ATI Fundamentals Retake EXAM 2026-2027 LATEST
UPDATED VERSION QUESTIONS AND ANSWERS
The nurse is providing discharge teaching for a client who has a new prescription for a home oxygen
concentrator. Which of the following instructions should the nurse provide to the client and his family?
select all that apply.
a. check the cord routinely for frays and tearing
b. keep the unit at least 1.2 m (4 feet) away from a gas stove
c. consider purchasing a generator for power backup
d. observe for signs of hypoxia
d. select synthetic clothing and bedding - answer>>a,c,d
Check the cord routinely for frays or tearing is correct. Oxygen concentrators require electrical power.
Safe use of this delivery system includes assessing the electrical function of the device; therefore, the
nurse should instruct the client to routinely check the condition of the cord.Keep the unit at least 1.2 m
(4 feet) away from a gas stove is incorrect. Safe use of home oxygen equipment includes keeping the
unit at least 3.05 m (10 feet) away from open flames, such as from a fireplace or a gas stove, and at
least 2.4 m (8 feet) away from other heat sources.Consider purchasing a generator for power backup is
correct. Loss of electricity prevents the oxygen concentrator from functioning and could deprive the
client of necessary oxygen. The nurse should also instruct the family to have the client placed on their
municipality's priority list for restoring power after an outage occurs.Observe for signs of hypoxia is
correct. The nurse should instruct the family to observe for
A nurse is calculating a client's fluid intake over the past 8 hr. Which of the following should the nurse
plan to document on the client's intake and output record as 120 mL of fluid?
a. 2 cups of soup
b. 1 quart of water
c. 8 oz of ice chips
d. 6 oz of tea - answer>>c. 8 oz of ice chips
2 cups of soup. The nurse should understand that 2 cups of soup are equivalent to 480 mL of fluid.
,1 quart of water. The nurse should understand that 1 quart of water is equivalent to 960 to 1,000 mL of
fluid.
8 oz of ice chips. The nurse should document half of the volume of ice chips when calculating fluid
intake to account for the air in between the chips. The nurse should understand that 4 oz of liquid
water is equal to 120 mL of fluid.
6 oz of tea. The nurse should understand that 6 oz of tea is equal to 180 mL of fluid.
A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take?
(select all that apply)
a. place the client in a room with negative airflow pressure
b. wear gloves when assisting the client with oral care
c. limit each visitor to 2 hr increments
d. wear a surgical mask when providing client care
e. use antimicrobial sanitizer for hand hygiene - answer>>a,b,e
A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The client's
partner wants the client to have the blood transfusion. Which of the following actions should the nurse
take?
a. ask the client to consider a direct donation
b. withhold the blood transfusion
c. request a consultation with the ethics committee
d. ask the client's family to intervene - answer>>b. withhold the blood transfusion
A direct donation still requires a blood transfusion and does not respect the client's wishes.
Withhold the blood transfusion. The principle of autonomy ensures that a client who is competent has
the right to refuse treatment.
Request a consultation with the ethics committee.A client who is competent has the right to refuse
treatment, regardless of the consequences. There is no need to involve the ethics committee.
Ask the client's family to intervene.Clients who are competent have the right to consent to or refuse
treatment.
,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?
a. "when descending the stairs, I will first shift my weight to my right leg"
b. "I should place my crutches 12 inches in front and to the side of each foot"
c. "As I sit down, I will hold one crutch in each hand"
d. "I will make sure the shoulder rests are snug against my armpits" - answer>>a. "when descending the
stairs, I will first shift my weight to my right leg"
To descend stairs, the client should first shift his body weight to his right, unaffected leg.
"I should place my crutches 12 inches in front and to the side of each foot."The client should place his
crutches 15 cm (6 in) in front and to the side of each foot.
"As I sit down, I will hold one crutch in each hand."Just before sitting down, the client should hold both
crutches by their hand bars in one hand.
"I will make sure the shoulder rests are snug against my armpits." To avoid injury to the underlying
nerves, the shoulder rests should be at least 2.5 to 5 cm (1 to 2 in) below the axillae.
A nurse has accepted a verbal prescription "for three 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?
a. .3 mg
b. 0.3 mg
c. 0.30 mg
d. 3/10 mg - answer>>b. 0.3 mg
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following findings
indicates that the catheter requires irrigation?
a. urine has an unusual odor
b. urine specific gravity is 1.035
c. bladder scan shows 525 mL of urine
d. urine is positive for ketones - answer>>c. bladder scan shows 525 mL of urine
, Urine with an unusual odor can be a sign of infection; however, it is not an indication for irrigation.
Urine specific gravity is 1.035.A urine specific gravity of 1.035 indicates that the urine is concentrated;
however, it is not an indication for irrigation.
Bladder scan shows 525 mL of urine. A client who has an indwelling urinary catheter should have a
continuous urine flow without an accumulation of urine in the bladder; therefore, the nurse should
irrigate the catheter to resolve any existing blockage.
Urine is positive for ketones.Urine that is positive for ketones is a sign of diabetes mellitus with poor
glucose control; however, it is not an indication for irrigation.
A nurse is assessing an adult client who has been immobile for the past 3 weeks. For which of the
following findings should the nurse intervene?
a. erythema on pressure points
b. lower-extremity pulse strength of 2+
c. fluid intake of 3,000 mL per day
d. one bowel movement every other day - answer>>a. erythema on pressure points
Erythema on pressure pointsErythema on pressure points requires prompt relief of pressure and
additional measures to protect the skin from breakdown.
Lower-extremity pulse strength of 2+A lower-extremity pulse strength of 2+ is an expected finding.
Fluid intake of 3,000 mL per day. Clients should receive 2,000 to 3,000 mL of fluid per day.
One bowel movement every other dayBowel movements less frequent than three times per week can
indicate constipation and the need for intervention. However, a bowel movement every other day does
not require intervention.
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?
a. rinse the feeding bag with water between feedings
b. tell the client to keep the head of the bed elevated at least 30 degrees
c. make sure the enteral formula is at room temperature
d. wipe the top of the formula can with alcohol - answer>>b. tell the client to keep the head of the bed
elevated at least 30 degrees
UPDATED VERSION QUESTIONS AND ANSWERS
The nurse is providing discharge teaching for a client who has a new prescription for a home oxygen
concentrator. Which of the following instructions should the nurse provide to the client and his family?
select all that apply.
a. check the cord routinely for frays and tearing
b. keep the unit at least 1.2 m (4 feet) away from a gas stove
c. consider purchasing a generator for power backup
d. observe for signs of hypoxia
d. select synthetic clothing and bedding - answer>>a,c,d
Check the cord routinely for frays or tearing is correct. Oxygen concentrators require electrical power.
Safe use of this delivery system includes assessing the electrical function of the device; therefore, the
nurse should instruct the client to routinely check the condition of the cord.Keep the unit at least 1.2 m
(4 feet) away from a gas stove is incorrect. Safe use of home oxygen equipment includes keeping the
unit at least 3.05 m (10 feet) away from open flames, such as from a fireplace or a gas stove, and at
least 2.4 m (8 feet) away from other heat sources.Consider purchasing a generator for power backup is
correct. Loss of electricity prevents the oxygen concentrator from functioning and could deprive the
client of necessary oxygen. The nurse should also instruct the family to have the client placed on their
municipality's priority list for restoring power after an outage occurs.Observe for signs of hypoxia is
correct. The nurse should instruct the family to observe for
A nurse is calculating a client's fluid intake over the past 8 hr. Which of the following should the nurse
plan to document on the client's intake and output record as 120 mL of fluid?
a. 2 cups of soup
b. 1 quart of water
c. 8 oz of ice chips
d. 6 oz of tea - answer>>c. 8 oz of ice chips
2 cups of soup. The nurse should understand that 2 cups of soup are equivalent to 480 mL of fluid.
,1 quart of water. The nurse should understand that 1 quart of water is equivalent to 960 to 1,000 mL of
fluid.
8 oz of ice chips. The nurse should document half of the volume of ice chips when calculating fluid
intake to account for the air in between the chips. The nurse should understand that 4 oz of liquid
water is equal to 120 mL of fluid.
6 oz of tea. The nurse should understand that 6 oz of tea is equal to 180 mL of fluid.
A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take?
(select all that apply)
a. place the client in a room with negative airflow pressure
b. wear gloves when assisting the client with oral care
c. limit each visitor to 2 hr increments
d. wear a surgical mask when providing client care
e. use antimicrobial sanitizer for hand hygiene - answer>>a,b,e
A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The client's
partner wants the client to have the blood transfusion. Which of the following actions should the nurse
take?
a. ask the client to consider a direct donation
b. withhold the blood transfusion
c. request a consultation with the ethics committee
d. ask the client's family to intervene - answer>>b. withhold the blood transfusion
A direct donation still requires a blood transfusion and does not respect the client's wishes.
Withhold the blood transfusion. The principle of autonomy ensures that a client who is competent has
the right to refuse treatment.
Request a consultation with the ethics committee.A client who is competent has the right to refuse
treatment, regardless of the consequences. There is no need to involve the ethics committee.
Ask the client's family to intervene.Clients who are competent have the right to consent to or refuse
treatment.
,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?
a. "when descending the stairs, I will first shift my weight to my right leg"
b. "I should place my crutches 12 inches in front and to the side of each foot"
c. "As I sit down, I will hold one crutch in each hand"
d. "I will make sure the shoulder rests are snug against my armpits" - answer>>a. "when descending the
stairs, I will first shift my weight to my right leg"
To descend stairs, the client should first shift his body weight to his right, unaffected leg.
"I should place my crutches 12 inches in front and to the side of each foot."The client should place his
crutches 15 cm (6 in) in front and to the side of each foot.
"As I sit down, I will hold one crutch in each hand."Just before sitting down, the client should hold both
crutches by their hand bars in one hand.
"I will make sure the shoulder rests are snug against my armpits." To avoid injury to the underlying
nerves, the shoulder rests should be at least 2.5 to 5 cm (1 to 2 in) below the axillae.
A nurse has accepted a verbal prescription "for three 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?
a. .3 mg
b. 0.3 mg
c. 0.30 mg
d. 3/10 mg - answer>>b. 0.3 mg
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following findings
indicates that the catheter requires irrigation?
a. urine has an unusual odor
b. urine specific gravity is 1.035
c. bladder scan shows 525 mL of urine
d. urine is positive for ketones - answer>>c. bladder scan shows 525 mL of urine
, Urine with an unusual odor can be a sign of infection; however, it is not an indication for irrigation.
Urine specific gravity is 1.035.A urine specific gravity of 1.035 indicates that the urine is concentrated;
however, it is not an indication for irrigation.
Bladder scan shows 525 mL of urine. A client who has an indwelling urinary catheter should have a
continuous urine flow without an accumulation of urine in the bladder; therefore, the nurse should
irrigate the catheter to resolve any existing blockage.
Urine is positive for ketones.Urine that is positive for ketones is a sign of diabetes mellitus with poor
glucose control; however, it is not an indication for irrigation.
A nurse is assessing an adult client who has been immobile for the past 3 weeks. For which of the
following findings should the nurse intervene?
a. erythema on pressure points
b. lower-extremity pulse strength of 2+
c. fluid intake of 3,000 mL per day
d. one bowel movement every other day - answer>>a. erythema on pressure points
Erythema on pressure pointsErythema on pressure points requires prompt relief of pressure and
additional measures to protect the skin from breakdown.
Lower-extremity pulse strength of 2+A lower-extremity pulse strength of 2+ is an expected finding.
Fluid intake of 3,000 mL per day. Clients should receive 2,000 to 3,000 mL of fluid per day.
One bowel movement every other dayBowel movements less frequent than three times per week can
indicate constipation and the need for intervention. However, a bowel movement every other day does
not require intervention.
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?
a. rinse the feeding bag with water between feedings
b. tell the client to keep the head of the bed elevated at least 30 degrees
c. make sure the enteral formula is at room temperature
d. wipe the top of the formula can with alcohol - answer>>b. tell the client to keep the head of the bed
elevated at least 30 degrees
