ATI CMS FUNDAMENTALS - STUDY
SET 2025 QUESTIONS AND ANSWERS
BEST POSITION FOR USE OF INCENTIVE SPIROMETER - ANSWER✔✔-Semi-Fowler's
or High Semi-Fowler's position
allows for maximum expansion of the lungs
WHEN A PATIENT REFUSES TO USE INCENTIVE SPIROMETER - ANSWER✔✔-always
assess the patient first
using assessment skills, you can then try to determine why the patient is refusing
continue to encourage the patient, but if they still refuse, be sure to document.
IV CATHETER INSERTION FOR AN OLDER ADULT - ANSWER✔✔-place patient's arm in a
dependent position; veins will dilate due to gravity
insert catheter at 10-30 degree angle
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
,WHEN USING AN OPEN IRRIGATION TECHNIQUE FOR INDWELLING URINARY
CATHETER - ANSWER✔✔-subtract the amount of irrigant used from the client's urine output
use 30-50 mL syringe to perform open irrigation
supine or dorsal recumbant position is best
DELIVERY OF OTIC MEDICATION - ADULT - ANSWER✔✔-pull the ear up and back to
straighten the ear canal and instill drops
pressing gently on the tragus of the ear will help the medication get into the inner ear
have patient in side-lying position, with affected ear up. Patient should remain in this position for 2-
5 minutes following Rx administration
NG TUBE FEEDING THROUGH AN OPEN SYSTEM - ANSWER✔✔-tell patient to keep
head of the bed elevated at least 30 degrees
this will reduce the risk of and prevent aspiration
NG TUBE FEEDING - ANSWER✔✔-make sure that enteral formula is at room temperature; this
prevents cramping
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
, clean the top the formula container to reduce the risk of contamination by microorganisms
rinse feeding bag with warm water
NG TUBE FEEDING - COMPLICATION DUE TO EXCESS RESIDUAL - ANSWER✔✔-
when gastric residual exceeds 250 mL for two consecutive assessments...
- withhold the feeding
- notify provider
- keep patient in semi-fowler's
- recheck residual in 1 hour
NG TUBE FEEDING - COMPLICATION DUE TO DIARRHEA - ANSWER✔✔-when patient
has diarrhea three times or more within 24-hour period...
- slow the instillation rate
- notify the provider
- confer with dietician
- provide skin care/protection
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
SET 2025 QUESTIONS AND ANSWERS
BEST POSITION FOR USE OF INCENTIVE SPIROMETER - ANSWER✔✔-Semi-Fowler's
or High Semi-Fowler's position
allows for maximum expansion of the lungs
WHEN A PATIENT REFUSES TO USE INCENTIVE SPIROMETER - ANSWER✔✔-always
assess the patient first
using assessment skills, you can then try to determine why the patient is refusing
continue to encourage the patient, but if they still refuse, be sure to document.
IV CATHETER INSERTION FOR AN OLDER ADULT - ANSWER✔✔-place patient's arm in a
dependent position; veins will dilate due to gravity
insert catheter at 10-30 degree angle
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
,WHEN USING AN OPEN IRRIGATION TECHNIQUE FOR INDWELLING URINARY
CATHETER - ANSWER✔✔-subtract the amount of irrigant used from the client's urine output
use 30-50 mL syringe to perform open irrigation
supine or dorsal recumbant position is best
DELIVERY OF OTIC MEDICATION - ADULT - ANSWER✔✔-pull the ear up and back to
straighten the ear canal and instill drops
pressing gently on the tragus of the ear will help the medication get into the inner ear
have patient in side-lying position, with affected ear up. Patient should remain in this position for 2-
5 minutes following Rx administration
NG TUBE FEEDING THROUGH AN OPEN SYSTEM - ANSWER✔✔-tell patient to keep
head of the bed elevated at least 30 degrees
this will reduce the risk of and prevent aspiration
NG TUBE FEEDING - ANSWER✔✔-make sure that enteral formula is at room temperature; this
prevents cramping
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
, clean the top the formula container to reduce the risk of contamination by microorganisms
rinse feeding bag with warm water
NG TUBE FEEDING - COMPLICATION DUE TO EXCESS RESIDUAL - ANSWER✔✔-
when gastric residual exceeds 250 mL for two consecutive assessments...
- withhold the feeding
- notify provider
- keep patient in semi-fowler's
- recheck residual in 1 hour
NG TUBE FEEDING - COMPLICATION DUE TO DIARRHEA - ANSWER✔✔-when patient
has diarrhea three times or more within 24-hour period...
- slow the instillation rate
- notify the provider
- confer with dietician
- provide skin care/protection
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
