ATI RN Fundamentals Practice
Examination 100 Questions And
Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A Instant
Download Pdf
1. A nurse is caring for four clients. Which client should the nurse assess first?
A. Client with constipation requesting a laxative
B. Client with COPD whose oxygen saturation is 88%
C. Client requesting assistance to the bathroom
D. Client asking for discharge instructions
Correct Answer: B. Client with COPD whose oxygen saturation is 88%
Rationale: Using the ABC priority framework, impaired oxygenation takes
priority. Hypoxemia can rapidly become life-threatening and requires
immediate assessment and intervention.
2. A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
A. Assessing a postoperative client's pain level
B. Measuring intake and output for a client with heart failure
C. Teaching a client to use an incentive spirometer
D. Evaluating the effectiveness of an antihypertensive medication
Correct Answer: B. Measuring intake and output for a client with heart failure
Rationale: Measuring intake and output is within the AP's scope as it involves
data collection without clinical judgment. Assessment, teaching, and
evaluation require nursing knowledge and remain the RN's responsibility.
,3. A nurse is preparing to administer medication. Which action is part of safe
medication administration practice?
A. Ask the roommate to confirm the client's identity
B. Use the client's room number as an identifier
C. Verify the client using two identifiers
D. Give the medication without checking
Correct Answer: C. Verify the client using two identifiers
Rationale: Two identifiers (name and date of birth, or name and medical
record number) are required by The Joint Commission to prevent medication
errors.
4. A nurse is preparing to care for a client with Clostridioides difficile. Which
action should the nurse take?
A. Wear a surgical mask
B. Perform hand hygiene with alcohol-based rub
C. Wear gloves and gown, and wash hands with soap and water
D. Place the client in a negative-pressure room
Correct Answer: C. Wear gloves and gown, and wash hands with soap and
water
Rationale: C. difficile requires contact precautions (gloves and gown).
Alcohol-based hand rub does not kill C. difficile spores; soap and water is
required.
5. A nurse is teaching a client about fall prevention. Which statement
indicates understanding?
A. "I will use the call light only at night."
B. "I will keep my personal items on the bedside table within reach."
C. "I will walk barefoot to feel the floor better."
D. "I will dim all lights to prevent glare."
,Correct Answer: B. "I will keep my personal items on the bedside table within
reach."
Rationale: Keeping items within reach reduces the need to get up unassisted.
Call light should be used as needed, not just at night. Shoes with nonskid
soles should be worn. Adequate lighting prevents falls.
6. A nurse is caring for a client on airborne precautions. Which PPE is
required?
A. Surgical mask only
B. Gloves and gown
C. N95 respirator, gloves, and gown
D. Surgical mask and goggles
Correct Answer: C. N95 respirator, gloves, and gown
Rationale: Airborne precautions (e.g., TB, measles, varicella) require an N95
respirator or powered air-purifying respirator, plus gloves and gown for
contact with the client or environment.
7. A nurse is preparing to administer an injection. Which action prevents a
needlestick injury?
A. Recap the needle after use
B. Dispose of the needle in the regular trash
C. Activate the safety device and dispose in a sharps container
D. Bend the needle before disposal
Correct Answer: C. Activate the safety device and dispose in a sharps
container
Rationale: Safety-engineered devices should be activated immediately after
use, and the needle disposed in a puncture-resistant sharps container.
, 8. A nurse observes an assistive personnel reprimanding a client for not using
the urinal properly. The AP tells him she will put a diaper on him if he does
not use the urinal more carefully next time. Which tort is the AP committing?
A. Battery
B. Assault
C. False imprisonment
D. Negligence
Correct Answer: B. Assault
Rationale: Assault is the threat of harmful or offensive contact. The AP's
threat to put a diaper on the client constitutes assault.
9. A nurse is caring for a competent adult client who tells the nurse that he is
thinking about leaving the hospital against medical advice. The nurse believes
this is not in the client's best interest and prepares to administer PRN
sedative medication the client has not requested. Which tort is the nurse
about to commit?
A. Battery
B. Assault
C. False imprisonment
D. Negligence
Correct Answer: C. False imprisonment
Rationale: False imprisonment is the unjustified restraint of a person without
legal warrant. The nurse would be restraining the client's freedom of
movement.
10. A nurse is providing preoperative teaching for a client scheduled for
surgery. The client tells the nurse that he will prepare his advance directives
before he goes to the hospital. Which statement indicates understanding?
A. "I plan to write that I don't want them to keep me on a breathing machine."
B. "I will give my wife the authority to make all medical decisions."
Examination 100 Questions And
Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A Instant
Download Pdf
1. A nurse is caring for four clients. Which client should the nurse assess first?
A. Client with constipation requesting a laxative
B. Client with COPD whose oxygen saturation is 88%
C. Client requesting assistance to the bathroom
D. Client asking for discharge instructions
Correct Answer: B. Client with COPD whose oxygen saturation is 88%
Rationale: Using the ABC priority framework, impaired oxygenation takes
priority. Hypoxemia can rapidly become life-threatening and requires
immediate assessment and intervention.
2. A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate to delegate?
A. Assessing a postoperative client's pain level
B. Measuring intake and output for a client with heart failure
C. Teaching a client to use an incentive spirometer
D. Evaluating the effectiveness of an antihypertensive medication
Correct Answer: B. Measuring intake and output for a client with heart failure
Rationale: Measuring intake and output is within the AP's scope as it involves
data collection without clinical judgment. Assessment, teaching, and
evaluation require nursing knowledge and remain the RN's responsibility.
,3. A nurse is preparing to administer medication. Which action is part of safe
medication administration practice?
A. Ask the roommate to confirm the client's identity
B. Use the client's room number as an identifier
C. Verify the client using two identifiers
D. Give the medication without checking
Correct Answer: C. Verify the client using two identifiers
Rationale: Two identifiers (name and date of birth, or name and medical
record number) are required by The Joint Commission to prevent medication
errors.
4. A nurse is preparing to care for a client with Clostridioides difficile. Which
action should the nurse take?
A. Wear a surgical mask
B. Perform hand hygiene with alcohol-based rub
C. Wear gloves and gown, and wash hands with soap and water
D. Place the client in a negative-pressure room
Correct Answer: C. Wear gloves and gown, and wash hands with soap and
water
Rationale: C. difficile requires contact precautions (gloves and gown).
Alcohol-based hand rub does not kill C. difficile spores; soap and water is
required.
5. A nurse is teaching a client about fall prevention. Which statement
indicates understanding?
A. "I will use the call light only at night."
B. "I will keep my personal items on the bedside table within reach."
C. "I will walk barefoot to feel the floor better."
D. "I will dim all lights to prevent glare."
,Correct Answer: B. "I will keep my personal items on the bedside table within
reach."
Rationale: Keeping items within reach reduces the need to get up unassisted.
Call light should be used as needed, not just at night. Shoes with nonskid
soles should be worn. Adequate lighting prevents falls.
6. A nurse is caring for a client on airborne precautions. Which PPE is
required?
A. Surgical mask only
B. Gloves and gown
C. N95 respirator, gloves, and gown
D. Surgical mask and goggles
Correct Answer: C. N95 respirator, gloves, and gown
Rationale: Airborne precautions (e.g., TB, measles, varicella) require an N95
respirator or powered air-purifying respirator, plus gloves and gown for
contact with the client or environment.
7. A nurse is preparing to administer an injection. Which action prevents a
needlestick injury?
A. Recap the needle after use
B. Dispose of the needle in the regular trash
C. Activate the safety device and dispose in a sharps container
D. Bend the needle before disposal
Correct Answer: C. Activate the safety device and dispose in a sharps
container
Rationale: Safety-engineered devices should be activated immediately after
use, and the needle disposed in a puncture-resistant sharps container.
, 8. A nurse observes an assistive personnel reprimanding a client for not using
the urinal properly. The AP tells him she will put a diaper on him if he does
not use the urinal more carefully next time. Which tort is the AP committing?
A. Battery
B. Assault
C. False imprisonment
D. Negligence
Correct Answer: B. Assault
Rationale: Assault is the threat of harmful or offensive contact. The AP's
threat to put a diaper on the client constitutes assault.
9. A nurse is caring for a competent adult client who tells the nurse that he is
thinking about leaving the hospital against medical advice. The nurse believes
this is not in the client's best interest and prepares to administer PRN
sedative medication the client has not requested. Which tort is the nurse
about to commit?
A. Battery
B. Assault
C. False imprisonment
D. Negligence
Correct Answer: C. False imprisonment
Rationale: False imprisonment is the unjustified restraint of a person without
legal warrant. The nurse would be restraining the client's freedom of
movement.
10. A nurse is providing preoperative teaching for a client scheduled for
surgery. The client tells the nurse that he will prepare his advance directives
before he goes to the hospital. Which statement indicates understanding?
A. "I plan to write that I don't want them to keep me on a breathing machine."
B. "I will give my wife the authority to make all medical decisions."
