ATI RN Fundamentals Practice Tests A & B
1. 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?
"I am having mild pain"
"The pain is like a dull ache in my stomach"
"I notice that the pain gets worse after I eat"
"The pain makes me feel nauseous": "The pain is like a dull ache in my stomach"
2. A client in non ambulatory notifies the nurse that his trash can is on fire.
After the nurse confirms the presence of the fire, which of the following
actions should the nurse take next? Activate the emergency fire alarm
Extinguish the fire
Evacuate the client
Confine the fire: Evacuate the client
3. 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? Neck vein distention
Urine specific gravity 1.010
Rapid Heart rate
Blood pressure 144/82 mmHg: Rapid heart rate
4. A nurse has accepted a verbal prescription for "thee 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? .3 mg
0.3 mg
0.30 mg
, ATI RN Fundamentals Practice Tests A & B
3/10 mg: 0.3 mg
5. A nurse is preparing a heparin infusion for a client who was admitted to
the facility with deep vein thrombosis. The prescription reads: 25,000
units of heparin in 0.9% sodium chloride 250 ml to infuse at 800
units/hour. At what rate should the nurse set the infusion pump?: 8
ml/hour
6. A nurse is caring for a client who has a prescription for wound irrigation.
Which of the following actions should the nurse take?
Wear sterile gloves when removing the old dressing
Warm the irrigation solution to 40.5 C (105 F)
Cleanse the wound from the center outward
Use a 20 ml syringe to irrigate the wound: Cleanse the wound from the center
outward
7. A 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?
Purulent exudate
Warmth
Skin blanching
Bleeding: Skin blanching
8. 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?
"When descending the stairs, I will first shift my weight to my right leg"
"I should place my crutches 12 inches in front and to the side of each foot"
, ATI RN Fundamentals Practice Tests A & B
"As I sit down, I will hold one crutch in each hand"
"I will make sure the shoulder rests are snug against my armpits": "When
descending the stairs, I will first shift my weight to my right leg"
9. 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?
Rinse the feeding back with water between feedings
Tell the client to keep the head of the bed elevated at least 30 degrees
Make sure the enteral formula is at room temperature
Wipe the top of the formula can with alcohol: Tell the client to keep the head of
the bed elevated at least 30 degrees
10. A nurse is reviewing a client's medication prescription that reads,
"digoxin 0.25 by mouth every day". Which of the following components of
the prescription should the nurse verify with the provider?
Medication name
Route of administration
Medication dose
Frequency of administration: Medication dose
11. 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? "This type of hearing aid does not allow for fine tuning
of volume"
"I shouldn't have trouble keeping the hearing aid in place during exercise"
"I expect to hear a whistling sound when I first insert the hearing aid"
, ATI RN Fundamentals Practice Tests A & B
"I will be sure to remove my hearing aid before taking a shower": "I will be
sure to remove my hearing aid before taking a shower"
12. A nurse enters a client's room and finds her on the floor. The client's
roommate reports that the client was trying to get out of bed and fell over
the side rail onto the floor. Which of the following statements should the
nurse document about this incident?
"Incident report completed"
"Client climbed over the side rails"
"Client found lying on the floor"
"Client was trying to get out of bed": "Client found lying on the floor"
13. A nurse on a medical unit is preparing to discharge a client to home.
Which of the following actions should the nurse take as part of the
medication reconciliation process?
Seal unused medications from the facility in a plastic bag
Evaluate the client's ability to self administer medications
Report an identified discrepancy to The Joint Commission
Compare prescriptions with medications the client received while at the
facility: Compare prescriptions with medications the client received while at the
facility
14. A nurse is caring for a client who requires an informed consent for a
surgical procedure. Which of the following actions is the nurse's
responsibility?
Describe the procedure to the client
Witness the client's signature on the consent form
Inform the client of alternatives to the procedure
1. 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?
"I am having mild pain"
"The pain is like a dull ache in my stomach"
"I notice that the pain gets worse after I eat"
"The pain makes me feel nauseous": "The pain is like a dull ache in my stomach"
2. A client in non ambulatory notifies the nurse that his trash can is on fire.
After the nurse confirms the presence of the fire, which of the following
actions should the nurse take next? Activate the emergency fire alarm
Extinguish the fire
Evacuate the client
Confine the fire: Evacuate the client
3. 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? Neck vein distention
Urine specific gravity 1.010
Rapid Heart rate
Blood pressure 144/82 mmHg: Rapid heart rate
4. A nurse has accepted a verbal prescription for "thee 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? .3 mg
0.3 mg
0.30 mg
, ATI RN Fundamentals Practice Tests A & B
3/10 mg: 0.3 mg
5. A nurse is preparing a heparin infusion for a client who was admitted to
the facility with deep vein thrombosis. The prescription reads: 25,000
units of heparin in 0.9% sodium chloride 250 ml to infuse at 800
units/hour. At what rate should the nurse set the infusion pump?: 8
ml/hour
6. A nurse is caring for a client who has a prescription for wound irrigation.
Which of the following actions should the nurse take?
Wear sterile gloves when removing the old dressing
Warm the irrigation solution to 40.5 C (105 F)
Cleanse the wound from the center outward
Use a 20 ml syringe to irrigate the wound: Cleanse the wound from the center
outward
7. A 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?
Purulent exudate
Warmth
Skin blanching
Bleeding: Skin blanching
8. 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?
"When descending the stairs, I will first shift my weight to my right leg"
"I should place my crutches 12 inches in front and to the side of each foot"
, ATI RN Fundamentals Practice Tests A & B
"As I sit down, I will hold one crutch in each hand"
"I will make sure the shoulder rests are snug against my armpits": "When
descending the stairs, I will first shift my weight to my right leg"
9. 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?
Rinse the feeding back with water between feedings
Tell the client to keep the head of the bed elevated at least 30 degrees
Make sure the enteral formula is at room temperature
Wipe the top of the formula can with alcohol: Tell the client to keep the head of
the bed elevated at least 30 degrees
10. A nurse is reviewing a client's medication prescription that reads,
"digoxin 0.25 by mouth every day". Which of the following components of
the prescription should the nurse verify with the provider?
Medication name
Route of administration
Medication dose
Frequency of administration: Medication dose
11. 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? "This type of hearing aid does not allow for fine tuning
of volume"
"I shouldn't have trouble keeping the hearing aid in place during exercise"
"I expect to hear a whistling sound when I first insert the hearing aid"
, ATI RN Fundamentals Practice Tests A & B
"I will be sure to remove my hearing aid before taking a shower": "I will be
sure to remove my hearing aid before taking a shower"
12. A nurse enters a client's room and finds her on the floor. The client's
roommate reports that the client was trying to get out of bed and fell over
the side rail onto the floor. Which of the following statements should the
nurse document about this incident?
"Incident report completed"
"Client climbed over the side rails"
"Client found lying on the floor"
"Client was trying to get out of bed": "Client found lying on the floor"
13. A nurse on a medical unit is preparing to discharge a client to home.
Which of the following actions should the nurse take as part of the
medication reconciliation process?
Seal unused medications from the facility in a plastic bag
Evaluate the client's ability to self administer medications
Report an identified discrepancy to The Joint Commission
Compare prescriptions with medications the client received while at the
facility: Compare prescriptions with medications the client received while at the
facility
14. A nurse is caring for a client who requires an informed consent for a
surgical procedure. Which of the following actions is the nurse's
responsibility?
Describe the procedure to the client
Witness the client's signature on the consent form
Inform the client of alternatives to the procedure
