1
ATI fundamentals practice A
Questions with Correct Answers for
Specific Exam Mail
A nurse is evaluating a client's use of a cane. Which of
the following actions should the nurse identify as an
indication of correct use?
1. The top of the cane is parallel to the client's waist.
2. When walking, the client moves the cane 46 cm (18 in)
forward.
3. The client holds the cane on the stronger side of her
body.
4. The client moves her stronger limb forward with the
cane.
Ans: 3
The client should hold the cane on the stronger side of her
body to increase support and maintain alignment.
A nurse receives a report about a client who has 0.9%
sodium chloride infusing IV at 125mL/hr. When the nurse
Pretest - Stuvia US
,2
performs the initial assessment, he notes that the client
has received only 80mL over the last 2 hr. Which of the
following actions should the nurse take first?
1. Reposition the client.
2. Document the client's IV intake in the medical record.
3. Request a new IV fluid prescription.
4. Check the IV tubing for obstruction.
Ans: 4
The first action the nurse should take using the nursing
process is to assess the client. If checking the IV tubing
and verifying an obstruction, the nurse might be able to
facilitate the flow of fluid through the tubing. This could re-
establish the infusion rate the provider prescribed.
A nurse is caring for a client who requires an NG tube for
stomach decompression. Which of the following actions
should the nurse take when inserting the NG tube?
1. Position the client with the head of the bed elevated to
30° prior to insertion of the NG tube.
Pretest - Stuvia US
,3
2. Remove the NG tube if the client begins to gag or
choke.
3. Apply suction to the NG tube prior to insertion.
4. Have the client take sips of water to promote insertion
of the NG tube into the esophagus.
Ans: 4
Taking sips of water as the NG tube passes through the
oropharynx will close the epiglottis over the trachea and
prevent the tube from passing into the trachea.
A nurse is reviewing a client's fluid and electrolyte status.
Which of the following findings should the nurse report to
the provider?
1. BUN 15 mg/dL
2. Creatinine 0.8 mg/dL
3. Sodium 143 mEq/L
4. Potassium 5.4 mEq/L
Pretest - Stuvia US
, 4
Ans: 4
This value is above the expected reference range of 3.5
to 5 mEq/L, so the nurse should report this finding to the
provider. This client is at risk for dysrhythmias.
A nurse is providing discharge instructions to a client who
will be using a walker. Which of the following client
statements indicates an understanding of the teaching?
1."I can place an extension cord across my living room to
plug in my television."
2. "I will hire someone to trim the tree that hangs low over
the stairs of my front porch."
3. "I will place my alarm clock on my bedroom dresser
across the room."
4. "I will replace the old throw rug in my kitchen with a
new one."
Ans: 2
Clearing stairs of any object that could cause the client to
trip or require them to bend over while walking will
decrease the risk for falls.
Pretest - Stuvia US
ATI fundamentals practice A
Questions with Correct Answers for
Specific Exam Mail
A nurse is evaluating a client's use of a cane. Which of
the following actions should the nurse identify as an
indication of correct use?
1. The top of the cane is parallel to the client's waist.
2. When walking, the client moves the cane 46 cm (18 in)
forward.
3. The client holds the cane on the stronger side of her
body.
4. The client moves her stronger limb forward with the
cane.
Ans: 3
The client should hold the cane on the stronger side of her
body to increase support and maintain alignment.
A nurse receives a report about a client who has 0.9%
sodium chloride infusing IV at 125mL/hr. When the nurse
Pretest - Stuvia US
,2
performs the initial assessment, he notes that the client
has received only 80mL over the last 2 hr. Which of the
following actions should the nurse take first?
1. Reposition the client.
2. Document the client's IV intake in the medical record.
3. Request a new IV fluid prescription.
4. Check the IV tubing for obstruction.
Ans: 4
The first action the nurse should take using the nursing
process is to assess the client. If checking the IV tubing
and verifying an obstruction, the nurse might be able to
facilitate the flow of fluid through the tubing. This could re-
establish the infusion rate the provider prescribed.
A nurse is caring for a client who requires an NG tube for
stomach decompression. Which of the following actions
should the nurse take when inserting the NG tube?
1. Position the client with the head of the bed elevated to
30° prior to insertion of the NG tube.
Pretest - Stuvia US
,3
2. Remove the NG tube if the client begins to gag or
choke.
3. Apply suction to the NG tube prior to insertion.
4. Have the client take sips of water to promote insertion
of the NG tube into the esophagus.
Ans: 4
Taking sips of water as the NG tube passes through the
oropharynx will close the epiglottis over the trachea and
prevent the tube from passing into the trachea.
A nurse is reviewing a client's fluid and electrolyte status.
Which of the following findings should the nurse report to
the provider?
1. BUN 15 mg/dL
2. Creatinine 0.8 mg/dL
3. Sodium 143 mEq/L
4. Potassium 5.4 mEq/L
Pretest - Stuvia US
, 4
Ans: 4
This value is above the expected reference range of 3.5
to 5 mEq/L, so the nurse should report this finding to the
provider. This client is at risk for dysrhythmias.
A nurse is providing discharge instructions to a client who
will be using a walker. Which of the following client
statements indicates an understanding of the teaching?
1."I can place an extension cord across my living room to
plug in my television."
2. "I will hire someone to trim the tree that hangs low over
the stairs of my front porch."
3. "I will place my alarm clock on my bedroom dresser
across the room."
4. "I will replace the old throw rug in my kitchen with a
new one."
Ans: 2
Clearing stairs of any object that could cause the client to
trip or require them to bend over while walking will
decrease the risk for falls.
Pretest - Stuvia US
