ATI Fundamentals Exam Questions & Answers
A charge nurse is assigning rooms for the clients to be admitted to the unit. To prevent falls,
which of the following clients should the nurse assign to the room closest to the nurses' station?
A. A middle adult who is postoperative following a laparoscopic cholecystectomy
B. A middle adult who requires telemetry for a possible myocardial infarction
C. A young adult who is postoperative following an open reduction internal fixation of the ankle
D. An older adult who is postoperative following a below-the-knee amputation - D
A charge nurse is explaining the various stages of the lifespan to a group of newly licensed
nurses. Which of the following examples should the charge nurse should include as a
developmental task for a young adult?
A. Becoming actively involved in providing guidance to the next generation
B. Adjusting to major changes in roles and relationships due to losses
C. Devoting a great deal of time to establishing an occupation
D. Finding oneself "sandwiched" between and being responsible for two generations - C
A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the
following data should the charge nurse identify as objective data? (Select all that apply.)
A. Respiratory rate is 22/min with even, unlabored respirations.
B. The client's partner states, "He said he hurts after walking about 10 minutes."
C. Pain rating is 3 on a scale of 0 to 10
D. Skin is pink, warm, and dry.
E. The assistive personnel reports the client walked with a limp. - A, D, E
A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that
do not require a provider's prescription. Which of the following interventions should the charge
nurse include? (Select all that apply.)
A. Writing a prescription for morphine sulfate as needed for pain.
B. Inserting a nasogastric (NG) tube to relieve gastric distention.
C. Showing a client how to use progressive muscle relaxation.
D. Performing a daily bath after the evening meal.
E. Repositioning a client every 2 hr to reduce pressure ulcer risk. - C, D, E
A client who has an indwelling catheter reports a need to urinate. Which of the following actions
should the nurse take?
A. Check to see whether the catheter is patent.
B. Reassure the client that it is not possible for her to urinate.
C. Recatheterize the bladder with a larger-gauge catheter.
D. Collect a urine specimen for analysis. - A
,A client who has had a cerebrovascular accident has persistent problems with dysphagia
(difficulty swallowing). The nurse caring for the client should initiate a referral with which of the
following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist - D
A client who is postoperative following knee arthroplasty is concerned about the adverse effects
of the medication he is receiving for pain management. Which of the following members of the
interprofessional care team can assist the client in understanding the medication's effects? (Select
all that apply.)
A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist - A, C, D
A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use
adaptive devices. The nurse caring for the client should initiate a referral to which of the
following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Registered dietitian
D. Occupational therapist - D
A home health nurse is discussing the dangers of carbon monoxide poisoning with a client.
Which of the following information should the nurse include in her counseling?
A. Carbon monoxide has a distinct odor.
B. Water heaters should be inspected every 5 years.
C. The lungs are damaged from carbon monoxide inhalation.
D. Carbon monoxide binds with hemoglobin in the body. - D
A home health nurse is discussing the dangers of food poisoning with a client. Which of the
following information should the nurse including in her counseling? (Select all that apply.)
A. Most food poisoning is caused by a virus.
B. Immunocompromised individuals are at risk for complications from food poisoning
C. Clients who are at high risk should eat or drink only pasteurized dairy products.
D. Healthy individuals usually recover from the illness in a few weeks.
E. Handling raw and fresh food separately can prevent food poisoning. - B, C, E
, A mother tells the nurse that her 2-year-old toddler has temper tantrums and says "no" every time
the mother tries to help her get dressed. The nurse should recognize, the toddler is manifesting
which of the following stages of development?
A. Trying to increase her independence
B. Developing a sense of trust
C. Establishing a new identity
D. Attempting to master a skill - A
A newly licensed nurse is reporting to the charge nurse about the care she gave to a client. She
states, "The client said his leg pain was back, so I checked his medical record, and he last
received his pain medication 6 hours ago. The prescription reads every 4 hours PRN for pain, so
I decided he needs it. I asked the unit nurse to observe me preparing and administering it. I
checked with the client 40 minutes later, and he said his pain is going away." The charge nurse
should inform the newly licensed nurse that she left out which of the following steps of the
nursing process?
A. Assessment
B. Planning
C. Intervention
D. Evaluation - A
A nurse at a clinic is collecting data about pain from of a client who reports severe abdominal
pain. The nurse asks the client whether he has nausea and has been vomiting. Which of the
following pain characteristics is the nurse attempting to determine?
A. Presence of associated manifestations
B. Location of the pain
C. Pain quality
D. Aggravating and relieving factors - A
A nurse at a provider's office is talking about routine screenings with a 45-year-old female client
who has no specific family history of cancer or diabetes mellitus. Which of the following client
statements indicates that the client understands how to proceed?
A. "So I don't need the colon cancer procedure for another 2 or 3 years."
B. "For now, I should continue to have a mammogram each year."
C. "Because the doctor just did a Pap smear, I'll come back next year for another one."
D. "I had my blood glucose test last year, so I won't need it again till next year." - B
A nurse attempts to collect a capillary blood specimen via finger stick for a blood glucose
monitoring from a client who has diabetes mellitus. The nurse is unable to obtain an adequate
drop of blood for the reagent strip. Which of the following actions should the nurse take first?
A. Puncture another finger to obtain a capillary specimen.
B. Test the urine with a urine reagent strip.
A charge nurse is assigning rooms for the clients to be admitted to the unit. To prevent falls,
which of the following clients should the nurse assign to the room closest to the nurses' station?
A. A middle adult who is postoperative following a laparoscopic cholecystectomy
B. A middle adult who requires telemetry for a possible myocardial infarction
C. A young adult who is postoperative following an open reduction internal fixation of the ankle
D. An older adult who is postoperative following a below-the-knee amputation - D
A charge nurse is explaining the various stages of the lifespan to a group of newly licensed
nurses. Which of the following examples should the charge nurse should include as a
developmental task for a young adult?
A. Becoming actively involved in providing guidance to the next generation
B. Adjusting to major changes in roles and relationships due to losses
C. Devoting a great deal of time to establishing an occupation
D. Finding oneself "sandwiched" between and being responsible for two generations - C
A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the
following data should the charge nurse identify as objective data? (Select all that apply.)
A. Respiratory rate is 22/min with even, unlabored respirations.
B. The client's partner states, "He said he hurts after walking about 10 minutes."
C. Pain rating is 3 on a scale of 0 to 10
D. Skin is pink, warm, and dry.
E. The assistive personnel reports the client walked with a limp. - A, D, E
A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that
do not require a provider's prescription. Which of the following interventions should the charge
nurse include? (Select all that apply.)
A. Writing a prescription for morphine sulfate as needed for pain.
B. Inserting a nasogastric (NG) tube to relieve gastric distention.
C. Showing a client how to use progressive muscle relaxation.
D. Performing a daily bath after the evening meal.
E. Repositioning a client every 2 hr to reduce pressure ulcer risk. - C, D, E
A client who has an indwelling catheter reports a need to urinate. Which of the following actions
should the nurse take?
A. Check to see whether the catheter is patent.
B. Reassure the client that it is not possible for her to urinate.
C. Recatheterize the bladder with a larger-gauge catheter.
D. Collect a urine specimen for analysis. - A
,A client who has had a cerebrovascular accident has persistent problems with dysphagia
(difficulty swallowing). The nurse caring for the client should initiate a referral with which of the
following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist - D
A client who is postoperative following knee arthroplasty is concerned about the adverse effects
of the medication he is receiving for pain management. Which of the following members of the
interprofessional care team can assist the client in understanding the medication's effects? (Select
all that apply.)
A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist - A, C, D
A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use
adaptive devices. The nurse caring for the client should initiate a referral to which of the
following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Registered dietitian
D. Occupational therapist - D
A home health nurse is discussing the dangers of carbon monoxide poisoning with a client.
Which of the following information should the nurse include in her counseling?
A. Carbon monoxide has a distinct odor.
B. Water heaters should be inspected every 5 years.
C. The lungs are damaged from carbon monoxide inhalation.
D. Carbon monoxide binds with hemoglobin in the body. - D
A home health nurse is discussing the dangers of food poisoning with a client. Which of the
following information should the nurse including in her counseling? (Select all that apply.)
A. Most food poisoning is caused by a virus.
B. Immunocompromised individuals are at risk for complications from food poisoning
C. Clients who are at high risk should eat or drink only pasteurized dairy products.
D. Healthy individuals usually recover from the illness in a few weeks.
E. Handling raw and fresh food separately can prevent food poisoning. - B, C, E
, A mother tells the nurse that her 2-year-old toddler has temper tantrums and says "no" every time
the mother tries to help her get dressed. The nurse should recognize, the toddler is manifesting
which of the following stages of development?
A. Trying to increase her independence
B. Developing a sense of trust
C. Establishing a new identity
D. Attempting to master a skill - A
A newly licensed nurse is reporting to the charge nurse about the care she gave to a client. She
states, "The client said his leg pain was back, so I checked his medical record, and he last
received his pain medication 6 hours ago. The prescription reads every 4 hours PRN for pain, so
I decided he needs it. I asked the unit nurse to observe me preparing and administering it. I
checked with the client 40 minutes later, and he said his pain is going away." The charge nurse
should inform the newly licensed nurse that she left out which of the following steps of the
nursing process?
A. Assessment
B. Planning
C. Intervention
D. Evaluation - A
A nurse at a clinic is collecting data about pain from of a client who reports severe abdominal
pain. The nurse asks the client whether he has nausea and has been vomiting. Which of the
following pain characteristics is the nurse attempting to determine?
A. Presence of associated manifestations
B. Location of the pain
C. Pain quality
D. Aggravating and relieving factors - A
A nurse at a provider's office is talking about routine screenings with a 45-year-old female client
who has no specific family history of cancer or diabetes mellitus. Which of the following client
statements indicates that the client understands how to proceed?
A. "So I don't need the colon cancer procedure for another 2 or 3 years."
B. "For now, I should continue to have a mammogram each year."
C. "Because the doctor just did a Pap smear, I'll come back next year for another one."
D. "I had my blood glucose test last year, so I won't need it again till next year." - B
A nurse attempts to collect a capillary blood specimen via finger stick for a blood glucose
monitoring from a client who has diabetes mellitus. The nurse is unable to obtain an adequate
drop of blood for the reagent strip. Which of the following actions should the nurse take first?
A. Puncture another finger to obtain a capillary specimen.
B. Test the urine with a urine reagent strip.
