ATI Fundamentals Assessment
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A nurse is assessing a client's respiratory rate. What should the nurse do first?
A. ✔✔Observe the chest rise and fall discreetly
B. Ask the client to breathe deeply
C. Count the pulse and multiply by two
D. Inform the client to take deep breaths continuously
During a head-to-toe assessment, a nurse notes that the client's pupils are unequal. What is the
appropriate next step?
A. Record as a normal finding
B. ✔✔Notify the provider immediately
C. Reassess in 8 hours
D. Ask the client to close their eyes
A nurse is assessing the hydration status of a client. Which finding indicates dehydration?
A. Warm skin temperature
1
,B. ✔✔Dry mucous membranes
C. Moist tongue
D. Clear urine output
A nurse is assessing a client’s skin turgor. Which action is appropriate?
A. ✔✔Pinch the skin on the forearm or sternum
B. Tap the back of the hand
C. Press on the nail beds
D. Look at the palms of the hands
Which of the following is the best method to assess a client’s pain level?
A. Observe facial expressions
B. Palpate the site of discomfort
C. ✔✔Ask the client to rate pain on a scale
D. Look at the vital signs
A nurse is collecting data on a client’s bowel sounds. What is the correct technique?
A. Use the bell of the stethoscope
2
, B. ✔✔Listen in all four quadrants
C. Palpate before auscultating
D. Start at the lower left quadrant
A nurse is assessing a client’s capillary refill. What is the normal expected finding?
A. Less than 5 seconds
B. ✔✔Less than 2 seconds
C. Greater than 3 seconds
D. No color change at all
A nurse is conducting a general survey. Which observation is included in this initial assessment?
A. ✔✔Client’s posture and appearance
B. Bowel movement frequency
C. Lung sounds
D. Abdominal girth
When auscultating lung sounds, which position is best for a full posterior assessment?
A. ✔✔Sitting upright
3
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A nurse is assessing a client's respiratory rate. What should the nurse do first?
A. ✔✔Observe the chest rise and fall discreetly
B. Ask the client to breathe deeply
C. Count the pulse and multiply by two
D. Inform the client to take deep breaths continuously
During a head-to-toe assessment, a nurse notes that the client's pupils are unequal. What is the
appropriate next step?
A. Record as a normal finding
B. ✔✔Notify the provider immediately
C. Reassess in 8 hours
D. Ask the client to close their eyes
A nurse is assessing the hydration status of a client. Which finding indicates dehydration?
A. Warm skin temperature
1
,B. ✔✔Dry mucous membranes
C. Moist tongue
D. Clear urine output
A nurse is assessing a client’s skin turgor. Which action is appropriate?
A. ✔✔Pinch the skin on the forearm or sternum
B. Tap the back of the hand
C. Press on the nail beds
D. Look at the palms of the hands
Which of the following is the best method to assess a client’s pain level?
A. Observe facial expressions
B. Palpate the site of discomfort
C. ✔✔Ask the client to rate pain on a scale
D. Look at the vital signs
A nurse is collecting data on a client’s bowel sounds. What is the correct technique?
A. Use the bell of the stethoscope
2
, B. ✔✔Listen in all four quadrants
C. Palpate before auscultating
D. Start at the lower left quadrant
A nurse is assessing a client’s capillary refill. What is the normal expected finding?
A. Less than 5 seconds
B. ✔✔Less than 2 seconds
C. Greater than 3 seconds
D. No color change at all
A nurse is conducting a general survey. Which observation is included in this initial assessment?
A. ✔✔Client’s posture and appearance
B. Bowel movement frequency
C. Lung sounds
D. Abdominal girth
When auscultating lung sounds, which position is best for a full posterior assessment?
A. ✔✔Sitting upright
3
