ATI RN Fundamentals Practice Tests A & B
A charge nurse is discussing the duties of nurses caring for Clostridium difficle-infected patients.
The nurse should include which of the following information in the instruction. Assign the client
to a room with a negative airflow system
When leaving the client's room, use hand sanitizer that contains alcohol. Clean contaminated
surfaces in the client's room with a phenol solution
When visiting, make sure family members don gloves and a gown. ANS-Make sure family
members wear gloves and a gown. A charge nurse is observing a newly licensed nurse prepare
a sterile field for a dressing change. Which of the following requires the charge nurse's
intervention by the newly licensed nurse? The newly licensed nurse places the cap of a bottle of
sterile saline solution on the sterile field
The newly licensed nurse places sterile objects 2.5 cm (1 inch) within the border of the field
When pouring, the newly licensed nurse holds the sterile saline bottle outside the field's edge.
The sterile field is positioned at the level of the newly licensed nurse's waist - ANS-The newly
licensed nurse places the cap of a bottle of sterile saline solution on the sterile field
A client in non ambulatory notifies the nurse that his trash can is on fire. Which of the following
actions should the nurse take after confirming the presence of the fire? Make use of the
emergency fire alarm. Put out the flames. Get rid of the client. Limit the fire, evacuate the client,
and ANS A client who is postoperative is verbalizing as a 2 on a pain scale of 0 to 10. The
client's comprehension of the preoperative instruction regarding pain management should the
nurse look for in which of the following statements? "Since it isn't controlling my pain, I think I
should take my pain medication more often," I said. "Breathing faster will help me keep my mind
off of the pain"
"It might help me listen to music while lying in bed"
"I don't want to walk today because I have some pain" - ANS-"It might help me listen to music
while lying in bed"
At community health screening, a group of clients' blood pressures are being checked by a
community health nurse. Which of the following clients is more likely to develop high blood
pressure? A client who is 52 years old
A client who smokes 1 pack of cigarettes a day
A client who walks for 30 min every day
A client who drinks 1 glass of wine 3 times per week - ANS-A client who smokes 1 pack of
cigarettes a day
A home health nurse is completing an admission assessment of an older adult client who has
their caregiver present. Which of the following findings should the nurse identify as a potential
indication of elder abuse?
The caregiver is the client's financial power of attorney
The client is in a wheelchair with the wheels locked
The client reports receiving a full bath twice each week
, The caregiver insists on remaining in the room - ANS-The caregiver insists on remaining in the
room
A home health nurse is performing a follow up visit for a client who as a gastrostomy tube
through which they receive intermittent feedings and medications. Recently, the client has
experienced diarrhea. Which of the following findings should the nurse identify as a possible
cause of the diarrhea?
The client is receiving formula at room temperature
The feedings infuse at a slow, continuous drip over 8 hour each night
The client's caregiver washes out the feedings bag with warm water once every 24 hours
Before and after administering medications, the client's caregiver flushes the tubing with water.
ANS-The client's caregiver rinses the feeding bag with warm water once every 24 hours. "I feel
so useless now that my children do not need me anymore," a middle-aged client tells the nurse.
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" -
ANS-"People in middle adulthood often find satisfaction in nurturing and guiding young people"
A new is assessing an older adult client's risk for falls. The nurse should use which of the
following assessments to determine the client's safety requirements. (select all that apply)
Lacrimal apparatus
Student clarity Appearance of bulbar conjuctivae
Visual spheres Visual acuity - ANS-Pupil clarity
Visual fields
Visual acuity
A client is found lying on the floor when a nurse enters her room. 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 discovered lying on the ground" "Client was trying to get out of bed" - ANS-"Client found
lying on the floor"
A nurse has accepted a verbal prescription for "thee tenths of a milligram of levothyroxine IV
stat" for a client who has myxedema coma. How should the nurse transcribe the dosage of this
medication in the client's medical record?
.3 mg
0.3 mg
0.30 mg
3/10 mg - ANS-0.3 mg
A client has just had an NG tube inserted by a nurse. Which of the following findings should the
nurse expect to confirm correct tube placement?
The tube aspirate has a pH of 7
The end of the tube above the pylorus can be seen on an x-ray. Bowel sounds are present on
auscultation
, ANS-An x-ray reveals the end of the tube above the pylorus, and the client reports feeling
better. A nurse in a clinic is caring for a middle adult client who states, "The doctor says that,
since I am at an average risk for colon cancer, I should have a routine screening. What does
that involve?" The nurse should respond to which of the following. "I'll send you a blood sample
for a screening test and get a blood sample from you." "You should have a colonoscopy starting
at 60." "You ought to get a blood test for fecal occult every year." "The recommendation is to
have a sigmoidoscopy every 10 years" - ANS-"You should have a fecal occult blood test every
year"
A nurse in a long term care facility is caring for a client who dies during the nurse's shift.
Identify the sequence in which the nurse should perform the following steps.
Wash the client's body
Obtain the pronouncement of death from the provider
Ask the client's family members if they would like to view the body
Remove tubes and indwelling lines
Place a name tag on the body - ANS-1. Obtain the pronouncement of death from the provider
2. Remove the in-house lines and tubes. 3. Clean the client's skin. 4. Ask the client's family
members if they would like to view the body
5. Place a name tag on the body
A nurse in a surgical suite notes documentation on a client's medical record that he has a latex
allergy. In preparation for the client's procedure, which of the following precautions should the
nurse take?
Ensure sterilization of nondisposable items with ethylene oxide
Wrap monitoring cords with stockinette and tape them in place
Cleanse latex ports on IV tubing with chlorhexidine before injecting medication
Wear powder-containing hypoallergenic latex gloves, ANS-Wrap monitoring cords with
stockinette, and tape them in place. A client who is recovering from surgery and has a
deficiency in fluid volume is receiving 1 liter of 0.9% sodium chloride from a nurse. Which of the
following changes should the nurse identify as an indication that the treatment was successful?
Increase in hematocrit
Increase in respiratory rate
Decrease in heart rate
Decrease in capillary refill time - ANS-Decrease in heart rate
A nurse is administering an otic medication to an older adult client. Which of the following
actions should the nurse take to ensure that the medication reaches the inner ear?
Press gently on the tragus of the client's ear
Pack a small piece of cotton deep into the client's ear canal
Move the client's auricle down and back toward her head
For five minutes, tilt the client's head back. ANS: Gently press on the client's ear tragus. 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
Keep an eye on your blood pressure. ANS - Measure urine output - Monitor electrolyte levels A
nurse is admitting a client who has an abdominal wound with a large amount of purulent
A charge nurse is discussing the duties of nurses caring for Clostridium difficle-infected patients.
The nurse should include which of the following information in the instruction. Assign the client
to a room with a negative airflow system
When leaving the client's room, use hand sanitizer that contains alcohol. Clean contaminated
surfaces in the client's room with a phenol solution
When visiting, make sure family members don gloves and a gown. ANS-Make sure family
members wear gloves and a gown. A charge nurse is observing a newly licensed nurse prepare
a sterile field for a dressing change. Which of the following requires the charge nurse's
intervention by the newly licensed nurse? The newly licensed nurse places the cap of a bottle of
sterile saline solution on the sterile field
The newly licensed nurse places sterile objects 2.5 cm (1 inch) within the border of the field
When pouring, the newly licensed nurse holds the sterile saline bottle outside the field's edge.
The sterile field is positioned at the level of the newly licensed nurse's waist - ANS-The newly
licensed nurse places the cap of a bottle of sterile saline solution on the sterile field
A client in non ambulatory notifies the nurse that his trash can is on fire. Which of the following
actions should the nurse take after confirming the presence of the fire? Make use of the
emergency fire alarm. Put out the flames. Get rid of the client. Limit the fire, evacuate the client,
and ANS A client who is postoperative is verbalizing as a 2 on a pain scale of 0 to 10. The
client's comprehension of the preoperative instruction regarding pain management should the
nurse look for in which of the following statements? "Since it isn't controlling my pain, I think I
should take my pain medication more often," I said. "Breathing faster will help me keep my mind
off of the pain"
"It might help me listen to music while lying in bed"
"I don't want to walk today because I have some pain" - ANS-"It might help me listen to music
while lying in bed"
At community health screening, a group of clients' blood pressures are being checked by a
community health nurse. Which of the following clients is more likely to develop high blood
pressure? A client who is 52 years old
A client who smokes 1 pack of cigarettes a day
A client who walks for 30 min every day
A client who drinks 1 glass of wine 3 times per week - ANS-A client who smokes 1 pack of
cigarettes a day
A home health nurse is completing an admission assessment of an older adult client who has
their caregiver present. Which of the following findings should the nurse identify as a potential
indication of elder abuse?
The caregiver is the client's financial power of attorney
The client is in a wheelchair with the wheels locked
The client reports receiving a full bath twice each week
, The caregiver insists on remaining in the room - ANS-The caregiver insists on remaining in the
room
A home health nurse is performing a follow up visit for a client who as a gastrostomy tube
through which they receive intermittent feedings and medications. Recently, the client has
experienced diarrhea. Which of the following findings should the nurse identify as a possible
cause of the diarrhea?
The client is receiving formula at room temperature
The feedings infuse at a slow, continuous drip over 8 hour each night
The client's caregiver washes out the feedings bag with warm water once every 24 hours
Before and after administering medications, the client's caregiver flushes the tubing with water.
ANS-The client's caregiver rinses the feeding bag with warm water once every 24 hours. "I feel
so useless now that my children do not need me anymore," a middle-aged client tells the nurse.
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" -
ANS-"People in middle adulthood often find satisfaction in nurturing and guiding young people"
A new is assessing an older adult client's risk for falls. The nurse should use which of the
following assessments to determine the client's safety requirements. (select all that apply)
Lacrimal apparatus
Student clarity Appearance of bulbar conjuctivae
Visual spheres Visual acuity - ANS-Pupil clarity
Visual fields
Visual acuity
A client is found lying on the floor when a nurse enters her room. 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 discovered lying on the ground" "Client was trying to get out of bed" - ANS-"Client found
lying on the floor"
A nurse has accepted a verbal prescription for "thee tenths of a milligram of levothyroxine IV
stat" for a client who has myxedema coma. How should the nurse transcribe the dosage of this
medication in the client's medical record?
.3 mg
0.3 mg
0.30 mg
3/10 mg - ANS-0.3 mg
A client has just had an NG tube inserted by a nurse. Which of the following findings should the
nurse expect to confirm correct tube placement?
The tube aspirate has a pH of 7
The end of the tube above the pylorus can be seen on an x-ray. Bowel sounds are present on
auscultation
, ANS-An x-ray reveals the end of the tube above the pylorus, and the client reports feeling
better. A nurse in a clinic is caring for a middle adult client who states, "The doctor says that,
since I am at an average risk for colon cancer, I should have a routine screening. What does
that involve?" The nurse should respond to which of the following. "I'll send you a blood sample
for a screening test and get a blood sample from you." "You should have a colonoscopy starting
at 60." "You ought to get a blood test for fecal occult every year." "The recommendation is to
have a sigmoidoscopy every 10 years" - ANS-"You should have a fecal occult blood test every
year"
A nurse in a long term care facility is caring for a client who dies during the nurse's shift.
Identify the sequence in which the nurse should perform the following steps.
Wash the client's body
Obtain the pronouncement of death from the provider
Ask the client's family members if they would like to view the body
Remove tubes and indwelling lines
Place a name tag on the body - ANS-1. Obtain the pronouncement of death from the provider
2. Remove the in-house lines and tubes. 3. Clean the client's skin. 4. Ask the client's family
members if they would like to view the body
5. Place a name tag on the body
A nurse in a surgical suite notes documentation on a client's medical record that he has a latex
allergy. In preparation for the client's procedure, which of the following precautions should the
nurse take?
Ensure sterilization of nondisposable items with ethylene oxide
Wrap monitoring cords with stockinette and tape them in place
Cleanse latex ports on IV tubing with chlorhexidine before injecting medication
Wear powder-containing hypoallergenic latex gloves, ANS-Wrap monitoring cords with
stockinette, and tape them in place. A client who is recovering from surgery and has a
deficiency in fluid volume is receiving 1 liter of 0.9% sodium chloride from a nurse. Which of the
following changes should the nurse identify as an indication that the treatment was successful?
Increase in hematocrit
Increase in respiratory rate
Decrease in heart rate
Decrease in capillary refill time - ANS-Decrease in heart rate
A nurse is administering an otic medication to an older adult client. Which of the following
actions should the nurse take to ensure that the medication reaches the inner ear?
Press gently on the tragus of the client's ear
Pack a small piece of cotton deep into the client's ear canal
Move the client's auricle down and back toward her head
For five minutes, tilt the client's head back. ANS: Gently press on the client's ear tragus. 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
Keep an eye on your blood pressure. ANS - Measure urine output - Monitor electrolyte levels A
nurse is admitting a client who has an abdominal wound with a large amount of purulent
