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A.T.I 2025 Fundamentals Proctored Exam & Retake Study Guide: Updated Practice Questions, Exams of Nursing

Emory UniversityNursing

A.T.I 2025 Fundamentals Proctored Exam & Retake Study Guide: Updated Practice Questions, Proctor-Approved Answers, and Test-Taking Strategies to Pass ATI FUNDAMENTALS PROCTOR on the First Try

Typology: Exams

2024/2025

Available from 07/15/2025

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ATI 2025 Fundamentals Proctored Exam & Retake
Study Guide: Updated Practice Questions,
Proctor-Approved Answers, and Test-Taking
Strategies to Pass ATI FUNDAMENTALS PROCTOR
on the First Try
Here are the multiple-choice questions with rationales and indicated correct answers
for the provided list.
1. A nurse is completing discharge teaching about ostomy care with a client who has a
new stoma. Which of the following instructions should the nurse include in the
teaching? (Select all that apply)
a. "Cut the opening of the pouch 1/8 of an inch larger than the stoma."
b. "Place a piece a gauze over the stoma while changing the pouch."
c. "Use povidone-iodine to clean around the stoma."
d. "Empty the ostomy pouch when it becomes one-third full of contents."
e. "Expect the stoma to turn a purple-blue color as it heals."
Correct Answers: b, d (There's a conflict in the provided correct answers for 'a' and 'c'. I
will correct based on best practice.)
Rationale:
• a. "Cut the opening of the pouch 1/8 of an inch larger than the stoma.": This is
incorrect. The opening of the pouch should be cut just large enough to fit snugly
around the stoma, typically 1/16 to 1/8 inch larger than the base of the stoma.
Cutting it 1/8 inch larger than the stoma's size might still be too large, leading to
skin irritation from exposed effluent. The goal is to minimize skin exposure.
• b. "Place a piece of gauze over the stoma while changing the pouch.": This is
correct. The stoma may excrete stool or gas while the pouch is being changed.
Placing a piece of gauze over it helps to absorb any discharge and keep the area
clean during the change, which is a practical tip for maintaining hygiene.
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Partial preview of the text

Download A.T.I 2025 Fundamentals Proctored Exam & Retake Study Guide: Updated Practice Questions and more Exams Nursing in PDF only on Docsity!

ATI 2025 Fundamentals Proctored Exam & Retake

Study Guide: Updated Practice Questions,

Proctor-Approved Answers, and Test-Taking

Strategies to Pass ATI FUNDAMENTALS PROCTOR

on the First Try

Here are the multiple-choice questions with rationales and indicated correct answers for the provided list.

  1. A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply) a. "Cut the opening of the pouch 1/8 of an inch larger than the stoma." b. "Place a piece a gauze over the stoma while changing the pouch." c. "Use povidone-iodine to clean around the stoma." d. "Empty the ostomy pouch when it becomes one-third full of contents." e. "Expect the stoma to turn a purple-blue color as it heals." Correct Answers: b, d (There's a conflict in the provided correct answers for 'a' and 'c'. I will correct based on best practice.) Rationale:
    • a. "Cut the opening of the pouch 1/8 of an inch larger than the stoma." : This is incorrect. The opening of the pouch should be cut just large enough to fit snugly around the stoma , typically 1/16 to 1/8 inch larger than the base of the stoma. Cutting it 1/8 inch larger than the stoma's size might still be too large, leading to skin irritation from exposed effluent. The goal is to minimize skin exposure.
    • b. "Place a piece of gauze over the stoma while changing the pouch." : This is correct. The stoma may excrete stool or gas while the pouch is being changed. Placing a piece of gauze over it helps to absorb any discharge and keep the area clean during the change, which is a practical tip for maintaining hygiene.
  • c. "Use povidone-iodine to clean around the stoma." : This is incorrect. Povidone-iodine is an antiseptic that can be irritating and drying to the delicate peristomal skin and may interfere with pouch adhesion. The stoma and surrounding skin should be cleaned gently with mild soap and water (or just water) and patted dry thoroughly.
  • d. "Empty the ostomy pouch when it becomes one-third full of contents." : This is correct. Emptying the pouch when it is about one-third to one-half full prevents it from becoming too heavy, which could pull on the skin barrier and cause leakage or skin irritation. It also reduces the risk of the pouch becoming distended and noticeable under clothing.
  • e. "Expect the stoma to turn a purple-blue color as it heals." : This is incorrect. A healthy, healing stoma should be moist and beefy red or pink, similar to the inside of the mouth. A purple, blue, black, or dusky color indicates compromised blood supply and is a sign of ischemia or necrosis, which is a medical emergency requiring immediate attention.
  1. A nurse is preparing to obtain informed consent from a client who speaks a different language than the nurse. Which of the following actions should the nurse take? a. "Request that an assistive personnel interpret the information for the client." b. "Use proper medical terms when giving information to the client." c. "Offer written information in the client's language." d. "Avoid using gestures when speaking to the client." Correct Answer: c. "Offer written information in the client's language." Rationale:
  • a. "Request that an assistive personnel interpret the information for the client." : This is incorrect. Informed consent requires a professional, certified medical interpreter, not an assistive personnel, family member, or friend. APs are not trained for medical interpretation, and using non-professional interpreters can lead to miscommunication, legal issues, and ethical breaches.
  • b. "Use proper medical terms when giving information to the client." : This is incorrect. While medical terms are part of the information, they should be explained in plain, understandable language, avoiding jargon where possible, to ensure true comprehension by the client. This is even more important when language barriers exist.
  • e. "Lay the oxygen tank flat when storing." : This is incorrect. Oxygen tanks, especially compressed gas cylinders, should be stored upright and secured (e.g., with a chain or stand) to prevent them from falling and causing injury or damage. They should never be laid flat or left unsecured.
  1. A nurse is planning care for a client who reports insomnia. Which of the following actions should the nurse perform shortly before bedtime? a. Provide a late supper. b. Offer a wet washcloth for the client to wash her face. c. Perform range-of-motion exercises. d. Prepare hot cocoa or tea for the client. Correct Answer: b. Offer a wet washcloth for the client to wash her face. Rationale:
  • b. Offer a wet washcloth for the client to wash her face: This is a gentle, relaxing, and hygienic intervention that can be part of a calming bedtime routine. It promotes comfort without being stimulating.
  • a. Provide a late supper: This is incorrect. A heavy or late supper can interfere with sleep due to digestive processes. It's generally recommended to avoid large meals close to bedtime.
  • c. Perform range-of-motion exercises: This is incorrect. Physical activity, including vigorous exercises, should be avoided close to bedtime as it can be stimulating and interfere with sleep onset. Light stretching might be okay, but full ROM exercises are too stimulating.
  • d. Prepare hot cocoa or tea for the client: This is partially correct but potentially problematic. Hot cocoa often contains caffeine, which is a stimulant. Many teas also contain caffeine. While herbal teas (e.g., chamomile) are calming, the option is too general. Providing a caffeine-containing beverage would exacerbate insomnia.
  1. A nurse on a medical-surgical unit is receiving a change-of-shift report for four clients. Which of the following clients should the nurse see first? a. A client who has acute abdominal pain of 4 on a scale from 0 to 10. b. A client who has pneumonia and an oxygen saturation of 96%.

c. A client who has new onset of dyspnea 24 hr after a total hip arthroplasty. d. A client who has a urinary tract infection and low-grade fever. Correct Answer: c. A client who has new onset of dyspnea 24 hr after a total hip arthroplasty. Rationale: The nurse should prioritize using the ABC (Airway, Breathing, Circulation) framework.

  • c. A client who has new onset of dyspnea 24 hr after a total hip arthroplasty: This is the most urgent. Dyspnea (difficulty breathing) is a serious sign, and in a client 24 hours post total hip arthroplasty, it raises immediate suspicion for a pulmonary embolism (PE), which is a life-threatening complication of orthopedic surgery. This is a critical breathing issue.
  • a. A client who has acute abdominal pain of 4 on a scale from 0 to 10: While pain needs to be addressed, a pain level of 4/10 is moderate and not immediately life-threatening compared to acute dyspnea.
  • b. A client who has pneumonia and an oxygen saturation of 96%: An oxygen saturation of 96% is within a healthy range, indicating stable respiratory status despite having pneumonia. This client is not in acute distress.
  • d. A client who has a urinary tract infection and low-grade fever: A UTI with a low-grade fever indicates an infection that needs attention, but it is typically not an immediate life-threatening emergency compared to new-onset dyspnea post- surgery.
  1. A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel? a. Changing the dressing for a client who has a stage 3 pressure injury. b. Determining a client's response to a diuretic. c. Comparing radial pulses for a client who is postoperative. d. Providing postmortem care to a client. Correct Answer: d. Providing postmortem care to a client. Rationale: Delegation follows the 5 Rights of Delegation: Right Task, Right Circumstance, Right Person, Right Direction/Communication, and Right Supervision/Evaluation.^1 Tasks requiring assessment, judgment, or teaching should not be delegated to assistive personnel (AP).

D. Place the client in a negative airflow room. - - correct ans- - Wear a mask when working within 3 feet of the client A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG tube. Which of the following actions should the nurse take? A. Attach the restraints securely to the side rails of the client's bed. B. Apply the restraints to allow as little movement as possible C.Allow room for two fingers to fit between the clients skin and the restraints d. remove the restraints every 4 hours - - correct ans- - Allow room for two fingers to fit between the clients skin and the restraints A nurse is admitting a client who has tuberculosis. Which of the following types of transmission precautions should the nurse plan to initiate? A. Droplet B. Airborne c. protective environment d. contact - - correct ans- - Airborne A nurse in a well-child clinic receives a telephone call from a parent who states that their child accidentally swallowed paint thinner. The child is awake and alert. Which of the following responses should the nurse make? A. Have your child drink one large glass of water. B. Hang up and call a poison control center hotline. C. Bring your child into the clinic later today. D. Induce vomiting in your child with syrup of ipecac. - - correct ans- - Have your child drink one large glass of water A nurse is documenting a client's medical record. Which of the following entries should the nurse record. A. Oral temperature slightly elevated at 0800

B. Administered pain medication C. Incision without redness or drainage D. Drank adequate amounts of fluid with meals. - - correct ans- - Administered pain medication A nurse is providing oral care for a client who is unconscious. Which of the following actions should the nurse take? A. Place the client in a side-lying position. B. Brush the clients teeth daily C. Apply mineral oil to the client's lips D. Rinse the client's mouth with an alcohol-based mouthwash - - correct ans- - Place the client in a side-lying position A nurse is collaborating with a risk management team about potential legal issues involving client care. The nurse should identify which of the following situations is an example of negligence? A. A nurse administers a medication without first identifying the client. B. An assistive personnel discusses client care in the facility cafeteria with visitors present. C. A nurse begins a blood transfusion without obtaining consent. D. An assistive personnel prevents a client from leaving the facility. - - correct ans- - A nurse begins a blood transfusion without obtaining consent A nurse is collecting a sputum specimen for culture from a client who has a respiratory infection. Which of the following actions should the nurse take? A. Wear sterile gloves when collecting the specimen. B. Offer the client oral hygiene after the collection C. Collect the specimen in the evening. D Collect 1 ml of sputum. - - correct ans- - Offer the client oral hygiene after the collection

A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis. Which of the following actions should the nurse take? a. Cover the area of percussion with a towel. b. Instruct the client to exhale quickly during vibration c. Schedule postural drainage after meals d. Perform percussion over the lower back - - correct ans- - Perform percussion over the lower back A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old child who has difficulty swallowing pills. Available is diphenhydramine 12.5mg/5ml oral syrup. Which of the following images indicates the correct number of mL the nurse should administer? (round answer to the nearest whole number.) DOSAGE CALCULATION - - correct ans- - 8ml A nurse is admitting a client who is malnourished. The client states, "My wedding ring is loose and I'm worried I will lose it if it falls off."Which of the following is an appropriate response by the nurse? a. " I will place it in your drawer so it won't get lost." b. I can pin it to your hospital gown so you won't lose it." c. "I will hold onto it until a family member can take it home." d. I can put it in a locked storage unit for you - - correct ans- - I can put it in a locked storage unit for you A charge nurse is teaching a group of newly licensed nurses about the use of restraints. In which of the following clinical situations should the nurse apply restraints? a. If the client is pacing in the hallway b. As a part of a fall prevention program c. At the request of the client's family d. When the client poses a threat to self - - correct ans- - When the client poses a threat to self

To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client. In which of the following roles is the nurse manager functioning? a. Case manager b. Client educator c. Client care provider d. Client advocate - - correct ans- - Client advocate A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include? a. "Delirium does not affect a client's perception of her environment." b. "Delirium does not affect a client's sleep cycle." c. "Delirium has an abrupt onset." d. "Delirium has a slow progression." - - correct ans- - Delirium has an abrupt onset A nurse is speaking with a client who has recently received a diagnosis of a chronic illness. The client states, " The doctor must be wrong. I can't be that sick". The nurse should inform the client that their reaction is an example of which of the following expected responses to grief? a. Acceptance b. Denial c. Anger d. Depression - - correct ans- - Denial A Nurse on a medical-surgical unit is providing care for four clients. The nurse should identify which of the following situations as an ethical dilemma? a. A surgeon who removed the wrong kidney during a surgical procedure refuses to take responsibility for her actions

  • Inject the medication.
  • perform hand hygiene - - correct ans- - 1 - perform hand hygiene 2 - select the injection port of the IV tubing closest to the client 3 - cleanse the injection port with an antiseptic swab 4 - aspirate for blood return 5 - inject the medication A nurse is teaching a client who has diabetes mellitus about mixing regular and NPH insulin. Which of the following statements but the client indicates an understanding of the teaching a. I should wait 3 minutes after mixing the insulin to inject it b. I should draw up the NPH insulin before regular insulin c. I should inject air into the vial of regular insulin first d. I should roll the vial of NPH insulin between my hands before drawing it up - - correct ans- - I should roll the vial of NPH insulin between my hands before drawing it up A nurse is assessing the body temperature of an adult client using a temporal artery thermometer. Which of the following actions should the nurse take? (Select all that apply) a. Slide the probe across the clients forehead b. Pull the clients pinna up & back c. Hold the client's hair aside while performing the procedure d. Document the client's temperature with "AX" next to the value e. Move the probe in a circular motion - - correct ans- - Slide the probe across the clients forehead Hold the client's hair aside while performing the procedure

A nurse is preparing to insert a peripheral IV catheter into the client's arm. Which of the following actions should the nurse take to help dilate the vein? a. Stroke the skin near the vein in an upward position b. Dangle the client's arm over the edge of the bed c. Apply a cool compress to the vein for 10 min d. Instruct the client to flex their arm with the hand open - - correct ans- - Dangle the client's arm over the edge of the bed A nurse is preparing to suction a client's tracheostomy tube. Which of the following actions should the nurse plan to take? a. Apply intermittent suction during catheter insertion b. Suction the client's airway for 20 seconds with each pass c. Hyperoxygenate the client manually for 30 to 60 seconds before suctioning d. decrease suction pressure to 150 mm Hg if the O2 sat levels drop during suctioning - - correct ans- - Hyperoxegenate the client for 60 seconds. A nurse is assessing a client who received morphine for severe pain 30 mins ago. Which of the following finding is the nurse's priority? a. Last bowel movement was 3 days ago b. Reports pain of 8 on a scale of 0 to 10 c. Distended bladder d. Respiratory rate 7/min - - correct ans- - Respiratory rate 7/min A nurse is caring for a client who has been treated multiple times for STIs. Which of the following responses should the nurse take? a. "You must have too many sexual partners" b. "Why do you keep letting this happen?" c. "Let's explore why this might be re-occuring" d. "Don't you have access to condoms?" - - correct ans- - Let's explore why this might be re-occuring

c. Express approval of the client's decision to not have the procedure d. Document the client's decision in the medical record - - correct ans- - Document the clients decision in the medical record A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching? a. " I will have my partner help me change position every 4 hours" b. " I will remove my antiembolic stockings while I am in bed" c." I will hold my breath when rising from a sitting position" d." I will perform ankle and knee exercises every hour." - - correct ans- - I will perform ankle and knee exercises every hour A nurse is caring for a client who is postoperative and has a new prescription to advance her diet to full liquids. Which of the following foods should the nurse offer the client as a part of a full liquid diet? a. Oatmeal b. Applesauce c. Scrambled eggs d. Plain Yogurt - - correct ans- - Plain yogurt A nurse is preparing a client who has terminal cancer for discharge. Which of the following questions should the nurse ask when assessing the client's psychosocial history? a. " What medications are you currently taking?" b." Are you experiencing any Pain?" c. " Have any of your relatives been diagnosed with cancer?" d. " What Techniques do you use to cope with stress?" - - correct ans- - What techniques do you use to cope with stress?

A nurse is performing a skin assessment on an older adult client. Which of the following findings should the nurse expect? a. Thickened outer layer of skin b. Increased skin elasticity c. Reduced sweat production d. Increased Production of oils - - correct ans- - Reduced sweat production A nurse is caring for a client who begins to cry after receiving a diagnosis of cancer. Which of the following responses should the nurse make? a. " I would get a second opinion if I were you." b " it might seem bad now, but things will get better." c " it must be difficult for you to receive this kind of news." d I think you would benefit from speaking with our chaplain." - - correct ans- - it must be difficult for you to receive this kind of news A nurse is preparing to obtain a health history from a client. Which of the following actions should the nurse take? a. Use the client's first name when initially meeting the client. b. Tell the client the purpose for collecting the information. c. Explain to the client the necessity of full disclosure of information. d. Avoid documenting direct quotes from the client as part of subjective data. - - correct ans- - tell the client the purpose for collecting the information A nurse is caring for a client who has brain cancer and is transferring to hospice care. The client's son tells the nurse, " I don't know what to tell my dad if he asks how he is going to die." Which of the following is an appropriate response by the nurse? a. " Let's talk more about your dad's condition." b. "The social worker will help you answer those questions." c. " Try to help your dad enjoy this time as much as he can."

b. Wear powdered gloves when providing care to the client. c. Apply adhesive tape when securing an IV insertion site. d. Use plastic syringes for medication administration. - - correct ans- - cover the blood pressure cuff with a stockinette A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's signature, the client states, " I trust my doctor, but I don't understand what is meant by resecting my intestines." Which of the following actions should the nurse take? a. Describe the surgery to the client. b. Notify the Provider. c. Complete an incident report d. Provide brochures about the procedure. - - correct ans- - notify the provider A nurse is documenting client care. Which of the following abbreviations should the nurse use? a. " SQ" for subcutaneous b. "SS" for sliding scale c. "BRP" for bathroom privileges d. "OJ" for orange juice - - correct ans- - BRP for bathroom privileges A nurse is preparing to bathe a client who has dementia. Which of the following actions should the nurse take? a. Give detailed instructions for the client to follow. b. Complete the bath even if the client is in distress. c. Use distractions when bathing the client. d. Allow the client to select the temperature of the bath water. - - correct ans- - use distractions when bathing the client

A hospice nurse is caring for a client who has end stage cancer. Which of the following interventions should the nurse include to promote the client's dignity? a. Provide guided imagery exercises to the client. b. Refrain from discussing the client's prognosis c. Suggest that the client keep a journal. d. Encourage the client to share their life story. - - correct ans- - refrain from discussing the clients prognosis A nurse is caring for a client who has a closed wound drainage system. Which of the following actions should the nurse take? a. Wear sterile gloves when emptying the container. b. Reset the container with the drainage port closed c. Connect the drain to high pressure suction. d. .Cleanse the drain plug with alcohol after emptying - - correct ans- - Cleanse the drain plug with alcohol after emptying A nurse receives a telephone prescription from a provider for a client who is experiencing pain. Which of the following responses should the nurse make? a. " Will you please spell the name of that medication for me?" b. "Let me clarify that you want the medication given qid, correct?" c. " I will sign my name now and leave a space for you to sign your name." d. "Let me provide you with the client's medical record number for identification." - - correct ans- - Will you please spell the name of that medication for me? During change of shift report, a nurse discovers she overlooked a prescription for a type and cross-match of a client who is to have surgery the next day. Which of the following actions should the nurse take first? a. Inform the provider of the delay in obtaining the type and cross-match. b. Obtain the client's type and cross-match. c. Prepare an incident report for risk management.