ATI FUNDAMENTAL TEST BANK ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS 2024-2025 LATEST
VERSION//ALREADY GRADED A+
The nurse is caring for an older-adult patient with a diagnosis of urinary tract infection (UTI). Upon
assessment the nurse finds the patient confused and agitated. How will the nurse interpret these
assessment findings?
a. These are normal signs of aging.
b. These are early signs of dementia.
c. These are purely psychological in origin.
d. These are common manifestation with UTIs - ANSWER-d. These are common manifestation with UTIs
A patient has damage to the cerebellum. Which disorder is most important for the nurse to assess? a.
Impaired balance
b. Hemiplegia
c. Muscle sprain
d. Lower extremity paralysis - ANSWER-a. Impaired balance
Which patient will cause the nurse to select a nursing diagnosis of Impaired physical mobility for a care
plan?
a. A patient who is completely immobile
b. A patient who is not completely immobile
c. A patient at risk for single-system involvement
d. A patient who is at risk for multisystem problems - ANSWER-b. A patient who is not completely
immobile
The patient has the nursing diagnosis of Impaired physical mobility related to pain in the left shoulder.
Which priority action will the nurse take?
a. Encourage the patient to do self-care.
b. Keep the patient as mobile as possible.
c. Encourage the patient to perform ROM.
,d. Assist the patient with comfort measures - ANSWER-d. Assist the patient with comfort measures
A nurse is developing an individualized plan of care for a patient. Which action is important for the nurse
to take?
a. Establish goals that are measurable and realistic.
b. Set goals that are a little beyond the capabilities of the patient.
c. Use the nurse's own judgment and not be swayed by family desires.
d. Explain that without taking alignment risks, there can be no progress. - ANSWER-a. Establish goals
that are measurable and realistic.
Which behavior indicates the nurse is using a team approach when caring for a patient who is
experiencing alterations in mobility?
a. Delegates assessment of lung sounds to nursing assistive personnel
b. Becomes solely responsible for modifying activities of daily living
c. Consults physical therapy for strengthening exercises in the extremities
d. Involves respiratory therapy for altered breathing from severe anxiety levels - ANSWER-c. Consults
physical therapy for strengthening exercises in the extremities
The patient is being admitted to the neurological unit with a diagnosis of stroke. When will the nurse
begin discharge planning?
a. At the time of admission
b. The day before the patient is to be discharged
c. When outpatient therapy will no longer be needed
d. As soon as the patient's discharge destination is known - ANSWER-a. At the time of admission
Which goal is most appropriate for a patient who has had a total hip replacement?
a. The patient will ambulate briskly on the treadmill by the time of discharge.
b. The patient will walk 100 feet using a walker by the time of discharge.
c. The nurse will assist the patient to ambulate in the hall 2 times a day.
d. The patient will ambulate by the time of discharge. - ANSWER-b. The patient will walk 100 feet using a
walker by the time of discharge.
,The nurse is working on an orthopedic rehabilitation unit that requires lifting and positioning of patients.
Which personal injury will the nurse most likely try to prevent? a. Arm
b. Hip
c. Back
d. Ankle - ANSWER-c. Back
A nurse is caring for a patient diagnosed with osteoporosis and lactose intolerance. What intervention
will the nurse implement?
a. Encourage dairy products.
b. Monitor intake of vitamin D.
c. Increase intake of caffeinated drinks.
d. Try to do as much as possible for the patient. - ANSWER-b. Monitor intake of vitamin D.
A nurse is providing care to a group of patients. Which patient will the nurse see first?
a. A patient with a hip replacement on prolonged bed rest reporting chest pain and dyspnea
b. A bedridden patient who has a reddened area on the buttocks who needs to be turned
c. A patient on bed rest who has renal calculi and needs to go to the bathroom
d. A patient after knee surgery who needs range of motion exercises - ANSWER-a. A patient with a hip
replacement on prolonged bed rest reporting chest pain and dyspnea
The patient is immobilized after undergoing hip replacement surgery. Which finding will alert the nurse
to monitor for hemorrhage in this patient?
a. Thick, tenacious pulmonary secretions
b. Low-molecular-weight heparin doses
c. SCDs wrapped around the legs
d. Elastic stockings (TED hose) - ANSWER-b. Low-molecular-weight heparin doses
The nurse needs to move a patient up in bed using a drawsheet. The nurse has another nurse helping. In
which order will the nurses perform the steps, beginning with the first one? 1. Grasp the drawsheet
firmly near the patient. 2. Move the patient and drawsheet to the desired position. 3. Position one nurse
, at each side of the bed. 4. Place the drawsheet under the patient from shoulder to thigh. 5. Place your
feet apart with a forward-backward stance. 6. Flex knees and hips and on the count of three shift weight
from the front to back leg.
a. 1, 4, 5, 6, 3, 2
b. 4, 1, 3, 5, 6, 2
c. 3, 4, 1, 5, 6, 2
d. 5, 6, 3, 1, 4, 2 - ANSWER-c. 3, 4, 1, 5, 6, 2
The nurse is caring for a patient who needs to be placed in the prone position. Which action will the
nurse take?
a. Place pillow under the patient's lower legs.
b. Turn head toward one side with large, soft pillow.
c. Position legs flat against bed.
d. Raise head of bed to 45 degrees. - ANSWER-a. Place pillow under the patient's lower legs.
The nurse is caring for a patient with a spinal cord injury and notices that the patient's hips have a
tendency to rotate externally when the patient is supine. Which device will the nurse use to help
prevent injury secondary to this rotation? a. Hand rolls
b. A trapeze bar
c. A trochanter roll
d. Hand-wrist splints - ANSWER-c. A trochanter roll
The patient is unable to move self and needs to be pulled up in bed. What will the nurse do to make this
procedure safe?
a. Place the pillow under the patient's head and shoulders. b. Do by self if the bed is in the flat position.
c. Place the side rails in the up position.
d. Use a friction-reducing device. - ANSWER-d. Use a friction-reducing device.
The nurse is caring for a patient who is immobile and needs to be turned every 2 hours. The patient has
poor lower extremity circulation, and the nurse is concerned about irritation of the patient's toes. Which
device will the nurse use?
a. Hand rolls
QUESTIONS AND CORRECT ANSWERS 2024-2025 LATEST
VERSION//ALREADY GRADED A+
The nurse is caring for an older-adult patient with a diagnosis of urinary tract infection (UTI). Upon
assessment the nurse finds the patient confused and agitated. How will the nurse interpret these
assessment findings?
a. These are normal signs of aging.
b. These are early signs of dementia.
c. These are purely psychological in origin.
d. These are common manifestation with UTIs - ANSWER-d. These are common manifestation with UTIs
A patient has damage to the cerebellum. Which disorder is most important for the nurse to assess? a.
Impaired balance
b. Hemiplegia
c. Muscle sprain
d. Lower extremity paralysis - ANSWER-a. Impaired balance
Which patient will cause the nurse to select a nursing diagnosis of Impaired physical mobility for a care
plan?
a. A patient who is completely immobile
b. A patient who is not completely immobile
c. A patient at risk for single-system involvement
d. A patient who is at risk for multisystem problems - ANSWER-b. A patient who is not completely
immobile
The patient has the nursing diagnosis of Impaired physical mobility related to pain in the left shoulder.
Which priority action will the nurse take?
a. Encourage the patient to do self-care.
b. Keep the patient as mobile as possible.
c. Encourage the patient to perform ROM.
,d. Assist the patient with comfort measures - ANSWER-d. Assist the patient with comfort measures
A nurse is developing an individualized plan of care for a patient. Which action is important for the nurse
to take?
a. Establish goals that are measurable and realistic.
b. Set goals that are a little beyond the capabilities of the patient.
c. Use the nurse's own judgment and not be swayed by family desires.
d. Explain that without taking alignment risks, there can be no progress. - ANSWER-a. Establish goals
that are measurable and realistic.
Which behavior indicates the nurse is using a team approach when caring for a patient who is
experiencing alterations in mobility?
a. Delegates assessment of lung sounds to nursing assistive personnel
b. Becomes solely responsible for modifying activities of daily living
c. Consults physical therapy for strengthening exercises in the extremities
d. Involves respiratory therapy for altered breathing from severe anxiety levels - ANSWER-c. Consults
physical therapy for strengthening exercises in the extremities
The patient is being admitted to the neurological unit with a diagnosis of stroke. When will the nurse
begin discharge planning?
a. At the time of admission
b. The day before the patient is to be discharged
c. When outpatient therapy will no longer be needed
d. As soon as the patient's discharge destination is known - ANSWER-a. At the time of admission
Which goal is most appropriate for a patient who has had a total hip replacement?
a. The patient will ambulate briskly on the treadmill by the time of discharge.
b. The patient will walk 100 feet using a walker by the time of discharge.
c. The nurse will assist the patient to ambulate in the hall 2 times a day.
d. The patient will ambulate by the time of discharge. - ANSWER-b. The patient will walk 100 feet using a
walker by the time of discharge.
,The nurse is working on an orthopedic rehabilitation unit that requires lifting and positioning of patients.
Which personal injury will the nurse most likely try to prevent? a. Arm
b. Hip
c. Back
d. Ankle - ANSWER-c. Back
A nurse is caring for a patient diagnosed with osteoporosis and lactose intolerance. What intervention
will the nurse implement?
a. Encourage dairy products.
b. Monitor intake of vitamin D.
c. Increase intake of caffeinated drinks.
d. Try to do as much as possible for the patient. - ANSWER-b. Monitor intake of vitamin D.
A nurse is providing care to a group of patients. Which patient will the nurse see first?
a. A patient with a hip replacement on prolonged bed rest reporting chest pain and dyspnea
b. A bedridden patient who has a reddened area on the buttocks who needs to be turned
c. A patient on bed rest who has renal calculi and needs to go to the bathroom
d. A patient after knee surgery who needs range of motion exercises - ANSWER-a. A patient with a hip
replacement on prolonged bed rest reporting chest pain and dyspnea
The patient is immobilized after undergoing hip replacement surgery. Which finding will alert the nurse
to monitor for hemorrhage in this patient?
a. Thick, tenacious pulmonary secretions
b. Low-molecular-weight heparin doses
c. SCDs wrapped around the legs
d. Elastic stockings (TED hose) - ANSWER-b. Low-molecular-weight heparin doses
The nurse needs to move a patient up in bed using a drawsheet. The nurse has another nurse helping. In
which order will the nurses perform the steps, beginning with the first one? 1. Grasp the drawsheet
firmly near the patient. 2. Move the patient and drawsheet to the desired position. 3. Position one nurse
, at each side of the bed. 4. Place the drawsheet under the patient from shoulder to thigh. 5. Place your
feet apart with a forward-backward stance. 6. Flex knees and hips and on the count of three shift weight
from the front to back leg.
a. 1, 4, 5, 6, 3, 2
b. 4, 1, 3, 5, 6, 2
c. 3, 4, 1, 5, 6, 2
d. 5, 6, 3, 1, 4, 2 - ANSWER-c. 3, 4, 1, 5, 6, 2
The nurse is caring for a patient who needs to be placed in the prone position. Which action will the
nurse take?
a. Place pillow under the patient's lower legs.
b. Turn head toward one side with large, soft pillow.
c. Position legs flat against bed.
d. Raise head of bed to 45 degrees. - ANSWER-a. Place pillow under the patient's lower legs.
The nurse is caring for a patient with a spinal cord injury and notices that the patient's hips have a
tendency to rotate externally when the patient is supine. Which device will the nurse use to help
prevent injury secondary to this rotation? a. Hand rolls
b. A trapeze bar
c. A trochanter roll
d. Hand-wrist splints - ANSWER-c. A trochanter roll
The patient is unable to move self and needs to be pulled up in bed. What will the nurse do to make this
procedure safe?
a. Place the pillow under the patient's head and shoulders. b. Do by self if the bed is in the flat position.
c. Place the side rails in the up position.
d. Use a friction-reducing device. - ANSWER-d. Use a friction-reducing device.
The nurse is caring for a patient who is immobile and needs to be turned every 2 hours. The patient has
poor lower extremity circulation, and the nurse is concerned about irritation of the patient's toes. Which
device will the nurse use?
a. Hand rolls
