RATIONALES 2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
A nurse is assisting with conducting a home hazard assessment
for a client who has dementia. Which of the following findings
The edges of stairs are marked with brightly colored tape
indicates an understanding of home safety?
The nurse should instruct the client to mark edges of stairs with
- An extension cord is secured under a rug
brightly colored tape to alert the client of the steps and reduce the
- A toaster is plugged in when not in use
risk of fall.
- The water heater is set to 55c (131f)
- The edges of stairs are marked with brightly colored tape
A nurse is caring for a client who is experiencing a seizure. Which
of the following actions should the nurse take? Record the time and length of the seizure
-Record the time and length of the seizure
-Restrain the clients extremes The nurse should monitor the length of time of the seizure to
-Place the client in the prone position evaluate the type of seizure and determine treatment required.
-Monitor the clients hemoglobin level
A nurse is caring for a client who is at risk for suicide. Which of the
Place the client on round the clock surveillance
following actions should the nurse take? (Select all that apply)
Remove objects from the room that the client could use to harm
-Place the client on round-the-clock surveillance
themselves
- Remove objects from the room that the client could use to harm
themselves
Search items brought into the clients room by visitors
- Search items brought into the clients room by visitors
- Refrain from asking the client if they intend to harm themselves
Screen the client for suicidal ideations
- Screen the client for suicidal ideations
A nurse is caring for a client who has an indwelling urinary catheter
in place. Which of the following actions is the priority for the
nurse to take to reduce the clients risk of developing a healthcare Perform hand hygiene
associated infection?
According to evidence-based practice, hand hygiene among med-
- Wipe down the clients bedside table with an antiseptic wipe. ical professionals, clients, and visitors is the priority intervention
- Conduct informal audits of medical records to identify the number to reduce the risk for the client to develop a healthcare-associated
of healthcare associated infections infection.
- Perform hand hygiene
Instruct the client on ways to reduce the risk for infection
A nurse is checking a clients allergy bracelet before administering
a medication and finds the client is allergic to that medication. The
Near miss event
nurse does not administer the medication to the client. This is an
example of which of the following unexpected events?
A near-miss event is an error that could have harmed the client
which almost occurs, but was caught and avoided. The nurse not-
- Near miss event
ed the client had an allergy to the medication prior to administering
- Client safety event
it, avoiding harm to the client.
- Adverse event
- Sentinel event
A nurse is preparing a poster about fire safety for a community
health fair. The nurse should include on the poster that which of
the following components contains needed elects for fire to occur?
Cooking oil
(SATA)
Oxygen
- Carbon dioxide
- Nitrogen
Heat
- Cooking oil
- Oxygen
- Heat
A nurse is assisting with teaching a class about evidence based
protocols established by the CDC to prevent healthcare associat- Catheter associated urinary tract infection
ed infections (HAIs). Which of the following infections should the
nurse include? (SATA) Central line associated bloodstream infection
- Influenza infection Surgical site infection
- Catheter associated urinary tract infection
, ATI FUNDAMENTAL FINAL EXAM REVIEW QUESTIONS AND ANSWERS WITH
RATIONALES 2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
- Mycobacterium tuberculosis infection
- Central line associated bloodstream infection
- Surgical site infection
A nurse is assisting with teaching a class about warning signs from
a co-worker that might indicate future workplace violence. Which
frequent reports of not being treated fairly
of the following behaviors should the nurse include?
The nurse should include that persistent complaining and voicing
- Legitimate absenteeism
that they are not being treated fairly is a warning sign for possible
- Strict adherence to facility policies
future workplace violence by a co-worker.
- Consistent adequate work performance
- frequent reports of not being treated fairly
A nurse is assisting with teaching a newly licensed nurse about
electrical safety. Which of the following actions by the newly li-
censed nurse indicates an understanding of the teaching? The nurse holds onto the plug to unplug a clients electronic blood
pressure machine
- The nurse plugs in a sequential compression device with wet
hands The nurse should instruct the newly licensed nurse to hold onto
- The nurse holds onto the plug to unplug a clients electronic blood the plug, rather than the cord, to unplug electric cords. Pulling on
pressure machine the cord can damage the cord, and result in an electric shock that
- The nurse rolls the clients bed over an electrical cord could injure the nurse or the client.
- The nurse uses an extension cord to plug in a clients smart
infusion pump
A nurse is assisting with teaching a class about hospital-acquired
injuries. The nurse should include which of the following is a
hospital-acquired injury? (SATA) Blood transfusion incompatibility
- Blood transfusion incompatibility Wrong site surgery
- Wrong site surgery
- Ineffective insulin usage Ineffective insulin usage
- Dysphagia following a stroke
- Dehydration due to diarrhea
A nurse is assisting with teaching a class about events that require
an occurrence report. Which of the following events should the
nurse include? (SATA)
A clients visitor falls in the hallway
- A clients visitor falls in the hallway
A client develops an unexpected reaction to a medication
- A nurse forgets their computer password
- A client develops an unexpected reaction to a medication
A clients dentures are lost
- A clients dentures are lost
- An antibiotic was administered to a client 30 min after the
scheduled time
A nurse is preparing to administer medications to a client. Which
of the following information should the nurse use to identify the
client? (SATA) The client's full name
- The client's full name The client's date of birth
- The client's date of birth
- The client's telephone number The client's telephone number
- The client's diagnosis
- The client's room number
A nurse is a assisting with emergency care of a client who has
been exposed to a chemical toxin. Which of the following actions
Rinse the clients skin with water
should the nurse take?
The nurse should have the client shower to remove the chemical
- Rinse the clients skin with water
toxin from their skin, hair, and eyes to reduce the effects of expo-
- Remove the clients clothing by pulling it over their head
- Dispose of the clients clothing in a single biohazard bag sure.
- Prepare to administer potassium iodide to the client
A nurse is assisting with teaching a newly licensed nurse about
using a lift device to transfer a client.Which of the following actions
, ATI FUNDAMENTAL FINAL EXAM REVIEW QUESTIONS AND ANSWERS WITH
RATIONALES 2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
by the nurse indicates an understanding of the teaching? (SATA)
Locks breaks on the clients bed
- Locks breaks on the client's bed
Checks the maximum weight of the lift bed before using it
- Check the maximum weight of the lift bed before using it
- Place the client on the edge of the sling
Performs a safety check before lifting the client
- Uses the lift without assistance from another team member
A nurse is caring for a client who has a prescription for wrist
restraints. Which of the following actions should the nurse take? Remove the restraints with each vital sign check
-Tie the restraints to the side rails on the clients bed The nurse should remove the restraints and check the client's
- Remove the restraints with each vital sign check skin and circulation with each vital sign and at least every 2 hr to
- Use a square knot to secure the restraints monitor for client injury.
- Make sure one finger can fit under the restraints
A nurse is planning to implement the transforming care at the
bedside plan on a medical-surgical unit. Which of the following Use a standardized communication tool
interventions should the nurse include in the plan?
The Transforming Care at the Bedside plan recommends using a
- Require nurses to spend 50% of their time at the bedside of standardized communication tool, such as the Identity, Situation,
clients Background, Assessment, Recommendation, and Readback (IS-
- Perform change of shift report at the nurses station BARR) tool. Using a standardized communication tool enhances
- Complete client round every 4 hr communication, which results in improved client outcomes.
- Use a standardized communication tool
A nurse is planning to use the identity, situations, background,
assessment, recommendation, read back (ISVARR) tool to com-
municate with a provider about a client. Which of the following The clients laboratory test results
information is included in the assessment component of ISBARR?
General client impression and significant findings such as diag-
- The client's admitting diagnosis nostic tests, laboratory results, and vital signs are included in the
- The client's medical history assessment component of the ISBARR communication tool.
- The clients laboratory test results
- The clients response to reatement
A nurse discovers a small sire in a clients room. After removing
the client to safety, which of the following actions should the nurse
Activate the fire alarm
take next?
The greatest risk to this client is injury from a fire. Therefore, the
- Extinguish the fire
next action the nurse should take is to activate the emergency fire
- Close the windows in the client's room
alarm to alert emergency responders to extinguish the fire.
- Close the client's door
- Activate the fire alarm
A nurse is preparing to conduct a fall risk screening on a client.
Which of the following variables will the nurse use to evaluate the Fall history
client? (SATA)
Medical diagnosis
- Fall history
- Medical diagnosis Use of assistive devices
- Use of assistive devices
- Mental status Mental status
- Do not resuscitate status
A nurse is preparing to administer a premixed medication to a
client. The nurse should check the label for which of the following
information? (SATA) The date the medication was mixed
- The date the medication was mixed The dose of the mixed medication
- The client's age
- The client's room number The time the medication was mixed
- The dose of the mixed medication
- The time the medication was mixed
A nurse is caring for a client who is postoperative and requests
spiritual support. Which of the following statements should the
nurse make?