ATI RN Fundamentals Practice Tests A & B Study Guide
A charge nurse is discussing the responsibility of nurses caring for clients who have a Clostridium difficle
infection. Which of the following information should the nurse include in the teaching?
Assign the client to a room with a negative airflow system
Use alcohol based hand sanitizer when leaving the client's room
Clean contaminated surfaces in the client's room with a phenol solution
Have family members wear a gown and gloves when visiting - ansHave family members wear a gown and
gloves when visiting
A charge nurse is observing a newly licensed nurse prepare a sterile field for a dressing change. Which of the
following actions by the newly licensed nurse requires intervention by the charge nurse?
The newly licensed nurse places the cap of a bottle of sterile saline solution on the sterile field
The newly licensed nurse places sterile objects 2.5 cm (1 inch) within the border of the field
The new licensed nurse holds the bottle of sterile saline outside the edge of the field when pouring
The sterile field is positioned at the level of the newly licensed nurse's waist - ansThe newly licensed nurse
places the cap of a bottle of sterile saline solution on the sterile field
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 - ansEvacuate the client
A client who is postoperative is verbalizing as a 2 on a pain scale of 0 to 10. Which of the following statements
should the nurse identify as an indication that the client understands the preoperative teaching she received
about pain management?
"I think I should take my pain medication more often, since its not controlling my pain"
"Breathing faster will help me keep my mind off of the pain"
,"It might help me listen to music while lying in bed"
"I don't want to walk today because I have some pain" - ans"It might help me listen to music while lying in bed"
A community health nurse is checking blood pressures for a group of clients at community health screening.
Which of the following clients is at an increased risk for hypertension?
A client who is 52 years old
A client who smokes 1 pack of cigarettes a day
A client who walks for 30 min every day
A client who drinks 1 glass of wine 3 times per week - ansA client who smokes 1 pack of cigarettes a day
A home health nurse is completing an admission assessment of an older adult client who has their caregiver
present. Which of the following findings should the nurse identify as a potential indication of elder abuse?
The caregiver is the client's financial power of attorney
The client is in a wheelchair with the wheels locked
The client reports receiving a full bath twice each week
The caregiver insists on remaining in the room - ansThe caregiver insists on remaining in the room
A home health nurse is performing a follow up visit for a client who as a gastrostomy tube through which they
receive intermittent feedings and medications. The client has recently developed diarrhea. Which of the
following findings should the nurse identify as a possible cause of the diarrhea?
The client is receiving formula at room temperature
The feedings infuse at a slow, continuous drip over 8 hour each night
The client's caregiver washes out the feedings bag with warm water once every 24 hours
The client's caregiver flushes the tubing with water before and after administering medications - ansThe client's
caregiver washes out the feedings bag with warm water once every 24 hours
A middle adult client tells the nurse, "I feel so useless now that my children do not need me anymore." Which
of the following responses should the nurse make?
"Most people are happy when their children grow up and leave home"
,"You should be proud that your children are becoming independent"
"Maybe you should consider why you are feeling useless"
"People in middle adulthood often find satisfaction in nurturing and guiding young people" - ans"People in
middle adulthood often find satisfaction in nurturing and guiding young people"
A new is assessing an older adult client's risk for falls. Which of the following assessments should the nurse use
to identify the client's safety needs? (select all that apply)
Lacrimal apparatus
Pupil clarity
Appearance of bulbar conjuctivae
Visual fields
Visual acuity - ansPupil clarity
Visual fields
Visual acuity
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" - ans"Client found lying on the floor"
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
, 3/10 mg - ans0.3 mg
A nurse has just inserted an NG tube for a client. Which of the following findings should the nurse expect to
confirm correct tube placement?
The tube aspirate has a pH of 7
An x ray shows the end of the tube above the pylorus
Bowel sounds are present on auscultation
The client reports relief of nausea - ansAn x ray shows the end of the tube above the pylorus
A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at an average
risk for colon cancer, I should have a routine screening. What does that involve?" Which of the following
responses should the nurse make?
"I'll get a blood sample from you and send it for a screening test"
"Beginning at age 60, you should have a colonoscopy"
"You should have a fecal occult blood test every year"
"The recommendation is to have a sigmoidoscopy every 10 years" - ans"You should have a fecal occult blood
test every year"
A nurse in a long term care facility is caring for a client who dies during the nurse's shift. Identify the sequence
in which the nurse should perform the following steps.
Wash the client's body
Obtain the pronouncement of death from the provider
Ask the client's family members if they would like to view the body
Remove tubes and indwelling lines
Place a name tag on the body - ans1. Obtain the pronouncement of death from the provider
2. Remove tubes and indwelling lines
3. Wash the client's body
4. Ask the client's family members if they would like to view the body
5. Place a name tag on the body
A charge nurse is discussing the responsibility of nurses caring for clients who have a Clostridium difficle
infection. Which of the following information should the nurse include in the teaching?
Assign the client to a room with a negative airflow system
Use alcohol based hand sanitizer when leaving the client's room
Clean contaminated surfaces in the client's room with a phenol solution
Have family members wear a gown and gloves when visiting - ansHave family members wear a gown and
gloves when visiting
A charge nurse is observing a newly licensed nurse prepare a sterile field for a dressing change. Which of the
following actions by the newly licensed nurse requires intervention by the charge nurse?
The newly licensed nurse places the cap of a bottle of sterile saline solution on the sterile field
The newly licensed nurse places sterile objects 2.5 cm (1 inch) within the border of the field
The new licensed nurse holds the bottle of sterile saline outside the edge of the field when pouring
The sterile field is positioned at the level of the newly licensed nurse's waist - ansThe newly licensed nurse
places the cap of a bottle of sterile saline solution on the sterile field
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 - ansEvacuate the client
A client who is postoperative is verbalizing as a 2 on a pain scale of 0 to 10. Which of the following statements
should the nurse identify as an indication that the client understands the preoperative teaching she received
about pain management?
"I think I should take my pain medication more often, since its not controlling my pain"
"Breathing faster will help me keep my mind off of the pain"
,"It might help me listen to music while lying in bed"
"I don't want to walk today because I have some pain" - ans"It might help me listen to music while lying in bed"
A community health nurse is checking blood pressures for a group of clients at community health screening.
Which of the following clients is at an increased risk for hypertension?
A client who is 52 years old
A client who smokes 1 pack of cigarettes a day
A client who walks for 30 min every day
A client who drinks 1 glass of wine 3 times per week - ansA client who smokes 1 pack of cigarettes a day
A home health nurse is completing an admission assessment of an older adult client who has their caregiver
present. Which of the following findings should the nurse identify as a potential indication of elder abuse?
The caregiver is the client's financial power of attorney
The client is in a wheelchair with the wheels locked
The client reports receiving a full bath twice each week
The caregiver insists on remaining in the room - ansThe caregiver insists on remaining in the room
A home health nurse is performing a follow up visit for a client who as a gastrostomy tube through which they
receive intermittent feedings and medications. The client has recently developed diarrhea. Which of the
following findings should the nurse identify as a possible cause of the diarrhea?
The client is receiving formula at room temperature
The feedings infuse at a slow, continuous drip over 8 hour each night
The client's caregiver washes out the feedings bag with warm water once every 24 hours
The client's caregiver flushes the tubing with water before and after administering medications - ansThe client's
caregiver washes out the feedings bag with warm water once every 24 hours
A middle adult client tells the nurse, "I feel so useless now that my children do not need me anymore." Which
of the following responses should the nurse make?
"Most people are happy when their children grow up and leave home"
,"You should be proud that your children are becoming independent"
"Maybe you should consider why you are feeling useless"
"People in middle adulthood often find satisfaction in nurturing and guiding young people" - ans"People in
middle adulthood often find satisfaction in nurturing and guiding young people"
A new is assessing an older adult client's risk for falls. Which of the following assessments should the nurse use
to identify the client's safety needs? (select all that apply)
Lacrimal apparatus
Pupil clarity
Appearance of bulbar conjuctivae
Visual fields
Visual acuity - ansPupil clarity
Visual fields
Visual acuity
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" - ans"Client found lying on the floor"
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
, 3/10 mg - ans0.3 mg
A nurse has just inserted an NG tube for a client. Which of the following findings should the nurse expect to
confirm correct tube placement?
The tube aspirate has a pH of 7
An x ray shows the end of the tube above the pylorus
Bowel sounds are present on auscultation
The client reports relief of nausea - ansAn x ray shows the end of the tube above the pylorus
A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at an average
risk for colon cancer, I should have a routine screening. What does that involve?" Which of the following
responses should the nurse make?
"I'll get a blood sample from you and send it for a screening test"
"Beginning at age 60, you should have a colonoscopy"
"You should have a fecal occult blood test every year"
"The recommendation is to have a sigmoidoscopy every 10 years" - ans"You should have a fecal occult blood
test every year"
A nurse in a long term care facility is caring for a client who dies during the nurse's shift. Identify the sequence
in which the nurse should perform the following steps.
Wash the client's body
Obtain the pronouncement of death from the provider
Ask the client's family members if they would like to view the body
Remove tubes and indwelling lines
Place a name tag on the body - ans1. Obtain the pronouncement of death from the provider
2. Remove tubes and indwelling lines
3. Wash the client's body
4. Ask the client's family members if they would like to view the body
5. Place a name tag on the body
