric exercises D. High-impact aerobics Brisk walking Weight-bearing exercises are crucial for preserving bone mass to prevent osteoporosis. Walking is an engaging exercise for older adult clients. 6. a nurse is appraising a client’s readiness to learn about insulin administration. Which statement indicates the client’s preparedness for learning? A. “I am most focused in the morning.” B. “It’s hard to read instructions because I left my glasses at home.” C. “I’m curious why I need to learn this.” D. “My wife needs to be involved in this discussion.” “I am most focused in the morning.” This statement shows the client is ready for learning as he mentions the best time for assimilating information. 7. a nurse is imparting discharge instructions to a client necessitating home oxygen therapy. Which statement demonstrates the client grasps how to manage oxygen therapy at home? A. “I will ensure my friend smokes at least 6 feet away from the oxygen tank.” B. “I will use a woolen blanket if I feel cold while on oxygen.” C. “I will check the TV’s wires and cables to ensure proper functioning.” D. “I will place my oxygen tank on the floor when my grandchildren visit to prevent tipping.” “I will check the TV’s wires and cables to ensure proper functioning.” Since oxygen is highly flammable, the client must verify that all electrical devices in the vicinity are functioning correctly while using supplemental oxygen to prevent any electrical sparks. 8. a nurse is attending to a client reporting difficulty falling asleep. What measure should the nurse suggest? A. Consume hot cocoa before bedtime B. Exercise an hour before bedtime C. Practice progressive relaxation techniques before bedtime D. Reflect on the day’s events before bedtime Practice progressive relaxation techniques before bedtime. Progressive relaxation helps induce sleep by reducing stress and muscle tension. 9. a nurse is aiding a postoperative client with an incentive spirometer. In what position should the nurse place the client? A. Lying on the side B. Lying on the back C. Semi-Fowlers D. Trendelenburg Semi-Fowler’s Placing the client in a semi-Fowler’s or high-Fowler’s position maximizes lung expansion. 10. a nurse is evaluating an immobile adult client for the past 3 weeks. Which finding indicates the need for further intervention? A. Redness on pressure points B. Strong lower-extremity pulses C. 3,000 mL fluid intake daily D. Bi-daily bowel movements Redness on pressure points Redness on pressure points should be promptly addressed to relieve pressure and safeguard the skin from further damage. 11. a nurse is serving a client necessitating a 24-hour urine collection. Which client statement conveys understanding of the instruction? A. “I saved the urine even after a bowel movement.” B. “I have a specimen from 30 minutes ago in the bathroom.” C. “I flushed urine at 7 AM and retained subsequent samples.” D. “I drink a lot, so I will quickly fill the bottle to complete the collection.” “I flushed urine at 7:00 AM and retained subsequent samples.” For a 24-hour urine collection, the client should discard the initial void and preserve all subsequent voids. 12. a nurse is tending to a client with herpes zoster inquiring about complementary and alternative therapies for pain relief. Which therapy should the nurse inform the client is contraindicated for his condition? A. Biofeedback B. Aloe C. Feverfew D. Acupuncture Acupuncture The nurse should advise the client that acupuncture is contraindicated for herpes zoster, or any skin infection, to prevent skin surface breakages posing a risk of additional infection. 13. a nurse is preparing to transfer a client with right-sided weakness from the bed to a chair. In what sequence should the nurse act to help the client? 1. Inquire if the client can bear weight 2. Use the stand-pivot technique to move the client to the chair 3. Place the chair on the left side of the bed 4. Have the client sit and dangle feet at the bedside 1. Inquire if the client can bear weight 3. Place the chair on the left side of the bed 4. Have the client sit and dangle feet at the bedside 2. Use the stand-pivot technique to move the client to the chair 14. a nurse is ready to administer an opioid injection to a client. The nurse extracts 1 mL of medication from a 2 mL vial. What should the nurse do next? A. Have another nurse observe medication wastage B. Notify the pharmacy about consuming the medication C. Secure the remaining medication in the controlled substance cabinet D. Dispose of the vial with leftover medication in a sharps container Have another nurse observe medication wastage. Wastage of any part of a controlled substance dose necessitates a second nurse’s presence as a witness. 15. a nurse is preparing a heparin infusion for a client hospitalized with deep vein thrombosis. The prescription states: 25,000 units of heparin in 250 mL of 0.9% sodium chloride to infuse at 800 units/hr. At what rate should the nurse set the infusion pump? (rounded to the nearest whole number) 8 mL/hr 16. a nurse is caring for a client with a prescription for mixing 5 units of regular insulin and 10 units of NPH insulin for subcutaneous administration. Determine the correct order of steps for this procedure. 1. Inject 5 units of air into the regular insulin bottle 2. Withdraw the correct dose of NPH insulin from the bottle 3. Inject 10 units of air into the NPH insulin bottle 4. Withdraw the correct dose of regular insulin from the bottle 3. Inject 10 units of air into the NPH insulin bottle 1. Inject 5 units of air into the regular insulin bottle 4. Withdraw the correct dose of regular insulin from the bottle 2. Withdraw the correct dose of NPH insulin from the bottle 17. a nurse is caring for a client postoperatively who refuses to use an incentive spirometer after major abdominal surgery. What is the nurse’s primary action? A. Request a respiratory therapist to discuss incentive spirometer technique B. Determine why the client is declining to use the incentive spirometer C. Record the client’s refusal to engage in health restoration activities D. Administer pain relief medication to the client Determine why the client is declining to use the incentive spirometer. Assessing the client to understand the reason for the refusal is the initial step in the nursing process. 18. a nurse is reviewing a client’s medication prescription, which specifies, “digoxi