ATI Fundamentals Practice
Exam – Realistic NCLEX-Style
Questions
Including Exam Questions and
Certified Answers, with a 100%
Guarantee of Success
Question 1
A nurse is talking with the partner of a client who has dementia. The client's partner expresses
frustration about finding time to manage household responsibilities while caring for their
partner. The nurse should identify that the partner is experiencing which of the following types
of role-performance stress?
,A. Role ambiguity
B. Sick role
C. Role overload
D. Role conflict
Correct Answer
C. Role overload
Rationale: The partner's expression of frustration is an example of role overload, which refers to
having more responsibilities within a role than one person can manage
Question 2
A nurse is performing a skin assessment for a client who expresses cancer about skin cancer.
Which of the following findings should the nurse identify as a potential indication of a skin
malignancy?
A. A lesion with uniform pigmentation
B. New appearance of petechiae
C. A mole with an asymmetrical appearance
D. The presence of a papule
Correct Answer
C. A mole with an asymmetrical appearance
Rationale: An uneven or asymmetrical shape is a potential indication of a skin malignancy. This is
manifested when part of a lesion or mole looks different from the other part.
Question 3
A nurse is assessing a client who reports increased pain following physical therapy. Which of the
following questions should the nurse ask when assessing the quality of the client's pain?
A. "Is your pain constant or intermittent?"
B. "What would you rate your pain on a scale of 0 to 10?"
C. "Does the pain radiate?"
D. "Is your pain sharp or dull?"
Correct Answer
D. "Is your pain sharp or dull?"
Rationale: Asking the client whether the pain is sharp, dull, crushing, throbbing, aching, burning,
electric-like, or shooting helps determine the quality of the pain.
Question 4
A nurse is admitting a new client. which of the following actions should the nurse take while
performing medication reconcillation?
A. Verify the client's name on their identification bracelet with the medication administration
record.
B. Call the pharmacy to determine whether the client's medications are available.
, C. Compare the client's home medications with the provider's prescriptions.
D. Place the client's home medication bottles in a secure location.
Correct Answer
C. Compare the client's home medications with the provider's prescriptions.
Rationale: The nurse should compare the client's home medications with the provider's
prescriptions when performing medication reconciliation.
Question 5
A nurse is auscultating the anterior chest of a client who was newly admitted to a medical -
surgical unit. Listen to the audio clip of what the nurse auscultates through the stethoscope and
identify the type of breath sounds.
A. Crackles
B. Rhonchi
C. Friction rub
D. Normal breath sounds
Correct Answer
C. Compare the client's home medications with the provider's prescriptions.
Rationale: These are normal bronchovesicular breath sounds, characteristically of moderate
intensity and sounding like blowing as air moves through the larger airways on inspiration and
expiration.
Question 6
A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following
actions should the nurse take?
A. Administer the medication with the needle at a 45 degree angle.
B. Administer the medication into the client's nondominant arm.
C. Pull the client's skin laterally or downward prior to administration.
D. Massage the injection site after administration.
Correct Answer
A. Administer the medication with the needle at a 45 degree angle.
Rationale: The nurse should insert the needle at a 45 degree to 90 degree angle for a
subcutaneous injection.
Question 7
A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter.
Which of the following actions should the nurse take?
A. Place the client in a side-lying position
B. Instill 15mL of irrigation fluid into the catheter with each flush
C. Subtract the amount of irrigant used from the client's urine output.
D. Perform the irrigation using a 20-mL syringe
Exam – Realistic NCLEX-Style
Questions
Including Exam Questions and
Certified Answers, with a 100%
Guarantee of Success
Question 1
A nurse is talking with the partner of a client who has dementia. The client's partner expresses
frustration about finding time to manage household responsibilities while caring for their
partner. The nurse should identify that the partner is experiencing which of the following types
of role-performance stress?
,A. Role ambiguity
B. Sick role
C. Role overload
D. Role conflict
Correct Answer
C. Role overload
Rationale: The partner's expression of frustration is an example of role overload, which refers to
having more responsibilities within a role than one person can manage
Question 2
A nurse is performing a skin assessment for a client who expresses cancer about skin cancer.
Which of the following findings should the nurse identify as a potential indication of a skin
malignancy?
A. A lesion with uniform pigmentation
B. New appearance of petechiae
C. A mole with an asymmetrical appearance
D. The presence of a papule
Correct Answer
C. A mole with an asymmetrical appearance
Rationale: An uneven or asymmetrical shape is a potential indication of a skin malignancy. This is
manifested when part of a lesion or mole looks different from the other part.
Question 3
A nurse is assessing a client who reports increased pain following physical therapy. Which of the
following questions should the nurse ask when assessing the quality of the client's pain?
A. "Is your pain constant or intermittent?"
B. "What would you rate your pain on a scale of 0 to 10?"
C. "Does the pain radiate?"
D. "Is your pain sharp or dull?"
Correct Answer
D. "Is your pain sharp or dull?"
Rationale: Asking the client whether the pain is sharp, dull, crushing, throbbing, aching, burning,
electric-like, or shooting helps determine the quality of the pain.
Question 4
A nurse is admitting a new client. which of the following actions should the nurse take while
performing medication reconcillation?
A. Verify the client's name on their identification bracelet with the medication administration
record.
B. Call the pharmacy to determine whether the client's medications are available.
, C. Compare the client's home medications with the provider's prescriptions.
D. Place the client's home medication bottles in a secure location.
Correct Answer
C. Compare the client's home medications with the provider's prescriptions.
Rationale: The nurse should compare the client's home medications with the provider's
prescriptions when performing medication reconciliation.
Question 5
A nurse is auscultating the anterior chest of a client who was newly admitted to a medical -
surgical unit. Listen to the audio clip of what the nurse auscultates through the stethoscope and
identify the type of breath sounds.
A. Crackles
B. Rhonchi
C. Friction rub
D. Normal breath sounds
Correct Answer
C. Compare the client's home medications with the provider's prescriptions.
Rationale: These are normal bronchovesicular breath sounds, characteristically of moderate
intensity and sounding like blowing as air moves through the larger airways on inspiration and
expiration.
Question 6
A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following
actions should the nurse take?
A. Administer the medication with the needle at a 45 degree angle.
B. Administer the medication into the client's nondominant arm.
C. Pull the client's skin laterally or downward prior to administration.
D. Massage the injection site after administration.
Correct Answer
A. Administer the medication with the needle at a 45 degree angle.
Rationale: The nurse should insert the needle at a 45 degree to 90 degree angle for a
subcutaneous injection.
Question 7
A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter.
Which of the following actions should the nurse take?
A. Place the client in a side-lying position
B. Instill 15mL of irrigation fluid into the catheter with each flush
C. Subtract the amount of irrigant used from the client's urine output.
D. Perform the irrigation using a 20-mL syringe
