ATI RN FUNDAMENTALS ONLINE ELITE REVIEW
FULLY SOLVED EDITION 2026 COMPREHENSIVE
GUIDE WITH SCENARIOS AND ANSWERS
◉A nurse is preparing to remove an NG tube for a client who had a
partial colectomy. Which of the following actions should the nurse take?
A. Maintain suction while removing the NG tube.
B. Instill 100 mL of air into the NG tube before removal.
C. Pinch the NG tube while removing the tube.
D. Instruct the client to breathe in and out during the removal of the NG
tube.. Answer: C. Pinch the NG tube while removing the tube.
The nurse should pinch the NG tube while removing the tube to decrease
the risk of aspiration of any gastric contents.
Other Rationales:
The nurse should disconnect the NG tube from the suction apparatus
before removal to decrease injury to the gastrointestinal mucosa.
The nurse should instill 50 mL of air into the tube to clear the contents
of gastric drainage and decrease the risk of aspiration on removal of the
tube.
,The nurse should instruct the client to take a deep breath and to hold it
during the removal of the NG tube to close off the glottis and decrease
the risk of aspiration of any gastric contents.
◉A nurse is preparing to administer an intramuscular injection to a
client who is overweight. Which of the following sites should the nurse
select for the injection?
A. The lower, medial quadrant of the buttock near the coccyx
B. The side hip between the iliac crest and the anterior iliac spine
C. The tissue of the posterior upper arm
D. The lower, inner thigh 4 finger widths above the patella. Answer: B.
The side hip between the iliac crest and the anterior iliac spine
The side hip between the iliac crest and anterior iliac spine forms the
boundaries for ventrogluteal injection; therefore, this is an appropriate
site for the nurse to select. This site is the preferred site for intramuscular
injections for an adult client. The nurse should prepare for injection by
placing a hand on the client's greater trochanter (right hand on left hip,
for example) with the first two fingers touching the iliac crest and
anterior superior iliac spine, forming a "V" shape.
Other Rationales:
To administer intramuscular medication using the dorsogluteal site, the
nurse should select the upper, lateral quadrant of the buttock. However,
the nurse should recognize this site can increase risk of injury to the
client because the medication is more likely to be injected into
,subcutaneous tissue, and there is increased risk of piercing the sciatic
nerve.
The nurse should select the outer, posterior tissue of the upper arm when
preparing to administer a subcutaneous injection. For intramuscular
injections of less than 1 mL, the nurse may select the deltoid muscle by
placing four fingers on the deltoid muscle with the top finger on the
acromion process. The injection site then is three finger widths below
the acromion process, or about 5 cm (2 in).
To administer intramuscular medication using the vastus lateralis site,
the nurse should select the middle portion of the muscle from the
midline of the thigh to the midline of the outer side of the thigh. The
nurse can place one hand below the greater trochanter and the other hand
just above the knee to locate middle portion of the muscle for the
injection site.
◉A nurse is changing the bed linens for a client who is on bed rest.
Which of the following actions should the nurse plan to take?
A. Place the soiled linens on the chair while making the bed.
B. Hold the linens away from the body and clothing.
C. Place the linens on the floor until able to pace it in a linen bag.
D. Shake the clean linens to unfold.. Answer: B. Hold the linens away
from the body and clothing.
The nurse should hold the linens away from the body and clothing to
prevent soiling or the transfer of microorganisms. The microorganisms
, present on the nurse's clothing can expose other clients to
microorganisms.
Other Rationales:
The nurse should place the soiled linens in a linen bag immediately after
removing the linen from the bed to prevent the spread of
microorganisms on surfaces within the client's room and exposure to
personnel.
Soiled linen is contaminated with microorganisms and will further
contaminate the floor and attract any microorganisms present on the
floor, which places the nurse and the client at risk for infection.
Opening linens by shaking them causes movement of air. Air currents
can carry dust and spread microorganisms throughout the room, which
places the client and the nurse at risk for infection.
◉A nurse is changing the dressings for a client who is 3 days
postoperative following a cholecystectomy. The nurse observes yellow,
thick drainage on the dressing. The nurse should document this finding
as which of the following types of drainage?
A. Sanguineous exudate
B. Serous exudate
C. Serosanguineous exudate
D. Purulent exudate. Answer: D. Purulent exudate
FULLY SOLVED EDITION 2026 COMPREHENSIVE
GUIDE WITH SCENARIOS AND ANSWERS
◉A nurse is preparing to remove an NG tube for a client who had a
partial colectomy. Which of the following actions should the nurse take?
A. Maintain suction while removing the NG tube.
B. Instill 100 mL of air into the NG tube before removal.
C. Pinch the NG tube while removing the tube.
D. Instruct the client to breathe in and out during the removal of the NG
tube.. Answer: C. Pinch the NG tube while removing the tube.
The nurse should pinch the NG tube while removing the tube to decrease
the risk of aspiration of any gastric contents.
Other Rationales:
The nurse should disconnect the NG tube from the suction apparatus
before removal to decrease injury to the gastrointestinal mucosa.
The nurse should instill 50 mL of air into the tube to clear the contents
of gastric drainage and decrease the risk of aspiration on removal of the
tube.
,The nurse should instruct the client to take a deep breath and to hold it
during the removal of the NG tube to close off the glottis and decrease
the risk of aspiration of any gastric contents.
◉A nurse is preparing to administer an intramuscular injection to a
client who is overweight. Which of the following sites should the nurse
select for the injection?
A. The lower, medial quadrant of the buttock near the coccyx
B. The side hip between the iliac crest and the anterior iliac spine
C. The tissue of the posterior upper arm
D. The lower, inner thigh 4 finger widths above the patella. Answer: B.
The side hip between the iliac crest and the anterior iliac spine
The side hip between the iliac crest and anterior iliac spine forms the
boundaries for ventrogluteal injection; therefore, this is an appropriate
site for the nurse to select. This site is the preferred site for intramuscular
injections for an adult client. The nurse should prepare for injection by
placing a hand on the client's greater trochanter (right hand on left hip,
for example) with the first two fingers touching the iliac crest and
anterior superior iliac spine, forming a "V" shape.
Other Rationales:
To administer intramuscular medication using the dorsogluteal site, the
nurse should select the upper, lateral quadrant of the buttock. However,
the nurse should recognize this site can increase risk of injury to the
client because the medication is more likely to be injected into
,subcutaneous tissue, and there is increased risk of piercing the sciatic
nerve.
The nurse should select the outer, posterior tissue of the upper arm when
preparing to administer a subcutaneous injection. For intramuscular
injections of less than 1 mL, the nurse may select the deltoid muscle by
placing four fingers on the deltoid muscle with the top finger on the
acromion process. The injection site then is three finger widths below
the acromion process, or about 5 cm (2 in).
To administer intramuscular medication using the vastus lateralis site,
the nurse should select the middle portion of the muscle from the
midline of the thigh to the midline of the outer side of the thigh. The
nurse can place one hand below the greater trochanter and the other hand
just above the knee to locate middle portion of the muscle for the
injection site.
◉A nurse is changing the bed linens for a client who is on bed rest.
Which of the following actions should the nurse plan to take?
A. Place the soiled linens on the chair while making the bed.
B. Hold the linens away from the body and clothing.
C. Place the linens on the floor until able to pace it in a linen bag.
D. Shake the clean linens to unfold.. Answer: B. Hold the linens away
from the body and clothing.
The nurse should hold the linens away from the body and clothing to
prevent soiling or the transfer of microorganisms. The microorganisms
, present on the nurse's clothing can expose other clients to
microorganisms.
Other Rationales:
The nurse should place the soiled linens in a linen bag immediately after
removing the linen from the bed to prevent the spread of
microorganisms on surfaces within the client's room and exposure to
personnel.
Soiled linen is contaminated with microorganisms and will further
contaminate the floor and attract any microorganisms present on the
floor, which places the nurse and the client at risk for infection.
Opening linens by shaking them causes movement of air. Air currents
can carry dust and spread microorganisms throughout the room, which
places the client and the nurse at risk for infection.
◉A nurse is changing the dressings for a client who is 3 days
postoperative following a cholecystectomy. The nurse observes yellow,
thick drainage on the dressing. The nurse should document this finding
as which of the following types of drainage?
A. Sanguineous exudate
B. Serous exudate
C. Serosanguineous exudate
D. Purulent exudate. Answer: D. Purulent exudate
