ATI Fundamentals of Nursing // 90+
practice questions and answers//
Complete test bank
A nurse is assessing a patient who has been immobile for 3 days. Which intervention is most
effective in preventing pressure injuries?
A. Massage bony prominences vigorously
B. Keep the head of bed elevated at all times
C. Reposition the patient at least every 2 hours
D. Limit fluid intake to reduce moisture
✔️✔️ Correct: C - Repositioning every 2 hours reduces prolonged pressure on tissues
A nurse is teaching a patient about hand hygiene. Which situation requires soap and water
instead of alcohol-based sanitizer?
A. Before eating a meal
B. After touching a doorknob
C. When hands are visibly soiled
D. After using a computer
✔️✔️ Correct: C - Soap and water are required when hands are visibly dirty
A nurse is preparing to apply wrist restraints. What is the nurse’s priority action?
A. Tie restraints to the bed rails
B. Ensure two fingers can fit under the restraint
C. Remove restraints every 24 hours
D. Apply restraints tightly to prevent movement
✔️✔️ Correct: B - Proper fit prevents impaired circulation
A patient reports dizziness when standing. Which vital sign change indicates orthostatic
hypotension?
A. Increase in BP when standing
B. Decrease in BP after standing
C. No change in pulse rate
D. Increase in oxygen saturation
✔️✔️ Correct: B - BP drop upon standing indicates orthostatic hypotension
A nurse is collecting a sterile urine sample. What is essential?
A. Open container before cleansing area
B. Allow first urine stream into toilet
C. Collect sample from drainage bag
D. Store sample at room temperature for 24 hours
✔️✔️ Correct: B - First stream flushes contaminants from urethra
1
,A nurse is evaluating pain in a nonverbal patient. Which tool is most appropriate?
A. Wong-Baker scale
B. FLACC scale
C. Glasgow scale
D. Braden scale
✔️✔️ Correct: B - FLACC is used for nonverbal patients
A nurse is teaching deep breathing exercises postoperatively. What is the main goal?
A. Prevent infection
B. Improve oxygenation and prevent atelectasis
C. Increase blood pressure
D. Reduce fluid retention
✔️✔️ Correct: B - Deep breathing prevents lung collapse
A nurse is caring for a patient with hypoxia. Which sign is an early indicator?
A. Cyanosis
B. Bradycardia
C. Restlessness
D. Hypotension
✔️✔️ Correct: C - Restlessness is an early sign of hypoxia
A nurse is administering oral medication. What should the nurse do first?
A. Crush all medications
B. Check patient’s allergies
C. Administer with juice
D. Leave medication at bedside
✔️✔️ Correct: B - Always verify allergies first
A nurse is assessing a wound with purulent drainage. What does this indicate?
A. Healthy healing
B. Infection
C. Normal serous drainage
D. Improved circulation
✔️✔️ Correct: B - Purulent drainage indicates infection
A nurse is performing sterile dressing change. What breaks sterile technique?
A. Touching sterile gloves to sterile field
B. Keeping sterile field above waist
C. Opening sterile package away from body
D. Using sterile forceps
✔️✔️ Correct: A - Contaminates sterile field
A nurse is caring for a patient in shock. Which position is appropriate if no spinal injury is
suspected?
A. Fowler’s position
2
, B. Prone position
C. Supine with legs elevated
D. Sitting upright
✔️✔️ Correct: C - Improves venous return
A nurse is assessing dehydration in an elderly patient. Which sign is expected?
A. Moist skin
B. Jugular vein distention
C. Poor skin turgor
D. Slow pulse
✔️✔️ Correct: C - Dehydration reduces skin elasticity
A nurse is preparing IV fluids. What is the priority check?
A. Color of tubing
B. Expiration date
C. Patient height
D. Room temperature
✔️✔️ Correct: B - Prevents administration of expired fluids
A nurse is teaching about infection prevention. Which is the most effective method?
A. Wearing gloves only
B. Hand hygiene
C. Antibiotics use
D. Sterile gloves
✔️✔️ Correct: B - Hand hygiene is the most effective
A nurse is caring for a patient with fever. What is the priority nursing action?
A. Encourage fluids
B. Restrict movement
C. Apply cold compress directly to skin
D. Increase room temperature
✔️✔️ Correct: A - Fluids prevent dehydration
A nurse is evaluating oxygen therapy effectiveness. Which finding indicates improvement?
A. Cyanosis
B. Increased confusion
C. SpO₂ 96%
D. Slow breathing
✔️✔️ Correct: C - Normal oxygen saturation indicates improvement
A nurse is preparing to insert a Foley catheter. What is essential?
A. Use sterile technique
B. Clean with alcohol after insertion
C. Insert without lubrication
3
practice questions and answers//
Complete test bank
A nurse is assessing a patient who has been immobile for 3 days. Which intervention is most
effective in preventing pressure injuries?
A. Massage bony prominences vigorously
B. Keep the head of bed elevated at all times
C. Reposition the patient at least every 2 hours
D. Limit fluid intake to reduce moisture
✔️✔️ Correct: C - Repositioning every 2 hours reduces prolonged pressure on tissues
A nurse is teaching a patient about hand hygiene. Which situation requires soap and water
instead of alcohol-based sanitizer?
A. Before eating a meal
B. After touching a doorknob
C. When hands are visibly soiled
D. After using a computer
✔️✔️ Correct: C - Soap and water are required when hands are visibly dirty
A nurse is preparing to apply wrist restraints. What is the nurse’s priority action?
A. Tie restraints to the bed rails
B. Ensure two fingers can fit under the restraint
C. Remove restraints every 24 hours
D. Apply restraints tightly to prevent movement
✔️✔️ Correct: B - Proper fit prevents impaired circulation
A patient reports dizziness when standing. Which vital sign change indicates orthostatic
hypotension?
A. Increase in BP when standing
B. Decrease in BP after standing
C. No change in pulse rate
D. Increase in oxygen saturation
✔️✔️ Correct: B - BP drop upon standing indicates orthostatic hypotension
A nurse is collecting a sterile urine sample. What is essential?
A. Open container before cleansing area
B. Allow first urine stream into toilet
C. Collect sample from drainage bag
D. Store sample at room temperature for 24 hours
✔️✔️ Correct: B - First stream flushes contaminants from urethra
1
,A nurse is evaluating pain in a nonverbal patient. Which tool is most appropriate?
A. Wong-Baker scale
B. FLACC scale
C. Glasgow scale
D. Braden scale
✔️✔️ Correct: B - FLACC is used for nonverbal patients
A nurse is teaching deep breathing exercises postoperatively. What is the main goal?
A. Prevent infection
B. Improve oxygenation and prevent atelectasis
C. Increase blood pressure
D. Reduce fluid retention
✔️✔️ Correct: B - Deep breathing prevents lung collapse
A nurse is caring for a patient with hypoxia. Which sign is an early indicator?
A. Cyanosis
B. Bradycardia
C. Restlessness
D. Hypotension
✔️✔️ Correct: C - Restlessness is an early sign of hypoxia
A nurse is administering oral medication. What should the nurse do first?
A. Crush all medications
B. Check patient’s allergies
C. Administer with juice
D. Leave medication at bedside
✔️✔️ Correct: B - Always verify allergies first
A nurse is assessing a wound with purulent drainage. What does this indicate?
A. Healthy healing
B. Infection
C. Normal serous drainage
D. Improved circulation
✔️✔️ Correct: B - Purulent drainage indicates infection
A nurse is performing sterile dressing change. What breaks sterile technique?
A. Touching sterile gloves to sterile field
B. Keeping sterile field above waist
C. Opening sterile package away from body
D. Using sterile forceps
✔️✔️ Correct: A - Contaminates sterile field
A nurse is caring for a patient in shock. Which position is appropriate if no spinal injury is
suspected?
A. Fowler’s position
2
, B. Prone position
C. Supine with legs elevated
D. Sitting upright
✔️✔️ Correct: C - Improves venous return
A nurse is assessing dehydration in an elderly patient. Which sign is expected?
A. Moist skin
B. Jugular vein distention
C. Poor skin turgor
D. Slow pulse
✔️✔️ Correct: C - Dehydration reduces skin elasticity
A nurse is preparing IV fluids. What is the priority check?
A. Color of tubing
B. Expiration date
C. Patient height
D. Room temperature
✔️✔️ Correct: B - Prevents administration of expired fluids
A nurse is teaching about infection prevention. Which is the most effective method?
A. Wearing gloves only
B. Hand hygiene
C. Antibiotics use
D. Sterile gloves
✔️✔️ Correct: B - Hand hygiene is the most effective
A nurse is caring for a patient with fever. What is the priority nursing action?
A. Encourage fluids
B. Restrict movement
C. Apply cold compress directly to skin
D. Increase room temperature
✔️✔️ Correct: A - Fluids prevent dehydration
A nurse is evaluating oxygen therapy effectiveness. Which finding indicates improvement?
A. Cyanosis
B. Increased confusion
C. SpO₂ 96%
D. Slow breathing
✔️✔️ Correct: C - Normal oxygen saturation indicates improvement
A nurse is preparing to insert a Foley catheter. What is essential?
A. Use sterile technique
B. Clean with alcohol after insertion
C. Insert without lubrication
3
