ATI PN Content Mastery Series: Question
Section 1: Fundamentals of Nursing (Q1–Q20)
Q1. A nurse is preparing to administer medication to a client. Which
action should the nurse take FIRST to ensure client safety?
A. Check the medication against the MAR.
B. Verify the client's identity using two identifiers.
C. Assess the client's vital signs.
D. Document the medication administration.
Answer: B
Rationale: The nurse must first verify the client's identity using two
identifiers (e.g., name and date of birth) before administering any
medication. This is a critical safety step.
Q2. A nurse is caring for a client on contact precautions for MRSA.
Which PPE should the nurse wear when entering the room?
A. N95 respirator and goggles
B. Gloves and gown
C. Surgical mask and gloves
D. Face shield and mask
Answer: B
Rationale: Contact precautions require gloves and gown when entering the
room or when contact with the client or contaminated surfaces is
anticipated.
Q3. Which action is the MOST effective way to prevent the spread of
infection?
A. Wearing gloves for every client interaction
B. Performing hand hygiene
C. Administering prophylactic antibiotics
D. Wearing a surgical mask at all times
,Answer: B
Rationale: Hand hygiene is the single most important measure for
preventing the transmission of microorganisms in healthcare settings.
Q4. A client with tuberculosis is admitted to the unit. Which type of
precautions should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Answer: C
Rationale: Tuberculosis requires airborne precautions, including an N95
respirator and a negative-pressure room (airborne infection isolation room).
Q5. A nurse is caring for a client with Clostridium difficile infection.
Which action should the nurse take?
A. Use alcohol-based hand sanitizer after care
B. Wash hands with soap and water
C. Wear a surgical mask only
D. Place the client in a negative-pressure room
Answer: B
Rationale: C. difficile spores are resistant to alcohol. Soap and water must
be used for hand hygiene. Contact precautions are required.
Q6. A nurse is preparing to insert an IV catheter. Which action
maintains sterile technique?
A. Reaching over the sterile field
B. Keeping the sterile field below waist level
C. Avoiding reaching over the sterile field
D. Using non-sterile gloves
,Answer: C
Rationale: Reaching over a sterile field can contaminate it. Sterile objects
must remain above waist level and within the nurse's view.
Q7. A nurse is preparing to administer an injection. Which action
requires IMMEDIATE intervention?
A. Checking the medication three times
B. Using the client's room number as an identifier
C. Verifying the client's allergies
D. Checking the expiration date
Answer: B
Rationale: Room numbers are not acceptable identifiers. The nurse must
use two client-specific identifiers.
Q8. A nurse is teaching a client about fall prevention. Which
statement indicates understanding?
A. "I should use the call light to ask for help."
B. "I can walk to the bathroom alone."
C. "I don't need my glasses at night."
D. "I should keep the bed rails up at all times."
Answer: A
Rationale: Using the call light for assistance is a key fall prevention
strategy. Clients should have assistive devices and good lighting.
Q9. A nurse is preparing to administer a blood transfusion. Which
action is appropriate?
A. Use a 22-gauge IV
B. Verify with another nurse
C. Administer with lactated Ringer's
D. Infuse over 6 hours
, Answer: B
Rationale: Blood transfusions require verification by two nurses. Normal
saline is the only compatible IV solution. A larger gauge IV (18–20) is
preferred.
Q10. A nurse is caring for a client with a new colostomy. Which
finding requires immediate intervention?
A. Pink, moist stoma
B. Dusky, dark stoma
C. Small amount of bleeding
D. Gas in the colostomy bag
Answer: B
Rationale: A dusky or dark stoma indicates impaired circulation and
requires immediate intervention. A pink, moist stoma is normal.
Q11. A nurse is caring for a client receiving oxygen. Which action is
appropriate?
A. Use petroleum jelly on the nares
B. Check the oxygen flow rate
C. Allow the client to smoke
D. Use a nasal cannula at 10 L/min
Answer: B
Rationale: Checking the flow rate ensures correct delivery. Petroleum jelly
and smoking are fire hazards. A nasal cannula is limited to 6 L/min.
Q12. A nurse is caring for a client with a tracheostomy. Which action
is appropriate?
A. Suction during insertion of the catheter
B. Suction for 30 seconds
C. Hyperoxygenate before suctioning
D. Use a sterile technique only for the first suction
Section 1: Fundamentals of Nursing (Q1–Q20)
Q1. A nurse is preparing to administer medication to a client. Which
action should the nurse take FIRST to ensure client safety?
A. Check the medication against the MAR.
B. Verify the client's identity using two identifiers.
C. Assess the client's vital signs.
D. Document the medication administration.
Answer: B
Rationale: The nurse must first verify the client's identity using two
identifiers (e.g., name and date of birth) before administering any
medication. This is a critical safety step.
Q2. A nurse is caring for a client on contact precautions for MRSA.
Which PPE should the nurse wear when entering the room?
A. N95 respirator and goggles
B. Gloves and gown
C. Surgical mask and gloves
D. Face shield and mask
Answer: B
Rationale: Contact precautions require gloves and gown when entering the
room or when contact with the client or contaminated surfaces is
anticipated.
Q3. Which action is the MOST effective way to prevent the spread of
infection?
A. Wearing gloves for every client interaction
B. Performing hand hygiene
C. Administering prophylactic antibiotics
D. Wearing a surgical mask at all times
,Answer: B
Rationale: Hand hygiene is the single most important measure for
preventing the transmission of microorganisms in healthcare settings.
Q4. A client with tuberculosis is admitted to the unit. Which type of
precautions should the nurse implement?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Answer: C
Rationale: Tuberculosis requires airborne precautions, including an N95
respirator and a negative-pressure room (airborne infection isolation room).
Q5. A nurse is caring for a client with Clostridium difficile infection.
Which action should the nurse take?
A. Use alcohol-based hand sanitizer after care
B. Wash hands with soap and water
C. Wear a surgical mask only
D. Place the client in a negative-pressure room
Answer: B
Rationale: C. difficile spores are resistant to alcohol. Soap and water must
be used for hand hygiene. Contact precautions are required.
Q6. A nurse is preparing to insert an IV catheter. Which action
maintains sterile technique?
A. Reaching over the sterile field
B. Keeping the sterile field below waist level
C. Avoiding reaching over the sterile field
D. Using non-sterile gloves
,Answer: C
Rationale: Reaching over a sterile field can contaminate it. Sterile objects
must remain above waist level and within the nurse's view.
Q7. A nurse is preparing to administer an injection. Which action
requires IMMEDIATE intervention?
A. Checking the medication three times
B. Using the client's room number as an identifier
C. Verifying the client's allergies
D. Checking the expiration date
Answer: B
Rationale: Room numbers are not acceptable identifiers. The nurse must
use two client-specific identifiers.
Q8. A nurse is teaching a client about fall prevention. Which
statement indicates understanding?
A. "I should use the call light to ask for help."
B. "I can walk to the bathroom alone."
C. "I don't need my glasses at night."
D. "I should keep the bed rails up at all times."
Answer: A
Rationale: Using the call light for assistance is a key fall prevention
strategy. Clients should have assistive devices and good lighting.
Q9. A nurse is preparing to administer a blood transfusion. Which
action is appropriate?
A. Use a 22-gauge IV
B. Verify with another nurse
C. Administer with lactated Ringer's
D. Infuse over 6 hours
, Answer: B
Rationale: Blood transfusions require verification by two nurses. Normal
saline is the only compatible IV solution. A larger gauge IV (18–20) is
preferred.
Q10. A nurse is caring for a client with a new colostomy. Which
finding requires immediate intervention?
A. Pink, moist stoma
B. Dusky, dark stoma
C. Small amount of bleeding
D. Gas in the colostomy bag
Answer: B
Rationale: A dusky or dark stoma indicates impaired circulation and
requires immediate intervention. A pink, moist stoma is normal.
Q11. A nurse is caring for a client receiving oxygen. Which action is
appropriate?
A. Use petroleum jelly on the nares
B. Check the oxygen flow rate
C. Allow the client to smoke
D. Use a nasal cannula at 10 L/min
Answer: B
Rationale: Checking the flow rate ensures correct delivery. Petroleum jelly
and smoking are fire hazards. A nasal cannula is limited to 6 L/min.
Q12. A nurse is caring for a client with a tracheostomy. Which action
is appropriate?
A. Suction during insertion of the catheter
B. Suction for 30 seconds
C. Hyperoxygenate before suctioning
D. Use a sterile technique only for the first suction
