ATI Fundamentals Practice Questions 1 PDF

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100 out of 400 Practice problems and answers to help score a level 2 or higher on Fundamentals - ATI...

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ATI – Fundamentals Practice Questions (Part 1) 1. A nurse is performing a straight urinary catheterization for a female client who has urinary retention. Which of the following actions indicates the nurse is maintaining sterile technique? Wiping the labia minora in an anteroposterior direction 2. A nurse in a rehabilitation facility is observing an assistive personnel (AP) help a client transfer from a bed to a wheelchair. Which of the following actions indicates to the nurse that the AP understands how to perform this task? Locking the brakes on the bed and the wheelchair before moving the client 3. A nurse is preparing to administer a tuberculin skin test to a client. After performing hand hygiene, which of the following actions should the nurse take? Circle the injection area with a pen 4. A nurse is caring for a client who has major fecal incontinence and reports irritation in the perianal area. Which of the following actions should the nurse take first? Check the client's perineum 5. A nurse is caring for a client who is postoperative following a vaginal hysterectomy and asks for a drink. Her postoperative diet prescription states “clear liquids; advance diet as tolerated.” Which of the following responses should the nurse make? I am going to listen to your abdomen. 6. A nurse is changing the dressings for a client recovering from an appendectomy following a ruptured appendix. The client's surgical wound is healing by secondary intention. Which of the following observations should the nurse report to the provider? Halo of erythema on the surrounding skin 7. A nurse is caring for a client who just received a diagnosis of cancer. The client states, "I just don't know what I'm going to do now. Which of the following responses should the nurse make? Can you explain the concerns you're having right now? 8. A nurse is caring for a client who has a stage III pressure ulcer on the heel. When preparing to irrigate the wound, which of the following actions should the nurse take first? Check the client's pain level 9. A nurse is calculating a client's intake for a 12-hr shift. The client had dextrose 5% in 0.45% sodium chloride infusing at 125 ml/hr, gentamicin 150 mg in 100 mL at 1400, famotidine 20 mg in 50 mL at 1000 and 1600, 250 mL of blood over 2 hr, and a nasogastric flush of 30 ml every 2 hr. What is the total intake in milliliters that the nurse should document for this client for this 12-hr period? 2130

ATI – Fundamentals Practice Questions (Part 1) 10. A nurse is caring for a client who is receiving a blood transfusion. The client reports flank pain, and the nurse notes reddish-brown urine in the client's urinary catheter bag. The nurse recognizes these manifestations as which of the following types of transfusion reactions? Hemolytic 11. A nurse is caring for a client who has a terminal illness. The client asks several questions about the nurse's religious beliefs related to death and dying. Which of the following actions should the nurse take? Encourage the client to express thoughts about death and dying 12. A nurse is caring for a client who reports feeling a pop after coughing without properly splinting an abdominal incision. On assessment, the nurse notes that the client's wound has eviscerated. Which of the following actions should the nurse take? (SATA) Place the client in a supine position with the hips and knees flexed Cover the wound and intestine with a sterile, moistened dressing Monitor the client for manifestations of shock 13. A nurse is providing teaching to a client regarding protein intake. Which of the following foods should the nurse include as an example of an incomplete protein? Lentils 14. A nurse is providing discharge teaching for a client who has type 2 diabetes mellitus and will be caring for herself at home. The client expresses concerns about preparing an appropriate diet for her diabetes due to her cultural beliefs and preferences. Which of the following responses should the nurse offer? The dietitian will help you choose foods you are used to that also meet your health needs. 15. A nurse is caring for a client who has emphysema. The client has not stopped smoking cigarettes and states, "it's too late for me to quit." Which of the following actions should the nurse take? Assist the client in finding local smoking cessation assistance programs 16. A nurse is collecting a specimen for culture from a clients infected wound. Which of the following actions should the nurse perform? Cleanse the wound with 0.9% sodium chloride irrigation 17. A nurse is providing teaching about proper care to a client who has a new colostomy. Which of the following pieces of information should the nurse include in the teaching? Cleanse the skin around the stoma with warm water

ATI – Fundamentals Practice Questions (Part 1) 18. A nurse is preparing to administer an afternoon dose of ampicillin to a client. The client appears upset and refuses to take the medication before throwing the pill on the floor. Which of the following entries should the nurse enter into the client's medical record? The client threw the medication on the floor. 19. A nurse is caring for a client who is 48 hr postoperative following a small bowel resection. The client reports gas pains in the periumbilical area. The nurse should plan care based on which of the following factors contributing to this postoperative complication? Impaired peristalsis of the intestines 20. A nurse is explaining Piaget's theory of cognitive development to a group of daycare providers for employees' children at an acute care facility. Which of the following activities should the nurse include as an example of concrete operational thinking? Collecting and trading game cards 21. A nurse is planning care for a group of clients receiving oxygen therapy. Which of the following clients should the nurse plan to see first? A client who has heart failure and is receiving 100% oxygen via partial rebreather mask 22. A nurse is caring for a group of clients. Which of the following tasks should the nurse assign to an assistive personnel (AP)? Provide oral care to a client who cannot take oral fluids 23. A nurse is assessing a client who reports nausea and vomiting for 2 days. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? Increased heart rate 24. A nurse is caring for a client who has a BMI of 29 and expresses a desire to lose weight. Which of the following actions should the nurse take first? Determine the client's intention to change current eating habits 25. A nurse is beginning a therapeutic relationship with a client. Which of the following actions should the nurse take to convey empathy when using the therapeutic communication technique of active listening? Assume an open position 26. A nurse is caring for a client who has the head of his bed elevated to a 45° angle with his knees slightly flexed. Which of the following positions should the nurse document for the client? Fowler's

ATI – Fundamentals Practice Questions (Part 1) 27. A nurse is assessing a client who has a total calcium level of 12.7 mg/dL. Which of the following findings should the nurse expect? Depressed deep-tendon reflexes 28. A nurse is preparing to insert an indwelling urinary catheter for a male client. Which of the following locations should the nurse secure the urinary catheter tubing? Lower abdomen 29. A nurse is teaching a client about the use of a straight-legged cane. Which of the following client actions indicates an understanding of the teaching? The client holds the cane on the unaffected side. 30. A nurse is planning to obtain the vital signs of a 2-year-old child who is experiencing diarrhea and may have a right ear infection. Which of the following routes should the nurse use to obtain the child's temperature? Temporal 31. A nurse is teaching range-of-motion exercises to a client who has osteoarthritis. Which of the following client positions demonstrates an understanding of supination of the hand? The client holds the hand with the palm up. 32. A nurse is assessing a client who has a sudden onset of severe back pain of unknown origin. Which of the following questions should the nurse ask to encourage discussion with the client? What do you think caused the onset of your pain? 33. A nurse is preparing to administer an intramuscular injection to a client who is overweight. Which of the following sites should the nurse select for the injection? Side hip between the iliac crest and anterior iliac spine 34. A nurse is caring for a middle-aged adult client. The nurse should identify which of the following statements as an indication that the client has completed Erikson's developmental task for her age group? I think I have done a good job with my children since they are all independent now. 35. A nurse is supervising a newly licensed nurse who is administering a controlled substance. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure? Asking another nurse to observe the disposal of an unused portion of the medication

ATI – Fundamentals Practice Questions (Part 1) 36. A nurse is teaching a group of unit nurses about the experiences of clients who are having surgery. In which phase of care is the client transferred to the surgical suite table before being transferred to the PACU? Intraoperative 37. A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following actions should the nurse take? Administer analgesics to the child on a routine schedule throughout the day and night. 38. A nurse is assisting a client who has right-sided weakness while ambulating using a cane. Which of the following client actions should indicate to the nurse that the client understands the procedure of cane walking? The client keeps 2 points of support on the ground 39. A nurse is admitting a client who has decreased circulation in his left leg. Which of the following actions should the nurse take first? Evaluate pedal pulses 40. A nurse is demonstrating postoperative deep breathing and coughing exercises to a client who is scheduled for emergency surgery for appendicitis. Which of the following statements indicates a lack of readiness to learn by the client? The client reports severe pain. 41. A nurse is working with the facility's language interpreter to explain a wound-care procedure to a client who does not speak the same language as the nurse. Which of the following actions should the nurse take when describing the procedure to the client? Ensure the interpreter and the client speak the same dialect. 42. A nurse is obtaining a capillary blood sample to determine a client's blood glucose level. The nurse prepares and punctures the client's finger for the procedure but does not obtain an adequate amount of blood. Which of the following actions should the nurse take next? Wrap the client's finger in a warm washcloth. 43. A nurse is preparing to administer an otitis antibiotic to an adult client who has otitis media. Which of the following actions should the nurse plan to take? Hold the dropper 1 cm (0.5 in) above the ear canal during administration.

ATI – Fundamentals Practice Questions (Part 1) 44. A nurse is planning care for a client who has a wound infection following abdominal surgery. To promote healing and fight infection, which of the following vitamins and minerals should the nurse plan to increase in the client's diet? Vitamin Cand zinc 45. A nurse in a provider's office is measuring a client and notes a loss in height from the previous year. The nurse should identify this finding as a manifestation of which of the following musculoskeletal system disorders? Osteoporosis. 46. A nurse is caring for a client who has a temperature of 38.7°C(101.7°F). Which of the following actions should the nurse take? Keep the client's bed linens dry 47. A nurse is caring for a client who has peripheral edema. The nurse should identify that which of the following nutrients regulates extracellular fluid volume? Sodium 48. A nurse is conducting an admission interview with a client. Which of the following pieces of assessment information should the nurse collect during the introductory phase of the interview? Client's level of comfort and ability to participate in the interview 49. A nurse is preparing to assess the function of the client's trigeminal nerve (cranial nerve V). Which of the following items should the nurse gather for the test? Cotton wisps 50. A nurse is caring for a client who requires a chest X-ray. Prior to the client being transported for the procedure, which of the following actions should the nurse take first? Identify the client using 2 identifiers. 51. A nurse has received a prescription for dextran to administer to a client. The nurse should recognize that dextran belongs in which of the following functional classifications? Plasma volume expanders 52. A nurse is caring for a client who is postoperative following vascular surgery on the left femoral artery. The nurse should identify that the surgical wound should be cleansed in which of the following directions? From the wound toward the surrounding skin

ATI – Fundamentals Practice Questions (Part 1) 53. A nurse is caring for a client who is exhibiting confusion. The nurse should identify that which of the following laboratory values can cause confusion? Sodium 123 mEq/L 54. A nurse is preparing to administer a medication to a client. Which of the following administration schedules should the nurse identify as a prescription to administer the medication once and as soon as possible? Stat prescription 55. A nurse is caring for a client who has a terminal illness. The client is restless and reports severe pain but refuses the prescribed opioid pain medication. Which of the following actions should the nurse take first? Ask why the client is refusing the pain medication 56. A nurse is administering a cleansing enema to a client who is scheduled for a diagnostic procedure. Which of the following actions should the nurse take? Insert the tip of the tubing 8 cm (3.1 in) 57. A nurse is supervising a newly licensed nurse who is caring for a client with streptococcal pharyngitis and is on transmission-based precautions. Which of the following actions by the newly licensed nurse indicates an understanding of droplet precautions? Assigning another client with the same infection to share the room with the client 58. A nurse is caring for a client who has an NG tube for intermittent enteral feedings. Which of the following actions should the nurse take? Elevate the head of the client's bed to 45° before the feeding 59. A nurse is caring for a client who requires ventilatory assistance with breathing following a motor vehicle crash. The nurse should suspect an injury to which of the following parts of the brain? Brainstem 60. A nurse is caring for an adult client in the terminal stages of lung cancer who refuses any further treatment. The nurse should provide care that facilitates which of the following outcomes? Supports self-determination 61. A nurse is providing nutritional teaching to a group of clients. Which of the following definitions for the recommended dietary allowance (RDA) should the nurse include in the teaching? The RDA defines the level of nutrient intake that meets the needs of healthy people in various groups.

ATI – Fundamentals Practice Questions (Part 1) 62. A nurse is performing a physical assessment of a client. The nurse should recognize that which of the following findings places the client at risk of impaired skin integrity? Faint pedal pulses 63. A middle-aged adult client is discussing future plans with the nurse. Which of the following statements should the nurse identify as an indication that the client is having difficulty achieving Erikson's developmental task for this age group? We miss our daughter so much that we are going to move closer to her. 64. A nurse is caring for a client who has a temperature of 38.7°C (101.7°F). Which of the following actions should the nurse take? Keep the client's bed linens dry 65. A nurse is administering an IM injection to a 5-month-old infant. Which of the following injection sites should the nurse use? Vastus lateralis 66. A nurse is providing oral care for a client who is unconscious. Which of the following actions should the nurse take? Place the client in a lateral position with the head turned to the side before beginning the procedure 67. A nurse is performing a neurological assessment for a client. Which of the following examinations should the nurse use to check the client's balance? Romberg test 68. A nurse is planning care for a client who is confused and requires a prescription for wrist restraints. Which of the following interventions should the nurse include in the plan of care? Renew the prescription for the use of restrains within 24 hr 69. A nurse is providing teaching to a group of unit nurses about wound healing by secondary intention. Which of the following pieces of information should the nurse include in the teaching? Granulation tissue fills the wound during healing. 70. A nurse is caring for a client who has a terminal illness. Which of the following findings indicates that the client's death is imminent? Cold extremities 71. A nurse is preparing to assist an older adult client with ambulation following bed rest for 3 days. Which of the following actions should the nurse take to decrease the risk of a fall? Use a gait belt during ambulation

ATI – Fundamentals Practice Questions (Part 1) 72. A home health nurse is planning to provide health promotion activities for a group of clients in community. Which of the following activities is an example of primary prevention? Educating clients about the recommended immunization schedule for adults 73. A nurse is screening a client who has an S-shaped spinal column with unequal shoulder heights. The nurse should identify these findings as manifestations of which of the following abnormalities? Scoliosis 74. An adolescent client in an outpatient mental health facility tells the nurse that he struggles to follow his treatment plans because his friends discourage him. Which of the following statements should the nurse make? Tell me more about how your friends discourage you. 75. A nurse is teaching a newly licensed nurse about pain management in clients age 65 and older. Which of the following pieces of information should the nurse include in the teaching? Clients who are age 65 or older are reluctant to report pain. 76. A nurse is reviewing a client's laboratory results and notes a WBC count of 3,600/mm 3. The nurse should identify this result as which of the following conditions? Leukopenia 77. A home health nurse is visiting an older adult client with severe dementia. The client's son, who serves as her primary caregiver, reports being "exhausted" from working part-time and caring for his mother at home. Which of the following options should the nurse suggest to the caregiver? Respite care 78. A nurse is teaching a client who is postoperative following a knee arthroplasty about the muscles he will need to strengthen in physical therapy. Which of the following muscle groups is responsible for movement at the knee joint? Antagonistic 79. A nurse is preparing to irrigate a client's wound. Which of the following actions should the nurse take? Warm the irrigating solution to 37°C (98.6°F) 80. A client has 1 L of dextrose 5% in 0.45% sodium chloride infusing IV at 125 ml/hr. How many hours will it take for the liter to infuse? 8

ATI – Fundamentals Practice Questions (Part 1) 81. A nurse is examining a client for signs of costovertebral angle tenderness. The nurse should place the client in which of the following positions for evaluation? Sitting 82. A nurse is performing an otoscope examination of a client's right ear. The light reflex is visible in the right lower quadrant of the tympanic membrane. Which of the following actions should the nurse take in response to this finding? Document this as an expected finding 83. After assessing a client's radial pulses, the nurse documents "radial pulses 4+ bilaterally.' The nurse should document this finding when a client's pulses have which of the following qualities? Bounding 84. A nur...