ATI Fundamentals practice Test A questions and solutions
A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1 mL of the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
medication from a 2 mL vial. Which of the following actions should the nurse take? - answersAsk another nurse to obser
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the medication wastage
mi mi mi
A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7 hr. The nurse should set the infusion
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
pump to deliver how many mL/hr? (round to nearest whole number. Use a leading zero if it applies. Do not use a trailing
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
zero) - answers107... 750mL/7hr = 107.14
mi mi mi mi mi mi
A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client asks, "Wha
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
would happen if I arrived at the emergency department and I had difficulty breathing?" Which of the following responses
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
should the nurse make? - answerswe would give you oxygen through a tube in your nose
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
surgery. Which of the following actions is the nurse's priority? - answersdetermine the reasons why the client is refusing
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
use the incentive spirometer
mi mi mi mi
A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
following actions should the nurse take? - answerspad the clients wrists before applying the restraints
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
A nurse is talking with an older adult client who is contemplating retirement. The client states, "I keep thinking about how
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
much I enjoy my job. I'm not sure I want to retire." Which of the following responses should the nurse make? - answerslet
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
talk about how the change in your job status will affect you
mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is caring for a client who has a pharyngeal diphtheria. Which of the following types of transmission precautions
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
should the nurse initiate? - answersdroplet
mi mi mi mi mi mi
a nurse is caring for a group of clients. which of the following actions should the nurse take to prevent the spread of
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
infection? - answersplace a client who has tuberculosis in a room with negative-pressure airflow
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is assessing an older adult client's risk for falls. which of the following assessments should the nurse use to ident
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the client's safety needs? (select all that apply) - answerspupil clarity, visual fields, visual acuity
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
A nurse in a long-term care facility is caring for a client who dies during the nurse's shift. Identify the sequence in which th
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
nurse should perform the following steps. - answers1) obtain the pronouncement of death from the provider
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
2)remove the tubes and indwelling lines mi mi mi mi mi
3) wash the client's body
mi mi mi mi
4) ask the client's family if they would like to view the body
mi mi mi mi mi mi mi mi mi mi mi mi
5) place a name tag on the body
mi mi mi mi mi mi mi
a client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. which of the following statements should
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the nurse identify as an indication that the client understands the preoperative teaching she received about pain
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
management? - answersit might help me to listen to music while i'm lying in bed
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is teaching a client and his family how to care for the client's tracheostomy at home. which of the following
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
instructions should the nurse include in the teaching? - answersuse tracheostomy covers when outdoors
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
1/5 mimimimi mimimimi
,a nurse is admitting a client who is having an exacerbation of heart failure. in planning this client's care, when should the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
nurse initiate discharge planning? - answersduring the admission process
mi mi mi mi mi mi mi mi mi
a nurse is assessing a client who reports increased pain following physical therapy. which of the following questions
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
should the nurse ask when assessing the quality of the client's pain? - answersis your pain sharp or dull?
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is caring for a child who has a prescription for a blood transfusion. the child's parents have refused the treatment
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
due to their religious beliefs. which of the following actions should the nurse take? - answersexamine personal values
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
about the issue
mi mi mi
a nurse is reviewing a client's fluid and electrolyte status. which of the following findings should the nurse report to the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
provider? - answerspotassium 5.4 mEq/L
mi mi mi mi mi
a nurse is caring for a client who has a respiratory infection. Which of the following techniques should the nurse use whe
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
performing nasotracheal suctioning for the client? - answersapply intermittent suction when withdrawing the catheter
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is caring for a client who has a sodium level of 125 mEq/L. which of the following findings should the nurse expec
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
answersabdominal cramping
mi mi
a nurse is assessing a client's readiness to learn about insulin self-administration. which of the following statements
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
should the nurse identify as an indication that the client is ready to learn? - answersi can concentrate best in the morning
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is preparing a change-of-shift report. which of the following tools or documents should the nurse use to
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
communicate continuity of care? - answerssituation, background, assessment, and recommendation (SBAR)
mi mi mi mi mi mi mi mi mi mi mi
a nurse is caring for a client who has an aggressive form of prostate cancer. the provider briefly discusses treatment
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
options and leaves the client's room. when the nurse asks if the client would like to discuss any concerns, the client
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
declines. which of the following statements should the nurse make? - answersi am available to talk if you should change
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
your mind
mi mi
a nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. the nurse notifies the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min and to report back in 1 hr. Which
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the following actions should the nurse take next? - answersnotify the nursing manager
mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is preparing an education program for staff about advocacy. which of the following information should the nurse
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
include? - answersadvocacy ensures client's safety, health and rights
mi mi mi mi mi mi mi mi mi
a nurse is providing discharge instructions to a client who will be using a walker. which of the following client statements
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
indicates an understanding of the teaching? - answersi will hire someone to trim the tree that hangs low over the stairs o
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
my front porch
mi mi mi
a nurse is caring for a client who requires an NG tube for stomach decompression. which of the following actions should
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the nurse take when inserting the NG tube? - answershave the client take sips of water to promote insertion of the NG tu
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
into the esophagus
mi mi mi
a nurse is caring for a client who has diarrhea due to shigella. which of the following precautions should the nurse
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
implement for this client? - answerswear a gown when caring for the client
mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is caring for a client who has dementia. which of the following interventions should the nurse take to minimize the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
risk for injury to the client? - answersuse a bed exit alarm system
mi mi mi mi mi mi mi mi mi mi mi mi mi
2/5 mimimimi mimimimi
A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1 mL of the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
medication from a 2 mL vial. Which of the following actions should the nurse take? - answersAsk another nurse to obser
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the medication wastage
mi mi mi
A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7 hr. The nurse should set the infusion
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
pump to deliver how many mL/hr? (round to nearest whole number. Use a leading zero if it applies. Do not use a trailing
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
zero) - answers107... 750mL/7hr = 107.14
mi mi mi mi mi mi
A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client asks, "Wha
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
would happen if I arrived at the emergency department and I had difficulty breathing?" Which of the following responses
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
should the nurse make? - answerswe would give you oxygen through a tube in your nose
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
surgery. Which of the following actions is the nurse's priority? - answersdetermine the reasons why the client is refusing
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
use the incentive spirometer
mi mi mi mi
A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
following actions should the nurse take? - answerspad the clients wrists before applying the restraints
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
A nurse is talking with an older adult client who is contemplating retirement. The client states, "I keep thinking about how
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
much I enjoy my job. I'm not sure I want to retire." Which of the following responses should the nurse make? - answerslet
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
talk about how the change in your job status will affect you
mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is caring for a client who has a pharyngeal diphtheria. Which of the following types of transmission precautions
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
should the nurse initiate? - answersdroplet
mi mi mi mi mi mi
a nurse is caring for a group of clients. which of the following actions should the nurse take to prevent the spread of
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
infection? - answersplace a client who has tuberculosis in a room with negative-pressure airflow
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is assessing an older adult client's risk for falls. which of the following assessments should the nurse use to ident
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the client's safety needs? (select all that apply) - answerspupil clarity, visual fields, visual acuity
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
A nurse in a long-term care facility is caring for a client who dies during the nurse's shift. Identify the sequence in which th
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
nurse should perform the following steps. - answers1) obtain the pronouncement of death from the provider
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
2)remove the tubes and indwelling lines mi mi mi mi mi
3) wash the client's body
mi mi mi mi
4) ask the client's family if they would like to view the body
mi mi mi mi mi mi mi mi mi mi mi mi
5) place a name tag on the body
mi mi mi mi mi mi mi
a client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. which of the following statements should
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the nurse identify as an indication that the client understands the preoperative teaching she received about pain
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
management? - answersit might help me to listen to music while i'm lying in bed
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is teaching a client and his family how to care for the client's tracheostomy at home. which of the following
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
instructions should the nurse include in the teaching? - answersuse tracheostomy covers when outdoors
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
1/5 mimimimi mimimimi
,a nurse is admitting a client who is having an exacerbation of heart failure. in planning this client's care, when should the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
nurse initiate discharge planning? - answersduring the admission process
mi mi mi mi mi mi mi mi mi
a nurse is assessing a client who reports increased pain following physical therapy. which of the following questions
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
should the nurse ask when assessing the quality of the client's pain? - answersis your pain sharp or dull?
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is caring for a child who has a prescription for a blood transfusion. the child's parents have refused the treatment
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
due to their religious beliefs. which of the following actions should the nurse take? - answersexamine personal values
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
about the issue
mi mi mi
a nurse is reviewing a client's fluid and electrolyte status. which of the following findings should the nurse report to the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
provider? - answerspotassium 5.4 mEq/L
mi mi mi mi mi
a nurse is caring for a client who has a respiratory infection. Which of the following techniques should the nurse use whe
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
performing nasotracheal suctioning for the client? - answersapply intermittent suction when withdrawing the catheter
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is caring for a client who has a sodium level of 125 mEq/L. which of the following findings should the nurse expec
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
answersabdominal cramping
mi mi
a nurse is assessing a client's readiness to learn about insulin self-administration. which of the following statements
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
should the nurse identify as an indication that the client is ready to learn? - answersi can concentrate best in the morning
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is preparing a change-of-shift report. which of the following tools or documents should the nurse use to
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
communicate continuity of care? - answerssituation, background, assessment, and recommendation (SBAR)
mi mi mi mi mi mi mi mi mi mi mi
a nurse is caring for a client who has an aggressive form of prostate cancer. the provider briefly discusses treatment
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
options and leaves the client's room. when the nurse asks if the client would like to discuss any concerns, the client
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
declines. which of the following statements should the nurse make? - answersi am available to talk if you should change
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
your mind
mi mi
a nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. the nurse notifies the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min and to report back in 1 hr. Which
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the following actions should the nurse take next? - answersnotify the nursing manager
mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is preparing an education program for staff about advocacy. which of the following information should the nurse
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
include? - answersadvocacy ensures client's safety, health and rights
mi mi mi mi mi mi mi mi mi
a nurse is providing discharge instructions to a client who will be using a walker. which of the following client statements
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
indicates an understanding of the teaching? - answersi will hire someone to trim the tree that hangs low over the stairs o
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
my front porch
mi mi mi
a nurse is caring for a client who requires an NG tube for stomach decompression. which of the following actions should
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
the nurse take when inserting the NG tube? - answershave the client take sips of water to promote insertion of the NG tu
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
into the esophagus
mi mi mi
a nurse is caring for a client who has diarrhea due to shigella. which of the following precautions should the nurse
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
implement for this client? - answerswear a gown when caring for the client
mi mi mi mi mi mi mi mi mi mi mi mi mi
a nurse is caring for a client who has dementia. which of the following interventions should the nurse take to minimize the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
risk for injury to the client? - answersuse a bed exit alarm system
mi mi mi mi mi mi mi mi mi mi mi mi mi
2/5 mimimimi mimimimi
