ATI RN FUNDAMENTALS EXAM NEWEST EVALUATED
PRACTICE EXAM 100 QUESTIONS 2026-2027|ORIGINAL
QUESTIONS & ANSWERS |DETAILED RATIONALES
|HINTED COMPLETE EXAM PREP GRADED A+*INSTANT
DOWNLOAD PDF*
1. A nurse is assessing a client who reports dizziness when standing.
Which finding should the nurse recognize as an indication of orthostatic
hypotension?
A. Blood pressure increases by 10 mm Hg when standing
B. Heart rate decreases by 15/min when standing
C. Systolic blood pressure decreases by 20 mm Hg when standing
D. Respiratory rate increases by 4/min when standing
Answer: C. Systolic blood pressure decreases by 20 mm Hg when
standing
Rationale: A significant drop in systolic blood pressure after standing
is consistent with orthostatic hypotension and can increase the risk of
falls.
2. A nurse is caring for a client who has a prescription for a sterile
dressing change. Which action should the nurse take first?
A. Remove the old dressing
B. Perform hand hygiene
C. Open the sterile supplies
D. Apply sterile gloves
Answer: B. Perform hand hygiene
,Rationale: Hand hygiene is performed before beginning the procedure
to reduce transmission of microorganisms.
3. Which action is appropriate when administering medication through
a feeding tube?
A. Mix all medications together
B. Crush enteric-coated tablets
C. Flush the tube before and after medication administration
D. Add medications directly to the formula
Answer: C. Flush the tube before and after medication administration
Rationale: Flushing helps maintain tube patency and prevents
medication interactions within the tube.
4. A nurse is caring for a client who has a high risk for falls. Which
intervention is most appropriate?
A. Keep all four side rails raised
B. Place the call light within reach
C. Keep the bed in the highest position
D. Encourage the client to ambulate independently
Answer: B. Place the call light within reach
Rationale: Keeping the call light accessible allows the client to request
assistance before attempting to get out of bed.
5. A nurse is preparing to administer an oral medication. Which action
is appropriate?
A. Leave the medication at the bedside
B. Verify the client's identity using two identifiers
,C. Ask another client to identify the medication
D. Document administration before giving the medication
Answer: B. Verify the client's identity using two identifiers
Rationale: Using two identifiers helps ensure the medication is
administered to the correct client.
6. Which finding should the nurse identify as a potential manifestation
of hypoxia?
A. Bradycardia
B. Restlessness
C. Warm, dry skin
D. Increased appetite
Answer: B. Restlessness
Rationale: Restlessness, anxiety, confusion, and changes in level of
consciousness can occur with inadequate oxygenation.
7. A nurse is caring for a client receiving oxygen through a nasal
cannula. Which action is appropriate?
A. Apply petroleum jelly around the nares
B. Assess the client's skin around the ears and nares
C. Remove oxygen during sleep
D. Increase the oxygen flow rate without a prescription
Answer: B. Assess the client's skin around the ears and nares
Rationale: Nasal cannula tubing can cause pressure-related skin
injury, so the nurse should regularly assess the skin.
, 8. A nurse is caring for a client with dysphagia. Which intervention
should the nurse implement during meals?
A. Position the client supine
B. Encourage the client to use a straw for all liquids
C. Place the client upright at 90°
D. Encourage rapid eating
Answer: C. Place the client upright at 90°
Rationale: Upright positioning promotes safer swallowing and reduces
the risk of aspiration.
9. Which assessment finding requires immediate intervention?
A. Respiratory rate of 18/min
B. Oxygen saturation of 88%
C. Temperature of 37.0°C (98.6°F)
D. Pulse of 78/min
Answer: B. Oxygen saturation of 88%
Rationale: An oxygen saturation of 88% can indicate impaired
oxygenation and requires prompt assessment and intervention.
10. A nurse is inserting an indwelling urinary catheter. Which technique
is essential?
A. Clean technique
B. Sterile technique
C. Medical asepsis only
D. No hand hygiene if gloves are worn
Answer: B. Sterile technique
PRACTICE EXAM 100 QUESTIONS 2026-2027|ORIGINAL
QUESTIONS & ANSWERS |DETAILED RATIONALES
|HINTED COMPLETE EXAM PREP GRADED A+*INSTANT
DOWNLOAD PDF*
1. A nurse is assessing a client who reports dizziness when standing.
Which finding should the nurse recognize as an indication of orthostatic
hypotension?
A. Blood pressure increases by 10 mm Hg when standing
B. Heart rate decreases by 15/min when standing
C. Systolic blood pressure decreases by 20 mm Hg when standing
D. Respiratory rate increases by 4/min when standing
Answer: C. Systolic blood pressure decreases by 20 mm Hg when
standing
Rationale: A significant drop in systolic blood pressure after standing
is consistent with orthostatic hypotension and can increase the risk of
falls.
2. A nurse is caring for a client who has a prescription for a sterile
dressing change. Which action should the nurse take first?
A. Remove the old dressing
B. Perform hand hygiene
C. Open the sterile supplies
D. Apply sterile gloves
Answer: B. Perform hand hygiene
,Rationale: Hand hygiene is performed before beginning the procedure
to reduce transmission of microorganisms.
3. Which action is appropriate when administering medication through
a feeding tube?
A. Mix all medications together
B. Crush enteric-coated tablets
C. Flush the tube before and after medication administration
D. Add medications directly to the formula
Answer: C. Flush the tube before and after medication administration
Rationale: Flushing helps maintain tube patency and prevents
medication interactions within the tube.
4. A nurse is caring for a client who has a high risk for falls. Which
intervention is most appropriate?
A. Keep all four side rails raised
B. Place the call light within reach
C. Keep the bed in the highest position
D. Encourage the client to ambulate independently
Answer: B. Place the call light within reach
Rationale: Keeping the call light accessible allows the client to request
assistance before attempting to get out of bed.
5. A nurse is preparing to administer an oral medication. Which action
is appropriate?
A. Leave the medication at the bedside
B. Verify the client's identity using two identifiers
,C. Ask another client to identify the medication
D. Document administration before giving the medication
Answer: B. Verify the client's identity using two identifiers
Rationale: Using two identifiers helps ensure the medication is
administered to the correct client.
6. Which finding should the nurse identify as a potential manifestation
of hypoxia?
A. Bradycardia
B. Restlessness
C. Warm, dry skin
D. Increased appetite
Answer: B. Restlessness
Rationale: Restlessness, anxiety, confusion, and changes in level of
consciousness can occur with inadequate oxygenation.
7. A nurse is caring for a client receiving oxygen through a nasal
cannula. Which action is appropriate?
A. Apply petroleum jelly around the nares
B. Assess the client's skin around the ears and nares
C. Remove oxygen during sleep
D. Increase the oxygen flow rate without a prescription
Answer: B. Assess the client's skin around the ears and nares
Rationale: Nasal cannula tubing can cause pressure-related skin
injury, so the nurse should regularly assess the skin.
, 8. A nurse is caring for a client with dysphagia. Which intervention
should the nurse implement during meals?
A. Position the client supine
B. Encourage the client to use a straw for all liquids
C. Place the client upright at 90°
D. Encourage rapid eating
Answer: C. Place the client upright at 90°
Rationale: Upright positioning promotes safer swallowing and reduces
the risk of aspiration.
9. Which assessment finding requires immediate intervention?
A. Respiratory rate of 18/min
B. Oxygen saturation of 88%
C. Temperature of 37.0°C (98.6°F)
D. Pulse of 78/min
Answer: B. Oxygen saturation of 88%
Rationale: An oxygen saturation of 88% can indicate impaired
oxygenation and requires prompt assessment and intervention.
10. A nurse is inserting an indwelling urinary catheter. Which technique
is essential?
A. Clean technique
B. Sterile technique
C. Medical asepsis only
D. No hand hygiene if gloves are worn
Answer: B. Sterile technique
