ATI RN Fundamentals Online Practice
with NGN
Questions and Correct Answers with
Rationale
LATEST
1. A nurse in an acute care facility is preparing a discharge summary for a client who is
transferring to a long-term care facility. Which of the following documentation should the
nurse include?
A. Client flow sheet
B. Acuity ratings
C. Current medications
D. Incident reports –
ANS-C. Current medications
The nurse should include the client's medications in the discharge summary to ensure
client safety and continuity of care.
2. A nurse is reviewing protocol in preparation for suctioning secretions from a client
who has a new tracheostomy. Which of the following actions should the nurse plan to
take?
A. Use a resuscitation bag with 80% oxygen prior to the procedure.
B. Select a suction catheter that is half the size of the lumen.
C. Place the end of the suction catheter in water-soluble lubricant.
D. Adjust the wall suction apparatus to a pressure of 170 mm Hg.
- ANS-B. Select a suction catheter that is half the size of the lumen.
The nurse should select a suction catheter that is half the size of the lumen to prevent
hypoxemia and trauma to the mucosa.
3. A nurse is caring for a client who has decreased mobility. Which of the following
actions should the nurse take to decrease the client's risk of developing plantar flexion
contractures?
A. Place a pillow under the client's knees.
B. Position a trochanter roll under each of the client's hips.
C. Advise the client to wear rubber-soled slippers.
D. Apply an ankle-foot orthotic device to the client's feet.
- ANS-D. Apply an ankle-foot orthotic device to the client's feet.
The nurse should use a device to maintain dorsiflexion, such as an ankle-foot orthotic
device or a foot board placed perpendicular to the mattress.
,4. A nurse manager is overseeing the care activities on a unit. For which of the following
situations should the nurse manager intervene due to a violation of HIPAA guidelines? A.
A nurse who is caring for a client reviews the client's medical chart with a nursing student
who is working with the nurse.
B. A nurse asks a nurse from another unit to assist with documentation for a client.
C. A nurse who is caring for a client returns a call to the person appointed in the health
care proxy to discuss the client's care.
D. A nurse discusses a client's status with the physical therapist who is caring for the
client.
- ANS-B. A nurse asks a nurse from another unit to assist with documentation for a
client.
Only health care professionals directly caring for a client should have access to the
client's medical information; therefore, this is a violation of HIPAA guidelines.
5. A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a
client. Which of the following actions should the nurse take?
A. Gently shake the container of medication prior to administration.
B. Transfer the medication to a medicine cup.
C. Place the client in a semi-Fowler's position prior to medication administration.
D. Verify the dosage by measuring the liquid before administering it.
- ANS-A. Gently shake the container of medication prior to administration.
The nurse should gently shake the liquid medication to ensure that the medication is
mixed.
6. A nurse on a medical unit is preparing to discharge a client to home. Which of the
following actions should the nurse take as part of the medication reconciliation process?
A. Seal unused medications from the facility in a plastic bag.
B. Evaluate the client's ability to self-administer medications.
C. Report an identified discrepancy to The Joint Commission.
D. Compare prescriptions with medications the client received while at the facility. -
ANS-D. Compare prescriptions with medications the client received while at the facility.
When performing medication reconciliation, the nurse should create a current, accurate
list of every medication the client is or should be taking. Part of the process is
comparing the medications the client received at the facility with those the provider has
prescribed for the client to take after discharge.
7. A nurse is caring for a client who has terminal liver cancer. Which of the following
statements should the nurse identify as an indication that the client is experiencing
spiritual distress?
A. "What could I have done to deserve this illness?"
B. "I blame medical science for not curing me."
C. "Where is my daughter at a time like this?"
, D. "Will I ever begin to feel in charge of my life again?"
- ANS-A. "What could I have done to deserve this illness?"
The client's terminal illness might prompt the client to review their life and question its
meaning. A manifestation of the client's spiritual distress is asking why this illness is
happening to them.
8. A nurse is caring for a client who has a prescription for 5 units of regular insulin and
10 units of NPH insulin to mix together and administer subcutaneously. Determine the
correct order of steps for this procedure. (Move the steps into the box on the right,
placing them in the order of performance. Use all the steps.)
A. Inject 5 units of air into the bottle of regular insulin.
B. Withdraw the correct does of NPH insulin from the bottle.
C. Inject 10 units of air into the bottle of NPH insulin.
D. Withdraw the correct does of regular insulin from the bottle.
- ANS-C. Inject 10 units of air into the bottle of NPH insulin.
A. Inject 5 units of air into the bottle of regular insulin.
D. Withdraw the correct does of regular insulin from the bottle.
B. Withdraw the correct does of NPH insulin from the bottle.
The nurse should first inject air into the vial of NPH insulin without touching the needle
to the solution. Next, the nurse should inject air into the vial of regular insulin and
withdraw the correct amount of the regular insulin. Finally, the nurse should insert the
needle into the NPH insulin vial and withdraw the correct amount of NPH insulin. The
nurse should follow these steps to prevent contaminating the regular insulin with NPH
insulin.
9. A nurse is completing an admission assessment for a client who reports vomiting and
diarrhea for the past 3 days. Which of the following findings should the nurse expect?
A. Neck vein distention
B. Urine specific gravity 1.010
C. Rapid heart rate
D. Blood pressure 144/82 mm Hg
- ANS-C. Rapid heart rate
Tachycardia indicates fluid volume deficit, which is an expected finding for a client who
has had vomiting and diarrhea for 3 days.
10. A nurse is preparing to transfer a client who can bear weight on one leg from the
bed to a chair. After securing a safe environment, which of the following actions should
the nurse take next?
A. Rock the client up to a standing position.
B. Pivot on the foot that is the farthest from the chair.
C. Assess the client for orthostatic hypotension.
with NGN
Questions and Correct Answers with
Rationale
LATEST
1. A nurse in an acute care facility is preparing a discharge summary for a client who is
transferring to a long-term care facility. Which of the following documentation should the
nurse include?
A. Client flow sheet
B. Acuity ratings
C. Current medications
D. Incident reports –
ANS-C. Current medications
The nurse should include the client's medications in the discharge summary to ensure
client safety and continuity of care.
2. A nurse is reviewing protocol in preparation for suctioning secretions from a client
who has a new tracheostomy. Which of the following actions should the nurse plan to
take?
A. Use a resuscitation bag with 80% oxygen prior to the procedure.
B. Select a suction catheter that is half the size of the lumen.
C. Place the end of the suction catheter in water-soluble lubricant.
D. Adjust the wall suction apparatus to a pressure of 170 mm Hg.
- ANS-B. Select a suction catheter that is half the size of the lumen.
The nurse should select a suction catheter that is half the size of the lumen to prevent
hypoxemia and trauma to the mucosa.
3. A nurse is caring for a client who has decreased mobility. Which of the following
actions should the nurse take to decrease the client's risk of developing plantar flexion
contractures?
A. Place a pillow under the client's knees.
B. Position a trochanter roll under each of the client's hips.
C. Advise the client to wear rubber-soled slippers.
D. Apply an ankle-foot orthotic device to the client's feet.
- ANS-D. Apply an ankle-foot orthotic device to the client's feet.
The nurse should use a device to maintain dorsiflexion, such as an ankle-foot orthotic
device or a foot board placed perpendicular to the mattress.
,4. A nurse manager is overseeing the care activities on a unit. For which of the following
situations should the nurse manager intervene due to a violation of HIPAA guidelines? A.
A nurse who is caring for a client reviews the client's medical chart with a nursing student
who is working with the nurse.
B. A nurse asks a nurse from another unit to assist with documentation for a client.
C. A nurse who is caring for a client returns a call to the person appointed in the health
care proxy to discuss the client's care.
D. A nurse discusses a client's status with the physical therapist who is caring for the
client.
- ANS-B. A nurse asks a nurse from another unit to assist with documentation for a
client.
Only health care professionals directly caring for a client should have access to the
client's medical information; therefore, this is a violation of HIPAA guidelines.
5. A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a
client. Which of the following actions should the nurse take?
A. Gently shake the container of medication prior to administration.
B. Transfer the medication to a medicine cup.
C. Place the client in a semi-Fowler's position prior to medication administration.
D. Verify the dosage by measuring the liquid before administering it.
- ANS-A. Gently shake the container of medication prior to administration.
The nurse should gently shake the liquid medication to ensure that the medication is
mixed.
6. A nurse on a medical unit is preparing to discharge a client to home. Which of the
following actions should the nurse take as part of the medication reconciliation process?
A. Seal unused medications from the facility in a plastic bag.
B. Evaluate the client's ability to self-administer medications.
C. Report an identified discrepancy to The Joint Commission.
D. Compare prescriptions with medications the client received while at the facility. -
ANS-D. Compare prescriptions with medications the client received while at the facility.
When performing medication reconciliation, the nurse should create a current, accurate
list of every medication the client is or should be taking. Part of the process is
comparing the medications the client received at the facility with those the provider has
prescribed for the client to take after discharge.
7. A nurse is caring for a client who has terminal liver cancer. Which of the following
statements should the nurse identify as an indication that the client is experiencing
spiritual distress?
A. "What could I have done to deserve this illness?"
B. "I blame medical science for not curing me."
C. "Where is my daughter at a time like this?"
, D. "Will I ever begin to feel in charge of my life again?"
- ANS-A. "What could I have done to deserve this illness?"
The client's terminal illness might prompt the client to review their life and question its
meaning. A manifestation of the client's spiritual distress is asking why this illness is
happening to them.
8. A nurse is caring for a client who has a prescription for 5 units of regular insulin and
10 units of NPH insulin to mix together and administer subcutaneously. Determine the
correct order of steps for this procedure. (Move the steps into the box on the right,
placing them in the order of performance. Use all the steps.)
A. Inject 5 units of air into the bottle of regular insulin.
B. Withdraw the correct does of NPH insulin from the bottle.
C. Inject 10 units of air into the bottle of NPH insulin.
D. Withdraw the correct does of regular insulin from the bottle.
- ANS-C. Inject 10 units of air into the bottle of NPH insulin.
A. Inject 5 units of air into the bottle of regular insulin.
D. Withdraw the correct does of regular insulin from the bottle.
B. Withdraw the correct does of NPH insulin from the bottle.
The nurse should first inject air into the vial of NPH insulin without touching the needle
to the solution. Next, the nurse should inject air into the vial of regular insulin and
withdraw the correct amount of the regular insulin. Finally, the nurse should insert the
needle into the NPH insulin vial and withdraw the correct amount of NPH insulin. The
nurse should follow these steps to prevent contaminating the regular insulin with NPH
insulin.
9. A nurse is completing an admission assessment for a client who reports vomiting and
diarrhea for the past 3 days. Which of the following findings should the nurse expect?
A. Neck vein distention
B. Urine specific gravity 1.010
C. Rapid heart rate
D. Blood pressure 144/82 mm Hg
- ANS-C. Rapid heart rate
Tachycardia indicates fluid volume deficit, which is an expected finding for a client who
has had vomiting and diarrhea for 3 days.
10. A nurse is preparing to transfer a client who can bear weight on one leg from the
bed to a chair. After securing a safe environment, which of the following actions should
the nurse take next?
A. Rock the client up to a standing position.
B. Pivot on the foot that is the farthest from the chair.
C. Assess the client for orthostatic hypotension.
