ATI RN Fundamentals
2026/2027: Comprehensive
Question Bank & Study Guide
1.
A nurse is preparing to administer medication to a client. Which
action is most important for preventing medication errors?
A. Ask the client to state their room number
B. Compare the medication label with the MAR three times
C. Place medications at the bedside before checking the MAR
D. Ask another nurse to administer the medication
Answer: B. Compare the medication label with the MAR three
times
Rationale: Comparing the medication label with the medication
administration record during preparation and administration helps
verify the right medication, dose, route, time, and client.
2.
A nurse is caring for a client who is at risk for falls. Which
intervention should the nurse implement first?
A. Apply a vest restraint
B. Keep the bed in the lowest position
C. Raise all four side rails
D. Place the client in a seclusion room
Answer: B. Keep the bed in the lowest position
,Rationale: A low bed reduces the distance a client could fall and is a
standard fall-prevention intervention. Four side rails can constitute a
restraint.
3.
Which action should the nurse take when removing personal
protective equipment (PPE)?
A. Remove the mask first
B. Remove gloves first
C. Remove the gown last
D. Remove eye protection first
Answer: B. Remove gloves first
Rationale: Gloves are generally the most contaminated PPE and are
removed first to reduce transmission of microorganisms.
4.
A nurse is caring for a client with suspected tuberculosis. Which PPE
should the nurse use?
A. Surgical mask
B. N95 respirator
C. Sterile gloves only
D. Face shield only
Answer: B. N95 respirator
Rationale: Tuberculosis requires airborne precautions. A fit-tested
N95 respirator or equivalent respiratory protection is required.
5.
,Which client should the nurse assess first?
A. Client reporting chronic back pain rated 6/10
B. Client requesting assistance with bathing
C. Client with new-onset shortness of breath
D. Client requesting discharge instructions
Answer: C. Client with new-onset shortness of breath
Rationale: New respiratory difficulty can indicate an acute airway or
breathing problem and takes priority over routine needs.
6.
A nurse is teaching a client how to use a cane. Where should the
client hold the cane?
A. On the weaker side
B. On the stronger side
C. With both hands
D. Behind the body
Answer: B. On the stronger side
Rationale: Holding the cane on the stronger side provides greater
support and allows the client to move the weaker leg safely.
7.
Which action is appropriate when transferring a client from the bed
to a wheelchair?
A. Lock the wheelchair brakes
B. Leave the footrests down
C. Position the wheelchair several feet from the bed
D. Ask the client to stand without assistance
, Answer: A. Lock the wheelchair brakes
Rationale: Locking the wheelchair prevents movement during
transfer and reduces the risk of falls.
8.
A nurse enters the room of a client who is experiencing a seizure.
What should the nurse do first?
A. Insert a tongue blade
B. Restrain the client's extremities
C. Protect the client's head
D. Offer oral medication
Answer: C. Protect the client's head
Rationale: During a seizure, the nurse should protect the client from
injury, especially head injury. Nothing should be placed in the client's
mouth.
9.
A client begins choking while eating and cannot speak or cough.
What should the nurse do?
A. Give the client water
B. Perform abdominal thrusts as appropriate
C. Place the client in bed
D. Encourage the client to swallow
Answer: B. Perform abdominal thrusts as appropriate
Rationale: A conscious adult with severe airway obstruction requires
immediate choking intervention according to current emergency-
response procedures.
2026/2027: Comprehensive
Question Bank & Study Guide
1.
A nurse is preparing to administer medication to a client. Which
action is most important for preventing medication errors?
A. Ask the client to state their room number
B. Compare the medication label with the MAR three times
C. Place medications at the bedside before checking the MAR
D. Ask another nurse to administer the medication
Answer: B. Compare the medication label with the MAR three
times
Rationale: Comparing the medication label with the medication
administration record during preparation and administration helps
verify the right medication, dose, route, time, and client.
2.
A nurse is caring for a client who is at risk for falls. Which
intervention should the nurse implement first?
A. Apply a vest restraint
B. Keep the bed in the lowest position
C. Raise all four side rails
D. Place the client in a seclusion room
Answer: B. Keep the bed in the lowest position
,Rationale: A low bed reduces the distance a client could fall and is a
standard fall-prevention intervention. Four side rails can constitute a
restraint.
3.
Which action should the nurse take when removing personal
protective equipment (PPE)?
A. Remove the mask first
B. Remove gloves first
C. Remove the gown last
D. Remove eye protection first
Answer: B. Remove gloves first
Rationale: Gloves are generally the most contaminated PPE and are
removed first to reduce transmission of microorganisms.
4.
A nurse is caring for a client with suspected tuberculosis. Which PPE
should the nurse use?
A. Surgical mask
B. N95 respirator
C. Sterile gloves only
D. Face shield only
Answer: B. N95 respirator
Rationale: Tuberculosis requires airborne precautions. A fit-tested
N95 respirator or equivalent respiratory protection is required.
5.
,Which client should the nurse assess first?
A. Client reporting chronic back pain rated 6/10
B. Client requesting assistance with bathing
C. Client with new-onset shortness of breath
D. Client requesting discharge instructions
Answer: C. Client with new-onset shortness of breath
Rationale: New respiratory difficulty can indicate an acute airway or
breathing problem and takes priority over routine needs.
6.
A nurse is teaching a client how to use a cane. Where should the
client hold the cane?
A. On the weaker side
B. On the stronger side
C. With both hands
D. Behind the body
Answer: B. On the stronger side
Rationale: Holding the cane on the stronger side provides greater
support and allows the client to move the weaker leg safely.
7.
Which action is appropriate when transferring a client from the bed
to a wheelchair?
A. Lock the wheelchair brakes
B. Leave the footrests down
C. Position the wheelchair several feet from the bed
D. Ask the client to stand without assistance
, Answer: A. Lock the wheelchair brakes
Rationale: Locking the wheelchair prevents movement during
transfer and reduces the risk of falls.
8.
A nurse enters the room of a client who is experiencing a seizure.
What should the nurse do first?
A. Insert a tongue blade
B. Restrain the client's extremities
C. Protect the client's head
D. Offer oral medication
Answer: C. Protect the client's head
Rationale: During a seizure, the nurse should protect the client from
injury, especially head injury. Nothing should be placed in the client's
mouth.
9.
A client begins choking while eating and cannot speak or cough.
What should the nurse do?
A. Give the client water
B. Perform abdominal thrusts as appropriate
C. Place the client in bed
D. Encourage the client to swallow
Answer: B. Perform abdominal thrusts as appropriate
Rationale: A conscious adult with severe airway obstruction requires
immediate choking intervention according to current emergency-
response procedures.
