Foundations ATI test A | 2026/2027 | Correct Answers | With
Complete Solutions
A charge nurse is reinforcing teaching with an AP about pulse
oximetry. Which of the following information should the nurse
include in the teaching?
A. Select an alternate site to place the oximetry probe if the
capillary refill is less than 2 seconds
B. Use an adhesive oximetry probe for a client who has a latex
allergy
C. Remove polish from the clients fingernail before applying the
oximetry probe
D. Lubricate the tip of the oximetry probe Correct Answers C.
Remove polish from the clients fingernail before applying the
oximetry probe
The nurse should instruct the AP to remove the client's
fingernail polish on at least one finger before placing the probe
on that finger because the sensor needs to detect a pulsating
vascular bed to produce a reading.
A charge nurse smells smoke, enters the visitor restroom and
sees flames in the trash can. What is the sequence of actions that
the nurse should take?
A. Close the fire doors on the unit.
B. Use a fire extinguisher to put out the fire.
C. Evacuate clients from the area.
D. Pull the lever on the fire alarm box. Correct Answers C.
Evacuate clients from the area
,D. Pull the lever on the fire alarm
A. Close the fire doors on the unit
B. Use a fire extinguisher to put out the fire.
The nurse should use R.A.C.E. Rescue, Alarm, Confine,
Extinguish
A client who has a advanced cancer tells the nurse that they have
a difficult time talking to anyone about the illness. Which of the
following actions should the nurse take to encourage therapeutic
communication
A. Keep the conversation moving by asking about the clients
family
B. Let the client know as their nurse, they are available and
willing to listen
C. Ask if the client understands what to expect in the advanced
stages of the illness
D. Ask the client's visitors not to say anything about the
advanced disease Correct Answers B. Let the client know as
their nurse, they are available and willing to listen
Active listening conveys the nurse's respect and acceptance for
the client's feelings and gives the client an opportunity to
express their thoughts and needs.
A nurse as a long-term care facility is caring for a client who is
alert. Which of the following actions should the nurse take to
protect the clients privacy?
, A. Place the clients medication record on the bedside table while
ambulating the client
B. Give report about the client's status while standing at the
nurses' station
C. Speak with the client about their condition after visitors have
left
D. Place a message board in the clients room to post dietary
information Correct Answers C. Speak with the client about
their condition after visitors have left
The nurse should ensure a private environment before discussing
the client's condition with them.
A nurse has delegated various client care and tasks to the AP on
the care team. Which of the following actions by the AP should
the nurse identify as correct?
A. Using hand sanitizer to cleanse their hands of spilled food
from a clients meal tray
B. Setting aside their gown for future use in the room of a client
who has a wound infection
C. Removing their gloves after exiting the client's room
D. Donning a mask to measure the vital signs of a client who has
pertussis Correct Answers D. Donning a mask to measure the
vital signs of a client who has pertussis
Caring for clients who have pertussis requires droplet
precautions. Therefore, the AP should wear a mask when within
1 m (3.3 feet) of the client.
Complete Solutions
A charge nurse is reinforcing teaching with an AP about pulse
oximetry. Which of the following information should the nurse
include in the teaching?
A. Select an alternate site to place the oximetry probe if the
capillary refill is less than 2 seconds
B. Use an adhesive oximetry probe for a client who has a latex
allergy
C. Remove polish from the clients fingernail before applying the
oximetry probe
D. Lubricate the tip of the oximetry probe Correct Answers C.
Remove polish from the clients fingernail before applying the
oximetry probe
The nurse should instruct the AP to remove the client's
fingernail polish on at least one finger before placing the probe
on that finger because the sensor needs to detect a pulsating
vascular bed to produce a reading.
A charge nurse smells smoke, enters the visitor restroom and
sees flames in the trash can. What is the sequence of actions that
the nurse should take?
A. Close the fire doors on the unit.
B. Use a fire extinguisher to put out the fire.
C. Evacuate clients from the area.
D. Pull the lever on the fire alarm box. Correct Answers C.
Evacuate clients from the area
,D. Pull the lever on the fire alarm
A. Close the fire doors on the unit
B. Use a fire extinguisher to put out the fire.
The nurse should use R.A.C.E. Rescue, Alarm, Confine,
Extinguish
A client who has a advanced cancer tells the nurse that they have
a difficult time talking to anyone about the illness. Which of the
following actions should the nurse take to encourage therapeutic
communication
A. Keep the conversation moving by asking about the clients
family
B. Let the client know as their nurse, they are available and
willing to listen
C. Ask if the client understands what to expect in the advanced
stages of the illness
D. Ask the client's visitors not to say anything about the
advanced disease Correct Answers B. Let the client know as
their nurse, they are available and willing to listen
Active listening conveys the nurse's respect and acceptance for
the client's feelings and gives the client an opportunity to
express their thoughts and needs.
A nurse as a long-term care facility is caring for a client who is
alert. Which of the following actions should the nurse take to
protect the clients privacy?
, A. Place the clients medication record on the bedside table while
ambulating the client
B. Give report about the client's status while standing at the
nurses' station
C. Speak with the client about their condition after visitors have
left
D. Place a message board in the clients room to post dietary
information Correct Answers C. Speak with the client about
their condition after visitors have left
The nurse should ensure a private environment before discussing
the client's condition with them.
A nurse has delegated various client care and tasks to the AP on
the care team. Which of the following actions by the AP should
the nurse identify as correct?
A. Using hand sanitizer to cleanse their hands of spilled food
from a clients meal tray
B. Setting aside their gown for future use in the room of a client
who has a wound infection
C. Removing their gloves after exiting the client's room
D. Donning a mask to measure the vital signs of a client who has
pertussis Correct Answers D. Donning a mask to measure the
vital signs of a client who has pertussis
Caring for clients who have pertussis requires droplet
precautions. Therefore, the AP should wear a mask when within
1 m (3.3 feet) of the client.
