ATI RN Fundamentals Proctored with NGN Latest Test Bank - 60 Questions and Correct Detailed Answers with Rationales (2025)

Exam (elaborations)

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• Uploaded on March 6, 2025
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• ati rn fundamentals proctored with ngn latest exam

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• Institution ATI
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ATI RN Fundamentals Proctored with NGN
Latest Test Bank - 60 Questions and Correct
Detailed Answers with Rationales
"A nurse is caring for a client who reports difficulty falling asleep. Which of the following
recommendations should the nurse make?

A. "Drink a cup of hot cocoa before bedtime."
B. "Maintain a consistent time to wake up each day."
C. "Exercise 1 hour before going to bed."
D. "Watch a television program in bed before going to sleep." - Correct Answer B. "Maintain a
consistent time to wake up each day."

The client should maintain a consistent time for waking up and going to sleep. This helps to
establish an internal sense of sleep and waking on a daily basis and helps to maintain it over
time. This will help promote sleep for the client."

"A nurse is teaching an older adult client who is at risk for osteoporosis about beginning a
program of regular physical activity. Which of the following types of activity should the nurse
recommend?

A. Walking briskly
B. Riding a bicycle
C. Performing isometric exercises
D. Engaging in high-impact aerobics - Correct Answer A. Walking briskly

Weight-bearing exercises are essential for maintaining bone mass, which helps to prevent
osteoporosis. Walking engages older adult clients in this preventive and therapeutic strategy."

A nurse in an acute care facility is preparing a discharge summary for a client who is
transferring to a long-term care facility. Which of the following documentation should the
nurse include?

A. Client flow sheet
B. Acuity ratings
C. Current medications
D. Incident reports - Correct Answer C. Current medications

,The nurse should include the client's medications in the discharge summary to ensure client
safety and continuity of care."

"A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a
new tracheostomy. Which of the following actions should the nurse plan to take?

A. Use a resuscitation bag with 80% oxygen prior to the procedure.
B. Select a suction catheter that is half the size of the lumen.
C. Place the end of the suction catheter in water-soluble lubricant.
D. Adjust the wall suction apparatus to a pressure of 170 mm Hg. - Correct Answer B. Select a
suction catheter that is half the size of the lumen.

The nurse should select a suction catheter that is half the size of the lumen to prevent
hypoxemia and trauma to the mucosa."

"A nurse is caring for a client who has decreased mobility. Which of the following actions
should the nurse take to decrease the client's risk of developing plantar flexion contractures?

A. Place a pillow under the client's knees.
B. Position a trochanter roll under each of the client's hips.
C. Advise the client to wear rubber-soled slippers.
D. Apply an ankle-foot orthotic device to the client's feet. - Correct Answer D. Apply an ankle-
foot orthotic device to the client's feet.

The nurse should use a device to maintain dorsiflexion, such as an ankle-foot orthotic device
or a foot board placed perpendicular to the mattress."

"A nurse manager is overseeing the care activities on a unit. For which of the following
situations should the nurse manager intervene due to a violation of HIPAA guidelines?

A. A nurse who is caring for a client reviews the client's medical chart with a nursing student
who is working with the nurse.
B. A nurse asks a nurse from another unit to assist with documentation for a client.
C. A nurse who is caring for a client returns a call to the person appointed in the health care
proxy to discuss the client's care.
D. A nurse discusses a client's status with the physical therapist who is caring for the client. -
Correct Answer B. A nurse asks a nurse from another unit to assist with documentation for a
client.

, Only health care professionals directly caring for a client should have access to the client's
medical information; therefore, this is a violation of HIPAA guidelines."

"A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client.
Which of the following actions should the nurse take?

A. Gently shake the container of medication prior to administration.
B. Transfer the medication to a medicine cup.
C. Place the client in a semi-Fowler's position prior to medication administration.
D. Verify the dosage by measuring the liquid before administering it. - Correct Answer A.
Gently shake the container of medication prior to administration.

The nurse should gently shake the liquid medication to ensure that the medication is mixed."

"A nurse on a medical unit is preparing to discharge a client to home. Which of the following
actions should the nurse take as part of the medication reconciliation process?

A. Seal unused medications from the facility in a plastic bag.
B. Evaluate the client's ability to self-administer medications.
C. Report an identified discrepancy to The Joint Commission.
D. Compare prescriptions with medications the client received while at the facility. - Correct
Answer D. Compare prescriptions with medications the client received while at the facility.

When performing medication reconciliation, the nurse should create a current, accurate list
of every medication the client is or should be taking. Part of the process is comparing the
medications the client received at the facility with those the provider has prescribed for the
client to take after discharge."

"A nurse is caring for a client who has terminal liver cancer. Which of the following statements
should the nurse identify as an indication that the client is experiencing spiritual distress?

A. "What could I have done to deserve this illness?"
B. "I blame medical science for not curing me."
C. "Where is my daughter at a time like this?"
D. "Will I ever begin to feel in charge of my life again?" - Correct Answer A. "What could I have
done to deserve this illness?"