NR 226: Fundamentals of Patient Care - ATI Practice Exam 2026
|Chamberlain
1. A nurse is caring for a client who is at risk for falls. Which of the following
actions should the nurse take first?
A. Check the client’s room for clutter.
B. Apply a fall-risk identification bracelet.
C. Place the bedside table close to the client.
D. Determine the client’s ability to use the call light.
Answer: D
Rationale: According to the nursing process, assessment is the first step. The nurse must
first determine the client’s ability to use safety tools like the call light before implementing
other interventions.
2. A nurse is preparing to administer an intramuscular injection to an adult
client. Which of the following sites is the safest and preferred site for this
injection?
A. Dorsogluteal
B. Ventrogluteal
C. Vastus lateralis
D. Deltoid
Answer: B
Rationale: The ventrogluteal site is the preferred and safest site for IM injections in adults
because it is deep and away from major blood vessels and nerves.
,3. A nurse is performing a skin assessment on a client and notes a shallow, open
ulcer with a red-pink wound bed on the sacrum. The nurse should document
this as which stage of pressure injury?
A. Stage 1
B. Stage 2
C. Stage 3
D. Unstageable
Answer: B
Rationale: A Stage 2 pressure injury involves partial-thickness loss of dermis presenting as
a shallow open ulcer with a red-pink wound bed, without slough.
4. A nurse is caring for a client who has a prescription for a clear liquid diet.
Which of the following food items is appropriate for this client?
A. Apple juice
B. Orange juice with pulp
C. Vanilla pudding
D. Sherbet
Answer: A
Rationale: Clear liquids include items that are transparent and liquid at room temperature,
such as apple juice, broth, and gelatin. Pudding and sherbet are part of a full liquid diet.
5. A nurse is caring for a client who is being treated for a Clostridium difficile
infection. Which of the following infection control precautions should the nurse
implement?
A. Droplet precautions
B. Contact precautions
C. Airborne precautions
D. Protective environment
Answer: B
, Rationale: C. difficile requires contact precautions, including the use of gloves and gowns,
and hand hygiene must be performed with soap and water rather than alcohol-based
sanitizer.
6. A nurse is teaching a client about the use of a cane. Which of the following
instructions should the nurse include?
A. Keep the elbow straight when holding the cane.
B. Hold the cane on the weaker side of the body.
C. Move the stronger leg forward first.
D. Hold the cane on the stronger side of the body.
Answer: D
Rationale: The cane should be held on the unaffected (stronger) side to provide support
and stability to the opposite (weaker) limb.
7. A nurse is reinforcing teaching with a client about deep-breathing exercises.
Which of the following actions should the nurse instruct the client to take?
A. Hold each breath for 3 to 5 seconds.
B. Inhale through the mouth.
C. Exhale rapidly through the nose.
D. Perform the exercises once per shift.
Answer: A
Rationale: Holding the breath for 3 to 5 seconds allows for better gas exchange and
expansion of the alveoli.
|Chamberlain
1. A nurse is caring for a client who is at risk for falls. Which of the following
actions should the nurse take first?
A. Check the client’s room for clutter.
B. Apply a fall-risk identification bracelet.
C. Place the bedside table close to the client.
D. Determine the client’s ability to use the call light.
Answer: D
Rationale: According to the nursing process, assessment is the first step. The nurse must
first determine the client’s ability to use safety tools like the call light before implementing
other interventions.
2. A nurse is preparing to administer an intramuscular injection to an adult
client. Which of the following sites is the safest and preferred site for this
injection?
A. Dorsogluteal
B. Ventrogluteal
C. Vastus lateralis
D. Deltoid
Answer: B
Rationale: The ventrogluteal site is the preferred and safest site for IM injections in adults
because it is deep and away from major blood vessels and nerves.
,3. A nurse is performing a skin assessment on a client and notes a shallow, open
ulcer with a red-pink wound bed on the sacrum. The nurse should document
this as which stage of pressure injury?
A. Stage 1
B. Stage 2
C. Stage 3
D. Unstageable
Answer: B
Rationale: A Stage 2 pressure injury involves partial-thickness loss of dermis presenting as
a shallow open ulcer with a red-pink wound bed, without slough.
4. A nurse is caring for a client who has a prescription for a clear liquid diet.
Which of the following food items is appropriate for this client?
A. Apple juice
B. Orange juice with pulp
C. Vanilla pudding
D. Sherbet
Answer: A
Rationale: Clear liquids include items that are transparent and liquid at room temperature,
such as apple juice, broth, and gelatin. Pudding and sherbet are part of a full liquid diet.
5. A nurse is caring for a client who is being treated for a Clostridium difficile
infection. Which of the following infection control precautions should the nurse
implement?
A. Droplet precautions
B. Contact precautions
C. Airborne precautions
D. Protective environment
Answer: B
, Rationale: C. difficile requires contact precautions, including the use of gloves and gowns,
and hand hygiene must be performed with soap and water rather than alcohol-based
sanitizer.
6. A nurse is teaching a client about the use of a cane. Which of the following
instructions should the nurse include?
A. Keep the elbow straight when holding the cane.
B. Hold the cane on the weaker side of the body.
C. Move the stronger leg forward first.
D. Hold the cane on the stronger side of the body.
Answer: D
Rationale: The cane should be held on the unaffected (stronger) side to provide support
and stability to the opposite (weaker) limb.
7. A nurse is reinforcing teaching with a client about deep-breathing exercises.
Which of the following actions should the nurse instruct the client to take?
A. Hold each breath for 3 to 5 seconds.
B. Inhale through the mouth.
C. Exhale rapidly through the nose.
D. Perform the exercises once per shift.
Answer: A
Rationale: Holding the breath for 3 to 5 seconds allows for better gas exchange and
expansion of the alveoli.
