ATI RN Fundamentals Practice Tests A & B QUESTIONS AND ANSWERS 100% ACCURATE.
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 - Skin 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" - "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 - Tell 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 - Medication dose
A nurse is caring for a client who has recently started using a behind the ear hearing aid. Which
of the following statements should the nurse identify as an indication that the client understands
the use of this assistive device?
"This type of hearing aid does not allow for fine tuning of volume"
"I shouldn't have trouble keeping the hearing aid in place during exercise"
"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" - "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" - "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 - Compare
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 - Witness 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" - "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 transfusion
Request a consultation with the ethics committee
Ask the client's family to intervene - Withhold the blood transfusion
A nurse is admitting a client who has rubella. Which of the following types of transmission
based precautions should the nurse initiate?
droplet
airborne
contact
protective environment - droplet
, A nurse is administering IV fluids to a client. When monitoring for adverse effects, which of the
following assessments should the nurse identify as the priority?
Auscultate lung sounds
Measure urine output
Monitor blood pressure readings
Monitor electrolyte levels - Measure urine output
A middle adult client tells the nurse, "I feel so useless now that my children do not need me
anymore." Which of the following responses should the nurse make?
"Most people are happy when their children grow up and leave home"
"You should be proud that your children are becoming independent"
"Maybe you should consider why you are feeling useless"
"People in middle adulthood often find satisfaction in nurturing and guiding young people" -
"People in middle adulthood often find satisfaction in nurturing and guiding young people"
A nurse is providing discharge teaching for a client who has a new prescription for a home
oxygen concentrator. Which of the following instructions should the nurse provide to the client
and his family? (select all that apply)
Check the cord routinely for frays or tearing
Keep the unit at least 1-2 m (4 feet) away from a gas stove
Consider purchasing a generator for power backup
Observe for signs of hypoxia
Select synthetic clothing and bedding - Check the cord routinely for frays or tearing
Keep the unit at least 1-2 m (4 feet) away from a gas stove
Observe for signs of hypoxia
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?
Use a resuscitation bag with 80% oxygen prior to the procedure
Select a suction catheter that is half the size of the lumen
Place the end of the suction catheter in water soluble lubricant
Adjust the wall suction apparatus to a pressure of 170 mmHg - Select a suction catheter that is
half the size of the lumen
A nurse is caring for a client who is receiving pain medication through a patient controlled
analgesia (PCA) pump. Which of the following actions should the nurse take?
Instruct the family to refrain from pushing the button for the client while she is asleep
Inform the client that because she is on PCA, vital signs will be taken every 8 hours
Teach the client to avoid pushing the button until the pain is above 7 on a scale of 0 to 10
Increase the basal rate and shorten the lock out interval time if the client's pain level is too high -
Instruct the family to refrain from pushing the button for the client while she is asleep
A nurse is admitting a client who has been having frequent tonic clonic seizures. Which of the
following actions should the nurse add to the client's plan of care?
Wrap blankets around all 4 sides of the bed
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 - Skin 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" - "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 - Tell 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 - Medication dose
A nurse is caring for a client who has recently started using a behind the ear hearing aid. Which
of the following statements should the nurse identify as an indication that the client understands
the use of this assistive device?
"This type of hearing aid does not allow for fine tuning of volume"
"I shouldn't have trouble keeping the hearing aid in place during exercise"
"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" - "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" - "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 - Compare
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 - Witness 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" - "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 transfusion
Request a consultation with the ethics committee
Ask the client's family to intervene - Withhold the blood transfusion
A nurse is admitting a client who has rubella. Which of the following types of transmission
based precautions should the nurse initiate?
droplet
airborne
contact
protective environment - droplet
, A nurse is administering IV fluids to a client. When monitoring for adverse effects, which of the
following assessments should the nurse identify as the priority?
Auscultate lung sounds
Measure urine output
Monitor blood pressure readings
Monitor electrolyte levels - Measure urine output
A middle adult client tells the nurse, "I feel so useless now that my children do not need me
anymore." Which of the following responses should the nurse make?
"Most people are happy when their children grow up and leave home"
"You should be proud that your children are becoming independent"
"Maybe you should consider why you are feeling useless"
"People in middle adulthood often find satisfaction in nurturing and guiding young people" -
"People in middle adulthood often find satisfaction in nurturing and guiding young people"
A nurse is providing discharge teaching for a client who has a new prescription for a home
oxygen concentrator. Which of the following instructions should the nurse provide to the client
and his family? (select all that apply)
Check the cord routinely for frays or tearing
Keep the unit at least 1-2 m (4 feet) away from a gas stove
Consider purchasing a generator for power backup
Observe for signs of hypoxia
Select synthetic clothing and bedding - Check the cord routinely for frays or tearing
Keep the unit at least 1-2 m (4 feet) away from a gas stove
Observe for signs of hypoxia
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?
Use a resuscitation bag with 80% oxygen prior to the procedure
Select a suction catheter that is half the size of the lumen
Place the end of the suction catheter in water soluble lubricant
Adjust the wall suction apparatus to a pressure of 170 mmHg - Select a suction catheter that is
half the size of the lumen
A nurse is caring for a client who is receiving pain medication through a patient controlled
analgesia (PCA) pump. Which of the following actions should the nurse take?
Instruct the family to refrain from pushing the button for the client while she is asleep
Inform the client that because she is on PCA, vital signs will be taken every 8 hours
Teach the client to avoid pushing the button until the pain is above 7 on a scale of 0 to 10
Increase the basal rate and shorten the lock out interval time if the client's pain level is too high -
Instruct the family to refrain from pushing the button for the client while she is asleep
A nurse is admitting a client who has been having frequent tonic clonic seizures. Which of the
following actions should the nurse add to the client's plan of care?
Wrap blankets around all 4 sides of the bed
