ATI PN FUNDAMENTALS REAL EXAM
2026 QUESTIONS AND ANSWERS
1. A nurse is caring for a client who has a prescription for a 24-hour urine collection. Which of
the following actions should the nurse take first?
A. Discard the first voiding and record the start time.
B. Place a sign on the bathroom door to alert staff.
C. Keep the urine collection container on ice.
D. Instruct the client to save all urine for the next 24 hours.
Answer: A
Conceptual Explanation: The first step in a 24-hour urine collection is to discard the first
voiding to ensure the collection starts with an empty bladder at a specific time.
2. A nurse is assessing a client for orthostatic hypotension. Which of the following findings
indicates the client is experiencing this condition?
A. A decrease in systolic blood pressure by 20 mm Hg when standing.
B. An increase in heart rate by 10 bpm when standing.
C. An increase in diastolic blood pressure by 5 mm Hg when sitting.
,D. A decrease in respiratory rate when lying down.
Answer: A
Conceptual Explanation: Orthostatic hypotension is defined as a decrease in systolic
blood pressure of at least 20 mm Hg or a decrease in diastolic blood pressure of at least 10
mm Hg within 3 minutes of standing.
3. A nurse is preparing to administer an enteral feeding via a nasogastric tube. Which of the
following actions should the nurse take to verify tube placement?
A. Auscultate for a ‘whooshing’ sound while injecting air.
B. Observe the color of the aspirated contents.
C. Check the pH of the aspirated gastric contents.
D. Ask the client to speak to ensure the tube is not in the airway.
Answer: C
Conceptual Explanation: While X-ray is the gold standard for initial placement, checking
the pH of aspirate (normally less than 5.5) is a reliable bedside method to verify placement
before subsequent feedings.
4. A nurse is reinforcing teaching with a client about the use of a walker. Which of the
following instructions should the nurse include?
A. Move the walker forward 24 inches with each step.
B. Advance the stronger leg into the walker first.
, C. Apply weight to the walker when moving it forward.
D. Step into the walker after moving it forward about 6 to 10 inches.
Answer: D
Conceptual Explanation: The client should move the walker forward about 6 to 10 inches
and then step into it, starting with the affected or weaker leg if applicable.
5. A nurse is providing care for a client who is on contact precautions. Which of the following
actions should the nurse take?
A. Wear an N95 respirator mask during client care.
B. Dedicating specific equipment, such as a stethoscope, to the client’s room.
C. Keep the client’s door closed at all times.
D. Ensure the room has negative-pressure airflow.
Answer: B
Conceptual Explanation: Contact precautions require the use of dedicated equipment to
prevent the spread of microorganisms to other clients and environments.
6. A nurse is caring for a client who has a localized skin infection. Which of the following
findings should the nurse expect?
A. Fever and chills.
B. Generalized malaise.
C. Edema and erythema at the site.
2026 QUESTIONS AND ANSWERS
1. A nurse is caring for a client who has a prescription for a 24-hour urine collection. Which of
the following actions should the nurse take first?
A. Discard the first voiding and record the start time.
B. Place a sign on the bathroom door to alert staff.
C. Keep the urine collection container on ice.
D. Instruct the client to save all urine for the next 24 hours.
Answer: A
Conceptual Explanation: The first step in a 24-hour urine collection is to discard the first
voiding to ensure the collection starts with an empty bladder at a specific time.
2. A nurse is assessing a client for orthostatic hypotension. Which of the following findings
indicates the client is experiencing this condition?
A. A decrease in systolic blood pressure by 20 mm Hg when standing.
B. An increase in heart rate by 10 bpm when standing.
C. An increase in diastolic blood pressure by 5 mm Hg when sitting.
,D. A decrease in respiratory rate when lying down.
Answer: A
Conceptual Explanation: Orthostatic hypotension is defined as a decrease in systolic
blood pressure of at least 20 mm Hg or a decrease in diastolic blood pressure of at least 10
mm Hg within 3 minutes of standing.
3. A nurse is preparing to administer an enteral feeding via a nasogastric tube. Which of the
following actions should the nurse take to verify tube placement?
A. Auscultate for a ‘whooshing’ sound while injecting air.
B. Observe the color of the aspirated contents.
C. Check the pH of the aspirated gastric contents.
D. Ask the client to speak to ensure the tube is not in the airway.
Answer: C
Conceptual Explanation: While X-ray is the gold standard for initial placement, checking
the pH of aspirate (normally less than 5.5) is a reliable bedside method to verify placement
before subsequent feedings.
4. A nurse is reinforcing teaching with a client about the use of a walker. Which of the
following instructions should the nurse include?
A. Move the walker forward 24 inches with each step.
B. Advance the stronger leg into the walker first.
, C. Apply weight to the walker when moving it forward.
D. Step into the walker after moving it forward about 6 to 10 inches.
Answer: D
Conceptual Explanation: The client should move the walker forward about 6 to 10 inches
and then step into it, starting with the affected or weaker leg if applicable.
5. A nurse is providing care for a client who is on contact precautions. Which of the following
actions should the nurse take?
A. Wear an N95 respirator mask during client care.
B. Dedicating specific equipment, such as a stethoscope, to the client’s room.
C. Keep the client’s door closed at all times.
D. Ensure the room has negative-pressure airflow.
Answer: B
Conceptual Explanation: Contact precautions require the use of dedicated equipment to
prevent the spread of microorganisms to other clients and environments.
6. A nurse is caring for a client who has a localized skin infection. Which of the following
findings should the nurse expect?
A. Fever and chills.
B. Generalized malaise.
C. Edema and erythema at the site.
