ATI CMS Fundamentals Practice 2026 UPDATE
|COMPLETE EXAM TEST AND VERIFIED
ANSWERS MULTIPLE CHOICES WITH
RATIONALES| ACCURATE ANSWERS|
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Terms in this set (59)
A nurse is giving chance-of shift Correct answer: B.
report about a client they admitted
earlier that day who has pneumonia. Breath sounds - When using the airway, breathing,
Which of circulation approach to client care, the nurse
the following pieces of information is should determine that the priority information to
the priority for the nurse to provide? provide is the current status of the client's breath
sounds.
a) Admitting diagnosis.
b) Breath sounds.
c) Body temperature.
d) Diagnostic results.
,A nurse is caring for a client who has Correct answer: B. - The first action the nurse
an NG tube and is receiving should take when using the airway, breathing,
intermittent feedings through an circulation approach to
open system. client care is to prevent aspiration of the enteral
Which of the following actions formula; therefore, the priority intervention is to
should the nurse take first? keep the head of the
bed elevated at least 30° to prevent reflux of the
a) Rinse the feeding bag with water formula into the esophagus
between feedings.
b) Tell the client to keep the head of
the bed elevated at least 30°.
c) Make sure the enteral formula is at
room temperature.
d) Wipe the top of the formula can
with alcohol.
,A nurse is caring for a client who has Correct answer: A, B, E. - Place the client in a room
tuberculosis. Which of the following with negative-pressure airflow is correct. The nurse
actions should the nurse take? should place the
a) Place the client in a room with client in a room with negative-pressure airflow to
negative-pressure airflow meet the requirements of airborne precautions.
b) Wear gloves when assisting the Wear gloves when
client with oral care. assisting the client with oral care is correct. The
c) Limit each visitor to 2-hr nurse should wear gloves when assisting the client
increments. with oral care to meet
d) Wear a surgical mask when the requirements of standard precautions, which
providing client care. the nurse must adhere to for all clients regardless
e) Use antimicrobial sanitizer for of their diagnosis.
hand hygiene The nurse should wear gloves whenever their
hands might come in contact with a client's bodily
fluids, such as saliva,
and the mucous membranes in the mouth. Limit
each visitor to 2-hr increments is incorrect. The
nurse does not need to
limit the client's visitors. However, the nurse should
limit the client's presence outside the room and the
client should
wear a surgical mask when outside of the room.
Wear a surgical mask when providing client care is
incorrect. The nurse
should wear an N95 respirator during client care to
meet the requirements of airborne precautions.
Use antimicrobial
sanitizer for hand hygiene is correct. The nurse
should use antimicrobial sanitizer for routine hand
hygiene when caring
for a client who has tuberculosis. Nurses should
also wash their hands with soap and water when
their hands are visibly
soiled.
, A nurse is performing a Romberg Correct answer: C - A Romberg test helps identify
test during a physical assessment of alterations in balance. The nurse should have the
a client. Which of the following client stand with
techniques their arms at their sides and their feet together to
should the nurse use? observe for swaying and a loss of balance.
a) Touch the face with a cotton ball.
b) Apply a vibrating tuning fork to
the client's forehead.
c) Have the client stand with their
arms at their sides and their feet
together.
d) Perform direct percussion over
the area of the kidneys.
To obtain an accurate blood the nurse should inflate the cuff 30 mm Hg
pressure measurement, beyond the point at which the nurse was last able
to palpate the pulse. If the nurse last palpated the
pulse at 92 mm Hg,
then this would be the correct pressure to which
the nurse should inflate the cuff.
The nurse has accepted a verbal Correct answer: B - The use and placement of a
prescription "for three tenths of a decimal point can potentially cause a medication
milligram of levothyroxine IV stat" for error if documented
a client incorrectly. A zero should precede a decimal point,
who has myxedema coma. How as in 0.3 mg, but should not follow a decimal point
should the nuse transcribe the unless a whole
dosage of this medication in the number follows the zero, as in 2.05 mg
medical record?
a) .3 mg
b) 0.3 mg
c) 0.30 mg
d) 3/10 mg
|COMPLETE EXAM TEST AND VERIFIED
ANSWERS MULTIPLE CHOICES WITH
RATIONALES| ACCURATE ANSWERS|
Save
Terms in this set (59)
A nurse is giving chance-of shift Correct answer: B.
report about a client they admitted
earlier that day who has pneumonia. Breath sounds - When using the airway, breathing,
Which of circulation approach to client care, the nurse
the following pieces of information is should determine that the priority information to
the priority for the nurse to provide? provide is the current status of the client's breath
sounds.
a) Admitting diagnosis.
b) Breath sounds.
c) Body temperature.
d) Diagnostic results.
,A nurse is caring for a client who has Correct answer: B. - The first action the nurse
an NG tube and is receiving should take when using the airway, breathing,
intermittent feedings through an circulation approach to
open system. client care is to prevent aspiration of the enteral
Which of the following actions formula; therefore, the priority intervention is to
should the nurse take first? keep the head of the
bed elevated at least 30° to prevent reflux of the
a) Rinse the feeding bag with water formula into the esophagus
between feedings.
b) Tell the client to keep the head of
the bed elevated at least 30°.
c) Make sure the enteral formula is at
room temperature.
d) Wipe the top of the formula can
with alcohol.
,A nurse is caring for a client who has Correct answer: A, B, E. - Place the client in a room
tuberculosis. Which of the following with negative-pressure airflow is correct. The nurse
actions should the nurse take? should place the
a) Place the client in a room with client in a room with negative-pressure airflow to
negative-pressure airflow meet the requirements of airborne precautions.
b) Wear gloves when assisting the Wear gloves when
client with oral care. assisting the client with oral care is correct. The
c) Limit each visitor to 2-hr nurse should wear gloves when assisting the client
increments. with oral care to meet
d) Wear a surgical mask when the requirements of standard precautions, which
providing client care. the nurse must adhere to for all clients regardless
e) Use antimicrobial sanitizer for of their diagnosis.
hand hygiene The nurse should wear gloves whenever their
hands might come in contact with a client's bodily
fluids, such as saliva,
and the mucous membranes in the mouth. Limit
each visitor to 2-hr increments is incorrect. The
nurse does not need to
limit the client's visitors. However, the nurse should
limit the client's presence outside the room and the
client should
wear a surgical mask when outside of the room.
Wear a surgical mask when providing client care is
incorrect. The nurse
should wear an N95 respirator during client care to
meet the requirements of airborne precautions.
Use antimicrobial
sanitizer for hand hygiene is correct. The nurse
should use antimicrobial sanitizer for routine hand
hygiene when caring
for a client who has tuberculosis. Nurses should
also wash their hands with soap and water when
their hands are visibly
soiled.
, A nurse is performing a Romberg Correct answer: C - A Romberg test helps identify
test during a physical assessment of alterations in balance. The nurse should have the
a client. Which of the following client stand with
techniques their arms at their sides and their feet together to
should the nurse use? observe for swaying and a loss of balance.
a) Touch the face with a cotton ball.
b) Apply a vibrating tuning fork to
the client's forehead.
c) Have the client stand with their
arms at their sides and their feet
together.
d) Perform direct percussion over
the area of the kidneys.
To obtain an accurate blood the nurse should inflate the cuff 30 mm Hg
pressure measurement, beyond the point at which the nurse was last able
to palpate the pulse. If the nurse last palpated the
pulse at 92 mm Hg,
then this would be the correct pressure to which
the nurse should inflate the cuff.
The nurse has accepted a verbal Correct answer: B - The use and placement of a
prescription "for three tenths of a decimal point can potentially cause a medication
milligram of levothyroxine IV stat" for error if documented
a client incorrectly. A zero should precede a decimal point,
who has myxedema coma. How as in 0.3 mg, but should not follow a decimal point
should the nuse transcribe the unless a whole
dosage of this medication in the number follows the zero, as in 2.05 mg
medical record?
a) .3 mg
b) 0.3 mg
c) 0.30 mg
d) 3/10 mg
