ATI RN Comprehensive Online Practice
B 2026 |Complete Q&A Test Bank
(100% Verified Answer & Explanations)
Latest Version - Updated 2026/2027®
Question 1
A nurse is caring for a newborn who has herpes simplex virus (HSV). Which of the
following isolation precautions should the nurse initiate?
A. Contact
B. Droplet
C. Airborne
D. Protective environment
Answer: A
Rationale: Herpes simplex virus is transmitted by direct contact with infected
lesions, so Contact Precautions should be initiated.
Question 2
A nurse is caring for a client who is taking valproic acid for seizure control. For which
of the following adverse effects should the nurse monitor and report?
A. Weight loss
B. Jaundice
C. Bradycardia
D. Polyuria
Answer: B
Rationale: Valproic acid can cause hepatotoxicity, which manifests as jaundice, and
requires immediate reporting.
Question 3
A nurse enters a client's room and sees smoke coming from a small fire in the trash
can. Which of the following actions should the nurse take first?
A. Remove the client from the room.
B. Activate the fire alarm.
C. Close the door to the client's room.
D. Extinguish the fire with a fire extinguisher.
Answer: A
Rationale: The first action in a fire emergency is to Rescue/Remove the client from
immediate danger (RACE: Rescue, Alarm, Contain, Extinguish).
1
,Question 4
A community health nurse is providing teaching about home safety with a group of
older adult clients. Which of the following statements should the nurse make?
A. "Unplug your appliances by grasping the cord and pulling it straight from the
outlet."
B. "Set your water heater temperature at 130 degrees Fahrenheit."
C. "Use throw rugs in high-traffic areas to partially cover wood floors."
D. "Have grab bars installed around your bathtub and toilet."
Answer: D
Rationale: Grab bars around bathtubs and toilets prevent falls, which are a major
safety risk for older adults.
Question 5
A nurse is developing a client education program about osteoporosis for older adult
clients. The nurse should include which of the following variables as a risk factor for
osteoporosis?
A. Obesity
B. Acromegaly
C. Estrogen replacement therapy
D. Sedentary lifestyle
Answer: D
Rationale: Sedentary lifestyle is a risk factor for osteoporosis. Obesity, acromegaly,
and estrogen replacement therapy are not risk factors.
Question 6
A nurse has received change of shift report on 4 assigned clients. For which of the
following clients should the nurse intervene to prevent a potential food and
medication interaction?
A. A client who is receiving verapamil and has a continuous infusion of total
parenteral nutrition (TPN)
B. A client who is taking phenytoin and is requesting a milkshake
C. A client who is receiving a diet high in potassium-rich foods and furosemide by
mouth
D. A client who is receiving an MAOI and is requesting a cheeseburger for dinner
Answer: D
Rationale: MAOIs interact with tyramine-rich foods (aged cheeses, cured meats)
causing hypertensive crisis.
2
,Question 7
An antepartum nurse is caring for 4 clients. For which of the following clients should
the nurse initiate seizure precautions?
A. A client who is at 33 weeks of gestation and has severe gestational hypertension
B. A client who is at 16 weeks of gestation and has a hydatidiform mole
C. A client who is at 28 weeks of gestation and is experiencing vaginal bleeding
D. A client who is at 12 weeks of gestation and has group B streptococcus
Answer: A
Rationale: Severe gestational hypertension (preeclampsia) puts the client at risk for
seizures (eclampsia) requiring seizure precautions.
Question 8
A nurse is preparing to replace a client's transdermal fentanyl patch after 72 hours of
use. After the nurse opens the packet containing the new pouch, the client declines to
accept it. Which of the following actions should the nurse take?
A. Withhold pain medications for 24 hours after the old patch is removed.
B. Ask another nurse to witness the disposal of the new patch.
C. Seal the patches in a plastic bag and place in the client's trash basket.
D. Stick the two patches to each other and place them in the sharps bin.
Answer: B
Rationale: Disposal of controlled substances must be witnessed by another nurse.
Question 9
A nurse is caring for a client who has a new prescription for clonidine. The nurse
should inform the client that which of the following findings is an adverse effect of
this medication?
A. Diarrhea
B. Dry mouth
C. Photophobia
D. Bruising
Answer: B
Rationale: Dry mouth is a common adverse effect of clonidine due to its alpha-2
agonist properties.
Question 10
A nurse is providing teaching to a client who speaks a different language than the
nurse about an upcoming diagnostic procedure. Which of the following actions
should the nurse take?
A. Speak in a loud voice when explaining the procedure to the client.
B. Use pictures to illustrate the procedure to the client.
C. Use medical terminology to explain the procedure to the client.
3
, D. Validate the client's understanding of the procedure by watching for the client to
smile and nod.
Answer: B
Rationale: Using pictures and visual aids helps overcome language barriers and
improves client understanding.
Question 11
A nurse is caring for a client who has DVT. Which of the following actions should the
nurse take?
A. Teach the client to massage the affected extremity.
B. Instruct the client to elevate the affected extremity when sitting.
C. Assess pulses proximal to the affected area.
D. Apply a cold compress to the affected extremity.
Answer: B
Rationale: Elevating the affected extremity promotes venous return and reduces
edema in DVT.
Question 12
A nurse is developing a discharge plan for a school-age child who has
thrombocytopenia. The nurse should instruct the child to avoid which of the following?
A. Large groups of people
B. Quickly changing positions
C. Eating fresh fruits
D. Blowing the nose
Answer: D
Rationale: Blowing the nose increases risk of epistaxis in thrombocytopenia
children.
Question 13
A nurse is caring for a child who has hypotonic dehydration and is receiving an oral
rehydration solution. Which of the following lab results indicates that the treatment
regimen is effective?
A. Serum sodium 150 mEq/L
B. Serum potassium 3.0 mEq/L
C. Serum sodium 136 mEq/L
D. Serum potassium 5.5 mEq/L
Answer: C
Rationale: Normal serum sodium (136-145 mEq/L) indicates improvement in
hypotonic dehydration.
4
B 2026 |Complete Q&A Test Bank
(100% Verified Answer & Explanations)
Latest Version - Updated 2026/2027®
Question 1
A nurse is caring for a newborn who has herpes simplex virus (HSV). Which of the
following isolation precautions should the nurse initiate?
A. Contact
B. Droplet
C. Airborne
D. Protective environment
Answer: A
Rationale: Herpes simplex virus is transmitted by direct contact with infected
lesions, so Contact Precautions should be initiated.
Question 2
A nurse is caring for a client who is taking valproic acid for seizure control. For which
of the following adverse effects should the nurse monitor and report?
A. Weight loss
B. Jaundice
C. Bradycardia
D. Polyuria
Answer: B
Rationale: Valproic acid can cause hepatotoxicity, which manifests as jaundice, and
requires immediate reporting.
Question 3
A nurse enters a client's room and sees smoke coming from a small fire in the trash
can. Which of the following actions should the nurse take first?
A. Remove the client from the room.
B. Activate the fire alarm.
C. Close the door to the client's room.
D. Extinguish the fire with a fire extinguisher.
Answer: A
Rationale: The first action in a fire emergency is to Rescue/Remove the client from
immediate danger (RACE: Rescue, Alarm, Contain, Extinguish).
1
,Question 4
A community health nurse is providing teaching about home safety with a group of
older adult clients. Which of the following statements should the nurse make?
A. "Unplug your appliances by grasping the cord and pulling it straight from the
outlet."
B. "Set your water heater temperature at 130 degrees Fahrenheit."
C. "Use throw rugs in high-traffic areas to partially cover wood floors."
D. "Have grab bars installed around your bathtub and toilet."
Answer: D
Rationale: Grab bars around bathtubs and toilets prevent falls, which are a major
safety risk for older adults.
Question 5
A nurse is developing a client education program about osteoporosis for older adult
clients. The nurse should include which of the following variables as a risk factor for
osteoporosis?
A. Obesity
B. Acromegaly
C. Estrogen replacement therapy
D. Sedentary lifestyle
Answer: D
Rationale: Sedentary lifestyle is a risk factor for osteoporosis. Obesity, acromegaly,
and estrogen replacement therapy are not risk factors.
Question 6
A nurse has received change of shift report on 4 assigned clients. For which of the
following clients should the nurse intervene to prevent a potential food and
medication interaction?
A. A client who is receiving verapamil and has a continuous infusion of total
parenteral nutrition (TPN)
B. A client who is taking phenytoin and is requesting a milkshake
C. A client who is receiving a diet high in potassium-rich foods and furosemide by
mouth
D. A client who is receiving an MAOI and is requesting a cheeseburger for dinner
Answer: D
Rationale: MAOIs interact with tyramine-rich foods (aged cheeses, cured meats)
causing hypertensive crisis.
2
,Question 7
An antepartum nurse is caring for 4 clients. For which of the following clients should
the nurse initiate seizure precautions?
A. A client who is at 33 weeks of gestation and has severe gestational hypertension
B. A client who is at 16 weeks of gestation and has a hydatidiform mole
C. A client who is at 28 weeks of gestation and is experiencing vaginal bleeding
D. A client who is at 12 weeks of gestation and has group B streptococcus
Answer: A
Rationale: Severe gestational hypertension (preeclampsia) puts the client at risk for
seizures (eclampsia) requiring seizure precautions.
Question 8
A nurse is preparing to replace a client's transdermal fentanyl patch after 72 hours of
use. After the nurse opens the packet containing the new pouch, the client declines to
accept it. Which of the following actions should the nurse take?
A. Withhold pain medications for 24 hours after the old patch is removed.
B. Ask another nurse to witness the disposal of the new patch.
C. Seal the patches in a plastic bag and place in the client's trash basket.
D. Stick the two patches to each other and place them in the sharps bin.
Answer: B
Rationale: Disposal of controlled substances must be witnessed by another nurse.
Question 9
A nurse is caring for a client who has a new prescription for clonidine. The nurse
should inform the client that which of the following findings is an adverse effect of
this medication?
A. Diarrhea
B. Dry mouth
C. Photophobia
D. Bruising
Answer: B
Rationale: Dry mouth is a common adverse effect of clonidine due to its alpha-2
agonist properties.
Question 10
A nurse is providing teaching to a client who speaks a different language than the
nurse about an upcoming diagnostic procedure. Which of the following actions
should the nurse take?
A. Speak in a loud voice when explaining the procedure to the client.
B. Use pictures to illustrate the procedure to the client.
C. Use medical terminology to explain the procedure to the client.
3
, D. Validate the client's understanding of the procedure by watching for the client to
smile and nod.
Answer: B
Rationale: Using pictures and visual aids helps overcome language barriers and
improves client understanding.
Question 11
A nurse is caring for a client who has DVT. Which of the following actions should the
nurse take?
A. Teach the client to massage the affected extremity.
B. Instruct the client to elevate the affected extremity when sitting.
C. Assess pulses proximal to the affected area.
D. Apply a cold compress to the affected extremity.
Answer: B
Rationale: Elevating the affected extremity promotes venous return and reduces
edema in DVT.
Question 12
A nurse is developing a discharge plan for a school-age child who has
thrombocytopenia. The nurse should instruct the child to avoid which of the following?
A. Large groups of people
B. Quickly changing positions
C. Eating fresh fruits
D. Blowing the nose
Answer: D
Rationale: Blowing the nose increases risk of epistaxis in thrombocytopenia
children.
Question 13
A nurse is caring for a child who has hypotonic dehydration and is receiving an oral
rehydration solution. Which of the following lab results indicates that the treatment
regimen is effective?
A. Serum sodium 150 mEq/L
B. Serum potassium 3.0 mEq/L
C. Serum sodium 136 mEq/L
D. Serum potassium 5.5 mEq/L
Answer: C
Rationale: Normal serum sodium (136-145 mEq/L) indicates improvement in
hypotonic dehydration.
4
