ESTUDYR
ATI RN FUNDAMENTALS PROCTORED 2025 WITH NGN
LATEST TEST BANK 100+ QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
1. Discharge Summary Documentation
Question: A nurse in an acute care facility is preparing a discharge summary for a client who is
transferring to a long-term care facility. Which of the following documentation should the nurse
include?
A) Client flow sheet
B) Acuity ratings
C) Current medications
D) Incident reports
Answer: C) Current medications
Rationale: The nurse should include the client's medications in the discharge summary to ensure client
safety and continuity of care.
2. Tracheostomy Suctioning Protocol
Question: A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a
new tracheostomy. Which of the following actions should the nurse plan to take?
A) Use a resuscitation bag with 80% oxygen prior to the procedure.
B) Select a suction catheter that is half the size of the lumen.
C) Place the end of the suction catheter in water-soluble lubricant.
D) Adjust the wall suction apparatus to a pressure of 170 mm Hg.
Answer: B) Select a suction catheter that is half the size of the lumen.
Rationale: The nurse should select a suction catheter that is half the size of the lumen to prevent
hypoxemia and trauma to the mucosa.
3. Preventing Plantar Flexion Contractures
Question: A nurse is caring for a client who has decreased mobility. Which of the following actions
should the nurse take to decrease the client's risk of developing plantar flexion contractures?
A) Place a pillow under the client's knees.
B) Position a trochanter roll under each of the client's hips.
C) Advise the client to wear rubber-soled slippers.
D) Apply an ankle-foot orthotic device to the client's feet.
Answer: D) Apply an ankle-foot orthotic device to the client's feet.
,ESTUDYR
Rationale: The nurse should use a device to maintain dorsiflexion, such as an ankle-foot orthotic device
or a foot board placed perpendicular to the mattress.
4. HIPAA Violation
Question: A nurse manager is overseeing the care activities on a unit. For which of the following
situations should the nurse manager intervene due to a violation of HIPAA guidelines?
A) A nurse who is caring for a client reviews the client's medical chart with a nursing student who is
working with the nurse.
B) A nurse asks a nurse from another unit to assist with documentation for a client.
C) A nurse who is caring for a client returns a call to the person appointed in the health care proxy to
discuss the client's care.
D) A nurse discusses a client's status with the physical therapist who is caring for the client.
Answer: B) A nurse asks a nurse from another unit to assist with documentation for a client.
Rationale: Only health care professionals directly caring for a client should have access to the client's
medical information; therefore, this is a violation of HIPAA guidelines.
5. Administering Oral Liquid Medication
Question: A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client.
Which of the following actions should the nurse take?
A) Gently shake the container of medication prior to administration.
B) Transfer the medication to a medicine cup.
C) Place the client in a semi-Fowler's position prior to medication administration.
D) Verify the dosage by measuring the liquid before administering it.
Answer: A) Gently shake the container of medication prior to administration.
Rationale: The nurse should gently shake the liquid medication to ensure that the medication is mixed.
6. Medication Reconciliation
Question: 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?
A) Seal unused medications from the facility in a plastic bag.
B) Evaluate the client's ability to self-administer medications.
C) Report an identified discrepancy to The Joint Commission.
D) Compare prescriptions with medications the client received while at the facility.
Answer: D) Compare prescriptions with medications the client received while at the facility.
Rationale: When performing medication reconciliation, the nurse should create a current, accurate list
of every medication the client is or should be taking. Part of the process is comparing the medications
,ESTUDYR
the client received at the facility with those the provider has prescribed for the client to take after
discharge.
7. Spiritual Distress
Question: A nurse is caring for a client who has terminal liver cancer. Which of the following statements
should the nurse identify as an indication that the client is experiencing spiritual distress?
A) "What could I have done to deserve this illness?"
B) "I blame medical science for not curing me."
C) "Where is my daughter at a time like this?"
D) "Will I ever begin to feel in charge of my life again?"
Answer: A) "What could I have done to deserve this illness?"
Rationale: The client's terminal illness might prompt the client to review their life and question its
meaning. A manifestation of the client's spiritual distress is asking why this illness is happening to them.
8. Mixing Insulin
Question: A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units
of NPH insulin to mix together and administer subcutaneously. Determine the correct order of steps for
this procedure.
A) Inject 5 units of air into the bottle of regular insulin.
B) Withdraw the correct dose of NPH insulin from the bottle.
C) Inject 10 units of air into the bottle of NPH insulin.
D) Withdraw the correct dose of regular insulin from the bottle.
Answer: C) Inject 10 units of air into the bottle of NPH insulin.
Rationale: The nurse should first inject air into the vial of NPH insulin without touching the needle to the
solution. Next, the nurse should inject air into the vial of regular insulin and withdraw the correct
amount of the regular insulin. Finally, the nurse should insert the needle into the NPH insulin vial and
withdraw the correct amount of NPH insulin. The nurse should follow these steps to prevent
contaminating the regular insulin with NPH insulin.
9. Vomiting and Diarrhea
Question: 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?
A) Neck vein distention
B) Urine specific gravity 1.010
C) Rapid heart rate
D) Blood pressure 144/82 mm Hg
, ESTUDYR
Answer: C) Rapid heart rate
Rationale: Tachycardia indicates fluid volume deficit, which is an expected finding for a client who has
had vomiting and diarrhea for 3 days.
10. Transferring a Client
Question: A nurse is preparing to transfer a client who can bear weight on one leg from the bed to a
chair. After securing a safe environment, which of the following actions should the nurse take next?
A) Rock the client up to a standing position.
B) Pivot on the foot that is the farthest from the chair.
C) Assess the client for orthostatic hypotension.
D) Apply a gait belt to the client.
Answer: C) Assess the client for orthostatic hypotension.
Rationale: The first action the nurse should take when using the nursing process is to assess the client.
The nurse should determine the client's risk for falling or fainting during the transfer by assisting the
client to sit and dangle the feet on the side of the bed. The nurse should assess for dizziness and a
significant drop in blood pressure before assisting the client to stand and transfer into the chair.
11. Sore Throat and Fever
Question: A nurse is admitting a client who reports experiencing a sore throat, productive cough, and
fever for the past 3 days. The nurse is reviewing the client's medical record. Which of the following
actions should the nurse take?
A) Request a prescription for an antibiotic medication.
B) Apply oxygen at 2 L/min via nasal cannula.
C) Initiate droplet precautions.
D) Withhold food and fluids.
Answer: A) Request a prescription for an antibiotic medication.
Rationale: The client's positive throat culture for streptococci bacteria indicates a bacterial infection,
which requires antibiotic treatment.
12. Administering Enemas
Question: A nurse is preparing to administer a cleansing enema to a client. Which of the following
actions should the nurse take?
A) Position the client in the supine position.
B) Lubricate the tip of the enema tube.
C) Insert the enema tube 10 cm (4 inches) into the rectum.
D) Hold the enema bag 60 cm (24 inches) above the client's anus.
ATI RN FUNDAMENTALS PROCTORED 2025 WITH NGN
LATEST TEST BANK 100+ QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
1. Discharge Summary Documentation
Question: A nurse in an acute care facility is preparing a discharge summary for a client who is
transferring to a long-term care facility. Which of the following documentation should the nurse
include?
A) Client flow sheet
B) Acuity ratings
C) Current medications
D) Incident reports
Answer: C) Current medications
Rationale: The nurse should include the client's medications in the discharge summary to ensure client
safety and continuity of care.
2. Tracheostomy Suctioning Protocol
Question: A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a
new tracheostomy. Which of the following actions should the nurse plan to take?
A) Use a resuscitation bag with 80% oxygen prior to the procedure.
B) Select a suction catheter that is half the size of the lumen.
C) Place the end of the suction catheter in water-soluble lubricant.
D) Adjust the wall suction apparatus to a pressure of 170 mm Hg.
Answer: B) Select a suction catheter that is half the size of the lumen.
Rationale: The nurse should select a suction catheter that is half the size of the lumen to prevent
hypoxemia and trauma to the mucosa.
3. Preventing Plantar Flexion Contractures
Question: A nurse is caring for a client who has decreased mobility. Which of the following actions
should the nurse take to decrease the client's risk of developing plantar flexion contractures?
A) Place a pillow under the client's knees.
B) Position a trochanter roll under each of the client's hips.
C) Advise the client to wear rubber-soled slippers.
D) Apply an ankle-foot orthotic device to the client's feet.
Answer: D) Apply an ankle-foot orthotic device to the client's feet.
,ESTUDYR
Rationale: The nurse should use a device to maintain dorsiflexion, such as an ankle-foot orthotic device
or a foot board placed perpendicular to the mattress.
4. HIPAA Violation
Question: A nurse manager is overseeing the care activities on a unit. For which of the following
situations should the nurse manager intervene due to a violation of HIPAA guidelines?
A) A nurse who is caring for a client reviews the client's medical chart with a nursing student who is
working with the nurse.
B) A nurse asks a nurse from another unit to assist with documentation for a client.
C) A nurse who is caring for a client returns a call to the person appointed in the health care proxy to
discuss the client's care.
D) A nurse discusses a client's status with the physical therapist who is caring for the client.
Answer: B) A nurse asks a nurse from another unit to assist with documentation for a client.
Rationale: Only health care professionals directly caring for a client should have access to the client's
medical information; therefore, this is a violation of HIPAA guidelines.
5. Administering Oral Liquid Medication
Question: A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client.
Which of the following actions should the nurse take?
A) Gently shake the container of medication prior to administration.
B) Transfer the medication to a medicine cup.
C) Place the client in a semi-Fowler's position prior to medication administration.
D) Verify the dosage by measuring the liquid before administering it.
Answer: A) Gently shake the container of medication prior to administration.
Rationale: The nurse should gently shake the liquid medication to ensure that the medication is mixed.
6. Medication Reconciliation
Question: 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?
A) Seal unused medications from the facility in a plastic bag.
B) Evaluate the client's ability to self-administer medications.
C) Report an identified discrepancy to The Joint Commission.
D) Compare prescriptions with medications the client received while at the facility.
Answer: D) Compare prescriptions with medications the client received while at the facility.
Rationale: When performing medication reconciliation, the nurse should create a current, accurate list
of every medication the client is or should be taking. Part of the process is comparing the medications
,ESTUDYR
the client received at the facility with those the provider has prescribed for the client to take after
discharge.
7. Spiritual Distress
Question: A nurse is caring for a client who has terminal liver cancer. Which of the following statements
should the nurse identify as an indication that the client is experiencing spiritual distress?
A) "What could I have done to deserve this illness?"
B) "I blame medical science for not curing me."
C) "Where is my daughter at a time like this?"
D) "Will I ever begin to feel in charge of my life again?"
Answer: A) "What could I have done to deserve this illness?"
Rationale: The client's terminal illness might prompt the client to review their life and question its
meaning. A manifestation of the client's spiritual distress is asking why this illness is happening to them.
8. Mixing Insulin
Question: A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units
of NPH insulin to mix together and administer subcutaneously. Determine the correct order of steps for
this procedure.
A) Inject 5 units of air into the bottle of regular insulin.
B) Withdraw the correct dose of NPH insulin from the bottle.
C) Inject 10 units of air into the bottle of NPH insulin.
D) Withdraw the correct dose of regular insulin from the bottle.
Answer: C) Inject 10 units of air into the bottle of NPH insulin.
Rationale: The nurse should first inject air into the vial of NPH insulin without touching the needle to the
solution. Next, the nurse should inject air into the vial of regular insulin and withdraw the correct
amount of the regular insulin. Finally, the nurse should insert the needle into the NPH insulin vial and
withdraw the correct amount of NPH insulin. The nurse should follow these steps to prevent
contaminating the regular insulin with NPH insulin.
9. Vomiting and Diarrhea
Question: 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?
A) Neck vein distention
B) Urine specific gravity 1.010
C) Rapid heart rate
D) Blood pressure 144/82 mm Hg
, ESTUDYR
Answer: C) Rapid heart rate
Rationale: Tachycardia indicates fluid volume deficit, which is an expected finding for a client who has
had vomiting and diarrhea for 3 days.
10. Transferring a Client
Question: A nurse is preparing to transfer a client who can bear weight on one leg from the bed to a
chair. After securing a safe environment, which of the following actions should the nurse take next?
A) Rock the client up to a standing position.
B) Pivot on the foot that is the farthest from the chair.
C) Assess the client for orthostatic hypotension.
D) Apply a gait belt to the client.
Answer: C) Assess the client for orthostatic hypotension.
Rationale: The first action the nurse should take when using the nursing process is to assess the client.
The nurse should determine the client's risk for falling or fainting during the transfer by assisting the
client to sit and dangle the feet on the side of the bed. The nurse should assess for dizziness and a
significant drop in blood pressure before assisting the client to stand and transfer into the chair.
11. Sore Throat and Fever
Question: A nurse is admitting a client who reports experiencing a sore throat, productive cough, and
fever for the past 3 days. The nurse is reviewing the client's medical record. Which of the following
actions should the nurse take?
A) Request a prescription for an antibiotic medication.
B) Apply oxygen at 2 L/min via nasal cannula.
C) Initiate droplet precautions.
D) Withhold food and fluids.
Answer: A) Request a prescription for an antibiotic medication.
Rationale: The client's positive throat culture for streptococci bacteria indicates a bacterial infection,
which requires antibiotic treatment.
12. Administering Enemas
Question: A nurse is preparing to administer a cleansing enema to a client. Which of the following
actions should the nurse take?
A) Position the client in the supine position.
B) Lubricate the tip of the enema tube.
C) Insert the enema tube 10 cm (4 inches) into the rectum.
D) Hold the enema bag 60 cm (24 inches) above the client's anus.
