ATI RN FUNDAMENTAL EXAM QUESTIONS AND
CORRECT ANSWERS RATED GRADE A INSTANT
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1.
A nurse is preparing to administer oral medication to a client
with dysphagia. Which action should the nurse take first?
A. Crush all medications
B. Place the client in high-Fowler’s position
C. Offer water with a straw
D. Tilt the client’s head backward
Answer: B
Rationale: Positioning the client upright reduces aspiration risk
during swallowing.
2.
A nurse notes redness over a client’s sacrum that does not
blanch. The nurse should identify this as:
A. Stage 1 pressure injury
B. Stage 2 pressure injury
C. Stage 3 pressure injury
D. Deep tissue injury
Answer: A
,Rationale: Stage 1 pressure injuries involve intact skin with
nonblanchable redness.
3.
Which finding is an early manifestation of hypoxia?
A. Cyanosis
B. Bradycardia
C. Restlessness
D. Hypotension
Answer: C
Rationale: Restlessness and anxiety are early signs of decreased
oxygenation.
4.
A nurse is teaching hand hygiene. Which statement indicates
understanding?
A. “Alcohol rubs are used when hands are visibly dirty.”
B. “I should wash my hands for at least 20 seconds.”
C. “Gloves replace hand hygiene.”
D. “Handwashing is only necessary after patient contact.”
Answer: B
Rationale: Proper handwashing should last at least 20 seconds.
,5.
Which pulse site should the nurse use to assess circulation to the
foot?
A. Radial
B. Femoral
C. Popliteal
D. Dorsalis pedis
Answer: D
Rationale: The dorsalis pedis pulse assesses peripheral
circulation to the foot.
6.
A nurse is caring for a client receiving oxygen via nasal cannula.
Which action is appropriate?
A. Apply petroleum jelly to the nares
B. Keep oxygen tubing kinked
C. Use water-based lubricant on the lips
D. Position client flat in bed
Answer: C
Rationale: Petroleum products are flammable and should not be
used with oxygen.
, 7.
A nurse should identify which finding as a sign of dehydration?
A. Bounding pulse
B. Weight gain
C. Flat neck veins
D. Moist mucous membranes
Answer: C
Rationale: Dehydration decreases vascular volume, causing flat
neck veins.
8.
Which action should the nurse take to reduce fall risk?
A. Keep all side rails raised
B. Encourage nonskid footwear
C. Dim the room lighting
D. Keep personal items out of reach
Answer: B
Rationale: Nonskid footwear helps prevent slips and falls.
9.
A nurse is obtaining a sterile urine specimen from an indwelling
catheter. Which action should the nurse take?
CORRECT ANSWERS RATED GRADE A INSTANT
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1.
A nurse is preparing to administer oral medication to a client
with dysphagia. Which action should the nurse take first?
A. Crush all medications
B. Place the client in high-Fowler’s position
C. Offer water with a straw
D. Tilt the client’s head backward
Answer: B
Rationale: Positioning the client upright reduces aspiration risk
during swallowing.
2.
A nurse notes redness over a client’s sacrum that does not
blanch. The nurse should identify this as:
A. Stage 1 pressure injury
B. Stage 2 pressure injury
C. Stage 3 pressure injury
D. Deep tissue injury
Answer: A
,Rationale: Stage 1 pressure injuries involve intact skin with
nonblanchable redness.
3.
Which finding is an early manifestation of hypoxia?
A. Cyanosis
B. Bradycardia
C. Restlessness
D. Hypotension
Answer: C
Rationale: Restlessness and anxiety are early signs of decreased
oxygenation.
4.
A nurse is teaching hand hygiene. Which statement indicates
understanding?
A. “Alcohol rubs are used when hands are visibly dirty.”
B. “I should wash my hands for at least 20 seconds.”
C. “Gloves replace hand hygiene.”
D. “Handwashing is only necessary after patient contact.”
Answer: B
Rationale: Proper handwashing should last at least 20 seconds.
,5.
Which pulse site should the nurse use to assess circulation to the
foot?
A. Radial
B. Femoral
C. Popliteal
D. Dorsalis pedis
Answer: D
Rationale: The dorsalis pedis pulse assesses peripheral
circulation to the foot.
6.
A nurse is caring for a client receiving oxygen via nasal cannula.
Which action is appropriate?
A. Apply petroleum jelly to the nares
B. Keep oxygen tubing kinked
C. Use water-based lubricant on the lips
D. Position client flat in bed
Answer: C
Rationale: Petroleum products are flammable and should not be
used with oxygen.
, 7.
A nurse should identify which finding as a sign of dehydration?
A. Bounding pulse
B. Weight gain
C. Flat neck veins
D. Moist mucous membranes
Answer: C
Rationale: Dehydration decreases vascular volume, causing flat
neck veins.
8.
Which action should the nurse take to reduce fall risk?
A. Keep all side rails raised
B. Encourage nonskid footwear
C. Dim the room lighting
D. Keep personal items out of reach
Answer: B
Rationale: Nonskid footwear helps prevent slips and falls.
9.
A nurse is obtaining a sterile urine specimen from an indwelling
catheter. Which action should the nurse take?
