ATI Fundamentals | Week 9 Study Guide (Review & Clinical Judgment)
2026 |Rationales
1. A nurse is preparing to transfer a client who has right-sided weakness from
the bed to a chair. Which of the following actions should the nurse take?
A. Position the chair on the client’s right side
B. Allow the client to place their arms around the nurse’s neck
C. Place the chair at a 45-degree angle to the bed
D. Instruct the client to lean backward during the transfer
Answer: C
Rationale: Positioning the chair at a 45-degree angle to the bed on the client’s stronger
side allows for a safer and more efficient transfer.
2. In the NCSBN Clinical Judgment Measurement Model, which action follows
‘Recognizing Cues’?
A. Prioritize Hypotheses
B. Analyze Cues
C. Generate Solutions
D. Take Action
Answer: B
Rationale: After recognizing cues (gathering data), the nurse must analyze those cues to
understand their significance.
,3. A nurse is caring for a client who is on airborne precautions. Which of the
following protective equipment is required?
A. Surgical mask
B. Goggles
C. N95 respirator
D. Face shield
Answer: C
Rationale: Airborne precautions require the use of an N95 respirator to filter out small
droplets that remain suspended in the air.
4. Which ethical principle refers to the nurse’s obligation to do no harm to the
client?
A. Nonmaleficence
B. Beneficence
C. Fidelity
D. Justice
Answer: A
Rationale: Nonmaleficence is the ethical duty to avoid causing harm to others.
5. A nurse is providing discharge teaching for a client who will be using a walker.
Which instruction should the nurse include?
A. Move the walker forward 12 inches with each step
B. Advance the stronger leg into the walker first
C. Stand in the center of the walker while moving
D. Wear socks without shoes to prevent slipping
Answer: C
Rationale: The client should stand in the center of the walker to maintain balance and
stability while moving.
, 6. When using the RACE acronym for fire safety, what does the ‘E’ stand for?
A. Eliminate
B. Extinguish
C. Evacuate
D. Examine
Answer: B
Rationale: RACE stands for Rescue, Alarm, Contain, and Extinguish (or Evacuate
depending on the context, but Extinguish is the standard fourth step).
7. A nurse is documenting in a client’s medical record. Which of the following
entries is an example of objective data?
A. ‘Client states, I feel dizzy.’
B. ‘Client appears anxious regarding the procedure.’
C. ‘Client’s skin is warm and dry to the touch.’
D. ‘Client reports a pain level of 8 out of 10.’
Answer: C
Rationale: Objective data is observable and measurable information, such as skin
temperature and moisture.
8. A nurse is preparing to administer an IM injection to an obese client. Which of
the following angles should the nurse use?
A. 15 degrees
B. 90 degrees
C. 45 degrees
D. 30 degrees
Answer: B
Rationale: IM injections are always administered at a 90-degree angle to ensure the
medication reaches the muscle tissue.
2026 |Rationales
1. A nurse is preparing to transfer a client who has right-sided weakness from
the bed to a chair. Which of the following actions should the nurse take?
A. Position the chair on the client’s right side
B. Allow the client to place their arms around the nurse’s neck
C. Place the chair at a 45-degree angle to the bed
D. Instruct the client to lean backward during the transfer
Answer: C
Rationale: Positioning the chair at a 45-degree angle to the bed on the client’s stronger
side allows for a safer and more efficient transfer.
2. In the NCSBN Clinical Judgment Measurement Model, which action follows
‘Recognizing Cues’?
A. Prioritize Hypotheses
B. Analyze Cues
C. Generate Solutions
D. Take Action
Answer: B
Rationale: After recognizing cues (gathering data), the nurse must analyze those cues to
understand their significance.
,3. A nurse is caring for a client who is on airborne precautions. Which of the
following protective equipment is required?
A. Surgical mask
B. Goggles
C. N95 respirator
D. Face shield
Answer: C
Rationale: Airborne precautions require the use of an N95 respirator to filter out small
droplets that remain suspended in the air.
4. Which ethical principle refers to the nurse’s obligation to do no harm to the
client?
A. Nonmaleficence
B. Beneficence
C. Fidelity
D. Justice
Answer: A
Rationale: Nonmaleficence is the ethical duty to avoid causing harm to others.
5. A nurse is providing discharge teaching for a client who will be using a walker.
Which instruction should the nurse include?
A. Move the walker forward 12 inches with each step
B. Advance the stronger leg into the walker first
C. Stand in the center of the walker while moving
D. Wear socks without shoes to prevent slipping
Answer: C
Rationale: The client should stand in the center of the walker to maintain balance and
stability while moving.
, 6. When using the RACE acronym for fire safety, what does the ‘E’ stand for?
A. Eliminate
B. Extinguish
C. Evacuate
D. Examine
Answer: B
Rationale: RACE stands for Rescue, Alarm, Contain, and Extinguish (or Evacuate
depending on the context, but Extinguish is the standard fourth step).
7. A nurse is documenting in a client’s medical record. Which of the following
entries is an example of objective data?
A. ‘Client states, I feel dizzy.’
B. ‘Client appears anxious regarding the procedure.’
C. ‘Client’s skin is warm and dry to the touch.’
D. ‘Client reports a pain level of 8 out of 10.’
Answer: C
Rationale: Objective data is observable and measurable information, such as skin
temperature and moisture.
8. A nurse is preparing to administer an IM injection to an obese client. Which of
the following angles should the nurse use?
A. 15 degrees
B. 90 degrees
C. 45 degrees
D. 30 degrees
Answer: B
Rationale: IM injections are always administered at a 90-degree angle to ensure the
medication reaches the muscle tissue.
