ATI Fundamentals Test Exam 20 2026
A nurse is evaluating a client's use of a cane. Which of the following actions
should the nurse identify as an indication of correct use?
A. the top of the cane is parallel to the client's waist.
B. When walking, the client moves the cane 46cm forward
C. the client holds the cane on the stronger side of her body.
D. the client moves her stronger limb forward with the cane. - C. the client
should hold the cane on the stronger side of her body to increase support and
maintain alignment. The top of the cane should be parallel to the greater
trochanter, the client should only advance the cane 14-30cm at a time, the
client should move the weak leg with the cane for support.
A nurse receives report about a client who has NS infusing IV at 125ml/hr.
When the nurse performs the initial assessment, he notes that the client has
received only 80ml over the last 2 hr. Which of the following actions should the
nurse take first?
A. reposition the client
B. Document the client's IV intake in the medical record.
C. Request a new IV fluid prescription.
D. Check the IV tubing for obstruction. - D. Check the IV tubing for obstruction.
The nurse should reposition but this isn't the first step, the nurse should
document but this too isn't the first step. The nurse should request new IV fluid
prescription to compensate for lost fluid but this isn't the first step.
A nurse is caring for a client who requires an NG tube for stomach
decompression. Which of the following actions should the nurse take when
inserting the NG tube?
A. position the client with the head of the bed elecated to 30 degrees prior to
insertion of the NG tube
B. Remove the NG tube if the client begins to gag or choke.
C. Apply suction to the NG tube prior to insertion
D. Have the client take sips of water to promote insertion of the NG tube into the
esophagus -
D. Have the client take sips of water to promote insertion of the NG tube into
the esophagus. The client should be in high-fowlers position, the nurse shoud
withdraw the NG tube slightly not remove it if the client gags, the nurse should
not apply suction unless NG tube is verified by x-ray.
A nurse is reviewing a client's fluid and electrolyte status. Which of the
following findings should the nurse report to the provider?
A. BUN 15 mg/dl
B. Creatinine 0.8 mg/dl
C. Sodium 143 mEq/L
D. Potassium 5.4 mEq/L - D. Potassium 5.4 mEq/L. Potassium should
be 3.5-5. Bun is 10-20, Creatinine is 0.5 - 1.1, Sodium is 136-145
, A nurse is providing discharge instructions to a client who will be using a
walker. Which of the following client statements indicates an understanding of
the teaching?
A. "I can place an extension cord across my living room to plug in my
television."
B. "I will hire someone to trim the tree that hangs low over the stairs of my front
porch."
C. " I will place my alarm clock on my bedroom dresser across the room."
D. "I will replace the old throw rug in my kitchen with a new one." - B. "I will
hire someone to trim the tree that hangs low over the stairs of my front porch."
Extension cords should be fastened to the floor, frequently used items like an
alarm clock, glasses, or disposable tissues should be within reach, throw rugs
increase risk and should be removed.
A nurse is planning care for a client who has had a stroke, resulting in aphasia
and dysphagia. Which of the following tasks should the nurse assign to an
assistive personnel? select all that apply
A. Assist the client with a partial bed bath.
B. Measure the client's BP after the nurse administers an antihypertensive
medication.
C. Test the client's swallowing ability by providing thickened liquids.
D. Use a communication board to ask what the client wants for lunch
E. Irrigate the client's indwelling urinary catheter - A, B, D
These are within the AP's range of function all others require a nurse.
A nurse is caring for a client who is expressing anger about his diagnosis of
colorectal cancer. Which of the following actions should the nurse take?
A. Discuss the risk factors for colon cancer.
B. focus teaching on what the client will need to do in the future to manage his
illness.
C. provide the client with written information about the phases of loss and grief
D. Reassure the client that this is an expected response to grief. - D. Reassure
the client that this is an expected response to grief.
The client might perceive the discussion of risk factors as challenging or
argumentative, the nurse should focus the teaching on the present psychosocial
adaptation and not the future management, unless the client requests material
this is not a good time, this is when the client needs to express their feelings.
The nurse is preparing to apply a dressing for a client who has a stage 2
pressure injury. Which of the following types of dressing should the nurse use?
A. Alginate
B. Gauze
C. Transparent
D. Hydrocolloid - D. Hydrocolloid promote healing in stage 2 by creating a
moist wound bed.
A nurse is evaluating a client's use of a cane. Which of the following actions
should the nurse identify as an indication of correct use?
A. the top of the cane is parallel to the client's waist.
B. When walking, the client moves the cane 46cm forward
C. the client holds the cane on the stronger side of her body.
D. the client moves her stronger limb forward with the cane. - C. the client
should hold the cane on the stronger side of her body to increase support and
maintain alignment. The top of the cane should be parallel to the greater
trochanter, the client should only advance the cane 14-30cm at a time, the
client should move the weak leg with the cane for support.
A nurse receives report about a client who has NS infusing IV at 125ml/hr.
When the nurse performs the initial assessment, he notes that the client has
received only 80ml over the last 2 hr. Which of the following actions should the
nurse take first?
A. reposition the client
B. Document the client's IV intake in the medical record.
C. Request a new IV fluid prescription.
D. Check the IV tubing for obstruction. - D. Check the IV tubing for obstruction.
The nurse should reposition but this isn't the first step, the nurse should
document but this too isn't the first step. The nurse should request new IV fluid
prescription to compensate for lost fluid but this isn't the first step.
A nurse is caring for a client who requires an NG tube for stomach
decompression. Which of the following actions should the nurse take when
inserting the NG tube?
A. position the client with the head of the bed elecated to 30 degrees prior to
insertion of the NG tube
B. Remove the NG tube if the client begins to gag or choke.
C. Apply suction to the NG tube prior to insertion
D. Have the client take sips of water to promote insertion of the NG tube into the
esophagus -
D. Have the client take sips of water to promote insertion of the NG tube into
the esophagus. The client should be in high-fowlers position, the nurse shoud
withdraw the NG tube slightly not remove it if the client gags, the nurse should
not apply suction unless NG tube is verified by x-ray.
A nurse is reviewing a client's fluid and electrolyte status. Which of the
following findings should the nurse report to the provider?
A. BUN 15 mg/dl
B. Creatinine 0.8 mg/dl
C. Sodium 143 mEq/L
D. Potassium 5.4 mEq/L - D. Potassium 5.4 mEq/L. Potassium should
be 3.5-5. Bun is 10-20, Creatinine is 0.5 - 1.1, Sodium is 136-145
, A nurse is providing discharge instructions to a client who will be using a
walker. Which of the following client statements indicates an understanding of
the teaching?
A. "I can place an extension cord across my living room to plug in my
television."
B. "I will hire someone to trim the tree that hangs low over the stairs of my front
porch."
C. " I will place my alarm clock on my bedroom dresser across the room."
D. "I will replace the old throw rug in my kitchen with a new one." - B. "I will
hire someone to trim the tree that hangs low over the stairs of my front porch."
Extension cords should be fastened to the floor, frequently used items like an
alarm clock, glasses, or disposable tissues should be within reach, throw rugs
increase risk and should be removed.
A nurse is planning care for a client who has had a stroke, resulting in aphasia
and dysphagia. Which of the following tasks should the nurse assign to an
assistive personnel? select all that apply
A. Assist the client with a partial bed bath.
B. Measure the client's BP after the nurse administers an antihypertensive
medication.
C. Test the client's swallowing ability by providing thickened liquids.
D. Use a communication board to ask what the client wants for lunch
E. Irrigate the client's indwelling urinary catheter - A, B, D
These are within the AP's range of function all others require a nurse.
A nurse is caring for a client who is expressing anger about his diagnosis of
colorectal cancer. Which of the following actions should the nurse take?
A. Discuss the risk factors for colon cancer.
B. focus teaching on what the client will need to do in the future to manage his
illness.
C. provide the client with written information about the phases of loss and grief
D. Reassure the client that this is an expected response to grief. - D. Reassure
the client that this is an expected response to grief.
The client might perceive the discussion of risk factors as challenging or
argumentative, the nurse should focus the teaching on the present psychosocial
adaptation and not the future management, unless the client requests material
this is not a good time, this is when the client needs to express their feelings.
The nurse is preparing to apply a dressing for a client who has a stage 2
pressure injury. Which of the following types of dressing should the nurse use?
A. Alginate
B. Gauze
C. Transparent
D. Hydrocolloid - D. Hydrocolloid promote healing in stage 2 by creating a
moist wound bed.
