ATI RN FUNDAMENTALS 2 EXAM 2025 ACTUAL EXAM
COMPLETE QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED
A+
1.A nurse is performing eye irrigation for a client who was exposed to
smoke and ash. Which of the following actions should the nurse take?
A. Hold the irrigator 1.25 cm (0.5 in) above the eye
B. Direct the irrigation solution upward toward the upper eyelid
C. Exert pressure on the bony prominences when holding the eyelid open.
D. Direct the irrigation from the outer canthus to the inner canthus of
the eye: C. Exert pressure on the bony prominences.
The nurse should hold the upper lid against the eyebrow and the lower
lid against the cheekbone when irrigating the eye.
Other Rationales:
The nurse should hold the irrigator 2.5 cm (1 in) above the eye to
prevent the irrigator from touching the eye and to prevent the solution
from damaging the eye tissue.
The nurse should direct the irrigation solution onto the lower
conjunctiva sac to pre- vent injuring the cornea and having
contaminated fluid flow down the nasolacrimal duct.
The nurse should direct the irrigation solution from the inner canthus to
the outer canthus of the eye to prevent injuring the cornea and having
To get this or any other Exam contact ()
, contaminated fluid flow down the nasolacrimal duct.
2.A nurse is preparing to remove an NG tube for a client who had a
partial colectomy. Which of the following actions should the nurse take?
A. Maintain suction while removing the NG tube.
B. Instill 100 mL of air into the NG tube before removal.
C. Pinch the NG tube while removing the tube.
D. Instruct the client to breathe in and out during the removal of the
NG tube.: C. Pinch the NG tube while removing the tube.
The nurse should pinch the NG tube while removing the tube to
decrease the risk of aspiration of any gastric contents.
Other Rationales:
The nurse should disconnect the NG tube from the suction apparatus
before removal to decrease injury to the gastrointestinal mucosa.
The nurse should instill 50 mL of air into the tube to clear the contents
of gastric drainage and decrease the risk of aspiration on removal of the
tube.
The nurse should instruct the client to take a deep breath and to hold it
during the
To get this or any other Exam contact ()
, removal of the NG tube to close off the glottis and decrease the risk of
aspiration of any gastric contents.
3.A nurse is preparing to administer an intramuscular injection to a client
who is overweight. Which of the following sites should the nurse select
for the injection?
A. The lower, medial quadrant of the buttock near the coccyx
B. The side hip between the iliac crest and the anterior iliac spine
C. The tissue of the posterior upper arm
D. The lower, inner thigh 4 finger widths above the patella: B. The side
hip between the iliac crest and the anterior iliac spine
The side hip between the iliac crest and anterior iliac spine forms the
boundaries for ventrogluteal injection; therefore, this is an appropriate
site for the nurse to select. This site is the preferred site for
intramuscular injections for an adult client. The nurse should prepare for
injection by placing a hand on the client's greater trochanter (right hand
on left hip, for example) with the first two fingers touching the iliac crest
and anterior superior iliac spine, forming a "V" shape.
Other Rationales:
To administer intramuscular medication using the dorsogluteal site, the
nurse should select the upper, lateral quadrant of the buttock. However,
the nurse should recog- nize this site can increase risk of injury to the
client because the medication is more likely to be injected into
To get this or any other Exam contact ()
, subcutaneous tissue, and there is increased risk of piercing the sciatic
nerve.
The nurse should select the outer, posterior tissue of the upper arm
when preparing to administer a subcutaneous injection. For
intramuscular injections of less than 1 mL, the nurse may select the
deltoid muscle by placing four fingers on the deltoid muscle with the top
finger on the acromion process. The injection site then is three finger
widths below the acromion process, or about 5 cm (2 in).
To administer intramuscular medication using the vastus lateralis site,
the nurse should select the middle portion of the muscle from the
midline of the thigh to the midline of the outer side of the thigh. The
nurse can place one hand below the greater trochanter and the other
hand just above the knee to locate middle portion of the muscle for the
injection site.
4.A nurse is changing the bed linens for a client who is on bed rest. Which
of the following actions should the nurse plan to take?
A. Place the soiled linens on the chair while making the bed.
B. Hold the linens away from the body and clothing.
To get this or any other Exam contact ()
COMPLETE QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED
A+
1.A nurse is performing eye irrigation for a client who was exposed to
smoke and ash. Which of the following actions should the nurse take?
A. Hold the irrigator 1.25 cm (0.5 in) above the eye
B. Direct the irrigation solution upward toward the upper eyelid
C. Exert pressure on the bony prominences when holding the eyelid open.
D. Direct the irrigation from the outer canthus to the inner canthus of
the eye: C. Exert pressure on the bony prominences.
The nurse should hold the upper lid against the eyebrow and the lower
lid against the cheekbone when irrigating the eye.
Other Rationales:
The nurse should hold the irrigator 2.5 cm (1 in) above the eye to
prevent the irrigator from touching the eye and to prevent the solution
from damaging the eye tissue.
The nurse should direct the irrigation solution onto the lower
conjunctiva sac to pre- vent injuring the cornea and having
contaminated fluid flow down the nasolacrimal duct.
The nurse should direct the irrigation solution from the inner canthus to
the outer canthus of the eye to prevent injuring the cornea and having
To get this or any other Exam contact ()
, contaminated fluid flow down the nasolacrimal duct.
2.A nurse is preparing to remove an NG tube for a client who had a
partial colectomy. Which of the following actions should the nurse take?
A. Maintain suction while removing the NG tube.
B. Instill 100 mL of air into the NG tube before removal.
C. Pinch the NG tube while removing the tube.
D. Instruct the client to breathe in and out during the removal of the
NG tube.: C. Pinch the NG tube while removing the tube.
The nurse should pinch the NG tube while removing the tube to
decrease the risk of aspiration of any gastric contents.
Other Rationales:
The nurse should disconnect the NG tube from the suction apparatus
before removal to decrease injury to the gastrointestinal mucosa.
The nurse should instill 50 mL of air into the tube to clear the contents
of gastric drainage and decrease the risk of aspiration on removal of the
tube.
The nurse should instruct the client to take a deep breath and to hold it
during the
To get this or any other Exam contact ()
, removal of the NG tube to close off the glottis and decrease the risk of
aspiration of any gastric contents.
3.A nurse is preparing to administer an intramuscular injection to a client
who is overweight. Which of the following sites should the nurse select
for the injection?
A. The lower, medial quadrant of the buttock near the coccyx
B. The side hip between the iliac crest and the anterior iliac spine
C. The tissue of the posterior upper arm
D. The lower, inner thigh 4 finger widths above the patella: B. The side
hip between the iliac crest and the anterior iliac spine
The side hip between the iliac crest and anterior iliac spine forms the
boundaries for ventrogluteal injection; therefore, this is an appropriate
site for the nurse to select. This site is the preferred site for
intramuscular injections for an adult client. The nurse should prepare for
injection by placing a hand on the client's greater trochanter (right hand
on left hip, for example) with the first two fingers touching the iliac crest
and anterior superior iliac spine, forming a "V" shape.
Other Rationales:
To administer intramuscular medication using the dorsogluteal site, the
nurse should select the upper, lateral quadrant of the buttock. However,
the nurse should recog- nize this site can increase risk of injury to the
client because the medication is more likely to be injected into
To get this or any other Exam contact ()
, subcutaneous tissue, and there is increased risk of piercing the sciatic
nerve.
The nurse should select the outer, posterior tissue of the upper arm
when preparing to administer a subcutaneous injection. For
intramuscular injections of less than 1 mL, the nurse may select the
deltoid muscle by placing four fingers on the deltoid muscle with the top
finger on the acromion process. The injection site then is three finger
widths below the acromion process, or about 5 cm (2 in).
To administer intramuscular medication using the vastus lateralis site,
the nurse should select the middle portion of the muscle from the
midline of the thigh to the midline of the outer side of the thigh. The
nurse can place one hand below the greater trochanter and the other
hand just above the knee to locate middle portion of the muscle for the
injection site.
4.A nurse is changing the bed linens for a client who is on bed rest. Which
of the following actions should the nurse plan to take?
A. Place the soiled linens on the chair while making the bed.
B. Hold the linens away from the body and clothing.
To get this or any other Exam contact ()
