ATI Fundamentals | Exam 8 Study Guide Practice 2026 |Questions
|Answers |Rationales
1. A nurse is preparing to transfer a client who is partially weight-bearing from
the bed to a chair. Which of the following actions should the nurse take?
A. Keep feet together while lifting
B. Flex the knees and hips while transferring
C. Ask the client to place their arms around the nurse’s neck
D. Position the chair at a 90-degree angle to the bed
Answer: B
Rationale: Flexing the knees and hips lowers the center of gravity and uses the larger
muscle groups of the legs, which protects the nurse’s back and provides a stable base.
2. A nurse is assessing a client’s radial pulse and notes that the rhythm is
irregular. Which of the following actions should the nurse take?
A. Assess the pulse for 30 seconds and multiply by 2
B. Assess the pulse using a Doppler device
C. Assess the apical pulse for 1 full minute
D. Assess the carotid pulse for 15 seconds
Answer: C
Rationale: When an irregular peripheral pulse is detected, the nurse should assess the
apical pulse for a full 60 seconds to obtain an accurate heart rate and evaluate the rhythm.
,3. A nurse is caring for a client who has a prescription for a clear liquid diet.
Which of the following food items should the nurse offer the client?
A. Applesauce
B. Vanilla pudding
C. Orange juice with pulp
D. Chicken broth
Answer: D
Rationale: Clear liquids include items that are liquid at room temperature and are
transparent, such as broth, gelatin, and water. Pudding and applesauce are part of a full
liquid or soft diet.
4. A nurse is reinforcing teaching with a client about using a cane. Which of the
following instructions should the nurse include?
A. Hold the cane on the weaker side of the body
B. Hold the cane on the stronger side of the body
C. Advance the cane and the stronger leg at the same time
D. Keep the elbow straight when holding the cane
Answer: B
Rationale: The cane should be held on the unaffected (stronger) side to provide better
support and balance for the affected limb.
5. A nurse is performing a skin assessment on an older adult client. Which of the
following findings is an expected age-related change?
A. Increased skin elasticity
B. Paper-thin, transparent skin
C. Increased subcutaneous fat
D. Increased production of skin oils
Answer: B
, Rationale: As skin ages, it loses collagen and subcutaneous fat, resulting in thinning and
increased transparency.
6. A nurse is planning care for a client who is at risk for pressure injuries. Which
of the following interventions should the nurse include?
A. Massage bony prominences every 2 hours
B. Reposition the client every 4 hours
C. Apply cornstarch to the skin to absorb moisture
D. Keep the head of the bed at or below 30 degrees
Answer: D
Rationale: Keeping the head of the bed at or below 30 degrees reduces shearing forces and
pressure on the sacrum and coccyx.
7. A nurse is caring for a client who is receiving oxygen at 2 L/min via nasal
cannula. Which of the following is a priority nursing action?
A. Post ‘No Smoking’ signs on the client’s door
B. Check the skin behind the ears for breakdown
C. Change the cannula every 4 hours
D. Apply petroleum jelly to the nares
Answer: A
Rationale: Safety is the priority. Oxygen is a combustible gas, and ‘No Smoking’ signs are
essential to prevent fire hazards in the presence of oxygen therapy.
8. A nurse is preparing to administer an IM injection to an adult client. Which of
the following sites is the safest for this procedure?
A. Ventrogluteal
B. Dorsogluteal
C. Deltoid
D. Vastus lateralis
Answer: A
|Answers |Rationales
1. A nurse is preparing to transfer a client who is partially weight-bearing from
the bed to a chair. Which of the following actions should the nurse take?
A. Keep feet together while lifting
B. Flex the knees and hips while transferring
C. Ask the client to place their arms around the nurse’s neck
D. Position the chair at a 90-degree angle to the bed
Answer: B
Rationale: Flexing the knees and hips lowers the center of gravity and uses the larger
muscle groups of the legs, which protects the nurse’s back and provides a stable base.
2. A nurse is assessing a client’s radial pulse and notes that the rhythm is
irregular. Which of the following actions should the nurse take?
A. Assess the pulse for 30 seconds and multiply by 2
B. Assess the pulse using a Doppler device
C. Assess the apical pulse for 1 full minute
D. Assess the carotid pulse for 15 seconds
Answer: C
Rationale: When an irregular peripheral pulse is detected, the nurse should assess the
apical pulse for a full 60 seconds to obtain an accurate heart rate and evaluate the rhythm.
,3. A nurse is caring for a client who has a prescription for a clear liquid diet.
Which of the following food items should the nurse offer the client?
A. Applesauce
B. Vanilla pudding
C. Orange juice with pulp
D. Chicken broth
Answer: D
Rationale: Clear liquids include items that are liquid at room temperature and are
transparent, such as broth, gelatin, and water. Pudding and applesauce are part of a full
liquid or soft diet.
4. A nurse is reinforcing teaching with a client about using a cane. Which of the
following instructions should the nurse include?
A. Hold the cane on the weaker side of the body
B. Hold the cane on the stronger side of the body
C. Advance the cane and the stronger leg at the same time
D. Keep the elbow straight when holding the cane
Answer: B
Rationale: The cane should be held on the unaffected (stronger) side to provide better
support and balance for the affected limb.
5. A nurse is performing a skin assessment on an older adult client. Which of the
following findings is an expected age-related change?
A. Increased skin elasticity
B. Paper-thin, transparent skin
C. Increased subcutaneous fat
D. Increased production of skin oils
Answer: B
, Rationale: As skin ages, it loses collagen and subcutaneous fat, resulting in thinning and
increased transparency.
6. A nurse is planning care for a client who is at risk for pressure injuries. Which
of the following interventions should the nurse include?
A. Massage bony prominences every 2 hours
B. Reposition the client every 4 hours
C. Apply cornstarch to the skin to absorb moisture
D. Keep the head of the bed at or below 30 degrees
Answer: D
Rationale: Keeping the head of the bed at or below 30 degrees reduces shearing forces and
pressure on the sacrum and coccyx.
7. A nurse is caring for a client who is receiving oxygen at 2 L/min via nasal
cannula. Which of the following is a priority nursing action?
A. Post ‘No Smoking’ signs on the client’s door
B. Check the skin behind the ears for breakdown
C. Change the cannula every 4 hours
D. Apply petroleum jelly to the nares
Answer: A
Rationale: Safety is the priority. Oxygen is a combustible gas, and ‘No Smoking’ signs are
essential to prevent fire hazards in the presence of oxygen therapy.
8. A nurse is preparing to administer an IM injection to an adult client. Which of
the following sites is the safest for this procedure?
A. Ventrogluteal
B. Dorsogluteal
C. Deltoid
D. Vastus lateralis
Answer: A
