ATI RN Fundamentals Practice Tests A & B
Questions And Answers.
A nurse is caring for a client who reports pain. When documenting
the quality of the client's pain on an initial pain assessment, the
nurse should record which of the following client statements?
"I am having mild pain"
"The pain is like a dull ache in my stomach"
"I notice that the pain gets worse after I eat"
"The pain makes me feel nauseous" - Correct answer "The pain is
like a dull ache in my stomach"
A client in non ambulatory notifies the nurse that his trash can is
on fire. After the nurse confirms the presence of the fire, which of
the following actions should the nurse take next?
Activate the emergency fire alarm
Extinguish the fire
Evacuate the client
Confine the fire - Correct answer Evacuate the client
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?
Neck vein distention
Urine specific gravity 1.010
Rapid Heart rate
Blood pressure 144/82 mmHg - Correct answer Rapid heart rate
A nurse has accepted a verbal prescription for "thee tenths of a
milligram of levothyroxine IV stat" for a client who has myxedema
coma. How should the nurse transcribe the dosage of this
medication in the client's medical record?
,.3 mg
0.3 mg
0.30 mg
3/10 mg - Correct answer 0.3 mg
A nurse is preparing a heparin infusion for a client who was
admitted to the facility with deep vein thrombosis. The prescription
reads: 25,000 units of heparin in 0.9% sodium chloride 250 ml to
infuse at 800 units/hour. At what rate should the nurse set the
infusion pump? - Correct answer 8 ml/hour
A nurse is caring for a client who has a prescription for wound
irrigation. Which of the following actions should the nurse take?
Wear sterile gloves when removing the old dressing
Warm the irrigation solution to 40.5 C (105 F)
Cleanse the wound from the center outward
Use a 20 ml syringe to irrigate the wound - Correct answer
Cleanse the wound from the center outward
A nurse is caring for a client who is receiving fluid through a
peripheral IV catheter. Which of the following findings at the IV
site should the nurse identify as indicating infiltration?
Purulent exudate
Warmth
Skin blanching
Bleeding - Correct answer Skin blanching
A nurse is teaching a client whose left leg is in a cast about using
crutches. Which of the following statements should the nurse
identify as an indication that the client understands the teaching?
"When descending the stairs, I will first shift my weight to my right
leg"
"I should place my crutches 12 inches in front and to the side of
each foot"
"As I sit down, I will hold one crutch in each hand"
,"I will make sure the shoulder rests are snug against my armpits"
- Correct answer "When descending the stairs, I will first shift my
weight to my right leg"
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?
Rinse the feeding back with water between feedings
Tell the client to keep the head of the bed elevated at least 30
degrees
Make sure the enteral formula is at room temperature
Wipe the top of the formula can with alcohol - Correct answer Tell
the client to keep the head of the bed elevated at least 30
degrees
A nurse is reviewing a client's medication prescription that reads,
"digoxin 0.25 by mouth every day". Which of the following
components of the prescription should the nurse verify with the
provider?
Medication name
Route of administration
Medication dose
Frequency of administration - Correct answer Medication dose
A nurse is caring for a client who has recently started using a
behind the ear hearing aid. Which of the following statements
should the nurse identify as an indication that the client
understands the use of this assistive device?
"This type of hearing aid does not allow for fine tuning of volume"
"I shouldn't have trouble keeping the hearing aid in place during
exercise"
"I expect to hear a whistling sound when I first insert the hearing
aid"
, "I will be sure to remove my hearing aid before taking a shower" -
Correct answer "I will be sure to remove my hearing aid before
taking a shower"
A nurse enters a client's room and finds her on the floor. The
client's roommate reports that the client was trying to get out of
bed and fell over the side rail onto the floor. Which of the following
statements should the nurse document about this incident?
"Incident report completed"
"Client climbed over the side rails"
"Client found lying on the floor"
"Client was trying to get out of bed" - Correct answer "Client found
lying on the floor"
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?
Seal unused medications from the facility in a plastic bag
Evaluate the client's ability to self administer medications
Report an identified discrepancy to The Joint Commission
Compare prescriptions with medications the client received while
at the facility - Correct answer Compare prescriptions with
medications the client received while at the facility
A nurse is caring for a client who requires an informed consent for
a surgical procedure. Which of the following actions is the nurse's
responsibility?
Describe the procedure to the client
Witness the client's signature on the consent form
Inform the client of alternatives to the procedure
Tell the client which team members will assist with the procedure
- Correct answer Witness the client's signature on the consent
form
Questions And Answers.
A nurse is caring for a client who reports pain. When documenting
the quality of the client's pain on an initial pain assessment, the
nurse should record which of the following client statements?
"I am having mild pain"
"The pain is like a dull ache in my stomach"
"I notice that the pain gets worse after I eat"
"The pain makes me feel nauseous" - Correct answer "The pain is
like a dull ache in my stomach"
A client in non ambulatory notifies the nurse that his trash can is
on fire. After the nurse confirms the presence of the fire, which of
the following actions should the nurse take next?
Activate the emergency fire alarm
Extinguish the fire
Evacuate the client
Confine the fire - Correct answer Evacuate the client
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?
Neck vein distention
Urine specific gravity 1.010
Rapid Heart rate
Blood pressure 144/82 mmHg - Correct answer Rapid heart rate
A nurse has accepted a verbal prescription for "thee tenths of a
milligram of levothyroxine IV stat" for a client who has myxedema
coma. How should the nurse transcribe the dosage of this
medication in the client's medical record?
,.3 mg
0.3 mg
0.30 mg
3/10 mg - Correct answer 0.3 mg
A nurse is preparing a heparin infusion for a client who was
admitted to the facility with deep vein thrombosis. The prescription
reads: 25,000 units of heparin in 0.9% sodium chloride 250 ml to
infuse at 800 units/hour. At what rate should the nurse set the
infusion pump? - Correct answer 8 ml/hour
A nurse is caring for a client who has a prescription for wound
irrigation. Which of the following actions should the nurse take?
Wear sterile gloves when removing the old dressing
Warm the irrigation solution to 40.5 C (105 F)
Cleanse the wound from the center outward
Use a 20 ml syringe to irrigate the wound - Correct answer
Cleanse the wound from the center outward
A nurse is caring for a client who is receiving fluid through a
peripheral IV catheter. Which of the following findings at the IV
site should the nurse identify as indicating infiltration?
Purulent exudate
Warmth
Skin blanching
Bleeding - Correct answer Skin blanching
A nurse is teaching a client whose left leg is in a cast about using
crutches. Which of the following statements should the nurse
identify as an indication that the client understands the teaching?
"When descending the stairs, I will first shift my weight to my right
leg"
"I should place my crutches 12 inches in front and to the side of
each foot"
"As I sit down, I will hold one crutch in each hand"
,"I will make sure the shoulder rests are snug against my armpits"
- Correct answer "When descending the stairs, I will first shift my
weight to my right leg"
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?
Rinse the feeding back with water between feedings
Tell the client to keep the head of the bed elevated at least 30
degrees
Make sure the enteral formula is at room temperature
Wipe the top of the formula can with alcohol - Correct answer Tell
the client to keep the head of the bed elevated at least 30
degrees
A nurse is reviewing a client's medication prescription that reads,
"digoxin 0.25 by mouth every day". Which of the following
components of the prescription should the nurse verify with the
provider?
Medication name
Route of administration
Medication dose
Frequency of administration - Correct answer Medication dose
A nurse is caring for a client who has recently started using a
behind the ear hearing aid. Which of the following statements
should the nurse identify as an indication that the client
understands the use of this assistive device?
"This type of hearing aid does not allow for fine tuning of volume"
"I shouldn't have trouble keeping the hearing aid in place during
exercise"
"I expect to hear a whistling sound when I first insert the hearing
aid"
, "I will be sure to remove my hearing aid before taking a shower" -
Correct answer "I will be sure to remove my hearing aid before
taking a shower"
A nurse enters a client's room and finds her on the floor. The
client's roommate reports that the client was trying to get out of
bed and fell over the side rail onto the floor. Which of the following
statements should the nurse document about this incident?
"Incident report completed"
"Client climbed over the side rails"
"Client found lying on the floor"
"Client was trying to get out of bed" - Correct answer "Client found
lying on the floor"
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?
Seal unused medications from the facility in a plastic bag
Evaluate the client's ability to self administer medications
Report an identified discrepancy to The Joint Commission
Compare prescriptions with medications the client received while
at the facility - Correct answer Compare prescriptions with
medications the client received while at the facility
A nurse is caring for a client who requires an informed consent for
a surgical procedure. Which of the following actions is the nurse's
responsibility?
Describe the procedure to the client
Witness the client's signature on the consent form
Inform the client of alternatives to the procedure
Tell the client which team members will assist with the procedure
- Correct answer Witness the client's signature on the consent
form
