RN ATI FUNDAMENTALS & CHAPTERS
PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ A nurse is collecting data from an older adult client as part of a
neurosensory examination. Which of the following findings should the nurse
expect as changes associated with aging? (Select all that apply)
A. Slower light touch sensation
B. Some vision and hearing decline
C. Slower fine finger movement
D. Some short-term memory decline
E. Decreased risk of depression.
Answer: A. CORRECT: Touch sensation decreases for the client who is
agingB. CORRECT: Losses in vision, hearing, taste, and smell decline for
the client who is agingC. CORRECT: Fine finger movement slows, along
with some reflex and motor responses for the client who is agingD.
CORRECT: Minimal decline in short-term memory is an expected finding
for the client who is agingE. The risk for depression typically increases for
the client who is aging
◍ A nurse is reviewing the questions to ask when interviewing clients as part
of an integumentary and peripheral vascular assessment.Nursing
Interventions:Identify at least five questions to ask prior to the beginning the
inspection and palpation portions of the assessment.
Answer: Nursing Interventions:-Have you noticed any changes in your skin
color? If so, is the change widespread or just in one area?-Do you have a
rash? Where? Does it itch? How long have you had it? What have you used
to treat the rash?-Is your skin excessively dry or oily? Does this change with
the seasons? Do you use anything to treat it?-Have you developed any new
, moles or lesions? Have any of the moles or lesions changed in any way
(color, borders, size)?-How often are you out in the sun? Do you use
sunscreen or wear protective clothing and a hat?-Do you have any swelling?
If in your legs, is it in both legs? Does the swelling cause pain? What do you
do to relieve the swelling? Does it occur at any particular time of day?
◍ A nurse is assessing an adult client's internal ear canals with an otoscope as
part of a head and neck examination. Which of the following actions should
the nurse take? (Select all that apply)
A. Pull the auricle down and back
B. Insert the speculum slightly down and forward
C. Insert the speculum 2 to 2.5cm (0.8 to 1 in)
D. Make sure the speculum does not touch the ear canal
E. Use the light to visualize the tympanic membrane in a cone shape.
Answer: A. The nurse should pull the auricle up and back for adults and
down and back for children younger than 3 yearsB. CORRECT: Inserting
the speculum slightly down and forward follows the natural shape of the ear
canalC. The nurse should insert the speculum 1 to 1.5 cm (0.4 to 0.6 in)D.
CORRECT: The lining of the ear canal is sensitive. Touching it with the
speculum could cause painE. CORRECT: Due to the angle of the ear canal,
the nurse can only visualize the light reflecting off of the tympanic
membrane as a cone shape rather than a circle
◍ A nurse is teaching a group of newly licensed nurses about identifying chest
landmarks to help them find the optimal locations for auscultation of the
thorax.Underlying Principles:List the seven key chest landmarks, along with
their location on the thorax.
Answer: Underlying Principles:-Midsternal line: through the center of the
sternum-Midclavicular line: through the midpoint of the clavicle-Anterior
axillary line: through the anterior axillary folds-Midaxillary line: through the
apex of the axillae-Posterior axillary line: through the posterior axillary
fold-Right and left scapular lines: through the inferior angle of the
scapula-Vertebral line: Along the center of the spine
, ◍ Responsibility.
Answer: adheres to standards of practice
◍ A nurse is performing a comprehensive physical examination of an older
adult client. Which of the following interventions should the nurse use in
consideration of the client's age? (Select all that apply)
A. Collect the data in one continuous session
B. Plan to allow plenty of time for position changes
C. Make sure the client has any essential sensory aids in place
D. Tell the client to take her time answering questions
E. Invite the client to use the bathroom before beginning the examination.
Answer: A. The nurse should perform the various parts of the assessment in
several shorter segments to avoid overtiring the clientB. CORRECT:
Because many older adults have mobility challenges, the nurse should plan
to allow extra time for position changesC. CORRECT: The nurse should
make sure clients who use sensory aids have them available for use. The
client has to be able to hear the nurse and see well enough to avoid injuryD.
CORRECT: Some older clients need more time to collect their thoughts and
answer questions, but most are reliable historians. Feeling rushed can hinder
communicationE. CORRECT: This is a courtesy for all clients, to avoid
discomfort during palpation of the lower abdomen for example, but this is
especially important for older clients who have a smaller bladder capacity
◍ Social worker.
Answer: work with client and client's family by coordinating inpatient and
community resources to meet psychosocial and environmental needs that are
necessary for recovery and/or dischargeRefer to when: ex- client dying of
cancer wishes to go home but is unable to perform ADLs; the spouse needs
med equipment in the home to care for client
◍ Basic critical thinking.
Answer: -the nurse trusts the experts and thinks concretely based on the
"rules."-results from limited nursing knowledge and experience, as well as
inadequate critical thinking experience
PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ A nurse is collecting data from an older adult client as part of a
neurosensory examination. Which of the following findings should the nurse
expect as changes associated with aging? (Select all that apply)
A. Slower light touch sensation
B. Some vision and hearing decline
C. Slower fine finger movement
D. Some short-term memory decline
E. Decreased risk of depression.
Answer: A. CORRECT: Touch sensation decreases for the client who is
agingB. CORRECT: Losses in vision, hearing, taste, and smell decline for
the client who is agingC. CORRECT: Fine finger movement slows, along
with some reflex and motor responses for the client who is agingD.
CORRECT: Minimal decline in short-term memory is an expected finding
for the client who is agingE. The risk for depression typically increases for
the client who is aging
◍ A nurse is reviewing the questions to ask when interviewing clients as part
of an integumentary and peripheral vascular assessment.Nursing
Interventions:Identify at least five questions to ask prior to the beginning the
inspection and palpation portions of the assessment.
Answer: Nursing Interventions:-Have you noticed any changes in your skin
color? If so, is the change widespread or just in one area?-Do you have a
rash? Where? Does it itch? How long have you had it? What have you used
to treat the rash?-Is your skin excessively dry or oily? Does this change with
the seasons? Do you use anything to treat it?-Have you developed any new
, moles or lesions? Have any of the moles or lesions changed in any way
(color, borders, size)?-How often are you out in the sun? Do you use
sunscreen or wear protective clothing and a hat?-Do you have any swelling?
If in your legs, is it in both legs? Does the swelling cause pain? What do you
do to relieve the swelling? Does it occur at any particular time of day?
◍ A nurse is assessing an adult client's internal ear canals with an otoscope as
part of a head and neck examination. Which of the following actions should
the nurse take? (Select all that apply)
A. Pull the auricle down and back
B. Insert the speculum slightly down and forward
C. Insert the speculum 2 to 2.5cm (0.8 to 1 in)
D. Make sure the speculum does not touch the ear canal
E. Use the light to visualize the tympanic membrane in a cone shape.
Answer: A. The nurse should pull the auricle up and back for adults and
down and back for children younger than 3 yearsB. CORRECT: Inserting
the speculum slightly down and forward follows the natural shape of the ear
canalC. The nurse should insert the speculum 1 to 1.5 cm (0.4 to 0.6 in)D.
CORRECT: The lining of the ear canal is sensitive. Touching it with the
speculum could cause painE. CORRECT: Due to the angle of the ear canal,
the nurse can only visualize the light reflecting off of the tympanic
membrane as a cone shape rather than a circle
◍ A nurse is teaching a group of newly licensed nurses about identifying chest
landmarks to help them find the optimal locations for auscultation of the
thorax.Underlying Principles:List the seven key chest landmarks, along with
their location on the thorax.
Answer: Underlying Principles:-Midsternal line: through the center of the
sternum-Midclavicular line: through the midpoint of the clavicle-Anterior
axillary line: through the anterior axillary folds-Midaxillary line: through the
apex of the axillae-Posterior axillary line: through the posterior axillary
fold-Right and left scapular lines: through the inferior angle of the
scapula-Vertebral line: Along the center of the spine
, ◍ Responsibility.
Answer: adheres to standards of practice
◍ A nurse is performing a comprehensive physical examination of an older
adult client. Which of the following interventions should the nurse use in
consideration of the client's age? (Select all that apply)
A. Collect the data in one continuous session
B. Plan to allow plenty of time for position changes
C. Make sure the client has any essential sensory aids in place
D. Tell the client to take her time answering questions
E. Invite the client to use the bathroom before beginning the examination.
Answer: A. The nurse should perform the various parts of the assessment in
several shorter segments to avoid overtiring the clientB. CORRECT:
Because many older adults have mobility challenges, the nurse should plan
to allow extra time for position changesC. CORRECT: The nurse should
make sure clients who use sensory aids have them available for use. The
client has to be able to hear the nurse and see well enough to avoid injuryD.
CORRECT: Some older clients need more time to collect their thoughts and
answer questions, but most are reliable historians. Feeling rushed can hinder
communicationE. CORRECT: This is a courtesy for all clients, to avoid
discomfort during palpation of the lower abdomen for example, but this is
especially important for older clients who have a smaller bladder capacity
◍ Social worker.
Answer: work with client and client's family by coordinating inpatient and
community resources to meet psychosocial and environmental needs that are
necessary for recovery and/or dischargeRefer to when: ex- client dying of
cancer wishes to go home but is unable to perform ADLs; the spouse needs
med equipment in the home to care for client
◍ Basic critical thinking.
Answer: -the nurse trusts the experts and thinks concretely based on the
"rules."-results from limited nursing knowledge and experience, as well as
inadequate critical thinking experience
