ATI NCLEX Fundamentals Assessment
1 Exam 2025 Questions and Answers
A nurse is performing blood glucose monitoring for a client. After identifying the
client and performing hand hygiene, in what order should the nurse take the
following steps?
A. Apply clean gloves
B. Hold the client's hand in a dependent position
C. Clean the clients finger with an antiseptic
D. Apply the blood to the test strip
E. Have the client wash their hands
F. Puncture the lateral side of the clients finger to obtain blood -
....ANSWER ...-Correct order:
E. Have the client wash their hands
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,A. Apply clean gloves
B. Hold the client's hand in a dependent position
C. Clean the clients finger with an antiseptic
F. Puncture the lateral side of the clients finger to obtain blood
D. Apply the blood to the test strip
--
Wash hands first to reduce the presence of micro-organisms. Then apply gloves to
prevent blood contamination. Then hold the clients hand in a dependent position
to increase blood flow to the fingertips. Do not squeeze the finger! Then clean the
site, allow it to try. Chose a lateral side to avoid many nerve endings. Puncture the
site, wipe away the first drop of blood (has fewer RBC and may have serous fluid),
then apply the second drop of blood to the strip.
A nurse is providing discharge instructions to a client who has a new gastrostomy
tube. Which of the following statements by the client indicates an understanding of
the instructions?
A. "I can sit up in a chair during the feeding"
B. "I'll replace the bag and tubing every week"
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, C. "I'll keep the formula cold until I begin the feeding"
D. "I don't have to worry about the placement of the tube, because my nurses have
already checked that" - ....ANSWER ...-A
The clients head should be elevated at 30-45 degrees during the feeding. They can
be in bed with their head raised, sitting in a chair, or ambulating as long as their
head is at 30-45 degrees. Never be supine, causes aspiration!
--
B, the tubing and bag should be replaced every 24 hours to prevent bacterial
growth. Other things to do: clean top of formula can before opening, avoid
touching the opening of the feeding container and other parts of tubing that come
in contact with the formula
C, enteral formula should be kept at room temperature! Cold causes gastric
gramps, nausea,and vomiting.
D, the caregiver should check the pH level of secretions before feedings
A client is reviewing data for a group of clients at the beginning of the shift. For
which of the following clients should the nurse initiate a dietary referral?
A. A client whose BMI is 23
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
1 Exam 2025 Questions and Answers
A nurse is performing blood glucose monitoring for a client. After identifying the
client and performing hand hygiene, in what order should the nurse take the
following steps?
A. Apply clean gloves
B. Hold the client's hand in a dependent position
C. Clean the clients finger with an antiseptic
D. Apply the blood to the test strip
E. Have the client wash their hands
F. Puncture the lateral side of the clients finger to obtain blood -
....ANSWER ...-Correct order:
E. Have the client wash their hands
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,A. Apply clean gloves
B. Hold the client's hand in a dependent position
C. Clean the clients finger with an antiseptic
F. Puncture the lateral side of the clients finger to obtain blood
D. Apply the blood to the test strip
--
Wash hands first to reduce the presence of micro-organisms. Then apply gloves to
prevent blood contamination. Then hold the clients hand in a dependent position
to increase blood flow to the fingertips. Do not squeeze the finger! Then clean the
site, allow it to try. Chose a lateral side to avoid many nerve endings. Puncture the
site, wipe away the first drop of blood (has fewer RBC and may have serous fluid),
then apply the second drop of blood to the strip.
A nurse is providing discharge instructions to a client who has a new gastrostomy
tube. Which of the following statements by the client indicates an understanding of
the instructions?
A. "I can sit up in a chair during the feeding"
B. "I'll replace the bag and tubing every week"
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, C. "I'll keep the formula cold until I begin the feeding"
D. "I don't have to worry about the placement of the tube, because my nurses have
already checked that" - ....ANSWER ...-A
The clients head should be elevated at 30-45 degrees during the feeding. They can
be in bed with their head raised, sitting in a chair, or ambulating as long as their
head is at 30-45 degrees. Never be supine, causes aspiration!
--
B, the tubing and bag should be replaced every 24 hours to prevent bacterial
growth. Other things to do: clean top of formula can before opening, avoid
touching the opening of the feeding container and other parts of tubing that come
in contact with the formula
C, enteral formula should be kept at room temperature! Cold causes gastric
gramps, nausea,and vomiting.
D, the caregiver should check the pH level of secretions before feedings
A client is reviewing data for a group of clients at the beginning of the shift. For
which of the following clients should the nurse initiate a dietary referral?
A. A client whose BMI is 23
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
