ATI Fundamentals Practice A, B, & Final, ATI Fundamentals
Review 2025/2026 100% verified
A nurse is planning care for a client who is postoperative and has a history of poor
nutritional intake. Which of the following actions should the nurse include in the
plan of care to promote wound healing? - ANSWERProvide a protein intake of 1.5
g/kg of body weight per day.
A nurse is caring for a client who has a terminal illness. Which of the following
findings indicates that the client's death is imminent? - ANSWERCold extremities
A nurse is caring for a client who is receiving a blood transfusion. The client
reports flank pain and the nurse notes reddish-brown urine in the client's urinary
catheter bag. The nurse recognizes these manifestations as which of the following
types of transfusion reactions? - ANSWERHemolytic
A nurse on a mental health unit is preparing to terminate the nurse-client
relationship with a client who no longer requires care. Which of the following
concepts should the nurse and client discuss in the termination phase of the
relationship? - ANSWERLoss
A nurse is caring for a client who has bilateral casts on her hands. Which of the
following actions should the nurse take when assisting the client with feeding? -
ANSWERSit at the bedside while feeding the client.
A nurse is caring for a client who has Clostridium difficile and is in contact
isolation. Which of the following actions should the nurse take? - ANSWERWear
gloves when changing the client's gown.
,A nurse is planning care for a client who has a single-lumen nasogastric (NG) tube
for gastric decompression. Which of the following actions should the nurse
include in the plan of care? (Select all that apply.) - ANSWER-Provide oral hygiene
frequently.
-Measure the amount of drainage from the NG tube every shift.
-Secure the NG tube to the client's gown.
A nurse is called away for an emergency while conversing with a client who is
concerned about his medical diagnosis. The nurse returns to the client promptly,
as promised. Which of the following ethical principles is the nurse demonstrating?
- ANSWERFidelity
A nurse in the emergency department is caring for a client who has abdominal
trauma. Which of the following assessment findings should the nurse identify as
an indication of hypovolemic shock? - ANSWERTachycardia
A nurse is reviewing the laboratory values for a client who has a positive
Chvostek's sign. Which of the following laboratory findings should the nurse
expect? - ANSWERDecreased calcium
An adolescent client in an outpatient mental health facility tells the nurse that it is
hard to follow his treatment plans because his friends discourage him. Which of
the following statements should the nurse make? - ANSWER"Tell me more about
how your friends discourage you."
A nurse is reviewing measures to prevent back injuries with assistive personnel
(AP). Which of the following instructions should the nurse include? -
,ANSWERWhen lifting an object, spread your feet apart to provide a wide base of
support.
A nurse on a telemetry unit is caring for a client who had a myocardial infarction.
The client states "All this equipment is making me nervous." Which of the
following responses should the nurse make? - ANSWER"All of this equipment can
be frightening."
A nurse is caring for a client who reports pain. When documenting the quality of
the client's pain on an initial pain assessment, the nurse should record which of
the following client statements? - ANSWER"The pain is like a dull ache in my
stomach."
A client who is nonambulatory notifies the nurse that his trash can is on fire. After
the nurse confirms the fire, which of the following actions should the nurse take
next? - ANSWERevacuate the client
A nurse is completing an admission assessment for a client who reports vomiting
and diarrhea for the past 3 days. Which of the following findings should the nurse
expect? - ANSWERRapid heart rate
A nurse has accepted a verbal prescription for three tenths of a milligram of
levothyroxine IV stat for a client who has myxedema coma. How should the nurse
transcribe the dosage of this medication in the client's medical record? -
ANSWER0.3 mg
A nurse is preparing a heparin solutionA nurse is preparing a heparin infusion for
a client who was hospitalized with deep-vein thrombosis. The order reads: 25,000
units of heparin in 250 mL of 0.9% sodium chloride to infuse at 800 units/hr. At
what rate should the nurse set the infusion pump? (Round the answer to the
, nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
- ANSWER8 mL/hr
A nurse is caring for a client who has a prescription for wound irrigation. Which of
the following actions should the nurse take? - ANSWERCleanse the wound from
the center outward
The nurse is caring for a client who is receiving fluid through a peripheral IV
catheter.. Which of the following findings at the IV site should the nurse identify
as indicating infiltration? - ANSWERSkin blanching
A nurse is teaching a client whose left leg is in a cast about using crutches. Which
of the following statements should the nurse identify as an indication that the
client understands the teaching? - ANSWER"When descending stairs, I will first
shift my weight to my right leg."
A nurse is caring for a client who has an NG tube and is receiving intermittent
feedings through an open system. Which of the following actions should the
nurse take first? - ANSWERTell the client to keep the head of the bed elevated at
least 30 degrees
A nurse is reviewing a client's medication prescription that reads "digoxin 0.25 by
mouth everyday." Which of the following components of the prescription should
the nurse verify with the provider? - ANSWERMedication dose
A nurse is caring for a client who has recently started using a behind-the-ear
hearing aid. Which of the following statements should the nurse identify as an
indication that the client understands the use of this assistive device? - ANSWER"I
will be sure to remove my hearing aid before taking a shower"
Review 2025/2026 100% verified
A nurse is planning care for a client who is postoperative and has a history of poor
nutritional intake. Which of the following actions should the nurse include in the
plan of care to promote wound healing? - ANSWERProvide a protein intake of 1.5
g/kg of body weight per day.
A nurse is caring for a client who has a terminal illness. Which of the following
findings indicates that the client's death is imminent? - ANSWERCold extremities
A nurse is caring for a client who is receiving a blood transfusion. The client
reports flank pain and the nurse notes reddish-brown urine in the client's urinary
catheter bag. The nurse recognizes these manifestations as which of the following
types of transfusion reactions? - ANSWERHemolytic
A nurse on a mental health unit is preparing to terminate the nurse-client
relationship with a client who no longer requires care. Which of the following
concepts should the nurse and client discuss in the termination phase of the
relationship? - ANSWERLoss
A nurse is caring for a client who has bilateral casts on her hands. Which of the
following actions should the nurse take when assisting the client with feeding? -
ANSWERSit at the bedside while feeding the client.
A nurse is caring for a client who has Clostridium difficile and is in contact
isolation. Which of the following actions should the nurse take? - ANSWERWear
gloves when changing the client's gown.
,A nurse is planning care for a client who has a single-lumen nasogastric (NG) tube
for gastric decompression. Which of the following actions should the nurse
include in the plan of care? (Select all that apply.) - ANSWER-Provide oral hygiene
frequently.
-Measure the amount of drainage from the NG tube every shift.
-Secure the NG tube to the client's gown.
A nurse is called away for an emergency while conversing with a client who is
concerned about his medical diagnosis. The nurse returns to the client promptly,
as promised. Which of the following ethical principles is the nurse demonstrating?
- ANSWERFidelity
A nurse in the emergency department is caring for a client who has abdominal
trauma. Which of the following assessment findings should the nurse identify as
an indication of hypovolemic shock? - ANSWERTachycardia
A nurse is reviewing the laboratory values for a client who has a positive
Chvostek's sign. Which of the following laboratory findings should the nurse
expect? - ANSWERDecreased calcium
An adolescent client in an outpatient mental health facility tells the nurse that it is
hard to follow his treatment plans because his friends discourage him. Which of
the following statements should the nurse make? - ANSWER"Tell me more about
how your friends discourage you."
A nurse is reviewing measures to prevent back injuries with assistive personnel
(AP). Which of the following instructions should the nurse include? -
,ANSWERWhen lifting an object, spread your feet apart to provide a wide base of
support.
A nurse on a telemetry unit is caring for a client who had a myocardial infarction.
The client states "All this equipment is making me nervous." Which of the
following responses should the nurse make? - ANSWER"All of this equipment can
be frightening."
A nurse is caring for a client who reports pain. When documenting the quality of
the client's pain on an initial pain assessment, the nurse should record which of
the following client statements? - ANSWER"The pain is like a dull ache in my
stomach."
A client who is nonambulatory notifies the nurse that his trash can is on fire. After
the nurse confirms the fire, which of the following actions should the nurse take
next? - ANSWERevacuate the client
A nurse is completing an admission assessment for a client who reports vomiting
and diarrhea for the past 3 days. Which of the following findings should the nurse
expect? - ANSWERRapid heart rate
A nurse has accepted a verbal prescription for three tenths of a milligram of
levothyroxine IV stat for a client who has myxedema coma. How should the nurse
transcribe the dosage of this medication in the client's medical record? -
ANSWER0.3 mg
A nurse is preparing a heparin solutionA nurse is preparing a heparin infusion for
a client who was hospitalized with deep-vein thrombosis. The order reads: 25,000
units of heparin in 250 mL of 0.9% sodium chloride to infuse at 800 units/hr. At
what rate should the nurse set the infusion pump? (Round the answer to the
, nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
- ANSWER8 mL/hr
A nurse is caring for a client who has a prescription for wound irrigation. Which of
the following actions should the nurse take? - ANSWERCleanse the wound from
the center outward
The nurse is caring for a client who is receiving fluid through a peripheral IV
catheter.. Which of the following findings at the IV site should the nurse identify
as indicating infiltration? - ANSWERSkin blanching
A nurse is teaching a client whose left leg is in a cast about using crutches. Which
of the following statements should the nurse identify as an indication that the
client understands the teaching? - ANSWER"When descending stairs, I will first
shift my weight to my right leg."
A nurse is caring for a client who has an NG tube and is receiving intermittent
feedings through an open system. Which of the following actions should the
nurse take first? - ANSWERTell the client to keep the head of the bed elevated at
least 30 degrees
A nurse is reviewing a client's medication prescription that reads "digoxin 0.25 by
mouth everyday." Which of the following components of the prescription should
the nurse verify with the provider? - ANSWERMedication dose
A nurse is caring for a client who has recently started using a behind-the-ear
hearing aid. Which of the following statements should the nurse identify as an
indication that the client understands the use of this assistive device? - ANSWER"I
will be sure to remove my hearing aid before taking a shower"
