FUNDAMENTALS ATI FINAL REVIEW
(CMS QUESTIONS AND ANSWERS
FULLY COVERED)
A|nurse|is|providing|nail|care|for|a|client.|Which|of|the|following|actions|should|the|nurse|take?
A.|file|the|nail|into|a|round|shape
B.|cut|and|file|the|nails|straight|across
C.|push|the|cuticles|back|with|a|metal|nail|file
D.|clean|underneath|the|nail|with|an|orange|stick|-|ANS|-clean|underneath|the|nail|with|an|
orange|stick|
rationale:|push|cuticles|back|and|clean|nails|with|orange|stick
A|nurse|is|admitting|a|client|who|has|tuberculosis|and|a|productive|cough.|Which|of|the|
following|types|of|isolation|precautions|should|the|nurse|initiate|for|the|client?
A.|contact
B.|droplet
C.|protective
D.|airborne|-|ANS|-airborne
A|nurse|is|completing|discharge|teaching|with|a|client.|Of|the|following|barriers|to|learning,|
which|should|the|nurse|interpret|as|a|need|to|postpone|the|session?
A.|pain
B.|hearing|loss
C.|client's|culture
D.|motor|impairment|-|ANS|-pain
,A|nurse|manager|is|observing|an|AP|(assistive|personnel)|apply|wrist|restraints|for|a|client.|Which|
of|the|following|actions|should|the|nurse|identify|as|an|indication|that|the|AP|understood|the|
procedure?
A.|The|AP|ties|the|straps|of|the|restraint|in|a|double|knot
B.|The|AP|ties|the|restraints|to|the|side|rails
C.|The|padding|of|the|restraints|is|against|the|client's|bony|prominences
D.|The|nurse|can|insert|one|finger|between|the|client's|wrist|and|the|restraint|-|ANS|-the|padding|
of|the|restraints|is|against|the|client's|bony|prominences
How|many|fingers|should|you|be|able|to|insert|between|the|client's|wrist|and|the|restraints?|-|
ANS|-2|fingers
A|nurse|is|preparing|a|sterile|field.|Which|of|the|following|actions|should|the|nurse|identify|as|
contaminating|the|field?
A.|placing|a|sterile|dressing|5|cm|or|2|in|from|the|border|of|the|sterile|field
B.|holding|a|sterile|item|just|above|waist|level
C.|opening|a|sterile|package|over|the|middle|of|the|sterile|field
D.|opening|the|sterile|tray|first|by|unfolding|the|flaps|furthest|from|the|body|-|ANS|-opening|a|
sterile|package|over|the|middle|of|the|sterile|field
A|nurse|is|orienting|a|new|assistive|personnel|to|the|unit.|For|which|of|the|following|actions|
should|a|nurse|intervene?
A.|wears|a|gown|when|entering|the|room|of|a|client|who|requires|contact|precautions
B.|dons|gloves|to|empty|a|urinary|drainage|device
C.|washes|and|rinses|her|hands|for|10|seconds
D.|wears|a|respirator|mask|when|entering|the|room|of|a|client|who|requires|airborne|
precautions|-|ANS|-washes|and|rinses|her|hands|for|10|seconds
-|wash|your|hands|for|atleast|20|seconds
, A|nurse|is|reviewing|information|about|HIPAA|with|the|newly|licensed|nurse.|Which|of|the|
following|statements|by|the|newly|licenses|nurse|indicates|a|need|for|further|teaching?
A.|information|about|a|client|can|be|disclosed|to|family|members|at|any|time
B.|HIPAA|established|regulations|of|individuality|identifiable|health|information|in|verbal,|
electronic,|or|written|forms
C.|A|client's|address|would|be|an|example|of|personal,|identifiable|information
D.|HIPAA|is|a|federal|law,|not|a|state|law|-|ANS|-information|about|a|client|can|be|disclosed|to|
family|members|at|any|time
A|nurse|is|admitting|a|client|who|has|active|tuberculosis|in|a|room|on|a|medical|surgical|unit.|
Which|of|the|following|room|assignments|should|the|nurse|make|for|the|client?
A.|a|room|with|an|air|exhaust|directly|to|the|outdoor|environment
B.|a|room|with|another|non|surgical|client
C.|an|ICU|room
D.|a|room|that|is|within|view|of|a|nurse's|station|-|ANS|-a|room|with|an|air|exhaust|directly|to|the|
outdoor|environment
A|nurse|is|preparing|to|perform|hand|hygiene.|Which|of|the|following|actions|should|the|nurse|
take?
A.|adjust|the|water|temperature|to|feel|hot
B.|apply|4|to|5|mls|of|liquid|soap|to|hands
C.|hold|hands|higher|than|elbows
D.|rub|hands|and|arms|to|dry|-|ANS|-apply|4|to|5|mls|of|liquid|soap|to|hands|
*|to|ensure|there's|an|adequate|amount|of|soap|available|to|produce|lather|and|kill|
microorganisms
A|nurse|is|assessing|a|toddler|at|a|well|child|visit.|At|what|point|in|the|physical|examination|
should|the|nurse|examine|the|child's|tympanic|membrane?|
(CMS QUESTIONS AND ANSWERS
FULLY COVERED)
A|nurse|is|providing|nail|care|for|a|client.|Which|of|the|following|actions|should|the|nurse|take?
A.|file|the|nail|into|a|round|shape
B.|cut|and|file|the|nails|straight|across
C.|push|the|cuticles|back|with|a|metal|nail|file
D.|clean|underneath|the|nail|with|an|orange|stick|-|ANS|-clean|underneath|the|nail|with|an|
orange|stick|
rationale:|push|cuticles|back|and|clean|nails|with|orange|stick
A|nurse|is|admitting|a|client|who|has|tuberculosis|and|a|productive|cough.|Which|of|the|
following|types|of|isolation|precautions|should|the|nurse|initiate|for|the|client?
A.|contact
B.|droplet
C.|protective
D.|airborne|-|ANS|-airborne
A|nurse|is|completing|discharge|teaching|with|a|client.|Of|the|following|barriers|to|learning,|
which|should|the|nurse|interpret|as|a|need|to|postpone|the|session?
A.|pain
B.|hearing|loss
C.|client's|culture
D.|motor|impairment|-|ANS|-pain
,A|nurse|manager|is|observing|an|AP|(assistive|personnel)|apply|wrist|restraints|for|a|client.|Which|
of|the|following|actions|should|the|nurse|identify|as|an|indication|that|the|AP|understood|the|
procedure?
A.|The|AP|ties|the|straps|of|the|restraint|in|a|double|knot
B.|The|AP|ties|the|restraints|to|the|side|rails
C.|The|padding|of|the|restraints|is|against|the|client's|bony|prominences
D.|The|nurse|can|insert|one|finger|between|the|client's|wrist|and|the|restraint|-|ANS|-the|padding|
of|the|restraints|is|against|the|client's|bony|prominences
How|many|fingers|should|you|be|able|to|insert|between|the|client's|wrist|and|the|restraints?|-|
ANS|-2|fingers
A|nurse|is|preparing|a|sterile|field.|Which|of|the|following|actions|should|the|nurse|identify|as|
contaminating|the|field?
A.|placing|a|sterile|dressing|5|cm|or|2|in|from|the|border|of|the|sterile|field
B.|holding|a|sterile|item|just|above|waist|level
C.|opening|a|sterile|package|over|the|middle|of|the|sterile|field
D.|opening|the|sterile|tray|first|by|unfolding|the|flaps|furthest|from|the|body|-|ANS|-opening|a|
sterile|package|over|the|middle|of|the|sterile|field
A|nurse|is|orienting|a|new|assistive|personnel|to|the|unit.|For|which|of|the|following|actions|
should|a|nurse|intervene?
A.|wears|a|gown|when|entering|the|room|of|a|client|who|requires|contact|precautions
B.|dons|gloves|to|empty|a|urinary|drainage|device
C.|washes|and|rinses|her|hands|for|10|seconds
D.|wears|a|respirator|mask|when|entering|the|room|of|a|client|who|requires|airborne|
precautions|-|ANS|-washes|and|rinses|her|hands|for|10|seconds
-|wash|your|hands|for|atleast|20|seconds
, A|nurse|is|reviewing|information|about|HIPAA|with|the|newly|licensed|nurse.|Which|of|the|
following|statements|by|the|newly|licenses|nurse|indicates|a|need|for|further|teaching?
A.|information|about|a|client|can|be|disclosed|to|family|members|at|any|time
B.|HIPAA|established|regulations|of|individuality|identifiable|health|information|in|verbal,|
electronic,|or|written|forms
C.|A|client's|address|would|be|an|example|of|personal,|identifiable|information
D.|HIPAA|is|a|federal|law,|not|a|state|law|-|ANS|-information|about|a|client|can|be|disclosed|to|
family|members|at|any|time
A|nurse|is|admitting|a|client|who|has|active|tuberculosis|in|a|room|on|a|medical|surgical|unit.|
Which|of|the|following|room|assignments|should|the|nurse|make|for|the|client?
A.|a|room|with|an|air|exhaust|directly|to|the|outdoor|environment
B.|a|room|with|another|non|surgical|client
C.|an|ICU|room
D.|a|room|that|is|within|view|of|a|nurse's|station|-|ANS|-a|room|with|an|air|exhaust|directly|to|the|
outdoor|environment
A|nurse|is|preparing|to|perform|hand|hygiene.|Which|of|the|following|actions|should|the|nurse|
take?
A.|adjust|the|water|temperature|to|feel|hot
B.|apply|4|to|5|mls|of|liquid|soap|to|hands
C.|hold|hands|higher|than|elbows
D.|rub|hands|and|arms|to|dry|-|ANS|-apply|4|to|5|mls|of|liquid|soap|to|hands|
*|to|ensure|there's|an|adequate|amount|of|soap|available|to|produce|lather|and|kill|
microorganisms
A|nurse|is|assessing|a|toddler|at|a|well|child|visit.|At|what|point|in|the|physical|examination|
should|the|nurse|examine|the|child's|tympanic|membrane?|
