ATI RN Fundamentals Practice Tests A & B
UPDATED Study Guide QUESTIONS
AND CORRECT ANSWERS
A nurse is caring for a client who reports pain. When documenting the quality of
the client's pain on an initial pain assessment, the nurse should record which of
the following client statements?
"I am having mild pain"
"The pain is like a dull ache in my stomach"
"I notice that the pain gets worse after I eat"
"The pain makes me feel nauseous" - CORRECT ANSWERS "The pain
is like a dull ache in my stomach"
A client in non ambulatory notifies the nurse that his trash can is on fire. After
the nurse confirms the presence of the fire, which of the following actions
should the nurse take next?
Activate the emergency fire alarm
Extinguish the fire
Evacuate the client
Confine the fire - CORRECT ANSWERS Evacuate the client
A nurse is completing an admission assessment for a client who reports
vomiting and diarrhea for the past 3 days. Which of the following findings
should the nurse expect?
Neck vein distention
Urine specific gravity 1.010
Rapid Heart rate
Blood pressure 144/82 mmHg - CORRECT ANSWERS Rapid heart rate
,A nurse has accepted a verbal prescription for "thee tenths of a milligram of
levothyroxine IV stat" for a client who has myxedema coma. How should the
nurse transcribe the dosage of this medication in the client's medical record?
.3 mg
0.3 mg
0.30 mg
3/10 mg - CORRECT ANSWERS 0.3 mg
A nurse is preparing a heparin infusion for a client who was admitted to the
facility with deep vein thrombosis. The prescription reads: 25,000 units of
heparin in 0.9% sodium chloride 250 ml to infuse at 800 units/hour. At what rate
should the nurse set the infusion pump? - CORRECT ANSWERS 8
ml/hour
A nurse is caring for a client who has a prescription for wound irrigation. Which
of the following actions should the nurse take?
Wear sterile gloves when removing the old dressing
Warm the irrigation solution to 40.5 C (105 F)
Cleanse the wound from the center outward
Use a 20 ml syringe to irrigate the wound - CORRECT ANSWERS
Cleanse the wound from the center outward
A nurse is caring for a client who is receiving fluid through a peripheral IV
catheter. Which of the following findings at the IV site should the nurse identify
as indicating infiltration?
Purulent exudate
Warmth
Skin blanching
Bleeding - CORRECT ANSWERS Skin blanching
,A nurse is teaching a client whose left leg is in a cast about using crutches.
Which of the following statements should the nurse identify as an indication
that the client understands the teaching?
"When descending the stairs, I will first shift my weight to my right leg"
"I should place my crutches 12 inches in front and to the side of each foot"
"As I sit down, I will hold one crutch in each hand"
"I will make sure the shoulder rests are snug against my armpits" - CORRECT
ANSWERS "When descending the stairs, I will first shift my weight to
my right leg"
A nurse is caring for a client who has an NG tube and is receiving intermittent
feedings through an open system. Which of the following actions should the
nurse take first?
Rinse the feeding back with water between feedings
Tell the client to keep the head of the bed elevated at least 30 degrees
Make sure the enteral formula is at room temperature
Wipe the top of the formula can with alcohol - CORRECT ANSWERS
Tell the client to keep the head of the bed elevated at least 30 degrees
A nurse is reviewing a client's medication prescription that reads, "digoxin 0.25
by mouth every day". Which of the following components of the prescription
should the nurse verify with the provider?
Medication name
Route of administration
Medication dose
Frequency of administration - CORRECT ANSWERS Medication dose
A nurse is caring for a client who has recently started using a behind the ear
hearing aid. Which of the following statements should the nurse identify as an
indication that the client understands the use of this assistive device?
"This type of hearing aid does not allow for fine tuning of volume"
, "I shouldn't have trouble keeping the hearing aid in place during exercise"
"I expect to hear a whistling sound when I first insert the hearing aid"
"I will be sure to remove my hearing aid before taking a shower" - CORRECT
ANSWERS "I will be sure to remove my hearing aid before taking a
shower"
A nurse enters a client's room and finds her on the floor. The client's roommate
reports that the client was trying to get out of bed and fell over the side rail onto
the floor. Which of the following statements should the nurse document about
this incident?
"Incident report completed"
"Client climbed over the side rails"
"Client found lying on the floor"
"Client was trying to get out of bed" - CORRECT ANSWERS "Client
found lying on the floor"
A nurse on a medical unit is preparing to discharge a client to home. Which of
the following actions should the nurse take as part of the medication
reconciliation process?
Seal unused medications from the facility in a plastic bag
Evaluate the client's ability to self administer medications
Report an identified discrepancy to The Joint Commission
Compare prescriptions with medications the client received while at the facility
- CORRECT ANSWERS Compare prescriptions with medications the
client received while at the facility
A nurse is caring for a client who requires an informed consent for a surgical
procedure. Which of the following actions is the nurse's responsibility?
Describe the procedure to the client
Witness the client's signature on the consent form
Inform the client of alternatives to the procedure
UPDATED Study Guide QUESTIONS
AND CORRECT ANSWERS
A nurse is caring for a client who reports pain. When documenting the quality of
the client's pain on an initial pain assessment, the nurse should record which of
the following client statements?
"I am having mild pain"
"The pain is like a dull ache in my stomach"
"I notice that the pain gets worse after I eat"
"The pain makes me feel nauseous" - CORRECT ANSWERS "The pain
is like a dull ache in my stomach"
A client in non ambulatory notifies the nurse that his trash can is on fire. After
the nurse confirms the presence of the fire, which of the following actions
should the nurse take next?
Activate the emergency fire alarm
Extinguish the fire
Evacuate the client
Confine the fire - CORRECT ANSWERS Evacuate the client
A nurse is completing an admission assessment for a client who reports
vomiting and diarrhea for the past 3 days. Which of the following findings
should the nurse expect?
Neck vein distention
Urine specific gravity 1.010
Rapid Heart rate
Blood pressure 144/82 mmHg - CORRECT ANSWERS Rapid heart rate
,A nurse has accepted a verbal prescription for "thee tenths of a milligram of
levothyroxine IV stat" for a client who has myxedema coma. How should the
nurse transcribe the dosage of this medication in the client's medical record?
.3 mg
0.3 mg
0.30 mg
3/10 mg - CORRECT ANSWERS 0.3 mg
A nurse is preparing a heparin infusion for a client who was admitted to the
facility with deep vein thrombosis. The prescription reads: 25,000 units of
heparin in 0.9% sodium chloride 250 ml to infuse at 800 units/hour. At what rate
should the nurse set the infusion pump? - CORRECT ANSWERS 8
ml/hour
A nurse is caring for a client who has a prescription for wound irrigation. Which
of the following actions should the nurse take?
Wear sterile gloves when removing the old dressing
Warm the irrigation solution to 40.5 C (105 F)
Cleanse the wound from the center outward
Use a 20 ml syringe to irrigate the wound - CORRECT ANSWERS
Cleanse the wound from the center outward
A nurse is caring for a client who is receiving fluid through a peripheral IV
catheter. Which of the following findings at the IV site should the nurse identify
as indicating infiltration?
Purulent exudate
Warmth
Skin blanching
Bleeding - CORRECT ANSWERS Skin blanching
,A nurse is teaching a client whose left leg is in a cast about using crutches.
Which of the following statements should the nurse identify as an indication
that the client understands the teaching?
"When descending the stairs, I will first shift my weight to my right leg"
"I should place my crutches 12 inches in front and to the side of each foot"
"As I sit down, I will hold one crutch in each hand"
"I will make sure the shoulder rests are snug against my armpits" - CORRECT
ANSWERS "When descending the stairs, I will first shift my weight to
my right leg"
A nurse is caring for a client who has an NG tube and is receiving intermittent
feedings through an open system. Which of the following actions should the
nurse take first?
Rinse the feeding back with water between feedings
Tell the client to keep the head of the bed elevated at least 30 degrees
Make sure the enteral formula is at room temperature
Wipe the top of the formula can with alcohol - CORRECT ANSWERS
Tell the client to keep the head of the bed elevated at least 30 degrees
A nurse is reviewing a client's medication prescription that reads, "digoxin 0.25
by mouth every day". Which of the following components of the prescription
should the nurse verify with the provider?
Medication name
Route of administration
Medication dose
Frequency of administration - CORRECT ANSWERS Medication dose
A nurse is caring for a client who has recently started using a behind the ear
hearing aid. Which of the following statements should the nurse identify as an
indication that the client understands the use of this assistive device?
"This type of hearing aid does not allow for fine tuning of volume"
, "I shouldn't have trouble keeping the hearing aid in place during exercise"
"I expect to hear a whistling sound when I first insert the hearing aid"
"I will be sure to remove my hearing aid before taking a shower" - CORRECT
ANSWERS "I will be sure to remove my hearing aid before taking a
shower"
A nurse enters a client's room and finds her on the floor. The client's roommate
reports that the client was trying to get out of bed and fell over the side rail onto
the floor. Which of the following statements should the nurse document about
this incident?
"Incident report completed"
"Client climbed over the side rails"
"Client found lying on the floor"
"Client was trying to get out of bed" - CORRECT ANSWERS "Client
found lying on the floor"
A nurse on a medical unit is preparing to discharge a client to home. Which of
the following actions should the nurse take as part of the medication
reconciliation process?
Seal unused medications from the facility in a plastic bag
Evaluate the client's ability to self administer medications
Report an identified discrepancy to The Joint Commission
Compare prescriptions with medications the client received while at the facility
- CORRECT ANSWERS Compare prescriptions with medications the
client received while at the facility
A nurse is caring for a client who requires an informed consent for a surgical
procedure. Which of the following actions is the nurse's responsibility?
Describe the procedure to the client
Witness the client's signature on the consent form
Inform the client of alternatives to the procedure
