ATI RN FUNDAMENTALS EXAM QUESTIONS AND 100%
CORRECT ANSWERS (RATED A+)
65 Questions With 100% Correct Answers
A Nurse Is Giving Change-Of-Shift Report About A Client They Admitted Earlier That Day Who Has
Pneumonia. Which Of The Following Pieces Of Information Is The Priority For The Nurse To Provide?
A. Admitting Diagnosis
B. Breath Sounds
C. Body Temperature
D. Diagnostic Test Results - B. Breath Sounds
When Using The Airway, Breathing, Circulation Approach To Client Care, The Nurse Should Determine
That The Priority Information To Provide Is The Current Status Of The Client's Breath Sounds.
A Nurse Is Caring For A Client Who Has An Ng Tube And Is Receiving Intermittent Feedings Through An
Open System. Which Of The Following Actions Should The Nurse Take First?
A. Rinse The Feeding Bag With Water Between Feedings.
B. Tell The Client To Keep The Head Of The Bed Elevated At Least 30º.
C. Make Sure The Enteral Formula Is At Room Temperature.
D. Wipe The Top Of The Formula Can With Alcohol. - B. Tell The Client To Keep The Head Of The
Bed Elevated At Least 30º.
The first action the nurse should take when using the airway, breathing, circulation approach to client
care is to prevent aspiration of the enteral formula; therefore, the priority intervention is to keep the
head of the bed elevated at least 30° to prevent reflux of the formula into the esophagus.
A Nurse Is Caring For A Client Who Has Tuberculosis. Which Of The Following Actions Should The Nurse
Take? (Select All That Apply.)
A. Place The Client In A Room With Negative Pressure Airflow.
B. Wear Gloves When Assisting The Client With Oral Care.
,C. Limit Each Visitor To 2-Hr Increments.
D. Wear A Surgical Mask When Providing Client Care.
E. Use Antimicrobial Sanitizer For Hand Hygiene. - A, B, E
A. Place The Client In A Room With Negative-Pressure Airflow Is Correct. The Nurse Should Place The
Client In A Room With Negative-Pressure Airflow To Meet The Requirements Of Airborne
Precautions.
B. Wear Gloves When Assisting The Client With Oral Care Is Correct. The Nurse Should Wear Gloves
When Assisting The Client With Oral Care To Meet The Requirements Of Standard Precautions, Which
The Nurse Must Adhere To For All Clients Regardless Of Their Diagnosis. The Nurse Should Wear
Gloves Whenever Their Hands Might Come In Contact With A Client's Bodily Fluids, Such As Saliva,
And The Mucous Membranes In The Mouth.
C. Limit Each Visitor To 2-Hr Increments Is Incorrect. The Nurse Does Not Need To Limit The Client's
Visitors. However, The Nurse Should Limit The Client's Presence Outside The Room And The Client
Should Wear A Surgical Mask When Outside Of The Room.
D. Wear A Surgical Mask When Providing Client Care Is Incorrect. The Nurse Should Wear An N95
Respirator During Client Care To Meet The Requirements Of Airborne Precautions.
E. Use Antimicrobial Sanitizer For Hand Hygiene Is Correct. The Nurse Should Use Antimicrobial
Sanitizer For Routine Hand Hygiene When Caring For A Client Who Has Tuberculosis. Nurses Should
Also Wash Their Hands With Soap And Water When Their Hands Are Visibly Soiled.
A Nurse Is Performing A Romberg Test During The Physical Assessment Of A Client. Which Of The
Following Techniques Should The Nurse Use?
A. Touch The Face With A Cotton Ball.
B. Apply A Vibrating Tuning Fork To The Client's Forehead.
C. Have The Client Stand With Their Arms At Their Sides And Their Feet Together.
D. Perform Direct Percussion Over The Area Of The Kidneys. - C. Have The Client Stand With Their
Arms At Their Sides And Their Feet Together.
, A Romberg Test Helps Identify Alterations In Balance. The Nurse Should Have The Client Stand With
Their Arms At Their Sides And Their Feet Together To Observe For Swaying And A Loss Of Balance.
A Nurse Is Preparing To Obtain A Lower Extremity Blood Pressure From A Client And No Longer
Palpates The Popliteal Pulse After 92 Mm Hg. Which Of The Following Images Displays The
Measurement In Mm Hg To Which The Nurse Should Inflate The Cuff When Obtaining The Blood
Pressure?
A. 92 Mm Hg
B. 102 Mm Hg
C. 112 Mm Hg
D. 122 Mm Hg - D. 122 Mm Hg
To obtain an accurate blood pressure measurement, the nurse should inflate the cuff 30 mm Hg beyond
the point at which the nurse was last able to palpate the pulse. If the nurse last palpated the pulse at 92
mm Hg, then this would be the correct pressure to which the nurse should inflate the cuff.
A Nurse Has Accepted A Verbal Prescription "For Three Tenths Of A Milligram Of Levothyroxine Stat"
For A Client Who Has Myxedema Coma. How Should The Nurse Transcribe The Dosage Of This
Medication In The Client's Medical Record?
A. .3 Mg
B. 0.3 Mg
C. 0.30 Mg
D. 3/10 Mg - B. 0.3 Mg
The Use And Placement Of A Decimal Point Can Potentially Cause A Medication Error If Documented
Incorrectly. A Zero Should Precede A Decimal Point, As In 0.3 Mg, But Should Not Follow A Decimal
Point Unless A Whole Number Follows The Zero, As In 2.05 Mg.
A Nurse Is Discussing The Use Of Herbal Supplements For Health Promotion With A Client. Which Of
The Following Client Statements Indicates An Understanding Of Herbal Supplement Use?
CORRECT ANSWERS (RATED A+)
65 Questions With 100% Correct Answers
A Nurse Is Giving Change-Of-Shift Report About A Client They Admitted Earlier That Day Who Has
Pneumonia. Which Of The Following Pieces Of Information Is The Priority For The Nurse To Provide?
A. Admitting Diagnosis
B. Breath Sounds
C. Body Temperature
D. Diagnostic Test Results - B. Breath Sounds
When Using The Airway, Breathing, Circulation Approach To Client Care, The Nurse Should Determine
That The Priority Information To Provide Is The Current Status Of The Client's Breath Sounds.
A Nurse Is Caring For A Client Who Has An Ng Tube And Is Receiving Intermittent Feedings Through An
Open System. Which Of The Following Actions Should The Nurse Take First?
A. Rinse The Feeding Bag With Water Between Feedings.
B. Tell The Client To Keep The Head Of The Bed Elevated At Least 30º.
C. Make Sure The Enteral Formula Is At Room Temperature.
D. Wipe The Top Of The Formula Can With Alcohol. - B. Tell The Client To Keep The Head Of The
Bed Elevated At Least 30º.
The first action the nurse should take when using the airway, breathing, circulation approach to client
care is to prevent aspiration of the enteral formula; therefore, the priority intervention is to keep the
head of the bed elevated at least 30° to prevent reflux of the formula into the esophagus.
A Nurse Is Caring For A Client Who Has Tuberculosis. Which Of The Following Actions Should The Nurse
Take? (Select All That Apply.)
A. Place The Client In A Room With Negative Pressure Airflow.
B. Wear Gloves When Assisting The Client With Oral Care.
,C. Limit Each Visitor To 2-Hr Increments.
D. Wear A Surgical Mask When Providing Client Care.
E. Use Antimicrobial Sanitizer For Hand Hygiene. - A, B, E
A. Place The Client In A Room With Negative-Pressure Airflow Is Correct. The Nurse Should Place The
Client In A Room With Negative-Pressure Airflow To Meet The Requirements Of Airborne
Precautions.
B. Wear Gloves When Assisting The Client With Oral Care Is Correct. The Nurse Should Wear Gloves
When Assisting The Client With Oral Care To Meet The Requirements Of Standard Precautions, Which
The Nurse Must Adhere To For All Clients Regardless Of Their Diagnosis. The Nurse Should Wear
Gloves Whenever Their Hands Might Come In Contact With A Client's Bodily Fluids, Such As Saliva,
And The Mucous Membranes In The Mouth.
C. Limit Each Visitor To 2-Hr Increments Is Incorrect. The Nurse Does Not Need To Limit The Client's
Visitors. However, The Nurse Should Limit The Client's Presence Outside The Room And The Client
Should Wear A Surgical Mask When Outside Of The Room.
D. Wear A Surgical Mask When Providing Client Care Is Incorrect. The Nurse Should Wear An N95
Respirator During Client Care To Meet The Requirements Of Airborne Precautions.
E. Use Antimicrobial Sanitizer For Hand Hygiene Is Correct. The Nurse Should Use Antimicrobial
Sanitizer For Routine Hand Hygiene When Caring For A Client Who Has Tuberculosis. Nurses Should
Also Wash Their Hands With Soap And Water When Their Hands Are Visibly Soiled.
A Nurse Is Performing A Romberg Test During The Physical Assessment Of A Client. Which Of The
Following Techniques Should The Nurse Use?
A. Touch The Face With A Cotton Ball.
B. Apply A Vibrating Tuning Fork To The Client's Forehead.
C. Have The Client Stand With Their Arms At Their Sides And Their Feet Together.
D. Perform Direct Percussion Over The Area Of The Kidneys. - C. Have The Client Stand With Their
Arms At Their Sides And Their Feet Together.
, A Romberg Test Helps Identify Alterations In Balance. The Nurse Should Have The Client Stand With
Their Arms At Their Sides And Their Feet Together To Observe For Swaying And A Loss Of Balance.
A Nurse Is Preparing To Obtain A Lower Extremity Blood Pressure From A Client And No Longer
Palpates The Popliteal Pulse After 92 Mm Hg. Which Of The Following Images Displays The
Measurement In Mm Hg To Which The Nurse Should Inflate The Cuff When Obtaining The Blood
Pressure?
A. 92 Mm Hg
B. 102 Mm Hg
C. 112 Mm Hg
D. 122 Mm Hg - D. 122 Mm Hg
To obtain an accurate blood pressure measurement, the nurse should inflate the cuff 30 mm Hg beyond
the point at which the nurse was last able to palpate the pulse. If the nurse last palpated the pulse at 92
mm Hg, then this would be the correct pressure to which the nurse should inflate the cuff.
A Nurse Has Accepted A Verbal Prescription "For Three Tenths Of A Milligram Of Levothyroxine Stat"
For A Client Who Has Myxedema Coma. How Should The Nurse Transcribe The Dosage Of This
Medication In The Client's Medical Record?
A. .3 Mg
B. 0.3 Mg
C. 0.30 Mg
D. 3/10 Mg - B. 0.3 Mg
The Use And Placement Of A Decimal Point Can Potentially Cause A Medication Error If Documented
Incorrectly. A Zero Should Precede A Decimal Point, As In 0.3 Mg, But Should Not Follow A Decimal
Point Unless A Whole Number Follows The Zero, As In 2.05 Mg.
A Nurse Is Discussing The Use Of Herbal Supplements For Health Promotion With A Client. Which Of
The Following Client Statements Indicates An Understanding Of Herbal Supplement Use?
