ATI RN Fundamentals Online Practice
2025 A+ graded Exam.
A nurse is talking with the partner of a client who has dementia. The
client's partner expresses frustration about finding time to manage
household responsibilities while caring for their partner. The nurse
should identify that the partner is experiencing which of the following
types of role-performance stress?
1. Role ambiguity
2. Sick role
3. Role overload
4. Role conflict - ANSW✔✔3
The partner's expression of frustration is an example of role overload,
which refers to having more responsibilities within a role than one
person can manage.
A nurse is caring for a client who is postoperative and is exhibiting signs
of hemorrhagic shock. The nurse notifies the 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 of the following actions should the nurse
take next?
1. Document the provider's statement in the medical record.
2. Complete an incident report.
3. Consult the facility's risk manager.
4. Notify the nursing manager. - ANSW✔✔4
,The greatest risk to the client is not receiving timely intervention for a
deterioration in physiological status; therefore, the next action the
nurse should take is to activate the chain of command to ensure that
the client receives the necessary care.
A nurse is preparing a change of shift report. Which of the following
tools or documents should the nurse use to communicate continuity of
care?
1. Critical pathway
2. Situation, background, assessment, and recommendation (SBAR)
3. Transfer report
4. Medication administration record (MAR) - ANSW✔✔2
Critical pathway
Situation, background, assessment, and recommendation (SBAR)
Transfer report
Medication administration record (MAR)
A nurse is planning to insert a peripheral IV catheter for an older adult
client. Which of the following actions should the nurse plan to take?
1. Insert the catheter at a 45° angle.
2. Place the client's arm in a dependent position.
3. Shave excess hair from the insertion site.
4. Initiate IV therapy in the veins of the hand. - ANSW✔✔2
,The nurse should place the client's arm in a dependent position
because the veins will dilate due to gravity.
A nurse is caring for a client who is postoperative and refuses to use an
incentive spirometer following major abdominal surgery. Which of the
following actions is the nurses priority?
1. Request that a respiratory therapist discuss the technique for
incentive spirometry with the client.
2. Determine the reasons why the client is refusing to use the incentive
spirometer.
3. Document the client's refusal to participate in health restorative
activities.
4. Administer a pain medication to the client. - ANSW✔✔2
A nurse is admitting a client who has an abdominal wound with a large
amount of purple tissue drainage. Which of the following types of
transmission precautions should the nurse initiate?
Protective environment
Airborne precautions
Droplet precautions
Contact precautions - ANSW✔✔Contact precautions
A nurse is caring for a client who is expressing anger about his diagnosis
of colorectal cancer. Which of the following actions should the nurse
take?
-Discuss the risk factors for colon cancer.
, -Focus teaching on what the client will need to do in the future to
manage his illness.
-Provide the client with written information about the phases of loss &
grief.
-Reassure the client that this is an expected response to grief. -
ANSW✔✔-Reassure the client that this is an expected response to
grief.
A nurse is caring for a client who is postoperative following a knee
arthroplasty & requires the use of thigh-length sequential compression
sleeves. Which of the following actions should the nurse take?
-Assist the client into a prone position
-Place a sleeve over the top of each leg with the opening at the knee
-Make sure two finger can fit under the sleeves
-Set ankle pressure at 65 mmHg - ANSW✔✔-Make sure two finger can
fit under the sleeves
A nurse is preparing to apply a dressing for a client who has a stage 2
pressure injury. Which of the following types of dressings should the
nurse use?
Alienate
Gauze
Transparent
Hydrocolloid - ANSW✔✔Hydrocolloid
2025 A+ graded Exam.
A nurse is talking with the partner of a client who has dementia. The
client's partner expresses frustration about finding time to manage
household responsibilities while caring for their partner. The nurse
should identify that the partner is experiencing which of the following
types of role-performance stress?
1. Role ambiguity
2. Sick role
3. Role overload
4. Role conflict - ANSW✔✔3
The partner's expression of frustration is an example of role overload,
which refers to having more responsibilities within a role than one
person can manage.
A nurse is caring for a client who is postoperative and is exhibiting signs
of hemorrhagic shock. The nurse notifies the 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 of the following actions should the nurse
take next?
1. Document the provider's statement in the medical record.
2. Complete an incident report.
3. Consult the facility's risk manager.
4. Notify the nursing manager. - ANSW✔✔4
,The greatest risk to the client is not receiving timely intervention for a
deterioration in physiological status; therefore, the next action the
nurse should take is to activate the chain of command to ensure that
the client receives the necessary care.
A nurse is preparing a change of shift report. Which of the following
tools or documents should the nurse use to communicate continuity of
care?
1. Critical pathway
2. Situation, background, assessment, and recommendation (SBAR)
3. Transfer report
4. Medication administration record (MAR) - ANSW✔✔2
Critical pathway
Situation, background, assessment, and recommendation (SBAR)
Transfer report
Medication administration record (MAR)
A nurse is planning to insert a peripheral IV catheter for an older adult
client. Which of the following actions should the nurse plan to take?
1. Insert the catheter at a 45° angle.
2. Place the client's arm in a dependent position.
3. Shave excess hair from the insertion site.
4. Initiate IV therapy in the veins of the hand. - ANSW✔✔2
,The nurse should place the client's arm in a dependent position
because the veins will dilate due to gravity.
A nurse is caring for a client who is postoperative and refuses to use an
incentive spirometer following major abdominal surgery. Which of the
following actions is the nurses priority?
1. Request that a respiratory therapist discuss the technique for
incentive spirometry with the client.
2. Determine the reasons why the client is refusing to use the incentive
spirometer.
3. Document the client's refusal to participate in health restorative
activities.
4. Administer a pain medication to the client. - ANSW✔✔2
A nurse is admitting a client who has an abdominal wound with a large
amount of purple tissue drainage. Which of the following types of
transmission precautions should the nurse initiate?
Protective environment
Airborne precautions
Droplet precautions
Contact precautions - ANSW✔✔Contact precautions
A nurse is caring for a client who is expressing anger about his diagnosis
of colorectal cancer. Which of the following actions should the nurse
take?
-Discuss the risk factors for colon cancer.
, -Focus teaching on what the client will need to do in the future to
manage his illness.
-Provide the client with written information about the phases of loss &
grief.
-Reassure the client that this is an expected response to grief. -
ANSW✔✔-Reassure the client that this is an expected response to
grief.
A nurse is caring for a client who is postoperative following a knee
arthroplasty & requires the use of thigh-length sequential compression
sleeves. Which of the following actions should the nurse take?
-Assist the client into a prone position
-Place a sleeve over the top of each leg with the opening at the knee
-Make sure two finger can fit under the sleeves
-Set ankle pressure at 65 mmHg - ANSW✔✔-Make sure two finger can
fit under the sleeves
A nurse is preparing to apply a dressing for a client who has a stage 2
pressure injury. Which of the following types of dressings should the
nurse use?
Alienate
Gauze
Transparent
Hydrocolloid - ANSW✔✔Hydrocolloid
