ATI proctored Prerequisite pretest Exam training Questions
with Rated A + solution Latest 2025/2026
At what range of rate should you administer maintenance fluids? - correct answer ~75-
150
Does the secondary/piggyback IV bag hang above or below the primary bag? - correct
answer Below (use blue hook)
What gauge catheters should you use for IV access? - correct answer 24: children
22: older adults (esp women)
20: healthy adult
16-18: trauma pt's
What is included in an IV start kit? - correct answer Tourniquet, alcohol wipe, gauze,
tape
Will also need: IV catheter, saline flushes, extension tubing
Cardiac tamponade - correct answer Fluid in the pericardial sac
Tunneled catheter - correct answer A catheter surgically inserted into a trench
Delegation: central lines - correct answer Care/dressing changes cannot be delegated
to UAP.
UAP may observe central lines and report concerns.
What are PICC lines used for? Where are they inserted? - correct answer Used for
long-term IV access
,Inserted in the basilica or cephalic vein just above or below the antecubital space,
resting in the superior vena cava
What are multi lumen central catheters used for? - correct answer Monitoring central
venous pressure ,sampling blood, and simultaneous administration of multiple IV
solutions/drugs
Hickman catheter - correct answer Used for chemotherapy or blood withdrawal
List nursing interventions associated w/ routine care of a central IV - correct answer 1.
Clamp the central line when not in use
2. Maintain patency by flushing
3. Avoid excessive force w/ small syringes
4. Never use a syringe smaller than 10 mL
List potential central IV complications and nursing interventions associated w/ each -
correct answer 1. Infection: hand hygiene, scrub the hub, use aseptic technique
2. Pneumothorax: monitor vitals, admin O2 if needed, notify the provider of warning
signs
3. Air embolism: check the line frequently, keep catheters clamped, don't inject air; if
embolism occurs: clamp catheter, admin O2, and place pt of left side in Trendelenberg
(supine w/ feet elevated)
Which activity is important to include in the plan of care for a client with a PICC?
a. Use sterile technique when changing the PICC dressing.
b. Change the IV tubing every 72 hours.
c. Take blood pressure in the arm with the PICC line.
d. Use only macrodrip tubing with IV infusions through the PICC line. - correct answer
A. Use sterile technique when changing the PICC dressing
Medical abbreviation: UA for C&S - correct answer urinary analysis for culture &
sensitivity
, What are two ways the nurse may obtain a C&S? - correct answer Sterile collection
from Foley
Sterile collection from straight cath
Client instructions for stool for occult blood specimen - correct answer Collection 3
walnut-sized feces samples
Avoid asprin, steroids, beets, poultry, red meat, and seafood
Client instructions for 24 urine collection - correct answer Collect urine for a period of
24 hr after first full void
Refrigerate each sample
Client instructions for midstream urine collection - correct answer Clean the peritoneal
area
Collect a midstream sample after urinating for several seconds
What color does a fecal sample containing occult blood turn? - correct answer Blue
A UA that is positive for hemoglobin, WBCs, and nitrites indicates: - correct answer UTI
Differentiate implications for utilizing intermittent versus indwelling urinary
catheterization. - correct answer Intermittent is less uncomfortable for the patient and
has a lower risk of infection. It should be used in kids.
Describe at least 3 strategies for preventing UTI in the client after insertion of an
indwelling catheter. - correct answer Provide peritoneal care every 6 hours
Change out the catheter every 8 hours
Drain the collection bag PRN (when full and before ambulation)
Remove the Foley post-op day 2
Maintain adequate fluid intake
with Rated A + solution Latest 2025/2026
At what range of rate should you administer maintenance fluids? - correct answer ~75-
150
Does the secondary/piggyback IV bag hang above or below the primary bag? - correct
answer Below (use blue hook)
What gauge catheters should you use for IV access? - correct answer 24: children
22: older adults (esp women)
20: healthy adult
16-18: trauma pt's
What is included in an IV start kit? - correct answer Tourniquet, alcohol wipe, gauze,
tape
Will also need: IV catheter, saline flushes, extension tubing
Cardiac tamponade - correct answer Fluid in the pericardial sac
Tunneled catheter - correct answer A catheter surgically inserted into a trench
Delegation: central lines - correct answer Care/dressing changes cannot be delegated
to UAP.
UAP may observe central lines and report concerns.
What are PICC lines used for? Where are they inserted? - correct answer Used for
long-term IV access
,Inserted in the basilica or cephalic vein just above or below the antecubital space,
resting in the superior vena cava
What are multi lumen central catheters used for? - correct answer Monitoring central
venous pressure ,sampling blood, and simultaneous administration of multiple IV
solutions/drugs
Hickman catheter - correct answer Used for chemotherapy or blood withdrawal
List nursing interventions associated w/ routine care of a central IV - correct answer 1.
Clamp the central line when not in use
2. Maintain patency by flushing
3. Avoid excessive force w/ small syringes
4. Never use a syringe smaller than 10 mL
List potential central IV complications and nursing interventions associated w/ each -
correct answer 1. Infection: hand hygiene, scrub the hub, use aseptic technique
2. Pneumothorax: monitor vitals, admin O2 if needed, notify the provider of warning
signs
3. Air embolism: check the line frequently, keep catheters clamped, don't inject air; if
embolism occurs: clamp catheter, admin O2, and place pt of left side in Trendelenberg
(supine w/ feet elevated)
Which activity is important to include in the plan of care for a client with a PICC?
a. Use sterile technique when changing the PICC dressing.
b. Change the IV tubing every 72 hours.
c. Take blood pressure in the arm with the PICC line.
d. Use only macrodrip tubing with IV infusions through the PICC line. - correct answer
A. Use sterile technique when changing the PICC dressing
Medical abbreviation: UA for C&S - correct answer urinary analysis for culture &
sensitivity
, What are two ways the nurse may obtain a C&S? - correct answer Sterile collection
from Foley
Sterile collection from straight cath
Client instructions for stool for occult blood specimen - correct answer Collection 3
walnut-sized feces samples
Avoid asprin, steroids, beets, poultry, red meat, and seafood
Client instructions for 24 urine collection - correct answer Collect urine for a period of
24 hr after first full void
Refrigerate each sample
Client instructions for midstream urine collection - correct answer Clean the peritoneal
area
Collect a midstream sample after urinating for several seconds
What color does a fecal sample containing occult blood turn? - correct answer Blue
A UA that is positive for hemoglobin, WBCs, and nitrites indicates: - correct answer UTI
Differentiate implications for utilizing intermittent versus indwelling urinary
catheterization. - correct answer Intermittent is less uncomfortable for the patient and
has a lower risk of infection. It should be used in kids.
Describe at least 3 strategies for preventing UTI in the client after insertion of an
indwelling catheter. - correct answer Provide peritoneal care every 6 hours
Change out the catheter every 8 hours
Drain the collection bag PRN (when full and before ambulation)
Remove the Foley post-op day 2
Maintain adequate fluid intake
