1
RN Comprehensive Online Practice
2025/2026 B – ATI Comprehensive
Practice Exam Questions with Correct
Answers
1. Fundamentals of Nursing
1. A nurse is assessing a client’s pain level using a numeric pain scale. Which question
should the nurse ask to obtain an accurate response?
A. "Can you describe your pain?"
B. "How would you rate your pain from 0 to 10?"
C. "Is your pain tolerable?"
D. "Does your pain affect your daily activities?"
Answer: B. How would you rate your pain from 0 to 10?
Rationale: The numeric pain scale requires clients to rate their pain on a scale of
0 to 10, providing a quantifiable measure for accurate assessment and monitoring.
Asking for a description (A) or impact (D) is subjective, and tolerability (C) is not
specific to the numeric scale.
2. A nurse is preparing to administer a medication via intramuscular injection. Which action
ensures proper technique?
A. Inject at a 45-degree angle
B. Aspirate before injecting the medication
C. Use a 25-gauge needle
D. Massage the site vigorously after injection
Answer: B. Aspirate before injecting the medication
Rationale: Aspirating before injection ensures the needle is not in a blood vessel,
preventing inadvertent intravenous administration. A 90-degree angle is used for
IM injections (not 45 degrees, A), a 25-gauge needle is too small (C), and vigorous
massage (D) can cause tissue damage.
3. A nurse is teaching a client about pressure injury prevention. Which instruction should
the nurse include?
A. Change position every 4 hours
B. Use a donut-shaped cushion
C. Keep skin clean and dry
D. Avoid daily skin inspections
Answer: C. Keep skin clean and dry
Rationale: Keeping skin clean and dry prevents moisture-related skin
breakdown, a key factor in pressure injury development. Position changes should
, 2
occur every 2 hours (A), donut cushions can increase pressure (B), and daily skin
inspections are essential (D).
4. A nurse is caring for a client with a new colostomy. Which action indicates the client
understands stoma care?
A. Cleanses the stoma with alcohol-based wipes
B. Cuts the wafer to fit snugly around the stoma
C. Applies petroleum jelly to the stoma
D. Changes the pouch every 12 hours
Answer: B. Cuts the wafer to fit snugly around the stoma
Rationale: A properly fitted wafer prevents skin irritation and leakage. Alcohol-
based wipes (A) can dry the skin, petroleum jelly (C) interferes with adhesion, and
pouch changes every 1-2 days are sufficient unless leakage occurs (D).
5. A nurse is prioritizing care for multiple clients. Which client should the nurse assess
first?
A. A client with a blood pressure of 140/90 mm Hg
B. A client reporting chest pain and shortness of breath
C. A client awaiting discharge instructions
D. A client with a scheduled medication due in 30 minutes
Answer: B. A client reporting chest pain and shortness of breath
Rationale: Chest pain and shortness of breath indicate a potential life-
threatening condition (e.g., myocardial infarction or pulmonary embolism),
requiring immediate assessment. The other clients’ conditions are less urgent.
2. Pharmacology
6. A nurse is administering digoxin to a client with heart failure. Which finding indicates a
potential toxicity?
A. Heart rate of 80 bpm
B. Visual disturbances
C. Blood pressure of 130/85 mm Hg
D. Serum potassium of 4.0 mEq/L
Answer: B. Visual disturbances
Rationale: Visual disturbances (e.g., yellow-green halos) are a hallmark of
digoxin toxicity. A heart rate of 80 bpm (A) is normal, blood pressure (C) is
unrelated, and a potassium level of 4.0 mEq/L (D) is within normal range, though
hypokalemia increases toxicity risk.
7. A nurse is preparing to administer insulin glargine. Which time of day is most
appropriate?
A. Before breakfast
B. After lunch
C. At bedtime
D. Before dinner
Answer: C. At bedtime
RN Comprehensive Online Practice
2025/2026 B – ATI Comprehensive
Practice Exam Questions with Correct
Answers
1. Fundamentals of Nursing
1. A nurse is assessing a client’s pain level using a numeric pain scale. Which question
should the nurse ask to obtain an accurate response?
A. "Can you describe your pain?"
B. "How would you rate your pain from 0 to 10?"
C. "Is your pain tolerable?"
D. "Does your pain affect your daily activities?"
Answer: B. How would you rate your pain from 0 to 10?
Rationale: The numeric pain scale requires clients to rate their pain on a scale of
0 to 10, providing a quantifiable measure for accurate assessment and monitoring.
Asking for a description (A) or impact (D) is subjective, and tolerability (C) is not
specific to the numeric scale.
2. A nurse is preparing to administer a medication via intramuscular injection. Which action
ensures proper technique?
A. Inject at a 45-degree angle
B. Aspirate before injecting the medication
C. Use a 25-gauge needle
D. Massage the site vigorously after injection
Answer: B. Aspirate before injecting the medication
Rationale: Aspirating before injection ensures the needle is not in a blood vessel,
preventing inadvertent intravenous administration. A 90-degree angle is used for
IM injections (not 45 degrees, A), a 25-gauge needle is too small (C), and vigorous
massage (D) can cause tissue damage.
3. A nurse is teaching a client about pressure injury prevention. Which instruction should
the nurse include?
A. Change position every 4 hours
B. Use a donut-shaped cushion
C. Keep skin clean and dry
D. Avoid daily skin inspections
Answer: C. Keep skin clean and dry
Rationale: Keeping skin clean and dry prevents moisture-related skin
breakdown, a key factor in pressure injury development. Position changes should
, 2
occur every 2 hours (A), donut cushions can increase pressure (B), and daily skin
inspections are essential (D).
4. A nurse is caring for a client with a new colostomy. Which action indicates the client
understands stoma care?
A. Cleanses the stoma with alcohol-based wipes
B. Cuts the wafer to fit snugly around the stoma
C. Applies petroleum jelly to the stoma
D. Changes the pouch every 12 hours
Answer: B. Cuts the wafer to fit snugly around the stoma
Rationale: A properly fitted wafer prevents skin irritation and leakage. Alcohol-
based wipes (A) can dry the skin, petroleum jelly (C) interferes with adhesion, and
pouch changes every 1-2 days are sufficient unless leakage occurs (D).
5. A nurse is prioritizing care for multiple clients. Which client should the nurse assess
first?
A. A client with a blood pressure of 140/90 mm Hg
B. A client reporting chest pain and shortness of breath
C. A client awaiting discharge instructions
D. A client with a scheduled medication due in 30 minutes
Answer: B. A client reporting chest pain and shortness of breath
Rationale: Chest pain and shortness of breath indicate a potential life-
threatening condition (e.g., myocardial infarction or pulmonary embolism),
requiring immediate assessment. The other clients’ conditions are less urgent.
2. Pharmacology
6. A nurse is administering digoxin to a client with heart failure. Which finding indicates a
potential toxicity?
A. Heart rate of 80 bpm
B. Visual disturbances
C. Blood pressure of 130/85 mm Hg
D. Serum potassium of 4.0 mEq/L
Answer: B. Visual disturbances
Rationale: Visual disturbances (e.g., yellow-green halos) are a hallmark of
digoxin toxicity. A heart rate of 80 bpm (A) is normal, blood pressure (C) is
unrelated, and a potassium level of 4.0 mEq/L (D) is within normal range, though
hypokalemia increases toxicity risk.
7. A nurse is preparing to administer insulin glargine. Which time of day is most
appropriate?
A. Before breakfast
B. After lunch
C. At bedtime
D. Before dinner
Answer: C. At bedtime
