ATI Fundamentals Practice
Examination 100 Questions And
Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A Instant
Download Pdf
1. A nurse is preparing to administer a cleansing enema to an adult client.
Which of the following positions should the nurse place the client in?
A. Supine
B. Left Sims' position
C. Prone
D. High Fowler's
Rationale: Left Sims' position allows the enema solution to flow by gravity
along the natural curve of the sigmoid colon and rectum.
2. A nurse is assessing a client's radial pulse. Which of the following findings
should the nurse document as bradycardia?
A. 110/min
B. 92/min
C. 52/min
D. 78/min
Rationale: Bradycardia in an adult is a heart rate below 60/min. A rate of
52/min is bradycardic.
3. A nurse is caring for a client who requires droplet precautions. Which of
the following actions should the nurse take?
,A. Wear an N95 respirator when entering the room.
B. Wear a surgical mask when within 3 feet of the client.
C. Place the client in a negative-pressure room.
D. Wear a gown and gloves only when touching the client.
Rationale: Droplet precautions require a surgical mask when working within
3 feet of the client. N95 respirators and negative-pressure rooms are used for
airborne precautions.
4. A nurse is teaching a client about the use of a cane. Which of the following
instructions should the nurse include?
A. Hold the cane on the affected side.
B. Hold the cane on the unaffected side.
C. Advance the cane after the affected leg.
D. Keep the cane 12 inches to the side of the foot.
Rationale: The cane should be held on the unaffected (strong) side to provide
widest support and reduce weight-bearing stress on the affected leg.
5. A nurse is calculating a client's intake and output. The client consumed 8 oz
of coffee and 4 oz of juice. How many mL should the nurse record as fluid
intake?
A. 240 mL
B. 300 mL
C. 360 mL
D. 420 mL
Rationale: 8 oz + 4 oz = 12 oz. 12 oz × 30 mL/oz = 360 mL.
6. A nurse is assessing a client for signs of hypoxia. Which of the following
findings should the nurse expect?
A. Bradycardia
B. Restlessness and confusion
,C. Warm, flushed skin
D. Increased urinary output
Rationale: Early signs of hypoxia include restlessness, confusion, and anxiety
due to decreased oxygen to the brain.
7. A nurse is preparing to perform hand hygiene. Which of the following is the
appropriate duration for washing hands with soap and water?
A. 5 seconds
B. 10 seconds
C. At least 20 seconds
D. At least 60 seconds
Rationale: The CDC recommends washing hands with soap and water for at
least 20 seconds to effectively remove microorganisms.
8. A nurse is caring for a client who is on bed rest. Which of the following
interventions should the nurse implement to prevent pressure ulcers?
A. Massage reddened bony prominences.
B. Reposition the client every 2 hours.
C. Elevate the head of the bed to 60 degrees.
D. Apply heat to bony prominences.
Rationale: Repositioning every 2 hours relieves pressure on bony prominences
and prevents pressure ulcer formation. Reddened areas should not be
massaged.
9. A nurse is administering an intramuscular injection. Which of the following
sites is recommended for adults?
A. Deltoid
B. Ventrogluteal
C. Dorsogluteal
D. Vastus lateralis
, Rationale: The ventrogluteal site is preferred for IM injections in adults
because it is free of major blood vessels and nerves.
10. A nurse is reviewing the medical record of a client who has a prescription
for a clear liquid diet. Which of the following items should the nurse offer the
client?
A. Ice cream
B. Gelatin
C. Cream soup
D. Oatmeal
Rationale: Gelatin is a clear liquid at room temperature. Ice cream, cream
soup, and oatmeal are not clear liquids.
11. A nurse is caring for a client who has an indwelling urinary catheter.
Which of the following actions should the nurse take?
A. Irrigate the catheter every 8 hours.
B. Keep the drainage bag below the level of the bladder.
C. Empty the drainage bag every 24 hours.
D. Secure the catheter to the client's thigh.
Rationale: Keeping the drainage bag below the bladder prevents backflow of
urine and reduces the risk of infection.
12. A nurse is assessing a client's level of consciousness. Which of the
following terms describes a client who is drowsy but easily aroused?
A. Comatose
B. Stuporous
C. Lethargic
D. Alert
Rationale: Lethargy is characterized by drowsiness but the client is easily
aroused. Stupor requires vigorous stimulation to arouse.
Examination 100 Questions And
Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A Instant
Download Pdf
1. A nurse is preparing to administer a cleansing enema to an adult client.
Which of the following positions should the nurse place the client in?
A. Supine
B. Left Sims' position
C. Prone
D. High Fowler's
Rationale: Left Sims' position allows the enema solution to flow by gravity
along the natural curve of the sigmoid colon and rectum.
2. A nurse is assessing a client's radial pulse. Which of the following findings
should the nurse document as bradycardia?
A. 110/min
B. 92/min
C. 52/min
D. 78/min
Rationale: Bradycardia in an adult is a heart rate below 60/min. A rate of
52/min is bradycardic.
3. A nurse is caring for a client who requires droplet precautions. Which of
the following actions should the nurse take?
,A. Wear an N95 respirator when entering the room.
B. Wear a surgical mask when within 3 feet of the client.
C. Place the client in a negative-pressure room.
D. Wear a gown and gloves only when touching the client.
Rationale: Droplet precautions require a surgical mask when working within
3 feet of the client. N95 respirators and negative-pressure rooms are used for
airborne precautions.
4. A nurse is teaching a client about the use of a cane. Which of the following
instructions should the nurse include?
A. Hold the cane on the affected side.
B. Hold the cane on the unaffected side.
C. Advance the cane after the affected leg.
D. Keep the cane 12 inches to the side of the foot.
Rationale: The cane should be held on the unaffected (strong) side to provide
widest support and reduce weight-bearing stress on the affected leg.
5. A nurse is calculating a client's intake and output. The client consumed 8 oz
of coffee and 4 oz of juice. How many mL should the nurse record as fluid
intake?
A. 240 mL
B. 300 mL
C. 360 mL
D. 420 mL
Rationale: 8 oz + 4 oz = 12 oz. 12 oz × 30 mL/oz = 360 mL.
6. A nurse is assessing a client for signs of hypoxia. Which of the following
findings should the nurse expect?
A. Bradycardia
B. Restlessness and confusion
,C. Warm, flushed skin
D. Increased urinary output
Rationale: Early signs of hypoxia include restlessness, confusion, and anxiety
due to decreased oxygen to the brain.
7. A nurse is preparing to perform hand hygiene. Which of the following is the
appropriate duration for washing hands with soap and water?
A. 5 seconds
B. 10 seconds
C. At least 20 seconds
D. At least 60 seconds
Rationale: The CDC recommends washing hands with soap and water for at
least 20 seconds to effectively remove microorganisms.
8. A nurse is caring for a client who is on bed rest. Which of the following
interventions should the nurse implement to prevent pressure ulcers?
A. Massage reddened bony prominences.
B. Reposition the client every 2 hours.
C. Elevate the head of the bed to 60 degrees.
D. Apply heat to bony prominences.
Rationale: Repositioning every 2 hours relieves pressure on bony prominences
and prevents pressure ulcer formation. Reddened areas should not be
massaged.
9. A nurse is administering an intramuscular injection. Which of the following
sites is recommended for adults?
A. Deltoid
B. Ventrogluteal
C. Dorsogluteal
D. Vastus lateralis
, Rationale: The ventrogluteal site is preferred for IM injections in adults
because it is free of major blood vessels and nerves.
10. A nurse is reviewing the medical record of a client who has a prescription
for a clear liquid diet. Which of the following items should the nurse offer the
client?
A. Ice cream
B. Gelatin
C. Cream soup
D. Oatmeal
Rationale: Gelatin is a clear liquid at room temperature. Ice cream, cream
soup, and oatmeal are not clear liquids.
11. A nurse is caring for a client who has an indwelling urinary catheter.
Which of the following actions should the nurse take?
A. Irrigate the catheter every 8 hours.
B. Keep the drainage bag below the level of the bladder.
C. Empty the drainage bag every 24 hours.
D. Secure the catheter to the client's thigh.
Rationale: Keeping the drainage bag below the bladder prevents backflow of
urine and reduces the risk of infection.
12. A nurse is assessing a client's level of consciousness. Which of the
following terms describes a client who is drowsy but easily aroused?
A. Comatose
B. Stuporous
C. Lethargic
D. Alert
Rationale: Lethargy is characterized by drowsiness but the client is easily
aroused. Stupor requires vigorous stimulation to arouse.
