ATI Fundamentals Practice Questions
2026 | RN Exam 1 Prep & Verified Answers
| Nursing Study Guide PDF
A client becomes angry while waiting for a supervised break to smoke a cigarette outside and
states, "I want to go outside now and smoke. It takes forever to get anything done here!"
Which nursing action is best for this client?
A.
Encourage the client to use a nicotine patch.
B.
Reassure the client that it is almost time for another break.
C.
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Have the client leave the unit with another staff member.
D.
Review the schedule of outdoor breaks with the client. –
Correct Answer :D
Rationale:
The best nursing action is to review the schedule of outdoor breaks and provide concrete
information about the schedule. Option A is contraindicated if the client wants to continue
smoking. Option B is insufficient to encourage a trusting relationship with the client. Option C
is preferential for this client only and is inconsistent with unit rules.
During a routine assessment, an obese 50-year-old client states, "I feel so unlovable because
of my weight." Which is the best response by the nurse?
A.
Reassure the client that many obese people have concerns about sex.
B.
Remind the client that sexual relationships need not be affected by obesity.
C.
Determine the frequency of sexual intercourse.
D.
Ask the client to talk about specific concerns. –
Correct Answer :D
Rationale:
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Option D provides an opportunity for the client to verbalize concerns and provides the nurse
with more assessment data. Options A and B may not be related to the current concern,
assume that obesity is the problem, and are communication blocks. Option C may be
appropriate after discussing the stated concerns.
The clinic nurse is conducting an assessment of a 2-year-old. The nurse asks the mother,
"What is your child playing with now?" Which response indicates to the nurse that further
teaching is needed? (Select all that apply.)
A.
"We color together using jumbo crayons."
B.
"Finger paints in the kitchen are a favorite pastime."
C.
"A marble run race track is set up in the playroom."
D.
"When outside, the wagon filled with soccer balls is the preferred toy."
E.
"We got a golf set because my other children play golf." –
Correct Answer :C, E
Rationale:
Avoid small objects that can be a choking hazard during the toddler stage. The remaining play
toys are appropriate for toddlers.
The nurse is orienting a new graduate to the reporting regulations often seen in the
emergency department. Which clients will the nurse need to report to the nurse
manager/supervisor to alert the proper authorities? (Select all that apply.)
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A.
A 7-year-old who states, "I get beat up by my parents all the time." The child has bruising on
the back in various stages of healing.
B.
An 88-year-old who states, "My child lives 5 minutes away no longer stops to visit. My days
are long and lonely."
C.
A 40-year-old who states, "I was in an argument with my sibling and the next thing I knew I
was shot in the shoulder."
D.
An 18-year-old who states, "Once I turned 18 my parents demanded I leave their home. I was
no longer welcomed there."
E.
A 30-year-old who states, "The brawl was worth the stab wound I got. My family has never
liked that family. It is just that way." –
Correct Answer :A, C, E
Rationale:
Nurses are mandatory reporters and must notify in the event of child and elder abuse,
domestic violence, animal bites, gun shot and stab wounds, assault, and homicides
In the middle of running a resuscitation for a cardiac arrest the LPN states to the nurse, "What
can I do for your other patients?" The nurse says to the LPN, "Go ahead and start that blood
on the client in 434B. It is primed and ready to go. You have seen me do it a million times. You
can do it." What is the LPN's best response?
A.
"No way am I starting the blood on that client!"
B.
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