ATI PN FUNDAMENTALS
COMPREHENSIVE EXAM QUESTIONS
AND ANSWERS
1. A nurse is caring for a client who has a prescription for a 24-hour urine collection. Which of
the following actions should the nurse take?
A. Collect the urine for 12 hours if the client is tired.
B. Keep the urine container at room temperature.
C. Include the first voiding in the specimen container.
D. Discard the first voiding and start the timer.
Answer: D
Conceptual Explanation: The nurse should discard the first voiding to ensure an empty
bladder at the start of the collection and then start the timer.
2. A nurse is witnessing a client sign an informed consent form for surgery. Which of the
following is the nurse’s primary responsibility?
A. Explaining the risks of the procedure.
B. Discussing alternative treatment options.
C. Ensuring the client understands the surgical technique.
,D. Verifying that the signature is authentic.
Answer: D
Conceptual Explanation: The nurse’s role in informed consent is to witness the client’s
signature and verify that the client is competent to sign.
3. A nurse is preparing to administer an enteral feeding to a client via an NG tube. Which of
the following methods is the most reliable for verifying tube placement?
A. Aspirating gastric contents for pH testing.
B. Obtaining a chest X-ray.
C. Checking the marking on the tube at the naris.
D. Injecting air into the tube and listening for a gurgle.
Answer: B
Conceptual Explanation: Radiographic verification (X-ray) is the gold standard and most
reliable method for confirming NG tube placement.
4. A nurse is caring for a client who is at risk for pressure ulcers. Which of the following
findings indicates a Stage 2 pressure injury?
A. Partial-thickness skin loss with a visible ulcer or fluid-filled blister.
B. Non-blanchable erythema of intact skin.
C. Full-thickness skin loss with visible subcutaneous fat.
D. Full-thickness skin loss with exposed bone or tendon.
, Answer: A
Conceptual Explanation: Stage 2 pressure injuries involve partial-thickness loss of the
dermis and may present as an intact or ruptured blister.
5. A nurse is teaching a client about using a cane. Which of the following instructions should
the nurse include?
A. Hold the cane on the stronger side of the body.
B. Move the stronger leg forward first.
C. Hold the cane on the weaker side of the body.
D. Keep the elbow straight when holding the cane.
Answer: A
Conceptual Explanation: The client should hold the cane on the unaffected (stronger) side
to provide maximum support and balance.
6. A nurse is documenting care in a client’s medical record. Which of the following entries is
an example of objective data?
A. Client’s skin is warm and dry to the touch.
B. Client appears to be in pain.
C. Client states, ‘I feel very nauseated.’
D. Client is upset with the physical therapist.
Answer: A
COMPREHENSIVE EXAM QUESTIONS
AND ANSWERS
1. A nurse is caring for a client who has a prescription for a 24-hour urine collection. Which of
the following actions should the nurse take?
A. Collect the urine for 12 hours if the client is tired.
B. Keep the urine container at room temperature.
C. Include the first voiding in the specimen container.
D. Discard the first voiding and start the timer.
Answer: D
Conceptual Explanation: The nurse should discard the first voiding to ensure an empty
bladder at the start of the collection and then start the timer.
2. A nurse is witnessing a client sign an informed consent form for surgery. Which of the
following is the nurse’s primary responsibility?
A. Explaining the risks of the procedure.
B. Discussing alternative treatment options.
C. Ensuring the client understands the surgical technique.
,D. Verifying that the signature is authentic.
Answer: D
Conceptual Explanation: The nurse’s role in informed consent is to witness the client’s
signature and verify that the client is competent to sign.
3. A nurse is preparing to administer an enteral feeding to a client via an NG tube. Which of
the following methods is the most reliable for verifying tube placement?
A. Aspirating gastric contents for pH testing.
B. Obtaining a chest X-ray.
C. Checking the marking on the tube at the naris.
D. Injecting air into the tube and listening for a gurgle.
Answer: B
Conceptual Explanation: Radiographic verification (X-ray) is the gold standard and most
reliable method for confirming NG tube placement.
4. A nurse is caring for a client who is at risk for pressure ulcers. Which of the following
findings indicates a Stage 2 pressure injury?
A. Partial-thickness skin loss with a visible ulcer or fluid-filled blister.
B. Non-blanchable erythema of intact skin.
C. Full-thickness skin loss with visible subcutaneous fat.
D. Full-thickness skin loss with exposed bone or tendon.
, Answer: A
Conceptual Explanation: Stage 2 pressure injuries involve partial-thickness loss of the
dermis and may present as an intact or ruptured blister.
5. A nurse is teaching a client about using a cane. Which of the following instructions should
the nurse include?
A. Hold the cane on the stronger side of the body.
B. Move the stronger leg forward first.
C. Hold the cane on the weaker side of the body.
D. Keep the elbow straight when holding the cane.
Answer: A
Conceptual Explanation: The client should hold the cane on the unaffected (stronger) side
to provide maximum support and balance.
6. A nurse is documenting care in a client’s medical record. Which of the following entries is
an example of objective data?
A. Client’s skin is warm and dry to the touch.
B. Client appears to be in pain.
C. Client states, ‘I feel very nauseated.’
D. Client is upset with the physical therapist.
Answer: A