ATI CMS Fundamentals Practice 2025 UPDATE
|COMPLETE EXAM TEST AND VERIFIED
ANSWERS MULTIPLE CHOICES WITH
RATIONALES| ACCURATE ANSWERS|
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Terms in this set (59)
A nurse is giving chance- Correct answer: B.
of shift report about a
client they admitted Breath sounds - When using the airway, breathing,
earlier that day who has circulation approach to client care, the nurse
pneumonia. Which of should determine that the priority information to
the following pieces of provide is the current status of the client's breath
information is the priority sounds.
for the nurse to provide?
a) Admitting diagnosis.
b) Breath sounds.
c) Body temperature.
d) Diagnostic results.
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,8/7/25, 8:18 AM ATI CMS Fundamentals Practice 2025 UPDATE |COMPLETE EXAM TEST AND VERIFIED ANSWERS MULTIPLE CHOICES WITH …
A nurse is caring for a Correct answer: B. - The first action the nurse should
client who has an NG tube take when using the airway, breathing, circulation
and is receiving approach to
intermittent feedings client care is to prevent aspiration of the enteral
through an open system. formula; therefore, the priority intervention is to keep
Which of the following the head of the
actions should the nurse bed elevated at least 30° to prevent reflux of the
take first? formula into the esophagus
a) Rinse the feeding bag
with water between
feedings.
b) Tell the client to keep
the head of the bed
elevated at least 30°.
c) Make sure the enteral
formula is at room
temperature.
d) Wipe the top of the
formula can with alcohol.
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,8/7/25, 8:18 AM ATI CMS Fundamentals Practice 2025 UPDATE |COMPLETE EXAM TEST AND VERIFIED ANSWERS MULTIPLE CHOICES WITH …
Correct answer: A, B, E. - Place the client in a room
with negative-pressure airflow is correct. The nurse
should place the
client in a room with negative-pressure airflow to
meet the requirements of airborne precautions. Wear
gloves when
assisting the client with oral care is correct. The nurse
should wear gloves when assisting the client with oral
A nurse is caring for a care to meet
client who has the requirements of standard precautions, which the
tuberculosis. Which of the nurse must adhere to for all clients regardless of their
following actions should diagnosis.
the nurse take? The nurse should wear gloves whenever their hands
a) Place the client in a might come in contact with a client's bodily fluids,
room with negative- such as saliva,
pressure airflow and the mucous membranes in the mouth. Limit each
b) Wear gloves when visitor to 2-hr increments is incorrect. The nurse does
assisting the client with not need to
oral care. limit the client's visitors. However, the nurse should
c) Limit each visitor to 2-hr limit the client's presence outside the room and the
increments. client should
d) Wear a surgical mask wear a surgical mask when outside of the room. Wear
when providing client a surgical mask when providing client care is
care. incorrect. The nurse
e) Use antimicrobial should wear an N95 respirator during client care to
sanitizer for hand hygiene meet the requirements of airborne precautions. Use
antimicrobial
sanitizer for hand hygiene is correct. The nurse should
use antimicrobial sanitizer for routine hand hygiene
when caring
for a client who has tuberculosis. Nurses should also
wash their hands with soap and water when their
hands are visibly
soiled.
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, 8/7/25, 8:18 AM ATI CMS Fundamentals Practice 2025 UPDATE |COMPLETE EXAM TEST AND VERIFIED ANSWERS MULTIPLE CHOICES WITH …
A nurse is performing a Correct answer: C - A Romberg test helps identify
Romberg test during a alterations in balance. The nurse should have the
physical assessment of a client stand with
client. Which of the their arms at their sides and their feet together to
following techniques observe for swaying and a loss of balance.
should the nurse use?
a) Touch the face with a
cotton ball.
b) Apply a vibrating tuning
fork to the client's
forehead.
c) Have the client stand
with their arms at their
sides and their feet
together.
d) Perform direct
percussion over the area
of the kidneys.
the nurse should inflate the cuff 30 mm Hg
beyond the point at which the nurse was last able to
To obtain an accurate
palpate the pulse. If the nurse last palpated the pulse
blood pressure
at 92 mm Hg,
measurement,
then this would be the correct pressure to which the
nurse should inflate the cuff.
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