ATI Fundamentals Practice
Assessment A well written
one year 2025 /2026
updated graded A+
Comprehensive 150-Question
Practice Exam Advanced/Hard Difficulty |
Nursing Students & Professionals
QUESTION 1
A nurse is preparing to administer a medication to a client. Which of the following
actions should the nurse take first?
A) Calculate the correct dosage
B) Verify the client's identity using two identifiers
C) Check the medication against the medication administration record (MAR)
D) Assess the client's allergies
,Rationale:
- detailed answer 100 % correct :-B
Rationale: The first action the nurse should take before any medication administration is to
verify the client's identity using two unique identifiers (e.g., name and date of birth) to ensure
the right client receives the medication. This is a fundamental safety priority that precedes all
other medication preparation steps.
QUESTION 2
A nurse is caring for a client who is at risk for pressure injury development. Which of the
following interventions should the nurse include in the plan of care?
A) Massage reddened bony prominences
B) Keep the head of the bed elevated above 45 degrees at all times
C) Apply a moisture barrier ointment to skin exposed to incontinence
D) Reposition the client every 4 hours while in bed
- detailed answer 100 % correct :-C
Applying a moisture barrier ointment protects vulnerable skin from
breakdown
caused by exposure to moisture and bodily fluids. Reddened areas should not be massaged as
this can cause deeper tissue damage. The head of the bed should be kept at or below 30
degrees to minimize shearing forces, and immobile clients should be repositioned at least
every 2 hours.
QUESTION 3
A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse
identify as an indication of correct use?
A) The top of the cane is parallel to the client's waist
B) When walking, the client moves the cane 46 cm (18 in) forward
C) The client holds the cane on the stronger side of her body
D) The client moves her stronger limb forward first
,Rationale:
- detailed answer 100 % correct :-C
Rationale: The client should hold the cane on the stronger side of the body to provide optimal
support and weight distribution. The top of the cane should be at the level of the greater
trochanter, not parallel to the waist. The cane should be moved forward approximately 15-30
cm (6-12 in), not 46 cm.
QUESTION 4
A nurse is planning care for a client with an NG tube. Which of the following actions should the
nurse include?
A) Measure the amount of drainage from the NG tube every 4 hours
B) Secure the NG tube to the client's gown using tape
C) Flush the NG tube with 30 mL of sterile water every 2 hours
D) Measure the amount of drainage from the NG tube every shift
- detailed answer 100 % correct :-D
The nurse should measure the amount of drainage from the NG tube every shift to
monitor output and assess for complications. The tube should be secured to the client's gown
using a securement device, not tape directly on the skin. Flushing frequency depends on the
type of tube and provider orders.
QUESTION 5
A nurse is caring for a client who has heart failure. Which of the following statements by the
client indicates an understanding of the teaching?
A) "I have been weighing myself every other morning"
B) "I am limiting my sodium intake to 2 grams daily"
C) "I lie down and rest after meals"
D) "I know to call my doctor if I gain 5 pounds or more in 2 days"
, Rationale:
- detailed answer 100 % correct :-B
Rationale: Clients who have heart failure should maintain a sodium intake between 2 and 3
grams daily. The client should weigh themselves daily, not every other day. The client should
rest before meals, not after, as eating requires energy and oxygen consumption. The client
should call the provider for a weight gain of 3 pounds or more in 2 days, not 5 pounds.
QUESTION 6
A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of the
following actions should the nurse take first?
A) Open the sterile catheterization kit
B) Verify the client's identity using two identifiers
C) Cleanse the perineal area with antiseptic solution
D) Lubricate the tip of the catheter
- detailed answer 100 % correct :-B
The first action the nurse should take using the nursing process approach is to verify
the client's identity using two independent identifiers to ensure safety and prevent medical
errors. The other choices are sequential steps of the procedure that occur after identity
verification.
QUESTION 7
A nurse is caring for a client who has tuberculosis. Which of the following personal protective
equipment should the nurse use when providing care?
A) Surgical mask
B) N95 respirator
C) Gown and gloves only
D) Full face shield
Assessment A well written
one year 2025 /2026
updated graded A+
Comprehensive 150-Question
Practice Exam Advanced/Hard Difficulty |
Nursing Students & Professionals
QUESTION 1
A nurse is preparing to administer a medication to a client. Which of the following
actions should the nurse take first?
A) Calculate the correct dosage
B) Verify the client's identity using two identifiers
C) Check the medication against the medication administration record (MAR)
D) Assess the client's allergies
,Rationale:
- detailed answer 100 % correct :-B
Rationale: The first action the nurse should take before any medication administration is to
verify the client's identity using two unique identifiers (e.g., name and date of birth) to ensure
the right client receives the medication. This is a fundamental safety priority that precedes all
other medication preparation steps.
QUESTION 2
A nurse is caring for a client who is at risk for pressure injury development. Which of the
following interventions should the nurse include in the plan of care?
A) Massage reddened bony prominences
B) Keep the head of the bed elevated above 45 degrees at all times
C) Apply a moisture barrier ointment to skin exposed to incontinence
D) Reposition the client every 4 hours while in bed
- detailed answer 100 % correct :-C
Applying a moisture barrier ointment protects vulnerable skin from
breakdown
caused by exposure to moisture and bodily fluids. Reddened areas should not be massaged as
this can cause deeper tissue damage. The head of the bed should be kept at or below 30
degrees to minimize shearing forces, and immobile clients should be repositioned at least
every 2 hours.
QUESTION 3
A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse
identify as an indication of correct use?
A) The top of the cane is parallel to the client's waist
B) When walking, the client moves the cane 46 cm (18 in) forward
C) The client holds the cane on the stronger side of her body
D) The client moves her stronger limb forward first
,Rationale:
- detailed answer 100 % correct :-C
Rationale: The client should hold the cane on the stronger side of the body to provide optimal
support and weight distribution. The top of the cane should be at the level of the greater
trochanter, not parallel to the waist. The cane should be moved forward approximately 15-30
cm (6-12 in), not 46 cm.
QUESTION 4
A nurse is planning care for a client with an NG tube. Which of the following actions should the
nurse include?
A) Measure the amount of drainage from the NG tube every 4 hours
B) Secure the NG tube to the client's gown using tape
C) Flush the NG tube with 30 mL of sterile water every 2 hours
D) Measure the amount of drainage from the NG tube every shift
- detailed answer 100 % correct :-D
The nurse should measure the amount of drainage from the NG tube every shift to
monitor output and assess for complications. The tube should be secured to the client's gown
using a securement device, not tape directly on the skin. Flushing frequency depends on the
type of tube and provider orders.
QUESTION 5
A nurse is caring for a client who has heart failure. Which of the following statements by the
client indicates an understanding of the teaching?
A) "I have been weighing myself every other morning"
B) "I am limiting my sodium intake to 2 grams daily"
C) "I lie down and rest after meals"
D) "I know to call my doctor if I gain 5 pounds or more in 2 days"
, Rationale:
- detailed answer 100 % correct :-B
Rationale: Clients who have heart failure should maintain a sodium intake between 2 and 3
grams daily. The client should weigh themselves daily, not every other day. The client should
rest before meals, not after, as eating requires energy and oxygen consumption. The client
should call the provider for a weight gain of 3 pounds or more in 2 days, not 5 pounds.
QUESTION 6
A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of the
following actions should the nurse take first?
A) Open the sterile catheterization kit
B) Verify the client's identity using two identifiers
C) Cleanse the perineal area with antiseptic solution
D) Lubricate the tip of the catheter
- detailed answer 100 % correct :-B
The first action the nurse should take using the nursing process approach is to verify
the client's identity using two independent identifiers to ensure safety and prevent medical
errors. The other choices are sequential steps of the procedure that occur after identity
verification.
QUESTION 7
A nurse is caring for a client who has tuberculosis. Which of the following personal protective
equipment should the nurse use when providing care?
A) Surgical mask
B) N95 respirator
C) Gown and gloves only
D) Full face shield
