ATI RN FUNDAMENTALS PRACTICE ASSESSMENT EXAM
2025 ACTUAL EXAM COMPLETE QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS
/ALREADY GRADED A+
1.A nurse is preparing to administer an injection of an opioid medication to
a client. The nurse draws out 1 mL of the medication from a 2 mL vial. Which
of the following actions should the nurse take?
1. Ask another nurse to observe the medication wastage
2. Notify the pharmacy when wasting the medication
3. Lock the remaining medication in the controlled substances cabinet
4. Dispose of the vial with the remaining medication in sharps container: 1.
Ask another nurse to observe the medication wastage
rationale: A second nurse must witness the disposal of any portion of a
dose of a controlled substance
2.A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to
infuse over 7 hr. The nurse should set the infusion pump to deliver how
many mL/hr? (Round the answer to the nearest whole number).: 107 mL/hr
rationale: 750/7 = 107 mL/hr
3.A nurse is educating a client who has a terminal illness about declining
resuscitation in a living will. The client asks, "What would happen if I
arrived at the emergency department and I had difficulty breathing?" Which
of the following responses should the nurse make?
1. "We would consult the person appointed by your health care proxy to
make decisions"
2. "We would give you oxygen through a tube in your nose"
3. "You would be unable to change your previous wishes about your care"
4. "We would insert a breathing tube while we evaluate your condition": 2.
"We would give you oxygen through a tube in your nose"
rationale: Oxygen can provide comfort and is not considered a
resuscitative measure when the nurse delivers it via nasal cannula.
To get this or any other Exam contact ()
, 4.A nurse is caring for a client who is postoperative and refuses to use
an incentive spirometer following major abdominal surgery. Which of
the following actions is the nurse's priority?
1. Request that a respiratory therapist discuss the technique for
incentive spirometry with the client
2. Determine the reasons why the client is refusing to use the
incentive spirometer
3. document the client's refusal to participate in health restorative activities
4. Administer a pain medication to the client: 2. Determine the reasons
why the client is refusing to use the incentive spirometer.
rationale: The first action the nurse should take when using the nursing
process is to assess the client; therefore, the priority action for the nurse
to take is to determine why the client is refusing the treatment
5.A nurse on a medical-surgical unit is caring for a client for a client who
has a new prescription for wrist restraints. Which of the following actions
should the nurse take?
1. Pad the client's wrist before applying the restraints
2. Evaluate the client's circulation every 8 hours after application
3. Remove the restraints every 4 hours to evaluate the client's status
4. Secure the restraint ties to the bed's side rails: 1. Pad the client's wrist
before applying the restraints
rationale: The use of restraints without padding can abrade the client's
skin, resulting in client injury
6.A nurse is talking with an older adult client who is contemplating
retirement. The client states, "I keep thinking about how much I enjoy my
job. I'm not sure I want to retire." Which of the following responses should
the nurse make?
1. "You would have so much more time to spend with your family"
2. "You should consider getting a part-time job or doing volunteer work"
3. "Let's talk about how the change in your job status will affect you"
4. "Why wouldn't you want to retire and relax?": 3. "Let's talk about
how the change in your job status will affect you"
To get this or any other Exam contact ()
, rationale: This response is therapeutic because the nurse is
encouraging the client to verbalize feelings about the life transition of
retirement.
7.A nurse is caring for a client who has pharyngeal diphtheria. Which of
the following types of transmission precautions should the nurse initiate?
1. Contact
2. Droplet
3. Airborne
4. Protective: 2. Droplet
rationale: Droplet precautions are a requirement for clients who have
infections that spread via droplet nuclei that are larger than 5 microns in
diameter, including rubella, meningococcal pneumonia, and
streptococcal pharyngitis. The nurse should wear a mask when
providing care or when within 1 m (3 feet) of the client who has a
disorder requiring droplet precautions
To get this or any other Exam contact ()
, 8.A nurse is caring for a group of clients. Which of the following actions
should the nurse take to prevent the spread of infection?
1. Carry a client's soiled linens out of the room in a mesh linen bag
2. place a client who has TB in a room with negative-pressure airflow
3. Provide disposable plates and utensils for a client who is HIV-positive
4. Dispose of a client's blood-saturated dressing in a trash bag inside a
second trash bag: 2. Place a client who has tuberculosis in a room with
negative-pressure airflow
rationale: A client who has TB requires airborne precautions, which
include placing the client in a room that has negative-pressure airflow
to reduce the risk of infection transmission
9.A nurse is assessing an older adult client's risk for falls. Which of the
following assessments should the nurse use to identify the client's
safety needs? (select all that apply): pupil clarity, visual fields, and
visual acuity
10.A nurse in a long-term care facility is caring for a client who dies during
the nurse's shift. Identify the sequence in which the nurse should perform
the following steps.: 1. Obtain the pronouncement of death from the
provider.
2.Remove tubes and indwelling lines.
3.Wash the client's body
4.Ask the client's family members if they would like to view the body
5.Place a name tag on the body.
rationale: The first step is to obtain the death pronouncement from the
provider. Next, the nurse should remove tubes and indwelling lines prior
to cleansing the client's body. After cleansing, the nurse should ask the
family members if they wish to view the body. Finally, the nurse should
place a name tag on the body before transfer.
11.A client who is postoperative is verbalizing pain as a 2 on a pain scale
of 0 to 10. Which of the following statements should the nurse identify as
an
indication that the client understands the preoperative teaching she received
about pain management?
1. "I think I should take my pain medication more often, since it is not
control- ling my pain"
2. "Breathing faster will help my keep my mind off of the pain"
3. " It might help me to listen to music while I'm lying in bed"
To get this or any other Exam contact ()
2025 ACTUAL EXAM COMPLETE QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS
/ALREADY GRADED A+
1.A nurse is preparing to administer an injection of an opioid medication to
a client. The nurse draws out 1 mL of the medication from a 2 mL vial. Which
of the following actions should the nurse take?
1. Ask another nurse to observe the medication wastage
2. Notify the pharmacy when wasting the medication
3. Lock the remaining medication in the controlled substances cabinet
4. Dispose of the vial with the remaining medication in sharps container: 1.
Ask another nurse to observe the medication wastage
rationale: A second nurse must witness the disposal of any portion of a
dose of a controlled substance
2.A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to
infuse over 7 hr. The nurse should set the infusion pump to deliver how
many mL/hr? (Round the answer to the nearest whole number).: 107 mL/hr
rationale: 750/7 = 107 mL/hr
3.A nurse is educating a client who has a terminal illness about declining
resuscitation in a living will. The client asks, "What would happen if I
arrived at the emergency department and I had difficulty breathing?" Which
of the following responses should the nurse make?
1. "We would consult the person appointed by your health care proxy to
make decisions"
2. "We would give you oxygen through a tube in your nose"
3. "You would be unable to change your previous wishes about your care"
4. "We would insert a breathing tube while we evaluate your condition": 2.
"We would give you oxygen through a tube in your nose"
rationale: Oxygen can provide comfort and is not considered a
resuscitative measure when the nurse delivers it via nasal cannula.
To get this or any other Exam contact ()
, 4.A nurse is caring for a client who is postoperative and refuses to use
an incentive spirometer following major abdominal surgery. Which of
the following actions is the nurse's priority?
1. Request that a respiratory therapist discuss the technique for
incentive spirometry with the client
2. Determine the reasons why the client is refusing to use the
incentive spirometer
3. document the client's refusal to participate in health restorative activities
4. Administer a pain medication to the client: 2. Determine the reasons
why the client is refusing to use the incentive spirometer.
rationale: The first action the nurse should take when using the nursing
process is to assess the client; therefore, the priority action for the nurse
to take is to determine why the client is refusing the treatment
5.A nurse on a medical-surgical unit is caring for a client for a client who
has a new prescription for wrist restraints. Which of the following actions
should the nurse take?
1. Pad the client's wrist before applying the restraints
2. Evaluate the client's circulation every 8 hours after application
3. Remove the restraints every 4 hours to evaluate the client's status
4. Secure the restraint ties to the bed's side rails: 1. Pad the client's wrist
before applying the restraints
rationale: The use of restraints without padding can abrade the client's
skin, resulting in client injury
6.A nurse is talking with an older adult client who is contemplating
retirement. The client states, "I keep thinking about how much I enjoy my
job. I'm not sure I want to retire." Which of the following responses should
the nurse make?
1. "You would have so much more time to spend with your family"
2. "You should consider getting a part-time job or doing volunteer work"
3. "Let's talk about how the change in your job status will affect you"
4. "Why wouldn't you want to retire and relax?": 3. "Let's talk about
how the change in your job status will affect you"
To get this or any other Exam contact ()
, rationale: This response is therapeutic because the nurse is
encouraging the client to verbalize feelings about the life transition of
retirement.
7.A nurse is caring for a client who has pharyngeal diphtheria. Which of
the following types of transmission precautions should the nurse initiate?
1. Contact
2. Droplet
3. Airborne
4. Protective: 2. Droplet
rationale: Droplet precautions are a requirement for clients who have
infections that spread via droplet nuclei that are larger than 5 microns in
diameter, including rubella, meningococcal pneumonia, and
streptococcal pharyngitis. The nurse should wear a mask when
providing care or when within 1 m (3 feet) of the client who has a
disorder requiring droplet precautions
To get this or any other Exam contact ()
, 8.A nurse is caring for a group of clients. Which of the following actions
should the nurse take to prevent the spread of infection?
1. Carry a client's soiled linens out of the room in a mesh linen bag
2. place a client who has TB in a room with negative-pressure airflow
3. Provide disposable plates and utensils for a client who is HIV-positive
4. Dispose of a client's blood-saturated dressing in a trash bag inside a
second trash bag: 2. Place a client who has tuberculosis in a room with
negative-pressure airflow
rationale: A client who has TB requires airborne precautions, which
include placing the client in a room that has negative-pressure airflow
to reduce the risk of infection transmission
9.A nurse is assessing an older adult client's risk for falls. Which of the
following assessments should the nurse use to identify the client's
safety needs? (select all that apply): pupil clarity, visual fields, and
visual acuity
10.A nurse in a long-term care facility is caring for a client who dies during
the nurse's shift. Identify the sequence in which the nurse should perform
the following steps.: 1. Obtain the pronouncement of death from the
provider.
2.Remove tubes and indwelling lines.
3.Wash the client's body
4.Ask the client's family members if they would like to view the body
5.Place a name tag on the body.
rationale: The first step is to obtain the death pronouncement from the
provider. Next, the nurse should remove tubes and indwelling lines prior
to cleansing the client's body. After cleansing, the nurse should ask the
family members if they wish to view the body. Finally, the nurse should
place a name tag on the body before transfer.
11.A client who is postoperative is verbalizing pain as a 2 on a pain scale
of 0 to 10. Which of the following statements should the nurse identify as
an
indication that the client understands the preoperative teaching she received
about pain management?
1. "I think I should take my pain medication more often, since it is not
control- ling my pain"
2. "Breathing faster will help my keep my mind off of the pain"
3. " It might help me to listen to music while I'm lying in bed"
To get this or any other Exam contact ()
