ATI RN Fundamentals Online Practice
2025 B
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A charge nurse is observing a newly licensed nurse prepare a sterile field for a dressing
change. Which of the following actions by the newly licensed nurse requires intervention
by the charge nurse?
The newly licensed nurse places the cap of a bottle of sterile saline solution on the
sterile field.
The newly licensed nurse places sterile objects 2.5 cm (1 in) within the border of the
field.
The newly licensed nurse holds the bottle of sterile saline outside the edge of the field
when pouring.
The sterile field is positioned at the level of the newly licensed nurse's waist. -
ansCorrect Answer:
The newly licensed nurse places the cap of a bottle of sterile saline solution on the
sterile field.
The newly licensed nurse should place the cap with the sterile side up on a clean
surface because the outer edges are unsterile and will contaminate the sterile field.
Incorrect Answer:
The newly licensed nurse places sterile objects 2.5 cm (1 in) within the border of the
field.
The edges of the sterile field are considered contaminated. Therefore, the nurse should
place all sterile items inside the 2.5 cm (1 in) border of the field.
The newly licensed nurse holds the bottle of sterile saline outside the edge of the field
when pouring.
The newly licensed nurse should hold the bottle of sterile saline outside the edge of the
field when pouring to prevent contaminating the field.
The sterile field is positioned at the level of the newly licensed nurse's waist.
An object that is below waist level is considered nonsterile. Positioning the table at waist
level does not require intervention.
A client demonstrates anger when the nurse does not respond within 5 min of ringing for
the nurse. Which of the following is an appropriate response by the nurse?
"I'm sorry, but another client needed my attention."
"I could not arrive any sooner. What can I do for you?"
"We had an emergency on the unit and that was a priority, but now I'm here."
,"That must be frustrating for you. How can I help you right now?" - ansCorrect Answer:
"That must be frustrating for you. How can I help you right now?"
This response is therapeutic because the nurse is acknowledging the client's feelings
and offering help.
Incorrect Answer:
"I'm sorry, but another client needed my attention."
This response is nontherapeutic because the nurse is responding defensively.
"I could not arrive any sooner. What can I do for you?"
This response is nontherapeutic because the nurse is responding defensively.
"We had an emergency on the unit and that was a priority, but now I'm here."
This response is nontherapeutic because the nurse is responding defensively.
A home health nurse is completing an admission assessment of an older adult client
who has their caregiver present. Which of the following findings should the nurse
identify as potential indications of elder abuse?
The caregiver is the client's financial power of attorney.
The client is in a wheelchair with the wheels locked.
The client reports receiving a full bath twice each week.
The caregiver insists on remaining in the room. - ansCorrect Answer:
The caregiver insists on remaining in the room.
A caregiver who refuses to leave the room during an admission assessment can be an
indication of potential mistreatment of the client who is receiving care. The nurse should
evaluate the client for additional signs of potential mistreatment throughout the
admission assessment.
Incorrect Answer:
The caregiver is the client's financial power of attorney.
Having a caregiver who is the client's financial power of attorney allows the caregiver to
perform necessary financial transactions on the client's behalf. This it is not an
indication of elder abuse.
The client is in a wheelchair with the wheels locked.
If the client uses a wheelchair, it is important to lock the wheels when the client is
stationary to keep the client safe. Locking the wheels of a wheelchair is not an indication
of elder abuse.
The client reports receiving a full bath twice each week.
Neglect is a form of abuse or mistreatment that is characterized by omission of
necessary care. Although hygiene is an important part of care for all clients, a full bath is
not necessary every day for older adults due to the adverse effects it can have on
fragile skin. Therefore, a full bath twice each week is sufficient for effective care and is
not an indication of neglect or elder abuse.
,A nurse in a clinic is caring for a middle adult client who states, "The doctor says that,
since I am at an average risk for colon cancer, I should have a routine screening. What
does that involve?" Which of the following responses should the nurse make?
"I'll get a blood sample from you and send it for a screening test."
"Beginning at age 60, you should have a colonoscopy."
"You should have a fecal occult blood test every year."
"The recommendation is to have a sigmoidoscopy every 10 years." - ansCorrect
Answer:
"You should have a fecal occult blood test every year."
Colorectal cancer screening for clients who are at average risk begins at age 45. One
option for screening is a fecal occult blood test annually.
Incorrect Answer:
"I'll get a blood sample from you and send it for a screening test."
Blood tests do not detect colorectal cancer. One option for screening is a double-
contrast barium enema every 5 years.
"Beginning at age 60, you should have a colonoscopy."
Colorectal cancer screening for clients who are at average risk begins at age 50. One
option for screening is a colonoscopy every 10 years.
"The recommendation is to have a sigmoidoscopy every 10 years."
One option for screening is a flexible sigmoidoscopy every 5 years.
A nurse in a medical-surgical unit is caring for six clients.
Complete the following sentence by using the list of options.
The first client the nurse should assess is _____ followed by _____.
Client 1: Client is admitted with a new diagnosis of rheumatoid arthritis.Client 2: Client
has a history of hyperlipidemia. Atorvastatin 20 mg PO administered as
prescribed.Client 3: Client is 1 day postoperative. Reports pain as 8 on a scale of 0 to
10. Morphine 5 mg subcutaneous administered as prescribed.Client 4: Client is
admitted with a new diagnosis of heart failure.Client 5: Client has a stage 2 pressure
injury on the left heel.Client 6: Client is admitted with a new diagnosis of diabetes
mellitus. - ansCorrect Answer (1):
Client 3
When using the airway, breathing, circulation approach to client care, the nurse should
determine that this client is the priority client to assess. The client has an oxygen
saturation that is less than the expected reference range, which is an indication of
hypoxia.
Correct Answer (2):
, Client 4
When using the airway, breathing, circulation approach to client care, the nurse should
determine that this client is the next priority client to assess. The client has a potassium
level that is less than the expected reference range, which places the client at risk for
dysrhythmias.
Incorrect Answers (1):
Client 1 is incorrect. The nurse should assess this client because the client's C-reactive
protein is greater than the expected reference range, which is an indication of
inflammation. However, there is another client the nurse should assess first.
Client 2 is incorrect. The nurse should assess this client because the client's cholesterol
level is greater than the expected reference range, which places them at risk for
coronary heart disease. However, there is another client the nurse should assess first.
Incorrect Answers (2):
Client 5 is incorrect. The nurse should assess this client because their prealbumin level
is less than the expected reference range, which places them at risk for delayed wound
healing. However, this client is not the next priority client to assess.
Client 6 is incorrect. The nurse should assess this client because their glycosylated
hemoglobin level is greater than the expected reference range, which indicates poor
diabetic control. However, this client is not the next priority client to assess.
A nurse in the emergency department (ED) is caring for a client who reports abdominal
pain.
Based on the client's clinical findings, which of the following actions should the nurse
take? Select all that apply.
Assist the client to a left side-lying position with the right knee flexed.
Prepare the client for a chest x-ray.
Administer a cleansing enema.
Auscultate the client's bowel sounds.
Perform a manual digital examination of the client's rectum.
Administer oxycodone extended-release tablets.
Prepare the client for NG tube placement. - ansCorrect Answer:
Assist the client to a left side-lying position with the right knee flexed
The nurse should place the client in a left side-lying position with the right knee flexed
prior to administering an enema. Because the provider prescribed a cleansing enema
for the client, the nurse should prepare the client for the procedure.
Administer a cleansing enema
The nurse should administer a cleansing enema for the client as a result of the
provider's prescription. A cleansing enema is intended to assist with bowel elimination
and remove any impacted fecal matter indicated by the abdominal x-ray.
2025 B
Save
A charge nurse is observing a newly licensed nurse prepare a sterile field for a dressing
change. Which of the following actions by the newly licensed nurse requires intervention
by the charge nurse?
The newly licensed nurse places the cap of a bottle of sterile saline solution on the
sterile field.
The newly licensed nurse places sterile objects 2.5 cm (1 in) within the border of the
field.
The newly licensed nurse holds the bottle of sterile saline outside the edge of the field
when pouring.
The sterile field is positioned at the level of the newly licensed nurse's waist. -
ansCorrect Answer:
The newly licensed nurse places the cap of a bottle of sterile saline solution on the
sterile field.
The newly licensed nurse should place the cap with the sterile side up on a clean
surface because the outer edges are unsterile and will contaminate the sterile field.
Incorrect Answer:
The newly licensed nurse places sterile objects 2.5 cm (1 in) within the border of the
field.
The edges of the sterile field are considered contaminated. Therefore, the nurse should
place all sterile items inside the 2.5 cm (1 in) border of the field.
The newly licensed nurse holds the bottle of sterile saline outside the edge of the field
when pouring.
The newly licensed nurse should hold the bottle of sterile saline outside the edge of the
field when pouring to prevent contaminating the field.
The sterile field is positioned at the level of the newly licensed nurse's waist.
An object that is below waist level is considered nonsterile. Positioning the table at waist
level does not require intervention.
A client demonstrates anger when the nurse does not respond within 5 min of ringing for
the nurse. Which of the following is an appropriate response by the nurse?
"I'm sorry, but another client needed my attention."
"I could not arrive any sooner. What can I do for you?"
"We had an emergency on the unit and that was a priority, but now I'm here."
,"That must be frustrating for you. How can I help you right now?" - ansCorrect Answer:
"That must be frustrating for you. How can I help you right now?"
This response is therapeutic because the nurse is acknowledging the client's feelings
and offering help.
Incorrect Answer:
"I'm sorry, but another client needed my attention."
This response is nontherapeutic because the nurse is responding defensively.
"I could not arrive any sooner. What can I do for you?"
This response is nontherapeutic because the nurse is responding defensively.
"We had an emergency on the unit and that was a priority, but now I'm here."
This response is nontherapeutic because the nurse is responding defensively.
A home health nurse is completing an admission assessment of an older adult client
who has their caregiver present. Which of the following findings should the nurse
identify as potential indications of elder abuse?
The caregiver is the client's financial power of attorney.
The client is in a wheelchair with the wheels locked.
The client reports receiving a full bath twice each week.
The caregiver insists on remaining in the room. - ansCorrect Answer:
The caregiver insists on remaining in the room.
A caregiver who refuses to leave the room during an admission assessment can be an
indication of potential mistreatment of the client who is receiving care. The nurse should
evaluate the client for additional signs of potential mistreatment throughout the
admission assessment.
Incorrect Answer:
The caregiver is the client's financial power of attorney.
Having a caregiver who is the client's financial power of attorney allows the caregiver to
perform necessary financial transactions on the client's behalf. This it is not an
indication of elder abuse.
The client is in a wheelchair with the wheels locked.
If the client uses a wheelchair, it is important to lock the wheels when the client is
stationary to keep the client safe. Locking the wheels of a wheelchair is not an indication
of elder abuse.
The client reports receiving a full bath twice each week.
Neglect is a form of abuse or mistreatment that is characterized by omission of
necessary care. Although hygiene is an important part of care for all clients, a full bath is
not necessary every day for older adults due to the adverse effects it can have on
fragile skin. Therefore, a full bath twice each week is sufficient for effective care and is
not an indication of neglect or elder abuse.
,A nurse in a clinic is caring for a middle adult client who states, "The doctor says that,
since I am at an average risk for colon cancer, I should have a routine screening. What
does that involve?" Which of the following responses should the nurse make?
"I'll get a blood sample from you and send it for a screening test."
"Beginning at age 60, you should have a colonoscopy."
"You should have a fecal occult blood test every year."
"The recommendation is to have a sigmoidoscopy every 10 years." - ansCorrect
Answer:
"You should have a fecal occult blood test every year."
Colorectal cancer screening for clients who are at average risk begins at age 45. One
option for screening is a fecal occult blood test annually.
Incorrect Answer:
"I'll get a blood sample from you and send it for a screening test."
Blood tests do not detect colorectal cancer. One option for screening is a double-
contrast barium enema every 5 years.
"Beginning at age 60, you should have a colonoscopy."
Colorectal cancer screening for clients who are at average risk begins at age 50. One
option for screening is a colonoscopy every 10 years.
"The recommendation is to have a sigmoidoscopy every 10 years."
One option for screening is a flexible sigmoidoscopy every 5 years.
A nurse in a medical-surgical unit is caring for six clients.
Complete the following sentence by using the list of options.
The first client the nurse should assess is _____ followed by _____.
Client 1: Client is admitted with a new diagnosis of rheumatoid arthritis.Client 2: Client
has a history of hyperlipidemia. Atorvastatin 20 mg PO administered as
prescribed.Client 3: Client is 1 day postoperative. Reports pain as 8 on a scale of 0 to
10. Morphine 5 mg subcutaneous administered as prescribed.Client 4: Client is
admitted with a new diagnosis of heart failure.Client 5: Client has a stage 2 pressure
injury on the left heel.Client 6: Client is admitted with a new diagnosis of diabetes
mellitus. - ansCorrect Answer (1):
Client 3
When using the airway, breathing, circulation approach to client care, the nurse should
determine that this client is the priority client to assess. The client has an oxygen
saturation that is less than the expected reference range, which is an indication of
hypoxia.
Correct Answer (2):
, Client 4
When using the airway, breathing, circulation approach to client care, the nurse should
determine that this client is the next priority client to assess. The client has a potassium
level that is less than the expected reference range, which places the client at risk for
dysrhythmias.
Incorrect Answers (1):
Client 1 is incorrect. The nurse should assess this client because the client's C-reactive
protein is greater than the expected reference range, which is an indication of
inflammation. However, there is another client the nurse should assess first.
Client 2 is incorrect. The nurse should assess this client because the client's cholesterol
level is greater than the expected reference range, which places them at risk for
coronary heart disease. However, there is another client the nurse should assess first.
Incorrect Answers (2):
Client 5 is incorrect. The nurse should assess this client because their prealbumin level
is less than the expected reference range, which places them at risk for delayed wound
healing. However, this client is not the next priority client to assess.
Client 6 is incorrect. The nurse should assess this client because their glycosylated
hemoglobin level is greater than the expected reference range, which indicates poor
diabetic control. However, this client is not the next priority client to assess.
A nurse in the emergency department (ED) is caring for a client who reports abdominal
pain.
Based on the client's clinical findings, which of the following actions should the nurse
take? Select all that apply.
Assist the client to a left side-lying position with the right knee flexed.
Prepare the client for a chest x-ray.
Administer a cleansing enema.
Auscultate the client's bowel sounds.
Perform a manual digital examination of the client's rectum.
Administer oxycodone extended-release tablets.
Prepare the client for NG tube placement. - ansCorrect Answer:
Assist the client to a left side-lying position with the right knee flexed
The nurse should place the client in a left side-lying position with the right knee flexed
prior to administering an enema. Because the provider prescribed a cleansing enema
for the client, the nurse should prepare the client for the procedure.
Administer a cleansing enema
The nurse should administer a cleansing enema for the client as a result of the
provider's prescription. A cleansing enema is intended to assist with bowel elimination
and remove any impacted fecal matter indicated by the abdominal x-ray.
