ATI Fundamentals Practice Test C Exam
Questions and Answers 100% Solved
A nurse is planning to obtain the vital signs of a 2-year-old child who is
experiencing diarrhea and who might have a right ear infection. Which of
the following routes should the nurse use to obtain the temperature? -
✔✔Temporal
A nurse is caring for a client who is in the terminal stage of cancer. Which
of the following actions should the nurse takes when she observes the
client crying? - ✔✔Sit and hold the client's hand
A community health nurse is preparing a campaign about seasonal
influenza. Which of the following plans should the nurse include as a
secondary prevention? - ✔✔Screening groups of older adults in nursing
care facilities for early influenza manifestations
A nurse is teaching an assistive personnel (AP) about proper hand
hygiene. Which of the following statements by the AP indicates an
understanding of the teaching? - ✔✔"There are times I should use soap
and water rather than an alcohol-based rub to clean my hands."
1
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,A nurse is performing an abdominal assessment for an adult client. Identify
the correct sequence of steps for this assessment. - ✔✔- Inspection
- Auscultation
- Percussion
- Palpation
A nurse at a screening clinic is assessing a client who reports a history of a
heart murmur related to aortic valve stenosis. At which of the following
anatomical areas should the nurse place the stethoscope to auscultate the
aortic valve? - ✔✔Second intercostal space to the right of the sternum
A nurse is measuring vital signs for a client and notices an irregularity in the
pulse. Which of the following actions should the nurse take? - ✔✔Count the
apical pulse rate for 1 minute, and describe the rhythm in the chart
A nurse observes an assistive personnel (AP) preparing to obtain blood
pressure with a regular size cuff for a client who is obese. Which of the
following explanations should the nurse give the AP? - ✔✔"Using a cuff
that is too small will result in an inaccurately high reading."
A nurse is admitting a client who has decreased circulation in his left leg.
Which of the following actions should the nurse take first? - ✔✔Evaluate
pedal pulses
2
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
, A nurse is preparing to provide tracheostomy care for a client. Which of the
following actions should the nurse take first? - ✔✔Perform hand hygiene
A nurse is caring for a client who requires a chest x-ray. Prior to the client
being transported for the procedure, which of the following actions should
the nurse take first? - ✔✔Identify the client using two identifiers
A nurse is obtaining the blood pressure in a client's lower extremity. Which
of the following actions should the nurse take? - ✔✔Place the bladder of
the cuff over the posterior aspect of the thigh
A nurse on a medical-surgical unit is washing her hands prior to assisting
with a surgical procedure. Which of the following actions by the nurse
demonstrates proper surgical hand-washing technique? - ✔✔The nurse
washes with her hands held higher than her elbows
A nurse is caring for a client who is unstable and has vital signs measured
every 15 minutes by an electronic blood pressure machine. The nurse
notes the machine begins to measure the blood pressure at varied intervals
and the readings are inconsistent. Which of the following actions should the
nurse take? - ✔✔Disconnect the machine, and measure the blood pressure
manually every 15 minutes
3
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Questions and Answers 100% Solved
A nurse is planning to obtain the vital signs of a 2-year-old child who is
experiencing diarrhea and who might have a right ear infection. Which of
the following routes should the nurse use to obtain the temperature? -
✔✔Temporal
A nurse is caring for a client who is in the terminal stage of cancer. Which
of the following actions should the nurse takes when she observes the
client crying? - ✔✔Sit and hold the client's hand
A community health nurse is preparing a campaign about seasonal
influenza. Which of the following plans should the nurse include as a
secondary prevention? - ✔✔Screening groups of older adults in nursing
care facilities for early influenza manifestations
A nurse is teaching an assistive personnel (AP) about proper hand
hygiene. Which of the following statements by the AP indicates an
understanding of the teaching? - ✔✔"There are times I should use soap
and water rather than an alcohol-based rub to clean my hands."
1
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,A nurse is performing an abdominal assessment for an adult client. Identify
the correct sequence of steps for this assessment. - ✔✔- Inspection
- Auscultation
- Percussion
- Palpation
A nurse at a screening clinic is assessing a client who reports a history of a
heart murmur related to aortic valve stenosis. At which of the following
anatomical areas should the nurse place the stethoscope to auscultate the
aortic valve? - ✔✔Second intercostal space to the right of the sternum
A nurse is measuring vital signs for a client and notices an irregularity in the
pulse. Which of the following actions should the nurse take? - ✔✔Count the
apical pulse rate for 1 minute, and describe the rhythm in the chart
A nurse observes an assistive personnel (AP) preparing to obtain blood
pressure with a regular size cuff for a client who is obese. Which of the
following explanations should the nurse give the AP? - ✔✔"Using a cuff
that is too small will result in an inaccurately high reading."
A nurse is admitting a client who has decreased circulation in his left leg.
Which of the following actions should the nurse take first? - ✔✔Evaluate
pedal pulses
2
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
, A nurse is preparing to provide tracheostomy care for a client. Which of the
following actions should the nurse take first? - ✔✔Perform hand hygiene
A nurse is caring for a client who requires a chest x-ray. Prior to the client
being transported for the procedure, which of the following actions should
the nurse take first? - ✔✔Identify the client using two identifiers
A nurse is obtaining the blood pressure in a client's lower extremity. Which
of the following actions should the nurse take? - ✔✔Place the bladder of
the cuff over the posterior aspect of the thigh
A nurse on a medical-surgical unit is washing her hands prior to assisting
with a surgical procedure. Which of the following actions by the nurse
demonstrates proper surgical hand-washing technique? - ✔✔The nurse
washes with her hands held higher than her elbows
A nurse is caring for a client who is unstable and has vital signs measured
every 15 minutes by an electronic blood pressure machine. The nurse
notes the machine begins to measure the blood pressure at varied intervals
and the readings are inconsistent. Which of the following actions should the
nurse take? - ✔✔Disconnect the machine, and measure the blood pressure
manually every 15 minutes
3
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
