ATI PN FUNDAMENTALS HIGH-LEVEL
PRACTICE EXAM QUESTIONS AND
ANSWERS
1. A nurse is caring for a client who has a prescription for a 24-hour urine collection. Which of
the following actions should the nurse take?
A. Include the first voided specimen at the start of the 24-hour period.
B. Restart the collection if the client voids and the specimen is accidentally discarded.
C. Keep the urine container at room temperature throughout the collection.
D. Discard the first voiding and begin the timing after that.
Answer: D
Conceptual Explanation: To begin a 24-hour urine collection, the nurse should have the
client void, discard that first specimen, and then record the time as the start of the
collection. All subsequent urine for the next 24 hours must be collected. If any urine is lost,
the test must be restarted.
,2. A nurse is preparing to administer an enteral feeding via a nasogastric (NG) tube. Which of
the following is the most reliable method to verify tube placement before feeding?
A. Aspirating gastric contents and testing the pH.
B. Auscultating for a ‘whoosh’ sound after injecting air.
C. Obtaining a chest or abdominal X-ray.
D. Observing for respiratory distress during the feeding.
Answer: C
Conceptual Explanation: While pH testing is a common bedside method, a radiographic
image (X-ray) is the gold standard and most reliable method for verifying the initial
placement of a nasogastric tube.
3. A nurse is caring for a client who requires airborne precautions for suspected tuberculosis.
Which of the following protective equipment is mandatory for the nurse?
A. Surgical mask
B. Gown and gloves only
C. N95 respirator mask
D. Face shield and goggles
Answer: C
, Conceptual Explanation: Airborne precautions, used for diseases like TB, measles, and
varicella, require the use of a fitted N95 respirator or a high-level HEPA filter to prevent
inhalation of small droplets that remain suspended in the air.
4. A nurse is teaching a client how to use a walker. Which of the following instructions should
the nurse include?
A. Advance the affected leg forward into the walker first.
B. Move the walker forward about 12 to 18 inches at a time.
C. Use the walker to pull yourself up from a sitting position.
D. Maintain a slightly hunched posture while walking.
Answer: A
Conceptual Explanation: When using a walker, the client should move the walker forward
about 6-10 inches, then advance the affected (weaker) leg first, followed by the unaffected
leg.
5. A nurse is caring for an older adult client who is at risk for skin breakdown. Which of the
following interventions should the nurse prioritize?
A. Massage bony prominences with lotion daily.
B. Use a pressure-redistribution mattress overlay.
C. Keep the head of the bed elevated to 90 degrees.
D. Provide a high-calorie, low-protein diet.
PRACTICE EXAM QUESTIONS AND
ANSWERS
1. A nurse is caring for a client who has a prescription for a 24-hour urine collection. Which of
the following actions should the nurse take?
A. Include the first voided specimen at the start of the 24-hour period.
B. Restart the collection if the client voids and the specimen is accidentally discarded.
C. Keep the urine container at room temperature throughout the collection.
D. Discard the first voiding and begin the timing after that.
Answer: D
Conceptual Explanation: To begin a 24-hour urine collection, the nurse should have the
client void, discard that first specimen, and then record the time as the start of the
collection. All subsequent urine for the next 24 hours must be collected. If any urine is lost,
the test must be restarted.
,2. A nurse is preparing to administer an enteral feeding via a nasogastric (NG) tube. Which of
the following is the most reliable method to verify tube placement before feeding?
A. Aspirating gastric contents and testing the pH.
B. Auscultating for a ‘whoosh’ sound after injecting air.
C. Obtaining a chest or abdominal X-ray.
D. Observing for respiratory distress during the feeding.
Answer: C
Conceptual Explanation: While pH testing is a common bedside method, a radiographic
image (X-ray) is the gold standard and most reliable method for verifying the initial
placement of a nasogastric tube.
3. A nurse is caring for a client who requires airborne precautions for suspected tuberculosis.
Which of the following protective equipment is mandatory for the nurse?
A. Surgical mask
B. Gown and gloves only
C. N95 respirator mask
D. Face shield and goggles
Answer: C
, Conceptual Explanation: Airborne precautions, used for diseases like TB, measles, and
varicella, require the use of a fitted N95 respirator or a high-level HEPA filter to prevent
inhalation of small droplets that remain suspended in the air.
4. A nurse is teaching a client how to use a walker. Which of the following instructions should
the nurse include?
A. Advance the affected leg forward into the walker first.
B. Move the walker forward about 12 to 18 inches at a time.
C. Use the walker to pull yourself up from a sitting position.
D. Maintain a slightly hunched posture while walking.
Answer: A
Conceptual Explanation: When using a walker, the client should move the walker forward
about 6-10 inches, then advance the affected (weaker) leg first, followed by the unaffected
leg.
5. A nurse is caring for an older adult client who is at risk for skin breakdown. Which of the
following interventions should the nurse prioritize?
A. Massage bony prominences with lotion daily.
B. Use a pressure-redistribution mattress overlay.
C. Keep the head of the bed elevated to 90 degrees.
D. Provide a high-calorie, low-protein diet.
