ATI FUNDAMENTALS REAL EXAM QUESTIONS AND CORRECT ANSWERS
2024-2025 LATEST UPDATE//GRADED A+
A nurse is discussing with a client who has a sudden onset of severe back pain from unknown origin.
What question should the nurse ask to encourage discussion with the client? - answer-"What do you
think caused the onset of your pain?"
A nurse is caring for a client who has a history of dysrhythmias. Upon entering the room, the nurse
discovers that the patient is unresponsive to verbal or painful stimuli, has no respirations, and is
pulseless. What action should the nurse take first? - answer-start chest compressions
A nurse is admitting a client who has measles. What type of transmission-based precautions should be
taken? - answer-Airborne
A nurse is providing teaching about crutches for a client with a fracture of the right foot. What
instruction should the nurse include? - answer-keep the rubber crutch tips securely in place
A nurse manager is providing training to a group of newly licensed nurses about ways that clients
acquire healthcare-related infections. Which route of infection should the nurse as iatrogenic? -
answerinfection acquired from a diagnostic procedure
A nurse is performing a straight catheterization of a female client who has urinary retention. Which
action indicates the nurse is following sterile technique? - answer-wiping the labia minora in an
anteroposterior direction
A nurse is caring for a client who is set to receive transcutaneous electrical nerve stimulation (TENS) for
pain management. The client asks how the TENS unit helps relieve pain. How should the nurse respond?
- answer-it modulates the transmission of the pain impulse
A nurse is administering medication to a client that asks the nurse to leave the medication at the
bedside to be taken at a later time. How should the nurse respond? - answer-"Call me when you are
ready, and I will return with the medication."
A nurse is caring for a client who has a C-diff infection and is in contact isolation. What action should the
nurse take? - answer-Wear gloved when changing the client's gown
,A nurse is assessing a client who has deep, rapid respirations. Arterial blood gas values: ph- 7.25, PaCO2-
40, HCO3- 18. Which acid-base imbalance should the nurse identify and report to the provider? -
answer-Metabolic acidosis
A nurse is caring for a client who has Type 1 Diabetes Mellites and is resistant to learning how to
selfinject insulin. Which statement should the nurse make? - answer-"Tell me how I can help you
overcome your fear of self-injections"
A nurse is caring for a client who is immobile. The nurse should recognize that immobility puts the client
at risk for what health alteration? - answer-decreased cardiac output
A nurse is preparing to instill a vaginal medication in suppository form to a client. Which action should
the nurse take during this procedure? - answer-use the index finger to insert the suppository
A nurse is caring for a group of clients in a long-term care facility. The nurse should admit that which
client is eligible for hospice services? - answer-A client who has end-stage cirrhosis
A nurse is caring for an adult client who has an unmet spiritual need. Which of the following statements
should indicate to the nurse that the client is in spiritual distress? - answer-"God is punishing me for
something."
A nurse is caring for a client who is receiving intermittent enteral feedings through an NG tube. The
specific gravity of the client's urine is 1.035. Which action should the nurse take? - answer-Provide more
water with feedings
A nurse is collecting a capillary blood sample to determine a client's blood glucose level. The nurse
prepares and punctures the client's finger but does not collect enough blood for the sample. Which
action should the nurse take? - answer-Wash the client's finger in a warm washcloth
A nurse is measuring a client's vital signs. The client's heart rate is 105 bpm. How should the nurse
document this finding? - answer-tachycardic
, A nurse is caring for a client who has injuries from a motor-vehicle crash. What statement should the
nurse address first? - answer-"I can't sleep well because whenever I fall asleep, the pain wakes me back
up."
A nurse is assessing a client who is experiencing stress and anxiety regarding a recent diagnosis. What
finding should the nurse expect? - answer-increased blood pressure
A nurse is preparing to administer an intramuscular injection to a client who is overweight. What site
should the nurse choose for this injection? - answer-side hip between iliac crest and anterior iliac spine
A nurse is assessing a client's incision and notes the color to be blood-tinged. Which term should the
nurse use to document this drainage? - answer-sanguineous
A nurse is monitoring a client's labs. What is an example of an abnormal lab value? - answer-Potassium
level of 3.0
A nurse is assessing a client who is unconscious. Family members are present and answer the nurse's
questions about the client's medical history. The nurse should document this information as which type
of data? - answer-secondary-source data
A nurse is assessing a client who reports nausea and vomiting for 2 days. What finding would indicate
that the client is in fluid volume deficit? - answer-increased heart rate
A nurse on a surgical unit is caring for a client who has abdominal surgery from the post-anesthesia care
unit. What assessment should the nurse make first? - answer-airway
A nurse is caring for a client who has peripheral edema. The nurse should identify that which nutrient
regulates extracellular volume? - answer-sodium
A nurse is helping a client change his hospital gown. The client has an IV infusion on an infusion pump.
Which action should the nurse take first? - answer-remove the sleeve of the gown without the IV line
2024-2025 LATEST UPDATE//GRADED A+
A nurse is discussing with a client who has a sudden onset of severe back pain from unknown origin.
What question should the nurse ask to encourage discussion with the client? - answer-"What do you
think caused the onset of your pain?"
A nurse is caring for a client who has a history of dysrhythmias. Upon entering the room, the nurse
discovers that the patient is unresponsive to verbal or painful stimuli, has no respirations, and is
pulseless. What action should the nurse take first? - answer-start chest compressions
A nurse is admitting a client who has measles. What type of transmission-based precautions should be
taken? - answer-Airborne
A nurse is providing teaching about crutches for a client with a fracture of the right foot. What
instruction should the nurse include? - answer-keep the rubber crutch tips securely in place
A nurse manager is providing training to a group of newly licensed nurses about ways that clients
acquire healthcare-related infections. Which route of infection should the nurse as iatrogenic? -
answerinfection acquired from a diagnostic procedure
A nurse is performing a straight catheterization of a female client who has urinary retention. Which
action indicates the nurse is following sterile technique? - answer-wiping the labia minora in an
anteroposterior direction
A nurse is caring for a client who is set to receive transcutaneous electrical nerve stimulation (TENS) for
pain management. The client asks how the TENS unit helps relieve pain. How should the nurse respond?
- answer-it modulates the transmission of the pain impulse
A nurse is administering medication to a client that asks the nurse to leave the medication at the
bedside to be taken at a later time. How should the nurse respond? - answer-"Call me when you are
ready, and I will return with the medication."
A nurse is caring for a client who has a C-diff infection and is in contact isolation. What action should the
nurse take? - answer-Wear gloved when changing the client's gown
,A nurse is assessing a client who has deep, rapid respirations. Arterial blood gas values: ph- 7.25, PaCO2-
40, HCO3- 18. Which acid-base imbalance should the nurse identify and report to the provider? -
answer-Metabolic acidosis
A nurse is caring for a client who has Type 1 Diabetes Mellites and is resistant to learning how to
selfinject insulin. Which statement should the nurse make? - answer-"Tell me how I can help you
overcome your fear of self-injections"
A nurse is caring for a client who is immobile. The nurse should recognize that immobility puts the client
at risk for what health alteration? - answer-decreased cardiac output
A nurse is preparing to instill a vaginal medication in suppository form to a client. Which action should
the nurse take during this procedure? - answer-use the index finger to insert the suppository
A nurse is caring for a group of clients in a long-term care facility. The nurse should admit that which
client is eligible for hospice services? - answer-A client who has end-stage cirrhosis
A nurse is caring for an adult client who has an unmet spiritual need. Which of the following statements
should indicate to the nurse that the client is in spiritual distress? - answer-"God is punishing me for
something."
A nurse is caring for a client who is receiving intermittent enteral feedings through an NG tube. The
specific gravity of the client's urine is 1.035. Which action should the nurse take? - answer-Provide more
water with feedings
A nurse is collecting a capillary blood sample to determine a client's blood glucose level. The nurse
prepares and punctures the client's finger but does not collect enough blood for the sample. Which
action should the nurse take? - answer-Wash the client's finger in a warm washcloth
A nurse is measuring a client's vital signs. The client's heart rate is 105 bpm. How should the nurse
document this finding? - answer-tachycardic
, A nurse is caring for a client who has injuries from a motor-vehicle crash. What statement should the
nurse address first? - answer-"I can't sleep well because whenever I fall asleep, the pain wakes me back
up."
A nurse is assessing a client who is experiencing stress and anxiety regarding a recent diagnosis. What
finding should the nurse expect? - answer-increased blood pressure
A nurse is preparing to administer an intramuscular injection to a client who is overweight. What site
should the nurse choose for this injection? - answer-side hip between iliac crest and anterior iliac spine
A nurse is assessing a client's incision and notes the color to be blood-tinged. Which term should the
nurse use to document this drainage? - answer-sanguineous
A nurse is monitoring a client's labs. What is an example of an abnormal lab value? - answer-Potassium
level of 3.0
A nurse is assessing a client who is unconscious. Family members are present and answer the nurse's
questions about the client's medical history. The nurse should document this information as which type
of data? - answer-secondary-source data
A nurse is assessing a client who reports nausea and vomiting for 2 days. What finding would indicate
that the client is in fluid volume deficit? - answer-increased heart rate
A nurse on a surgical unit is caring for a client who has abdominal surgery from the post-anesthesia care
unit. What assessment should the nurse make first? - answer-airway
A nurse is caring for a client who has peripheral edema. The nurse should identify that which nutrient
regulates extracellular volume? - answer-sodium
A nurse is helping a client change his hospital gown. The client has an IV infusion on an infusion pump.
Which action should the nurse take first? - answer-remove the sleeve of the gown without the IV line
