ATI Fundamentals Test Exam Latest 2025 Update
Question with Verified Answers
A nurse is teaching an assistive personnel about a upper body mechanics to prevent
injury. Which of the following actions by the AP demonstrate an understanding of the
teaching? - The AP keeps the object he is lifting close to his body
. a nurse is assessing a patient who is immobile and notices a red area over the patient's
coccyx. Which of the following actions should the nurse take? - Assess the red area for
blanching
. a nurse is preparing to insert an iv catheter for a patient following a right mastectomy.
Which of the following veins should the nurse select when initiating an IV therapy? - The
cephalic vein in the left distal forearm
a nurse is preparing to administer a medication into a patient by the intradermal route after
applying gloves and cleaning the site with an antiseptic swab. In what order should the nurse
take the steps to administer the medication? (move steps into box 1- 4 priority) -
. a nurse is providing teaching to a patient about colorectal cancer prevention guidelines.
Which of the following recommendations should the nurse include? - Reduce intake of red
meats
a nurse is planning care to prevent skin breakdown for a patient who is immobile and is
urinary incontinent. Which of the following actions should the nurse include in the plan of
care? - Request a prescription for an indwelling urinary catheter
a nurse is preparing to apply a condom catheter for a patient who is uncircumcised which of
the following actions should the nurse plan to take? - Place adhesive tape directly on the
penis
a nurse is teaching a patient who had an enucleation about care of an artificial eye. Which of
the following information should the include in the teaching? (select all that apply) - -Apply
pressure just below artificial eye to break the suction
-Retract the upper and lower lids to reinsert the artificial eye
9. a nurse is reviewing patient confidentiality with a newly licensed nurse. The nurse
should identify which of the following examples as a violation of HIPPA? - Discussing
the patients transfer to a long-term care facility with a nurse from another unit
10. a nurse is caring for a patient who is 2 days postoperative following bowel resection
and reports sudden severe abdominal pain. Which of the following actions should the nurse
take first? - Expose the patients abdomen to look for changes in appearance
11. a nurse is providing care for a patient who is to undergo a total laryngectomy. Which of
the following interventions is the nurses priority? - For the patient explain the techniques of
esophageal speech
12. a home care nurse is teaching a patient about home safety. Which of the following
statements by the patient indicates an understanding of the teaching? (select all that apply) -
-I will use the bars when getting in and out of the bathtub
,-I need to check my medications for expiration dates
-I need to have a fire escape plan with my family
13. a nurse is assessing a patient's cranial nerve VII. Which of the following responses
should the nurse expect? - The patient has a symmetrical smile
14. a nurse in an emergency department is assessing a patient who reports a right lower
quadrant pain, nausea and vomiting for the past 48 hours? Which of the following
actions should the nurse take first? - Auscultate bowel sounds
15. a nurse is caring for a patient who recently received a diagnosis of terminal cancer.
Which of the following statements by the patients partner indicates maladaptive coping? - I
am going to ask my daughter to come and stay for a week
16. a nurse is planning care for a patient who has a stage 1 pressure ulcer on the right heel.
The nurse should anticipate application of which of the following dressings? - Transparent
17. a nurse is caring for a patient who has brain cancer and is transferring to hospice care.
The patient's son tells the nurse "I don't know what to tell my dad if he asks how he is going
to die". Which of the following is an appropriate response from the nurse? - I think you
should discuss this with the hospice nurse
18. a nurse is teaching an older adult patient who has type 2 diabetes mellitus about how
to care for corns and calluses toes. Which of the following statements by the patient
indicates understanding of the teaching? -
19. a nurse is caring for a patient who has wrists restraints after an episode of violent
behavior. Which of the following actions should the nurse take? - Tie the restraints to the
side rale
20. a nurse is admitting a patient who has a clostridium difficile infection. Which of the
following actions should the nurse take? Select all that apply - -Wear a gown and gloves
when providing patient care
-Wash hands with soap and water after contact with the patient
21. a nurse is planning care for a patient who has latex allergy and is scheduled for surgery.
Which of the following actions is appropriate to include in the patients plan of care? -
Remove the stop stocks from iv tubing
22. a nurse is providing discharge teaching to a patient who does not speak the same
language as the nurse. Which of the following actions should the nurse take? - Direct verbal
discharge instructions to the interpreter
23. a nurse is teaching a patient how to self-administer daily low dose heparin injections.
Which of the following factors is most likely to increase the patients motivation to learn? -
The nurse explaining the need for education to the patient
24. a nurse is preparing to teach a female patient about osteoporosis prevention. Which of
the following recommendations should the nurse make for this patient? - Walk for 30 mins
3 to 5 times a week
,25. a nurse is caring for a patient who is receiving continuous enteral feedings through
gastrostomy tubes. Which of the following actions should the nurse take? - Flush the tubing
with 10 ml of water every 2 hours
26. a nurse is caring for a patient who has an incisional wound and a prescription for wound
care. Which of the following images indicates the proper method of cleaning a wound site? -
27. a nurse is caring for a patient who reports a pain level of 5 on a scale of 0- 10. The
patient informs the nurse that pain medications is not an option for managing pain. Which of
the following is an appropriate response by the nurse? - Why do you think pain medication is
not going to help you
28. a nurse is teaching a patient who requires maximum support about how to use a two
wheeled walker. Which of the following actions by the patient indicates an understanding
of teaching? - The patient moves the walker ahead 10 inches with each step
29. a nurse is caring for a patient who refuses to follow the providers prescription for bed
rest. The nurse over hears an assistive personnel tell the patient that if she does not remain in
bed he will place her in restraints. The nurse should identify that the AP is committing which
of the following torts? - Assault
30. a nurse is preparing to insert an IV catheter for an older adult patient who has fragile
skin. Which of the following actions should the nurse take? - Engorge the vein by placing
the arm in the dependent position
31. a nurse is planning care for a patient who has a new prescription for parental nutrition in
20% dextrose and fat emulsion. Which of the following is the appropriate action to indicate
in the plan of care? - Prepare the patient for a central venous line
32. a nurse is caring for a patient who is schedule for surgery while witnessing the patient
signature. While the patient is saying I trust my doctor, but I don't understand what he meant
when he said he'll reset my intestines. Which of the following actions should the nurse take? -
Notify the provider
33. a nurse is caring for a patient who is agitated and threatening to harm others. The nurse
places the patient in restraints but does not notify the provider or obtain a prescription for
the restraints. The situation respects which of the following torts? - False imprisonment
34. a nurse is conducting a Webber test on a patient. Which of the following is an
appropriate action for the nurse to take? - Place an activated tuning fork in the middle of the
patients forehead
35. a nurse Is caring for a patient who is 6 hours postoperative abdominal surgery and who is
having difficulty voiding. Which of the following actions should the nurse take? - Encourage
fluid intake up to 1000 ml daily
36. a nurse is preparing to use the Z track method to administer iron dextran to a patient
who has an iron deficiency anemia. The patient asks why this method of injection is
necessary. Which of the following responses should the nurse make? - It minimizes tissue
irritation
, 37. a nurse on a medical unit is caring for a group of patient's for which of the following
tasks should the nurse wear a face shield? - Suctioning a patients tracheostomy tube
38. an adult patient tells a nurse about recent lack of sleep due to changing to a night shift
job. Which of the following interventions should the nurse suggest? - Listen to soft music
before lying down
39. a nurse is teaching a group of newly licensed nurses about the Braden scale. Which of
the following responses by a newly licensed nurse indicates understanding in the teaching? -
The scale measures six elements
40. a nurse is planning care for patient who is scheduled for an intravenous pyelogram.
Which of the following actions is appropriate for the nurse to include? - Ensure the patient is
free of medal objects
41. a nurse in a long term care facility is planning care for 4 patient's. which of the following
patient's is at greatest risk of developing a pressure ulcer? - Patient who is unresponsive to
pain stimuli
42. a nurse is preparing to perform a sterile dressing change for a patient. Which of the
following actions should the nurse plan to take? - Setup the sterile field above the waist
level
43. a nurse is caring for a patient who has a new diagnosis for fibromyalgia. The patient tells
the nurse that she wants to use traditional Chinese medicine for treatment instead the
medication prescribed by the provider. Which of the following is an appropriate response by
the nurse? - You should ask your provider if she recommends traditional Chinese medicine
44. a nurse is teaching newly licensed nurse about the care of a patient who has a MRSA
infection. Which of the following statements by the newly licensed nurse indicates
understanding of the teaching? - I will tell the patient's visitors to wear a mask when they
are within 3 feet away of the patient
45. a nurse is caring for a patient who reports that she has insomnia. Which of the
following interventions is appropriate for the nurse to recommend? - Exercise 1 hour
before bedtime
46. a staff nurse is teaching a newly hired nurse about alternatives to the use of restraints on
patients who are confused. Which of the following instructions should the staff nurse
include?
- Check on the patient frequently while he is in the restroom
47. a nurse is providing teaching to a patient about reducing first effects of immobility.
Which of the following statements by the patient indicates an understanding of the teaching?
- I will perform my ankle and knee exercises every hour
48. to ensure a patients safety a manager is planning to observe a newly licensed nurse
perform a straight catheterization on a patient. Which of the following roles is the nurse
manager functioning? - Patient advocate
49. a nurse is planning to obtain a blood sample from a patient for capillary blood glucose
post test. Which of the following should the nurse take to obtain the sample? - The lateral
aspect of the finger
Question with Verified Answers
A nurse is teaching an assistive personnel about a upper body mechanics to prevent
injury. Which of the following actions by the AP demonstrate an understanding of the
teaching? - The AP keeps the object he is lifting close to his body
. a nurse is assessing a patient who is immobile and notices a red area over the patient's
coccyx. Which of the following actions should the nurse take? - Assess the red area for
blanching
. a nurse is preparing to insert an iv catheter for a patient following a right mastectomy.
Which of the following veins should the nurse select when initiating an IV therapy? - The
cephalic vein in the left distal forearm
a nurse is preparing to administer a medication into a patient by the intradermal route after
applying gloves and cleaning the site with an antiseptic swab. In what order should the nurse
take the steps to administer the medication? (move steps into box 1- 4 priority) -
. a nurse is providing teaching to a patient about colorectal cancer prevention guidelines.
Which of the following recommendations should the nurse include? - Reduce intake of red
meats
a nurse is planning care to prevent skin breakdown for a patient who is immobile and is
urinary incontinent. Which of the following actions should the nurse include in the plan of
care? - Request a prescription for an indwelling urinary catheter
a nurse is preparing to apply a condom catheter for a patient who is uncircumcised which of
the following actions should the nurse plan to take? - Place adhesive tape directly on the
penis
a nurse is teaching a patient who had an enucleation about care of an artificial eye. Which of
the following information should the include in the teaching? (select all that apply) - -Apply
pressure just below artificial eye to break the suction
-Retract the upper and lower lids to reinsert the artificial eye
9. a nurse is reviewing patient confidentiality with a newly licensed nurse. The nurse
should identify which of the following examples as a violation of HIPPA? - Discussing
the patients transfer to a long-term care facility with a nurse from another unit
10. a nurse is caring for a patient who is 2 days postoperative following bowel resection
and reports sudden severe abdominal pain. Which of the following actions should the nurse
take first? - Expose the patients abdomen to look for changes in appearance
11. a nurse is providing care for a patient who is to undergo a total laryngectomy. Which of
the following interventions is the nurses priority? - For the patient explain the techniques of
esophageal speech
12. a home care nurse is teaching a patient about home safety. Which of the following
statements by the patient indicates an understanding of the teaching? (select all that apply) -
-I will use the bars when getting in and out of the bathtub
,-I need to check my medications for expiration dates
-I need to have a fire escape plan with my family
13. a nurse is assessing a patient's cranial nerve VII. Which of the following responses
should the nurse expect? - The patient has a symmetrical smile
14. a nurse in an emergency department is assessing a patient who reports a right lower
quadrant pain, nausea and vomiting for the past 48 hours? Which of the following
actions should the nurse take first? - Auscultate bowel sounds
15. a nurse is caring for a patient who recently received a diagnosis of terminal cancer.
Which of the following statements by the patients partner indicates maladaptive coping? - I
am going to ask my daughter to come and stay for a week
16. a nurse is planning care for a patient who has a stage 1 pressure ulcer on the right heel.
The nurse should anticipate application of which of the following dressings? - Transparent
17. a nurse is caring for a patient who has brain cancer and is transferring to hospice care.
The patient's son tells the nurse "I don't know what to tell my dad if he asks how he is going
to die". Which of the following is an appropriate response from the nurse? - I think you
should discuss this with the hospice nurse
18. a nurse is teaching an older adult patient who has type 2 diabetes mellitus about how
to care for corns and calluses toes. Which of the following statements by the patient
indicates understanding of the teaching? -
19. a nurse is caring for a patient who has wrists restraints after an episode of violent
behavior. Which of the following actions should the nurse take? - Tie the restraints to the
side rale
20. a nurse is admitting a patient who has a clostridium difficile infection. Which of the
following actions should the nurse take? Select all that apply - -Wear a gown and gloves
when providing patient care
-Wash hands with soap and water after contact with the patient
21. a nurse is planning care for a patient who has latex allergy and is scheduled for surgery.
Which of the following actions is appropriate to include in the patients plan of care? -
Remove the stop stocks from iv tubing
22. a nurse is providing discharge teaching to a patient who does not speak the same
language as the nurse. Which of the following actions should the nurse take? - Direct verbal
discharge instructions to the interpreter
23. a nurse is teaching a patient how to self-administer daily low dose heparin injections.
Which of the following factors is most likely to increase the patients motivation to learn? -
The nurse explaining the need for education to the patient
24. a nurse is preparing to teach a female patient about osteoporosis prevention. Which of
the following recommendations should the nurse make for this patient? - Walk for 30 mins
3 to 5 times a week
,25. a nurse is caring for a patient who is receiving continuous enteral feedings through
gastrostomy tubes. Which of the following actions should the nurse take? - Flush the tubing
with 10 ml of water every 2 hours
26. a nurse is caring for a patient who has an incisional wound and a prescription for wound
care. Which of the following images indicates the proper method of cleaning a wound site? -
27. a nurse is caring for a patient who reports a pain level of 5 on a scale of 0- 10. The
patient informs the nurse that pain medications is not an option for managing pain. Which of
the following is an appropriate response by the nurse? - Why do you think pain medication is
not going to help you
28. a nurse is teaching a patient who requires maximum support about how to use a two
wheeled walker. Which of the following actions by the patient indicates an understanding
of teaching? - The patient moves the walker ahead 10 inches with each step
29. a nurse is caring for a patient who refuses to follow the providers prescription for bed
rest. The nurse over hears an assistive personnel tell the patient that if she does not remain in
bed he will place her in restraints. The nurse should identify that the AP is committing which
of the following torts? - Assault
30. a nurse is preparing to insert an IV catheter for an older adult patient who has fragile
skin. Which of the following actions should the nurse take? - Engorge the vein by placing
the arm in the dependent position
31. a nurse is planning care for a patient who has a new prescription for parental nutrition in
20% dextrose and fat emulsion. Which of the following is the appropriate action to indicate
in the plan of care? - Prepare the patient for a central venous line
32. a nurse is caring for a patient who is schedule for surgery while witnessing the patient
signature. While the patient is saying I trust my doctor, but I don't understand what he meant
when he said he'll reset my intestines. Which of the following actions should the nurse take? -
Notify the provider
33. a nurse is caring for a patient who is agitated and threatening to harm others. The nurse
places the patient in restraints but does not notify the provider or obtain a prescription for
the restraints. The situation respects which of the following torts? - False imprisonment
34. a nurse is conducting a Webber test on a patient. Which of the following is an
appropriate action for the nurse to take? - Place an activated tuning fork in the middle of the
patients forehead
35. a nurse Is caring for a patient who is 6 hours postoperative abdominal surgery and who is
having difficulty voiding. Which of the following actions should the nurse take? - Encourage
fluid intake up to 1000 ml daily
36. a nurse is preparing to use the Z track method to administer iron dextran to a patient
who has an iron deficiency anemia. The patient asks why this method of injection is
necessary. Which of the following responses should the nurse make? - It minimizes tissue
irritation
, 37. a nurse on a medical unit is caring for a group of patient's for which of the following
tasks should the nurse wear a face shield? - Suctioning a patients tracheostomy tube
38. an adult patient tells a nurse about recent lack of sleep due to changing to a night shift
job. Which of the following interventions should the nurse suggest? - Listen to soft music
before lying down
39. a nurse is teaching a group of newly licensed nurses about the Braden scale. Which of
the following responses by a newly licensed nurse indicates understanding in the teaching? -
The scale measures six elements
40. a nurse is planning care for patient who is scheduled for an intravenous pyelogram.
Which of the following actions is appropriate for the nurse to include? - Ensure the patient is
free of medal objects
41. a nurse in a long term care facility is planning care for 4 patient's. which of the following
patient's is at greatest risk of developing a pressure ulcer? - Patient who is unresponsive to
pain stimuli
42. a nurse is preparing to perform a sterile dressing change for a patient. Which of the
following actions should the nurse plan to take? - Setup the sterile field above the waist
level
43. a nurse is caring for a patient who has a new diagnosis for fibromyalgia. The patient tells
the nurse that she wants to use traditional Chinese medicine for treatment instead the
medication prescribed by the provider. Which of the following is an appropriate response by
the nurse? - You should ask your provider if she recommends traditional Chinese medicine
44. a nurse is teaching newly licensed nurse about the care of a patient who has a MRSA
infection. Which of the following statements by the newly licensed nurse indicates
understanding of the teaching? - I will tell the patient's visitors to wear a mask when they
are within 3 feet away of the patient
45. a nurse is caring for a patient who reports that she has insomnia. Which of the
following interventions is appropriate for the nurse to recommend? - Exercise 1 hour
before bedtime
46. a staff nurse is teaching a newly hired nurse about alternatives to the use of restraints on
patients who are confused. Which of the following instructions should the staff nurse
include?
- Check on the patient frequently while he is in the restroom
47. a nurse is providing teaching to a patient about reducing first effects of immobility.
Which of the following statements by the patient indicates an understanding of the teaching?
- I will perform my ankle and knee exercises every hour
48. to ensure a patients safety a manager is planning to observe a newly licensed nurse
perform a straight catheterization on a patient. Which of the following roles is the nurse
manager functioning? - Patient advocate
49. a nurse is planning to obtain a blood sample from a patient for capillary blood glucose
post test. Which of the following should the nurse take to obtain the sample? - The lateral
aspect of the finger
