ATI RN FUNDAMENTALS PROCTORED EXAM A,
B STUDY GUIDE & EXAM WITH ACTUAL
CORRECT QUUESTIONS AND ANSWERS|
FREQUENTLY TESTING VERSION| ALREADY
GRADED A+| NEWEST| 2026-2027
A nurse is delivering an enteral feeding to a client who has an NG tube in place for
intermittent feedings. When the nurse pours water into the syringe after the formula drains
from the syringe, the client asks the nurse why the water is necessary. Which of the
following is an appropriate response by the nurse?
A. "Water helps clear the tube so it doesn't get clogged."
B. "Flushing helps make sure the tube stays in place."
C. "This will help you get enough fluids."
D. "Adding water makes the formula less concentrated."
A
this action clears the excess formula preventing any clumps/clogging
A nurse is preparing to instill an enteral feeding to a client who has an NG tube in place.
Which of the following is the nurse's highest assessment priority before performing this
procedure?
A. Check how long the feeding container has been opened
B. Verify the placement of the NG tube
C. Confirm that the client doesn't have diarrhea
D. Make sure the client is alert & oriented
B
the greatest risk is aspiration so verifying the placement of the tube is most important
A nurse is caring for a client who is receiving continuous enteral feedings. Which of the
following nursing interventions is the highest priority when the nurse suspects aspiration of
the feeding?
1
,A. Auscultate breath sounds
B. Stop the feeding
C. Obtain a chest xray
D. Initiate oxygen therapy
B. Stop the feeding
A nurse is caring for a client in a long-term care facility who is receiving enteral feedings via
NG tube. Which of the following is an appropriate nursing action prior to administering the
tube feeding? Select all.
A. Auscultate bowel sounds.
B. Assist the client to an upright position.
C. Test the pH of gastric aspirate.
D. Warm the formula to body temp.
E. Discard any residual gastric contents.
A, B, C
D-the formula should be room temp not body
E-unless the volume of the contents is more than 250 mL, the nurse should return the
residual content to the client's stomach
A nurse is preparing to insert an NG tube for a client who requires gastric decompression.
Which of the following actions should the nurse perform prior to beginning the procedure?
Select all.
A. Review a signal the client can use if feeling any distress
B. Lay a towel across the client's chest
C. Administer oral pain meds
D. Obtain a Dobhoff tube for insertion
E. Have a petroleum-based lubricant available
A, B
An adolescent who has diabetes mellitus is 2 days postop following an appendectomy. The
client is tolerating a regular diet. He has ambulated successfully around the unit
w/assistance. He requests pain meds Q 6-8 hr while reporting pain at a 2 on a scale of 1-10
after receiving the med. His incision is approximated & free of redness, w/scant serous
drainage on the dressing. Which of the following risk factors for poor wound healing does
this client have? Select all.
2
,A. Extremes in age
B. Impaired circulation
C. Impaired/suppressed immune system
D. Malnutrition
E. Poor wound care
B, C
A nurse is assessing a client who is 5 days post op following abd. surgery. The surgeon
suspects an incisional wound infection & has prescribed antibiotic therapy for the nurse to
initiate after collecting wound & blood specimens for culture & sensitivity. Which of the
following assessment findings should the nurse expect? Select all.
A. Increase in incisional pain
B. Fever & chills
C. Reddened wound edges
D. Increase in serosanguineous drainage
E. Decrease in thirst
A, B, C
A nursing instructor is reviewing the wound healing process w/a group of nursing students.
They should be able to identify which of the following alterations as a wound or injury that
heals by secondary intention? Select all.
A. Stage III pressure ulcer
B. Sutured surgical incision
C. Casted bone fracture
D. Laceration sealed w/adhesive
E. Open burn area
A, E
B and D are healed w/primary intention
C is not a skin wound unless bone has pierced the skin
A client who had abd. surgery 24 hr ago reports a pulling sensation & pain in his surgical
incision. The nurse checks the client's surgical wound & finds the wound separated
w/viscera protruding. Which of the following interventions is appropriate? Select all.
3
, A. Cover the area w/saline-soaked sterile dressings
B. Apply an abdominal binder snugly around the abd.
C. Use sterile gloves to apply gentle pressure to the exposed tissues
D. Position the client supine w/his hips & knees bent
E. Offer the client a warm beverage, such as herbal tea
A, D
A nurse is caring for an older adult client who is at risk for developing pressure ulcers.
Which of the following interventions should the nurse use to help maintain the integrity of
the client's skin? Select all.
A. Keep the head of the bed elevated 30 degrees
B. Massage the client's bony prominences often
C. Apply cornstarch liberally to the skin after bathing
D. Have the client sit on a gel cushion when in a chair
E. Reposition the client at least Q 3 hr while in bed
A, D
not E because it should be at least every 2 hours
Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia?
Yes.
A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients.
Which of the following client's needs may the nurse assign to an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia
B. Reinforcing teaching w/a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
C. Reapplying a condom catheter for a client who has urinary incontinence
Rationale: The application of a condom catheter is a noninvasive, routine procedure that
the nurse may delegate to the AP
4
B STUDY GUIDE & EXAM WITH ACTUAL
CORRECT QUUESTIONS AND ANSWERS|
FREQUENTLY TESTING VERSION| ALREADY
GRADED A+| NEWEST| 2026-2027
A nurse is delivering an enteral feeding to a client who has an NG tube in place for
intermittent feedings. When the nurse pours water into the syringe after the formula drains
from the syringe, the client asks the nurse why the water is necessary. Which of the
following is an appropriate response by the nurse?
A. "Water helps clear the tube so it doesn't get clogged."
B. "Flushing helps make sure the tube stays in place."
C. "This will help you get enough fluids."
D. "Adding water makes the formula less concentrated."
A
this action clears the excess formula preventing any clumps/clogging
A nurse is preparing to instill an enteral feeding to a client who has an NG tube in place.
Which of the following is the nurse's highest assessment priority before performing this
procedure?
A. Check how long the feeding container has been opened
B. Verify the placement of the NG tube
C. Confirm that the client doesn't have diarrhea
D. Make sure the client is alert & oriented
B
the greatest risk is aspiration so verifying the placement of the tube is most important
A nurse is caring for a client who is receiving continuous enteral feedings. Which of the
following nursing interventions is the highest priority when the nurse suspects aspiration of
the feeding?
1
,A. Auscultate breath sounds
B. Stop the feeding
C. Obtain a chest xray
D. Initiate oxygen therapy
B. Stop the feeding
A nurse is caring for a client in a long-term care facility who is receiving enteral feedings via
NG tube. Which of the following is an appropriate nursing action prior to administering the
tube feeding? Select all.
A. Auscultate bowel sounds.
B. Assist the client to an upright position.
C. Test the pH of gastric aspirate.
D. Warm the formula to body temp.
E. Discard any residual gastric contents.
A, B, C
D-the formula should be room temp not body
E-unless the volume of the contents is more than 250 mL, the nurse should return the
residual content to the client's stomach
A nurse is preparing to insert an NG tube for a client who requires gastric decompression.
Which of the following actions should the nurse perform prior to beginning the procedure?
Select all.
A. Review a signal the client can use if feeling any distress
B. Lay a towel across the client's chest
C. Administer oral pain meds
D. Obtain a Dobhoff tube for insertion
E. Have a petroleum-based lubricant available
A, B
An adolescent who has diabetes mellitus is 2 days postop following an appendectomy. The
client is tolerating a regular diet. He has ambulated successfully around the unit
w/assistance. He requests pain meds Q 6-8 hr while reporting pain at a 2 on a scale of 1-10
after receiving the med. His incision is approximated & free of redness, w/scant serous
drainage on the dressing. Which of the following risk factors for poor wound healing does
this client have? Select all.
2
,A. Extremes in age
B. Impaired circulation
C. Impaired/suppressed immune system
D. Malnutrition
E. Poor wound care
B, C
A nurse is assessing a client who is 5 days post op following abd. surgery. The surgeon
suspects an incisional wound infection & has prescribed antibiotic therapy for the nurse to
initiate after collecting wound & blood specimens for culture & sensitivity. Which of the
following assessment findings should the nurse expect? Select all.
A. Increase in incisional pain
B. Fever & chills
C. Reddened wound edges
D. Increase in serosanguineous drainage
E. Decrease in thirst
A, B, C
A nursing instructor is reviewing the wound healing process w/a group of nursing students.
They should be able to identify which of the following alterations as a wound or injury that
heals by secondary intention? Select all.
A. Stage III pressure ulcer
B. Sutured surgical incision
C. Casted bone fracture
D. Laceration sealed w/adhesive
E. Open burn area
A, E
B and D are healed w/primary intention
C is not a skin wound unless bone has pierced the skin
A client who had abd. surgery 24 hr ago reports a pulling sensation & pain in his surgical
incision. The nurse checks the client's surgical wound & finds the wound separated
w/viscera protruding. Which of the following interventions is appropriate? Select all.
3
, A. Cover the area w/saline-soaked sterile dressings
B. Apply an abdominal binder snugly around the abd.
C. Use sterile gloves to apply gentle pressure to the exposed tissues
D. Position the client supine w/his hips & knees bent
E. Offer the client a warm beverage, such as herbal tea
A, D
A nurse is caring for an older adult client who is at risk for developing pressure ulcers.
Which of the following interventions should the nurse use to help maintain the integrity of
the client's skin? Select all.
A. Keep the head of the bed elevated 30 degrees
B. Massage the client's bony prominences often
C. Apply cornstarch liberally to the skin after bathing
D. Have the client sit on a gel cushion when in a chair
E. Reposition the client at least Q 3 hr while in bed
A, D
not E because it should be at least every 2 hours
Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia?
Yes.
A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients.
Which of the following client's needs may the nurse assign to an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia
B. Reinforcing teaching w/a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
C. Reapplying a condom catheter for a client who has urinary incontinence
Rationale: The application of a condom catheter is a noninvasive, routine procedure that
the nurse may delegate to the AP
4
