ATI RN FUNDAMENTALS PROCTORED WITH NGN LATEST TEST
BANK CERTIFIED QUALITY EXAM WITH QUESTIONS AND
ACCURATE ANSWERS NEWEST 2025/26 RATED A+
A nurse is preparing to transfer a client who can bear weight on
one leg from the bed to a chair. After securing a safe
environment, which of the following actions should the nurse
take next?
A. Rock the client up to a standing position.
B. Pivot on the foot that is the farthest from the chair.
C. Assess the client for orthostatic hypotension.
D. Apply a gait belt to the client. - --ANSWERS---c. Assess the
client for orthostatic hypotension.
The first action the nurse should take when using the nursing
process is to assess the client. The nurse should determine the
client's risk for falling or fainting during the transfer by assisting
the client to sit and dangle the feet on the side of the bed. The
nurse should assess for dizziness and a significant drop in blood
pressure before assisting the client to stand and transfer into
the chair.
A nurse is admitting a client who reports experiencing a sore
throat, productive cough, and fever for the past 3 days.
The nurse is reviewing the client's medical record. Which of the
following actions should the nurse take?
Select all that apply.
Nurses' notes
,1000:
Client reports sore throat, productive cough with yellow-colored
mucus, and fever for the past 3 days. Client has swollen lymph
nodes. Client also reports headache that, "won't go away."
client's face is flushed and diaphoretic. Throat culture and blood
work obtained as prescribed.
Vital signs
1000:
Blood pressure 132/68 mm hg, heart rate 99/min, respiratory rate
20/min, temperature 38.3° c (101° f), oxygen saturation 96% on
room air
Diagnostic results
1100:
Positive throat culture for streptococci bacteria.
A. Request a prescription for an antibiotic medication.
B. Apply oxygen at 2 l/min via nasal cannula.
C. Initiate droplet precautions.
D. W - --ANSWERS---a. Request a prescription for an antibiotic
medication.
The nurse should identify that the client has streptococcal
pharyngitis due to the client's manifestations and a positive
throat culture. Therefore, the nurse should request an antibiotic
medication, such as penicillin, to treat the client's infection.
C. Initiate droplet precautions.
The nurse should identify that the client has streptococcal
pharyngitis, which is transmitted through droplets greater than 5
microns in the air. Therefore, the nurse should initiate droplet
precautions for the client.
,D. Wear a mask within 1 m (3 feet) of the client.
The nurse should identify that the client has streptococcal
pharyngitis. Therefore, the nurse should wear a mask when
within 1 m (3 feet) of the client to prevent the spread of the
infection.
F. Apply a mask on the client when they leave their room.
The nurse should identify that the client has streptococcal
pharyngitis. Therefore, the nurse should apply a mask on the
client when they leave their room to prevent transmission of the
infection.
A nurse is calculating a client's fluid intake over the past 8 hr.
Which of the following items should the nurse plan to document
on the client's intake and output record as 120 ml of fluid?
A. 2 cups of soup
B. 1 quart of water
C. 8 oz of ice chips
D. 6 oz of tea - --ANSWERS---c. 8 oz of ice chips
The nurse should document half of the volume of ice chips when
calculating fluid intake to account for the air in between the
chips. The nurse should understand that 4 oz of liquid water is
equal to 120 ml of fluid.
A nurse is caring for a group of clients on a medical-surgical
unit. In which of the following situations does the nurse
demonstrate the ethical principle of veracity?
, A. A client who is unaware of her recent cancer diagnosis asks
the nurse if she has cancer, and the nurse responds
affirmatively.
B. A client who has a prescription for a nasogastric tube refuses
it, and the nurse complies with the client's wishes.
C. A client who has a do-not-resuscitate (dnr) order has a
cardiac arrest, and the nurse does not perform cpr despite
requests from the client's family.
D. A client who is about to undergo a painful procedure receives
pain medication 30 min before the procedure that the nurse
previously promised to administer. - --ANSWERS---a. A client
who is unaware of her recent cancer diagnosis asks the nurse if
she has cancer, and the nurse responds affirmatively.
Following the ethical principle of veracity, the nurse must tell the
truth at all times and never deceive others.
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?
A. Auscultate lung sounds.
B. Measure urine output.
C. Monitor blood pressure readings.
D. Monitor electrolyte levels. - --ANSWERS---a. Auscultate lung
sounds.
The priority assessment the nurse should make when using the
airway, breathing, circulation approach to client care is
auscultating lung sounds to monitor for fluid volume excess, a
complication of iv therapy. Manifestations of fluid volume excess
include moist crackles in lung fields, dyspnea, and shortness of
breath.
BANK CERTIFIED QUALITY EXAM WITH QUESTIONS AND
ACCURATE ANSWERS NEWEST 2025/26 RATED A+
A nurse is preparing to transfer a client who can bear weight on
one leg from the bed to a chair. After securing a safe
environment, which of the following actions should the nurse
take next?
A. Rock the client up to a standing position.
B. Pivot on the foot that is the farthest from the chair.
C. Assess the client for orthostatic hypotension.
D. Apply a gait belt to the client. - --ANSWERS---c. Assess the
client for orthostatic hypotension.
The first action the nurse should take when using the nursing
process is to assess the client. The nurse should determine the
client's risk for falling or fainting during the transfer by assisting
the client to sit and dangle the feet on the side of the bed. The
nurse should assess for dizziness and a significant drop in blood
pressure before assisting the client to stand and transfer into
the chair.
A nurse is admitting a client who reports experiencing a sore
throat, productive cough, and fever for the past 3 days.
The nurse is reviewing the client's medical record. Which of the
following actions should the nurse take?
Select all that apply.
Nurses' notes
,1000:
Client reports sore throat, productive cough with yellow-colored
mucus, and fever for the past 3 days. Client has swollen lymph
nodes. Client also reports headache that, "won't go away."
client's face is flushed and diaphoretic. Throat culture and blood
work obtained as prescribed.
Vital signs
1000:
Blood pressure 132/68 mm hg, heart rate 99/min, respiratory rate
20/min, temperature 38.3° c (101° f), oxygen saturation 96% on
room air
Diagnostic results
1100:
Positive throat culture for streptococci bacteria.
A. Request a prescription for an antibiotic medication.
B. Apply oxygen at 2 l/min via nasal cannula.
C. Initiate droplet precautions.
D. W - --ANSWERS---a. Request a prescription for an antibiotic
medication.
The nurse should identify that the client has streptococcal
pharyngitis due to the client's manifestations and a positive
throat culture. Therefore, the nurse should request an antibiotic
medication, such as penicillin, to treat the client's infection.
C. Initiate droplet precautions.
The nurse should identify that the client has streptococcal
pharyngitis, which is transmitted through droplets greater than 5
microns in the air. Therefore, the nurse should initiate droplet
precautions for the client.
,D. Wear a mask within 1 m (3 feet) of the client.
The nurse should identify that the client has streptococcal
pharyngitis. Therefore, the nurse should wear a mask when
within 1 m (3 feet) of the client to prevent the spread of the
infection.
F. Apply a mask on the client when they leave their room.
The nurse should identify that the client has streptococcal
pharyngitis. Therefore, the nurse should apply a mask on the
client when they leave their room to prevent transmission of the
infection.
A nurse is calculating a client's fluid intake over the past 8 hr.
Which of the following items should the nurse plan to document
on the client's intake and output record as 120 ml of fluid?
A. 2 cups of soup
B. 1 quart of water
C. 8 oz of ice chips
D. 6 oz of tea - --ANSWERS---c. 8 oz of ice chips
The nurse should document half of the volume of ice chips when
calculating fluid intake to account for the air in between the
chips. The nurse should understand that 4 oz of liquid water is
equal to 120 ml of fluid.
A nurse is caring for a group of clients on a medical-surgical
unit. In which of the following situations does the nurse
demonstrate the ethical principle of veracity?
, A. A client who is unaware of her recent cancer diagnosis asks
the nurse if she has cancer, and the nurse responds
affirmatively.
B. A client who has a prescription for a nasogastric tube refuses
it, and the nurse complies with the client's wishes.
C. A client who has a do-not-resuscitate (dnr) order has a
cardiac arrest, and the nurse does not perform cpr despite
requests from the client's family.
D. A client who is about to undergo a painful procedure receives
pain medication 30 min before the procedure that the nurse
previously promised to administer. - --ANSWERS---a. A client
who is unaware of her recent cancer diagnosis asks the nurse if
she has cancer, and the nurse responds affirmatively.
Following the ethical principle of veracity, the nurse must tell the
truth at all times and never deceive others.
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?
A. Auscultate lung sounds.
B. Measure urine output.
C. Monitor blood pressure readings.
D. Monitor electrolyte levels. - --ANSWERS---a. Auscultate lung
sounds.
The priority assessment the nurse should make when using the
airway, breathing, circulation approach to client care is
auscultating lung sounds to monitor for fluid volume excess, a
complication of iv therapy. Manifestations of fluid volume excess
include moist crackles in lung fields, dyspnea, and shortness of
breath.
