ATI RN Fundamentals Practice Tests A &
B
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 answers"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
answersEvacuate 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
answersRapid 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 answers0.3 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 answers8 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 answersCleanse 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
answersSkin
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
answers"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 answersTell 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
answersMedication
dose
A nurse is caring for a client who has recently started using a behind the ear
, "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
answers"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
answers"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 answersCompare 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 answersWitness the client's signature on the
consent form
A nurse is planning an educational program for a group of older adults at a
senior living center. Which of the following recommendations should the
nurse include?
"You should have an eye examination every 2
years" "You should receive a tetanus booster
every 5 years"
"You should receive a shingles vaccine when
you are 70 years old"
"You should receive a pneumococcal vaccine when you are 65 years
old" correct answers"You should receive a pneumococcal vaccine when
you are 65 years old"
A nurse is caring for a client who is refusing a blood transfusion for
religious reasons. The client's partner wants the client to have the blood
transfusion. Which of the following actions should the nurse take?
Ask the client to consider a direct
donation Withhold the blood
B
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 answers"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
answersEvacuate 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
answersRapid 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 answers0.3 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 answers8 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 answersCleanse 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
answersSkin
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
answers"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 answersTell 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
answersMedication
dose
A nurse is caring for a client who has recently started using a behind the ear
, "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
answers"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
answers"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 answersCompare 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 answersWitness the client's signature on the
consent form
A nurse is planning an educational program for a group of older adults at a
senior living center. Which of the following recommendations should the
nurse include?
"You should have an eye examination every 2
years" "You should receive a tetanus booster
every 5 years"
"You should receive a shingles vaccine when
you are 70 years old"
"You should receive a pneumococcal vaccine when you are 65 years
old" correct answers"You should receive a pneumococcal vaccine when
you are 65 years old"
A nurse is caring for a client who is refusing a blood transfusion for
religious reasons. The client's partner wants the client to have the blood
transfusion. Which of the following actions should the nurse take?
Ask the client to consider a direct
donation Withhold the blood
