ATI Fundamentals Proctored Exam Latest Version Questions and Verified Answers, Exams of Medical Microbiology

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ATI Fundamentals Proctored Exam

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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 has an abrupt onset - CORRECT ANSWER a 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 ANSWER c 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 ANSWER d A community health nurse is teaching a group of clients about kegel exercises to prevent urinary incontinence. Which of the following instructions should the nurse include? A. Contact your pelvic muscle when performing the exercises B.Expect improvement after 2 weeks of performing the exercises C. Hold your breath when performing the exercises D. Tighten your buttocks when performing the exercises - CORRECT ANSWER a A home care nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (select all that apply) a. I will use the bars when getting in and out of the bath tub b. I need to check my medications for expiration dates c. I need to have a fire escape plan with my family d. I will apply tape over frayed areas of electrical cords e. I need to set my hot water heater to 140 degrees Fahrenheit - CORRECT ANSWER a, b, c

a. Offer pain medication b. Palpate the abdomen c.Auscultate bowel sounds d.Administer an antiemetic - CORRECT ANSWER c A nurse is admitting a client who has a clostridium difficile infection. Which of the following actions should the nurse take? Select all that apply a. Use an N95 respirator while providing client care b. wear a gown and gloves when providing client care c. assign the client to a private room with positive air flow d. wash hands with soap and water after contact with the client e. Ensure the client does not receive fresh fruits - CORRECT ANSWER b, c, d 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 ANSWER d A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should indicate to the nurse that the client has hyperglycemia? A. Thirst B. Confusion C. Coolskin D. Shakiness - CORRECT ANSWER a A nurse is assessing a client who is immobile and notices a red area over the client's coccyx. Which of the following actions should the nurse take? a. Change the clients position every 4 hours b. Apply petroleum base ointment in the red area c. Assess the red area for blanching d. Use friction when cleansing the client's skin - CORRECT ANSWER c 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 ANSWER d A nurse is assessing a client's personal hygiene. Which of the following findings indicates that the client might have difficulty with routinely bruising their teeth? A. Theclientsmucosaismoist B. The client gums feel spongy C. The client has a missing tooth D. The Client's tongue is a dull red color - CORRECT ANSWER b A nurse is assessing an older adult client. Which of the following findings should the nurse expect? a. Decreased sense of balance - CORRECT ANSWER a 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 ANSWER a, c A nurse is assessing the skin of a client who has worked outdoors for the past 20 years. Which of the following findings is the nurse's priority? A. Skin tags noted in the neck region B. A change in appearance of a mole on the shoulder C. A flat, nonpalpable, discovered area of skin on the trunk D. Atrophic wart on the left index finger - CORRECT ANSWER b A nurse is assisting in the use of a fracture bedpan for a client who is immobile due to a cast. Which of the following actions should the nurse use? A. Encourage the client to try to defecate for 20 min while on the fracture pan. B. Keep the bed flat while the client is on the fracture pan. C. Hyperextend the clients back while the fracture pan is in place. D. Place the shallow end of the fracture pan under the clients buttocks. - CORRECT ANSWER d

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. Press straight down on the container to create vacuum. - CORRECT ANSWER d A nurse is caring for a client who has a drainage evacuator. Which of the following is an appropriate action by the nurse? a. I don't know of if I will be able to meet his physical needs. - CORRECT ANSWER a A nurse is caring for a client who has a high fever. Which of the following actions should the nurse take? A cover the client with heavy blankets after shivering subsides B place ice packs on the clients neck and behind the knees C apply a bath blanket between the client and a cooling blanket D give the client a sponge bath using alcohol water solution - CORRECT ANSWER c A nurse is caring for a client who has a new diagnosis of fibromyalgia. The client tells the nurse that she wants to use traditional Chinese medicine for treatment instead of the medication prescribed by her provider. Which of the following is an appropriate response by the nurse? a. You should ask the provider if she recommend traditional Chinese medicine. - CORRECT ANSWER a (probs not) A nurse is caring for a client who has a new diagnosis of terminal cancer. Which of the following interventions is the priority? a. Develop a list of goals - CORRECT ANSWER a. A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of the following actions should the nurse take first? A. Complete an incident report B. Obtain the client's vital signs C. Document the fluid infusion in the client's chart D. Report the incident in to the unit manager - CORRECT ANSWER b A nurse is caring for a client who has a tracheostomy which of the following actions should the nurse take? a. Cotton tip applicator to clean the inside of the cannula b. Soak the outer cannula in warm soapy tap water c. Cleanse the skin around the stoma with normal saline

d. Secure the tracheostomy ties to allow one finger to fit snuggly underneath - CORRECT ANSWER d a nurse is caring for a client who has an extracellular fluid volume deficit. Which of the following findings should the nurse expect? a. Bradycardia b. Postural hypotension c. Distended neck vein d. Dependent edema - CORRECT ANSWER b A nurse is caring for a client who has an incisional wound and a prescription for wound care. Which of the following CORRECT ANSWER ers indicates the proper method of cleaning a wound site? a. use a different sterile swab for each stroke - CORRECT ANSWER a A nurse is caring for a client who has an NG tube and has repeatedly pulled it out. The nurse should identify that which of the following findings indicates a need for restraints? A. The client's family is unable to stay with the client B. The client becomes confused at night C. The client gets out of bed to use the bathroom frequently D. The client is assigned a room near the nurses station - CORRECT ANSWER d 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 ANSWER c 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 from the nurse? a. "lets discuss your concerns about your father," or anything along those lines that is therapeutic. - CORRECT ANSWER a 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 CORRECT ANSWER er those questions."

b. Expose the client's abdomen to look for changes in appearance c. Perform abdominal palpation by pressing gently with the finger pads d. Use the diaphragm of the stethoscope to listen for bowel sounds - CORRECT ANSWER b A nurse is caring for a client who is agitated and threatening to harm others. The nurse places the client in restraints but does not notify the provider or obtain a prescription for the restraints. The situation respects which of the following torts? a. False imprisonment b. Invasion of privacy c. Assault d. Negligence - CORRECT ANSWER a A nurse is caring for a client who is immunocompromised which of the following actions should the nurse take? a. Use sterile gloves to provide perineal care b. Cleanse hands with an alcohol based hand rub before client contact c. Have the client apply a mask when children are visiting d. Place the client in a semi-private room - CORRECT ANSWER b A nurse is caring for a client who is on bed rest following abdominal surgery. Which of the following findings indicates the need to increase the frequency of position changes? A. Petechiae on the client's right anterior thigh B. Flat rash on the client's ankle C. non-palpable macule on the client's left shoulder D. Non Blanching darkened area over the client's trochanter - CORRECT ANSWER d 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. Plain yogurt - CORRECT ANSWER a A nurse is caring for a client who is postoperative and has a new prescription to advance her diet to full 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 ANSWER d

A nurse is caring for a client who is prescribed a special diet. The client is concerned that he does not have the resources to purchase the food he needs to adhere to the diet at home. The nurse should notify which of the following members of the health care team. a. Social worker b. Occupational therapist c. Registered Dietician d. Primary care provider - CORRECT ANSWER a A nurse is caring for a client who is receiving a warm, moist compress to relieve lower back pain. Which of the following findings should indicate to the nurse that the compress has been effective? A. The client's skin on the lower back is intact without redness B. The client's laughing at a television show C. The client states that he is able to concentrate while eating D. The clients's vital signs are within the expected reference range - CORRECT ANSWER c A nurse is caring for a client who is receiving continuous enteral feeding via NG tube. Which of the following is an unexpected finding?' A. Diarrhea one time in a 24 hour period B. A weight gain of 0.91kg(2Ib) in 2 days C. A gastric residual of 300mL at the end of the shift D. A blood glucose level of 110 mg/dL - CORRECT ANSWER a A nurse is caring for a client who is receiving continuous enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take? a. Aspirate residual volume every 4 hr - CORRECT ANSWER a A nurse is caring for a client who is receiving continuous enteral feedings through gastrostomy tubes. Which of the following actions should the nurse take? a. Heat the formula to 105 degrees Fahrenheit b. Flush the tubing with 10 ml of water every 2 hours c. Change the tubing every 72 hours d. Aspirate residual volume every 4 hours (Every 4-8 hours is correct) - CORRECT ANSWER d A nurse is caring for a client who is receiving enteral feedings via NG tube. Which following actions should the nurse take prior to administering the formula? a. Check for gastric residual volume b. Encourage the client to breathe deeply and cough.

he will place her in restraints. The nurse should identify that the AP is committing which of the following torts? a. Libel b. Defamation of character c. Assault d. Battery - CORRECT ANSWER c A nurse is caring for a client who reports a pain level of 5 on a scale from 0-10. The client informs the nurse that pain meds are not an option for managing pain. Which of the following is an appropriate response by the nurse? a. Would you like to get you a back massage? b. Why do you think pain med is not going to help you? c. You may take any herbal remedies you bring from home d. I'm sure it will work if you just give it a chance - CORRECT ANSWER a A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend? a. Eat a light carbohydrate snack before bedtime b. Exercise 1 hour before bedtime c. Drink a cup of hot cocoa before bedtime d.Take a 30 min nap daily - CORRECT ANSWER a A nurse is caring for a client who requires airborne precautions. The nurse is preparing to leave the clients room following a dressing change. Which of the following pieces of personal protective equipment should the nurse remove first? A. Gloves B. Eyewear C. Gown D. Mask - CORRECT ANSWER a A nurse is caring for a client who tells the nurse, since I retired, I have a lot of time on my hands and nothing to do. I guess nobody needs me. Which of the following responses should the nurse make? A. If i were you, i would volunteer my time B. Do you have family members you can visit C. You need to realize that you have valuable skills to offer others D. Tell me about some hobbies you enjoy - CORRECT ANSWER d

A nurse is caring for a male client who has a prescription for intermittent catheterization with a coude catheter. Which of the following images show the type of catheter the nurse should use? a. The picture with the curled end of the catheter - CORRECT ANSWER a A nurse is caring for an infant who is to undergo surgery. The nurse should identify which of the following individuals should sign the consent form? A. The infants 17 year old mother B. The infants provider C. The infants grandmother D. The mother's 21 year old sibling - CORRECT ANSWER a A Nurse is caring for client who has pneumonia. The nurse should recognize which of the following should be discarded in a biohazard bag? a. An emesis basin filled with blood from severe coughing b. A bedpan containing diarrhea from a client who was receiving antibiotics c. A disposable tissue containing expectorated sputum d. A calibrated toilet insert filled with urine. - CORRECT ANSWER a A nurse is conducting a Webber test on a client. Which of the following is an appropriate action for the nurse to take? a.Place an activated tuning fork in the middle of the client's head - CORRECT ANSWER a A nurse is delegating client's care to the assistive personnel. Which of the following tasks should the nurse delegate to the AP? a. obtain input & output for the patient that was stable, ADLs, specimen collection, I&O, vital signs if stable - CORRECT ANSWER a A nurse is discussing the stages of general adaptation syndrome with a newly licensed nurse. The nurse should identify that which of the following manifestations occurs during the alarm reaction stage? A. Dilated pupils B. Physical exhaustion C. Bradycardia D. Depression - CORRECT ANSWER a A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrate correct documentation? A. No changes noted to the wound from previous nursing notes B. Client pre-medicated with MSO4 sunq prior to dressing change

A nurse is obtaining the medication history of a client who asks about taking ginkgo biloba. The nurse should identify which of the following medications can interact adversely with this supplement? a. Warfarin b. Albuterol c. Levothyroxine d. Atorvastatin - CORRECT ANSWER a 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 ANSWER c A nurse is planning care for a client who has a latex allergy and is scheduled for surgery. Which of the following actions is appropriate to include in the client's plan of care? a. Schedule the client as the first procedure - CORRECT ANSWER a A nurse is planning care for a client who has a new prescription for parental nutrition in 20% dextrose and fat emulsion. Which of the following is the appropriate action to indicate in the plan of care? a. Prepare the client for a central venous line b. Change the PN infusion bag every 48 hours c. Administer the PN and fat emulsion separately d.Obtain a random blood glucose daily - CORRECT ANSWER a A nurse is planning care for a client who has a stage 1 pressure ulcer on the right heel. The nurse should anticipate application of which of the following dressings? a. Dry gauge b. Transparent c. Calcium alginate d. Hydrogel - CORRECT ANSWER b A nurse is planning care for a client who has latex allergy and is scheduled for surgery. Which of the following actions is appropriate to include in the clients plan of care? a. Schedule the client as the first surgical procedure of the day

b. Cleanse the stoppers with primidone iodine for withdrawing medication c. Remove the stop stocks from iv tubing d.Ensure the gloves in the surgical suite are powdered gloves - CORRECT ANSWER a A nurse is planning care for a client who has urinary incontinence. Which of the following interventions should the nurse include in the client's plan of care? a. Toilet the client every 4hr while the client is awake b. Apply a moisture barrier in a thick layer to vulnerable skin areas c. Cleanse the skin with antibacterial soap and hot water after each incontinence episode d. Reduce the clients daily fluid intake - CORRECT ANSWER b A nurse is planning care for a client who is concerned about her tobacco smoking habits and is in the contemplation stage of health behavior change. Which of the following actions should the nurse plan to take during this stage? A. Assist the client in setting goals to make the change B. Develop a plan for the client to integrate the change into her lifestyle C. Present information about the benefits of quitting smoking D. Recommend small changes for the client to make to change her behavior overtime - CORRECT ANSWER c A nurse is planning care for a client who reports having a latex allergy. Which of the following interventions should the nurse include in the plan? a. Cover the blood pressure cuff with a stockinette. 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 ANSWER a A nurse is planning care for a female client who has an indwelling urinary catheter.Which of the following actions should the nurse include in the plan? A. Tape the catheter to the lower abdomen B. Attach the drainage bag to the side rails of the bed C. Keep the drainage bag below the level of the bladder D. Empty the drainage bag when it is three quarters full - CORRECT ANSWER c A nurse is planning care for client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include? a. Ensure the client is free of metal objects b. Administer 240 ml (8oz) oral contrast before the procedure

B. Hold the bottle of sterile solution so that the label is facing the palm of the hand C. Place the lid of the sterile solution bottle face down on the sterile drape D. Apply sterile gloves before opening the bottle of sterile solution - CORRECT ANSWER b A nurse is preparing to administer a controlled substance to a client for pain management. Which of the following actions should the nurse take? A. Report any discrepancy in the court total of the controlled substance after administration B. Place the assisted portion of the controlled substance in the sharps container C. Verify the count total of the controlled substance after removing the amount needed D. Ask a second nurse to report her signature when wasting any unused portion of the controlled substance - CORRECT ANSWER a A nurse is preparing to administer an injection to a client. Which of the following actions should the nurse plan to take after administering the injection? A. Discard the needle in a puncture proof container B. Place the needle on the bedside table C. Remove the needle from the syringe D. Recap the needle before disposal - CORRECT ANSWER a 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 CORRECT ANSWER er to the nearest whole number.) DOSAGE CALCULATION - CORRECT ANSWER 8ml A nurse is preparing to administer gentamicin 2 mg/kg IV to a client who weighs 220Ib. How many mg should the nurse administer? (Round to the nearest whole number.Use a leading zero if it applies. Do not use trailing zero). DOSAGE CALCULATION - CORRECT ANSWER 200 mg A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump. Which of the following actions should the nurse take first? A. Unplug the pump B. obtain a replacement pump C. Notify the biomedical department to fix the pump D. Label the pump with a defective equipment sticker - CORRECT ANSWER a A nurse is preparing to administer medication to a client. Which of the following should the nurse use as a client identifier? A. Age

B. Room number C. Photograph D. Bed number - CORRECT ANSWER a A Nurse is preparing to administer several medications to a client. Which of the following data should the nurse plan to use to confirm the client's identity? a. The client's room number b. The client's admitting diagnosis c. The name of the client's next of kind. d. The client's telephone number - CORRECT ANSWER d A nurse is preparing to administer several medications via NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take? A. Dilute each crushed medication with sterile water B. Mix the medication together in a single syringe C. Flush the NG tube with 5mL of sterile water prior to administration D. Combine the medication with the formula in the feeding bag - CORRECT ANSWER c 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 ANSWER c A nurse is preparing to collect a specimen from a client. Which of the following actions should the nurse take? a. Collect the sputum specimen in the morning - CORRECT ANSWER a 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 ANSWER b A nurse is preparing to insert an IV catheter for a client following a right mastectomy. Which of the following veins should the nurse select when initiating IV therapy? a. The cephalic vein in the left distal forearm - CORRECT ANSWER a