ATI Fundamentals Practice Exam Questions
and Correct Answers (Verified Answers)
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1. A nurse is assessing a client who reports feeling dizzy when
standing. Which action should the nurse take first?
a. Encourage the client to ambulate independently.
b. Ask the client to stand quickly to assess the severity.
c. Assist the client back to a sitting or lying position.
d. Offer the client a large glass of water.
Rationale: Dizziness on standing can indicate orthostatic hypotension
and places the client at risk for falling. The priority is to protect the
client from injury by assisting them to a safe position before further
assessment.
2. Which finding should the nurse recognize as an indication of an
increased risk for pressure injury?
,a. Warm, dry skin
b. Limited mobility
c. Increased appetite
d. Regular exercise
Rationale: Limited mobility reduces the client's ability to reposition
independently and can result in prolonged pressure over bony
prominences. Immobility is therefore a major risk factor for pressure
injuries.
3. A nurse is preparing to administer medication to a client. Which
action is most important for preventing medication errors?
a. Prepare medications for several clients at once.
b. Leave prepared medications at the bedside.
c. Verify the client's identity using two identifiers.
d. Ask another client to confirm the medication.
Rationale: Using two client identifiers, such as name and date of birth
or name and medical record number, helps ensure that the medication
is given to the correct person. This is a fundamental medication-safety
practice.
4. Which assessment finding requires immediate intervention?
,a. Respiratory rate of 18/min
b. Heart rate of 78/min
c. Blood pressure of 118/72 mm Hg
d. Oxygen saturation of 86%
Rationale: An oxygen saturation of 86% indicates significant
hypoxemia in most clients and requires prompt assessment and
intervention. The other findings are within typical adult ranges.
5. A nurse is teaching a client how to use an incentive spirometer.
Which instruction should the nurse provide?
a. Exhale forcefully into the mouthpiece.
b. Use the device only when experiencing shortness of breath.
c. Inhale slowly and deeply through the mouthpiece.
d. Breathe rapidly several times through the device.
Rationale: Incentive spirometry promotes lung expansion by
encouraging slow, sustained deep inhalation. It is commonly used to
reduce the risk of atelectasis, especially after surgery.
6. Which position should a nurse place a client in to facilitate
breathing?
a. Supine
b. Trendelenburg
, c. High-Fowler's
d. Prone
Rationale: High-Fowler's position elevates the head and chest,
allowing greater lung expansion and reducing pressure from
abdominal organs on the diaphragm. It is often useful for clients
experiencing respiratory difficulty.
7. A nurse is caring for a client who has difficulty swallowing. Which
intervention is appropriate?
a. Encourage the client to drink thin liquids rapidly.
b. Place the client flat after meals.
c. Keep the client upright during and after meals.
d. Encourage the client to talk while chewing.
Rationale: Upright positioning reduces the risk of aspiration. Clients
with dysphagia should remain upright while eating and for an
appropriate period afterward according to the care plan.
8. Which action demonstrates appropriate hand hygiene?
a. Wearing gloves instead of performing hand hygiene
b. Washing hands only when visibly soiled
c. Performing hand hygiene before and after client contact
d. Washing hands once at the beginning of the shift
and Correct Answers (Verified Answers)
Plus Rationale 2027 Q&A| Instant
Download Pdf
1. A nurse is assessing a client who reports feeling dizzy when
standing. Which action should the nurse take first?
a. Encourage the client to ambulate independently.
b. Ask the client to stand quickly to assess the severity.
c. Assist the client back to a sitting or lying position.
d. Offer the client a large glass of water.
Rationale: Dizziness on standing can indicate orthostatic hypotension
and places the client at risk for falling. The priority is to protect the
client from injury by assisting them to a safe position before further
assessment.
2. Which finding should the nurse recognize as an indication of an
increased risk for pressure injury?
,a. Warm, dry skin
b. Limited mobility
c. Increased appetite
d. Regular exercise
Rationale: Limited mobility reduces the client's ability to reposition
independently and can result in prolonged pressure over bony
prominences. Immobility is therefore a major risk factor for pressure
injuries.
3. A nurse is preparing to administer medication to a client. Which
action is most important for preventing medication errors?
a. Prepare medications for several clients at once.
b. Leave prepared medications at the bedside.
c. Verify the client's identity using two identifiers.
d. Ask another client to confirm the medication.
Rationale: Using two client identifiers, such as name and date of birth
or name and medical record number, helps ensure that the medication
is given to the correct person. This is a fundamental medication-safety
practice.
4. Which assessment finding requires immediate intervention?
,a. Respiratory rate of 18/min
b. Heart rate of 78/min
c. Blood pressure of 118/72 mm Hg
d. Oxygen saturation of 86%
Rationale: An oxygen saturation of 86% indicates significant
hypoxemia in most clients and requires prompt assessment and
intervention. The other findings are within typical adult ranges.
5. A nurse is teaching a client how to use an incentive spirometer.
Which instruction should the nurse provide?
a. Exhale forcefully into the mouthpiece.
b. Use the device only when experiencing shortness of breath.
c. Inhale slowly and deeply through the mouthpiece.
d. Breathe rapidly several times through the device.
Rationale: Incentive spirometry promotes lung expansion by
encouraging slow, sustained deep inhalation. It is commonly used to
reduce the risk of atelectasis, especially after surgery.
6. Which position should a nurse place a client in to facilitate
breathing?
a. Supine
b. Trendelenburg
, c. High-Fowler's
d. Prone
Rationale: High-Fowler's position elevates the head and chest,
allowing greater lung expansion and reducing pressure from
abdominal organs on the diaphragm. It is often useful for clients
experiencing respiratory difficulty.
7. A nurse is caring for a client who has difficulty swallowing. Which
intervention is appropriate?
a. Encourage the client to drink thin liquids rapidly.
b. Place the client flat after meals.
c. Keep the client upright during and after meals.
d. Encourage the client to talk while chewing.
Rationale: Upright positioning reduces the risk of aspiration. Clients
with dysphagia should remain upright while eating and for an
appropriate period afterward according to the care plan.
8. Which action demonstrates appropriate hand hygiene?
a. Wearing gloves instead of performing hand hygiene
b. Washing hands only when visibly soiled
c. Performing hand hygiene before and after client contact
d. Washing hands once at the beginning of the shift
