[ATI FUNDAMENTAL 2023 RETAKE LATEST UPDATE] QUESTIONS AND
ANSWERS ALREADY GRADED A+. 100% VERIFIED SOLUTIONS |
UPDATED PER LATEST GUIDELINES | GRADED A+
Question 1
A nurse is caring for a client who requires a sterile dressing change. Which action by the nurse demonstrates
proper sterile technique?
A. Placing sterile items within 1 inch of the outer edge of the sterile field
B. Holding sterile objects below waist level
C. Opening the sterile package away from the body
D. Using sterile gloves that have been opened for 2 hours
🟢 Correct Answer: C. Opening the sterile package away from the body
🔴 RATIONALE: Opening sterile packages away from the body prevents contamination from the nurse's
clothing or body. Sterile items should be placed at least 1 inch from the edge of the sterile field, held above
waist level, and sterile gloves should be used immediately after opening.
,Question 2
A nurse is assessing a client's pain using the PQRST method. Which question by the nurse addresses the "R" in
PQRST?
A. "Where is your pain located?"
B. "Does the pain radiate to any other area?"
C. "On a scale of 0 to 10, what number would you give your pain?"
D. "What makes your pain worse?"
🟢 Correct Answer: B. "Does the pain radiate to any other area?"
🔴 RATIONALE: PQRST stands for Provocation/Palliation, Quality, Radiation, Severity, and Timing. "R"
specifically addresses radiation or whether the pain moves to other areas. Option A addresses location, C
addresses severity, and D addresses provocation.
Question 3
A nurse is preparing to administer an enteral feeding through a nasogastric tube. Which action should the nurse
take first?
A. Verify the placement of the tube
,B. Flush the tube with 30 mL of water
C. Check the residual volume
D. Elevate the head of the bed to 30 degrees
🟢 Correct Answer: A. Verify the placement of the tube
🔴 RATIONALE: The nurse should first verify placement of the nasogastric tube to prevent accidental
administration into the lungs. This is done by checking the pH of aspirate and confirming with an X-ray if
needed. Elevating the bed, checking residual, and flushing are subsequent steps.
Question 4
A nurse is providing education to a client who has been prescribed a low-sodium diet. Which food selection by
the client indicates understanding of the dietary teaching?
A. Canned soup
B. Fresh chicken breast
C. Processed cheese
D. Pickled vegetables
🟢 Correct Answer: B. Fresh chicken breast
, 🔴 RATIONALE: Fresh chicken breast is naturally low in sodium. Canned soups, processed cheeses, and pickled
vegetables are typically high in sodium due to preservatives and processing. Clients on low-sodium diets should
choose fresh, unprocessed foods.
Question 5
A nurse is caring for a client who is immobile. Which intervention is most effective in preventing pressure
injuries?
A. Massaging bony prominences
B. Using a draw sheet to reposition the client
C. Changing the client's position every 2 hours
D. Placing pillows under the client's heels
🟢 Correct Answer: C. Changing the client's position every 2 hours
🔴 RATIONALE: Regular repositioning (every 2 hours) is the most effective way to prevent pressure injuries by
relieving pressure on bony prominences. Massaging can damage tissue, draw sheets are used for repositioning
but don't prevent injuries, and heel pillows are a supportive measure but not the primary prevention.
ANSWERS ALREADY GRADED A+. 100% VERIFIED SOLUTIONS |
UPDATED PER LATEST GUIDELINES | GRADED A+
Question 1
A nurse is caring for a client who requires a sterile dressing change. Which action by the nurse demonstrates
proper sterile technique?
A. Placing sterile items within 1 inch of the outer edge of the sterile field
B. Holding sterile objects below waist level
C. Opening the sterile package away from the body
D. Using sterile gloves that have been opened for 2 hours
🟢 Correct Answer: C. Opening the sterile package away from the body
🔴 RATIONALE: Opening sterile packages away from the body prevents contamination from the nurse's
clothing or body. Sterile items should be placed at least 1 inch from the edge of the sterile field, held above
waist level, and sterile gloves should be used immediately after opening.
,Question 2
A nurse is assessing a client's pain using the PQRST method. Which question by the nurse addresses the "R" in
PQRST?
A. "Where is your pain located?"
B. "Does the pain radiate to any other area?"
C. "On a scale of 0 to 10, what number would you give your pain?"
D. "What makes your pain worse?"
🟢 Correct Answer: B. "Does the pain radiate to any other area?"
🔴 RATIONALE: PQRST stands for Provocation/Palliation, Quality, Radiation, Severity, and Timing. "R"
specifically addresses radiation or whether the pain moves to other areas. Option A addresses location, C
addresses severity, and D addresses provocation.
Question 3
A nurse is preparing to administer an enteral feeding through a nasogastric tube. Which action should the nurse
take first?
A. Verify the placement of the tube
,B. Flush the tube with 30 mL of water
C. Check the residual volume
D. Elevate the head of the bed to 30 degrees
🟢 Correct Answer: A. Verify the placement of the tube
🔴 RATIONALE: The nurse should first verify placement of the nasogastric tube to prevent accidental
administration into the lungs. This is done by checking the pH of aspirate and confirming with an X-ray if
needed. Elevating the bed, checking residual, and flushing are subsequent steps.
Question 4
A nurse is providing education to a client who has been prescribed a low-sodium diet. Which food selection by
the client indicates understanding of the dietary teaching?
A. Canned soup
B. Fresh chicken breast
C. Processed cheese
D. Pickled vegetables
🟢 Correct Answer: B. Fresh chicken breast
, 🔴 RATIONALE: Fresh chicken breast is naturally low in sodium. Canned soups, processed cheeses, and pickled
vegetables are typically high in sodium due to preservatives and processing. Clients on low-sodium diets should
choose fresh, unprocessed foods.
Question 5
A nurse is caring for a client who is immobile. Which intervention is most effective in preventing pressure
injuries?
A. Massaging bony prominences
B. Using a draw sheet to reposition the client
C. Changing the client's position every 2 hours
D. Placing pillows under the client's heels
🟢 Correct Answer: C. Changing the client's position every 2 hours
🔴 RATIONALE: Regular repositioning (every 2 hours) is the most effective way to prevent pressure injuries by
relieving pressure on bony prominences. Massaging can damage tissue, draw sheets are used for repositioning
but don't prevent injuries, and heel pillows are a supportive measure but not the primary prevention.
