ATI PN FUNDAMENTALS 2027 UPDATE
COMPREHENSIVE QUESTIONS AND
ANSWERS
1. A nurse is witnessing a client sign an informed consent form for a surgical procedure.
Which of the following is the nurse’s primary responsibility in this process?
A. Explaining the risks and benefits of the procedure to the client
B. Ensuring the client understands the alternatives to the surgery
C. Verifying that the signature on the form is the client’s
D. Determining if the client is mentally competent to provide consent
Answer: C
Conceptual Explanation: The nurse’s role in informed consent is to witness the client’s
signature and ensure the client is signing voluntarily. The provider is responsible for
explaining the procedure, risks, benefits, and alternatives.
2. A nurse is caring for a client who is in mechanical restraints. Which of the following actions
should the nurse take?
A. Assess the client’s skin integrity and neurovascular status every 4 hours
,B. Provide a range-of-motion exercise every 2 hours
C. Tie the restraint to the side rails of the bed
D. Renew the restraint prescription every 48 hours
Answer: B
Conceptual Explanation: Clients in restraints must be assessed and provided with range-
of-motion exercises every 2 hours. Restraints should be tied to the bed frame, not side rails,
and prescriptions must be renewed every 24 hours for adults.
3. A nurse is preparing to care for a client who has pulmonary tuberculosis. Which of the
following personal protective equipment (PPE) is required?
A. Surgical mask
B. Goggles
C. N95 respirator
D. Face shield
Answer: C
Conceptual Explanation: Pulmonary tuberculosis requires airborne precautions, which
include a private room with negative pressure and the use of an N95 respirator mask for
healthcare workers.
, 4. A nurse discovers a small fire in a client’s trash can. According to the RACE acronym, which
of the following actions should the nurse take first?
A. Activate the fire alarm system
B. Move the client to a safe location
C. Close the doors to the client’s room
D. Extinguish the fire using a fire extinguisher
Answer: B
Conceptual Explanation: RACE stands for Rescue, Alarm, Contain, Extinguish. The first
priority is to rescue/remove any clients in immediate danger.
5. A nurse is documenting an incident report after a client fall. Which of the following
information should the nurse include in the client’s medical record?
A. A notation that an incident report was filed
B. A factual description of the event and the client’s status
C. A copy of the incident report for the family to review
D. The nurse’s opinion on why the client fell
Answer: B
Conceptual Explanation: Documentation in the medical record should be factual and
objective. Incident reports are internal quality improvement documents and should never
be mentioned in the client’s medical record.
COMPREHENSIVE QUESTIONS AND
ANSWERS
1. A nurse is witnessing a client sign an informed consent form for a surgical procedure.
Which of the following is the nurse’s primary responsibility in this process?
A. Explaining the risks and benefits of the procedure to the client
B. Ensuring the client understands the alternatives to the surgery
C. Verifying that the signature on the form is the client’s
D. Determining if the client is mentally competent to provide consent
Answer: C
Conceptual Explanation: The nurse’s role in informed consent is to witness the client’s
signature and ensure the client is signing voluntarily. The provider is responsible for
explaining the procedure, risks, benefits, and alternatives.
2. A nurse is caring for a client who is in mechanical restraints. Which of the following actions
should the nurse take?
A. Assess the client’s skin integrity and neurovascular status every 4 hours
,B. Provide a range-of-motion exercise every 2 hours
C. Tie the restraint to the side rails of the bed
D. Renew the restraint prescription every 48 hours
Answer: B
Conceptual Explanation: Clients in restraints must be assessed and provided with range-
of-motion exercises every 2 hours. Restraints should be tied to the bed frame, not side rails,
and prescriptions must be renewed every 24 hours for adults.
3. A nurse is preparing to care for a client who has pulmonary tuberculosis. Which of the
following personal protective equipment (PPE) is required?
A. Surgical mask
B. Goggles
C. N95 respirator
D. Face shield
Answer: C
Conceptual Explanation: Pulmonary tuberculosis requires airborne precautions, which
include a private room with negative pressure and the use of an N95 respirator mask for
healthcare workers.
, 4. A nurse discovers a small fire in a client’s trash can. According to the RACE acronym, which
of the following actions should the nurse take first?
A. Activate the fire alarm system
B. Move the client to a safe location
C. Close the doors to the client’s room
D. Extinguish the fire using a fire extinguisher
Answer: B
Conceptual Explanation: RACE stands for Rescue, Alarm, Contain, Extinguish. The first
priority is to rescue/remove any clients in immediate danger.
5. A nurse is documenting an incident report after a client fall. Which of the following
information should the nurse include in the client’s medical record?
A. A notation that an incident report was filed
B. A factual description of the event and the client’s status
C. A copy of the incident report for the family to review
D. The nurse’s opinion on why the client fell
Answer: B
Conceptual Explanation: Documentation in the medical record should be factual and
objective. Incident reports are internal quality improvement documents and should never
be mentioned in the client’s medical record.
