EXAM
ATI FUNDAMENTAL RN ONLINE PROCTORED
LEVEL 3 EXAM 1 2026 Exam COMPLETE TEST
BANK VERIFIED QUESTIONS AND CORRECT
ANSWERS with DETAILED RATIONALES GRADED
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A nurse is caring for a client who is having difficulty breathing the client is supine and is
receiving supplemental oxygen via a nasal cannula. Which of the following interventions
should the nurse take first?
A.) Suction the client's airway.
B.) Instruct the client to perform incentive spirometry every hour.
C.) Humidify the client's supplemental oxygen.
A+ TEST BANK 1
, RN ATI FUNDAMENTAL ONLINE PROCTORED
EXAM
D.) Assist the client to an upright position.
D.) Assist the client to an upright position.
Detailed Rationale: According to evidence-based practice the nurse should assist the client to
an upright position. This assists with chest expansion and increases the effectiveness of the
existing supplemental oxygen. The nurse should elevate the head of the client's bed to the
semi-Fowler's or high-Fowler's position to facilitate maximal chest expansion. Sitting upright
improves gas exchange and prevents pressure on the diaphragm from abdominal organs.
(The use of suction to remove pulmonary secretions can help to ease the client's breathing.
However, evidence-based practice indicates that there is another intervention that the nurse
should implement first. The use of incentive spirometry can help to ease the client's breathing
by expanding the smaller airways and alveoli. However, evidence-based practice indicates
that there is another intervention that the nurse should implement first. The use of humidity
with supplemental oxygen can help to thin secretions that can limit airflow. However,
evidence-based practice indicates that there is another intervention that the nurse should
implement first.)
A nurse is performing a home safety assessment for a client who is receiving supplemental
oxygen. Which of the following observations should the nurse identify as proper safety
protocol?
A.) The client uses a wool blanket on their bed
B.) The client identifies the location of a fire extinguisher
C.) The client stores an extra oxygen tanks on its side under the bed
D.) The client has a weekly inspection checklist for oxygen equipment
B.) The client identifies the location of a fire extinguisher
Detailed Rationale: The client should be able to identify the location of fire extinguishers in
the home and be aware of how to use them.
A+ TEST BANK 2
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EXAM
(The client should use a cotton blanket instead of a wool blanket to avoid generating static
electricity that could ignite the oxygen. The client should store extra oxygen tanks in an
upright position to maintain safety. The client or caregiver should inspect oxygen equipment
daily.)
A nurse is caring for a client who has limited mobility in their lower extremities. Which of the
following actions should the nurse take to prevent skin breakdown?
A.) Place the client in high-Fowler's position.
B.) Have the client use a trapeze bar when changing position.
C.) Massage areas of skin that are darker than the surrounding skin tissue with unscented
lotion.
D.) Increase the client's intake of carbohydrates.
B.) Have the client use a trapeze bar when changing position.
Detailed Rationale: By using a trapeze bar to assist with repositioning and transferring, the
client avoids the friction and shearing that result from sliding up and down in bed. Shearing is
a risk factor for pressure-injury development.
(High-Fowler's position places additional pressure on the sacrum and the heels, increasing the
risk for skin breakdown. Massaging pressure point that have a change in color of skin tissue
can cause further capillary breakdown in subcutaneous tissues. Increased protein intake helps
with tissue repair. However, for prevention, the client should consume a balanced diet with
adequate fluid intake. There is no need to increase carbohydrate intake.)
A nurse is assessing a client's readiness to learn about insulin self-administration. Which of the
following statements should the nurse identify as an indication that the client is ready to
learn?
A.) "I can concentrate best in the morning."
B.) "It is difficult to read the instructions because my glasses are at home."
A+ TEST BANK 3
, RN ATI FUNDAMENTAL ONLINE PROCTORED
EXAM
C.) "I'm wondering why I need to learn this."
D.) "You will have to talk to my partner about this."
A.) "I can concentrate best in the morning."
Detailed Rationale: The client's statement indicates a readiness to learn because they are
verbalizing the best time for them to learn.
(The client's statement indicates the client is not ready to learn. The client has to have the
tools they need to learn and comprehend the information. The client's statement indicates a
reluctance to learn information they think they might not need to know. With this statement,
the client is redirecting the nurse's attempt to teach toward someone else, indicating that
they are not ready to learn.)
A charge nurse is discussing the responsibility of nurses caring for children who have
a Clostridium difficile infection. Which of the following information should the nurse include in
the teaching?
A.) Assign the client to a room with a negative airflow system.
B.) Use alcohol-based hand sanitizer when leaving the client's room.
C.) Clean contaminated surfaces in the client's room with a phenol solution.
D.) Have family members wear a gown and gloves when visiting.
D.) Have family members wear a gown and gloves when visiting.
Detailed Rationale: Nurses are responsible for ensuring that family members wear a gown and
gloves to prevent the transmission of Clostridium difficile spores. Staff must also wear gowns
and gloves.
(A client who has a Clostridium difficile infection requires a private room, but a negative
airflow system is not necessary. The nurse should use soap and water for hand hygiene
because alcohol-based hand sanitizer does not kill Clostridium difficile spores. The nurse
should use a phenol solution to clean surfaces contaminated with bacteria and fungi.
A+ TEST BANK 4